Hospital Costs > In California > Ukiah Valley Medical Center/Hospital D, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 118 | $45.108,20 | 1580 / 33 | $13.982,10 | 2157 / 54 | $13.032,50 | 2119 / 59 |
| Heart Failure & Shock W Mcc | 70 | 214 / 58 | $33.124,20 | 1291 / 11 | $11.379,10 | 1920 / 51 | $10.127,40 | 1914 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 40 | $28.820,20 | 962 / 4 | $11.151,50 | 2023 / 50 | $10.221,00 | 2022 / 56 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 35 | $27.906,00 | 906 / 6 | $9.499,84 | 1735 / 24 | $8.631,37 | 1730 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 72 | $34.240,90 | 1828 / 61 | $8.433,95 | 2053 / 60 | $7.478,16 | 2045 / 76 |
| Renal Failure W Cc | 36 | 185 / 52 | $29.843,20 | 1685 / 32 | $7.632,67 | 1856 / 49 | $6.562,44 | 1846 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 128 | $90.840,30 | 2371 / 133 | $15.998,20 | 2233 / 53 | $14.859,00 | 2189 / 91 |
| Heart Failure & Shock W Cc | 26 | 252 / 74 | $22.842,20 | 1469 / 15 | $8.362,12 | 2073 / 92 | $6.672,54 | 2068 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $28.357,30 | 1857 / 21 | $7.750,24 | 2296 / 50 | $6.881,12 | 2288 / 72 |
| Diabetes W Cc | 24 | 68 / 11 | $24.605,60 | 975 / 12 | $6.755,00 | 1199 / 23 | $5.749,67 | 1194 / 27 |
| G.I. Hemorrhage W Cc | 23 | 195 / 68 | $29.403,00 | 1525 / 19 | $7.946,30 | 1955 / 41 | $7.108,74 | 1951 / 58 |
| Cellulitis W/O Mcc | 23 | 166 / 63 | $20.461,20 | 1531 / 13 | $6.829,22 | 2050 / 52 | $5.674,43 | 2042 / 51 |
| G.I. Obstruction W Cc | 20 | 72 / 32 | $29.836,20 | 1191 / 19 | $7.091,75 | 1392 / 33 | $6.189,35 | 1387 / 49 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 47 | $109.549,00 | 606 / 2 | $38.649,40 | 1146 / 28 | $37.744,10 | 1138 / 36 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 37 | $37.273,10 | 600 / 5 | $13.347,10 | 1154 / 31 | $11.935,00 | 1146 / 23 |
| Renal Failure W Mcc | 19 | 176 / 67 | $44.313,20 | 1424 / 30 | $13.804,70 | 1798 / 105 | $11.783,70 | 1794 / 80 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 91 | $26.965,40 | 2003 / 50 | $6.142,68 | 2194 / 49 | $5.221,42 | 2179 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $23.837,30 | 1341 / 15 | $6.475,53 | 1756 / 45 | $5.646,89 | 1751 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 56 | $29.529,70 | 1117 / 8 | $8.400,94 | 1659 / 42 | $7.460,50 | 1655 / 59 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $33.510,20 | 462 / 2 | $13.027,80 | 1166 / 26 | $11.890,80 | 1160 / 30 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 34 | $39.752,40 | 479 / 4 | $14.902,10 | 862 / 37 | $12.475,20 | 856 / 11 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 40 | $23.840,30 | 1174 / 20 | $6.560,69 | 1532 / 36 | $5.578,69 | 1523 / 39 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $72.702,60 | 1588 / 33 | $14.635,50 | 1630 / 36 | $13.510,90 | 1611 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $27.757,90 | 2116 / 50 | $6.359,79 | 2159 / 64 | $5.346,07 | 2148 / 61 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $44.995,50 | 933 / 3 | $14.914,70 | 1476 / 47 | $14.050,70 | 1460 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $14.461,60 | 916 / 4 | $4.826,08 | 1623 / 41 | $3.809,46 | 1617 / 59 |
| Syncope & Collapse | 11 | 158 / 56 | $19.191,40 | 782 / 7 | $6.034,55 | 1462 / 41 | $5.042,55 | 1455 / 40 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $49.813,10 | 706 / 19 | $11.766,90 | 781 / 36 | $10.551,00 | 779 / 36 | Total 28 procedures | 771 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.