Hospital Costs > In California > Usc Verdugo Hills Hospital, 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 | 101 | 415 / 126 | $49.717,30 | 1775 / 40 | $12.243,40 | 1611 / 10 | $11.251,60 | 1579 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 51 | $22.771,60 | 1827 / 28 | $5.003,87 | 1154 / 3 | $4.057,77 | 1146 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 114 | $58.095,10 | 1627 / 42 | $14.270,10 | 1628 / 6 | $12.382,60 | 1591 / 12 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 38 | $29.823,90 | 1937 / 28 | $6.466,42 | 1581 / 5 | $5.592,38 | 1574 / 10 |
Cellulitis W/O Mcc | 42 | 147 / 44 | $21.582,00 | 1633 / 17 | $5.557,55 | 1231 / 5 | $4.456,00 | 1225 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 39 | $18.547,00 | 1386 / 13 | $4.550,34 | 938 / 1 | $3.609,85 | 935 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 74 | $18.689,30 | 1238 / 12 | $4.890,83 | 1304 / 1 | $3.975,94 | 1293 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 81 | $27.147,90 | 1437 / 29 | $6.920,21 | 1290 / 6 | $5.970,61 | 1285 / 11 |
Heart Failure & Shock W Cc | 27 | 251 / 73 | $30.368,30 | 1969 / 33 | $6.639,41 | 1657 / 11 | $5.937,85 | 1652 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 63 | $27.251,90 | 1284 / 8 | $7.771,26 | 1278 / 5 | $6.553,81 | 1272 / 6 |
Heart Failure & Shock W Mcc | 25 | 259 / 97 | $47.228,40 | 1912 / 44 | $9.441,80 | 1254 / 3 | $8.654,80 | 1251 / 5 |
Syncope & Collapse | 24 | 145 / 43 | $21.607,80 | 999 / 16 | $4.801,29 | 948 / 2 | $3.997,29 | 942 / 8 |
G.I. Hemorrhage W Cc | 21 | 197 / 70 | $24.508,20 | 1164 / 11 | $6.627,43 | 850 / 3 | $5.214,52 | 848 / 1 |
Medical Back Problems W/O Mcc | 21 | 100 / 36 | $22.215,00 | 689 / 10 | $5.595,52 | 768 / 4 | $4.696,57 | 765 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $22.768,80 | 1262 / 12 | $5.681,62 | 645 / 13 | $3.958,19 | 642 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 26 | $23.914,80 | 1402 / 20 | $4.728,16 | 736 / 4 | $3.443,79 | 732 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 72 | $40.986,10 | 1594 / 24 | $9.715,21 | 1614 / 8 | $8.949,05 | 1614 / 9 |
Renal Failure W Cc | 19 | 202 / 69 | $30.582,20 | 1721 / 35 | $7.119,00 | 1369 / 25 | $5.575,05 | 1360 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $22.968,40 | 1449 / 21 | $4.500,35 | 824 / 5 | $3.578,00 | 820 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 38 | $128.180,00 | 375 / 5 | $37.822,10 | 505 / 6 | $36.929,50 | 504 / 8 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 55 | $58.230,80 | 1235 / 22 | $12.422,40 | 1030 / 3 | $11.801,50 | 1017 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 50 | $61.877,70 | 1397 / 10 | $13.106,80 | 1224 / 6 | $11.712,00 | 1209 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 34 | $15.543,00 | 1062 / 5 | $3.695,53 | 772 / 2 | $2.650,20 | 768 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $19.218,30 | 1205 / 7 | $4.765,93 | 1075 / 1 | $3.801,67 | 1066 / 4 |
G.I. Obstruction W Cc | 14 | 78 / 38 | $18.287,60 | 534 / 2 | $5.711,14 | 619 / 1 | $4.606,79 | 618 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 34 | $30.339,30 | 1114 / 14 | $5.064,57 | 825 / 3 | $4.026,86 | 821 / 8 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $50.196,10 | 1152 / 30 | $9.481,21 | 985 / 13 | $8.614,93 | 980 / 12 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 18 | $26.447,30 | 685 / 15 | $4.744,69 | 477 / 4 | $3.878,31 | 477 / 6 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $14.929,80 | 521 / 2 | $4.050,83 | 565 / 2 | $3.042,83 | 564 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $31.859,80 | 1240 / 15 | $7.031,67 | 1170 / 6 | $6.090,42 | 1167 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 61 | $26.322,60 | 1538 / 19 | $6.246,67 | 1378 / 3 | $5.345,33 | 1373 / 8 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $33.578,30 | 1308 / 25 | $7.550,17 | 1178 / 11 | $6.710,50 | 1174 / 14 |
Diabetes W Cc | 11 | 81 / 24 | $32.889,30 | 1258 / 32 | $5.519,09 | 758 / 3 | $4.637,64 | 756 / 3 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $293.679,00 | 319 / 6 | $82.881,50 | 407 / 17 | $78.673,40 | 406 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $62.443,00 | 964 / 9 | $15.269,50 | 1013 / 1 | $14.167,30 | 1003 / 2 |
Psychoses | 11 | 264 / 32 | $30.090,40 | 475 / 16 | $6.327,55 | 254 / 1 | $5.719,55 | 254 / 1 | Total 36 procedures | 882 | 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.