Hospital Costs > In California > Valley Presbyterian Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 288 | 279 / 27 | $67.748,00 | 1938 / 68 | $20.571,10 | 2557 / 180 | $18.798,90 | 2511 / 198 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 167 | 349 / 95 | $65.992,00 | 2221 / 95 | $18.998,50 | 2712 / 214 | $18.232,90 | 2667 / 226 |
Heart Failure & Shock W Mcc | 97 | 187 / 36 | $50.704,90 | 2003 / 62 | $16.431,30 | 2554 / 193 | $15.540,70 | 2543 / 201 |
Heart Failure & Shock W Cc | 65 | 213 / 40 | $34.486,80 | 2158 / 58 | $11.584,40 | 2687 / 197 | $10.798,60 | 2681 / 206 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 60 | 32 / 3 | $166.223,00 | 613 / 16 | $52.739,20 | 965 / 98 | $50.707,50 | 964 / 96 |
Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 64 | $29.419,20 | 2192 / 60 | $9.947,84 | 2658 / 197 | $9.044,38 | 2647 / 205 |
Cellulitis W/O Mcc | 43 | 146 / 43 | $27.631,30 | 2022 / 52 | $10.375,20 | 2564 / 196 | $9.418,14 | 2556 / 200 |
Renal Failure W Mcc | 42 | 153 / 45 | $50.547,60 | 1588 / 47 | $17.480,60 | 2112 / 169 | $16.722,50 | 2108 / 175 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 42 | 54 / 7 | $45.267,30 | 249 / 1 | $19.760,40 | 759 / 33 | $18.125,60 | 755 / 38 |
Chest Pain | 41 | 110 / 32 | $21.233,80 | 1002 / 23 | $8.685,00 | 1656 / 137 | $7.802,27 | 1647 / 138 |
Renal Failure W Cc | 41 | 180 / 47 | $30.723,00 | 1730 / 37 | $11.274,00 | 2371 / 177 | $10.352,90 | 2361 / 180 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 70 | $39.250,50 | 2012 / 87 | $12.243,60 | 2508 / 218 | $11.382,80 | 2498 / 224 |
Syncope & Collapse | 38 | 131 / 29 | $27.630,10 | 1341 / 31 | $9.456,74 | 1868 / 142 | $8.493,00 | 1860 / 145 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 35 | $82.564,90 | 910 / 17 | $19.687,30 | 1438 / 88 | $18.794,70 | 1430 / 105 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 75 | $27.314,30 | 2023 / 55 | $9.758,86 | 2672 / 198 | $8.877,49 | 2657 / 209 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 58 | $51.006,20 | 1938 / 50 | $15.828,80 | 2471 / 180 | $15.241,20 | 2465 / 189 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 22 | $40.427,80 | 1344 / 25 | $13.774,10 | 1862 / 131 | $12.959,10 | 1859 / 138 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 59 | $34.391,20 | 1709 / 21 | $13.013,30 | 2514 / 173 | $12.194,70 | 2506 / 185 |
G.I. Hemorrhage W Cc | 30 | 188 / 61 | $30.757,60 | 1602 / 26 | $11.759,90 | 2372 / 178 | $10.830,80 | 2368 / 185 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $34.742,50 | 1355 / 29 | $12.311,50 | 1895 / 151 | $11.570,30 | 1891 / 155 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 46 | $31.144,00 | 1777 / 36 | $11.121,10 | 2388 / 174 | $10.255,60 | 2381 / 178 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 19 | $41.729,10 | 493 / 10 | $12.381,20 | 742 / 64 | $10.420,50 | 741 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 54 | $23.587,10 | 1810 / 38 | $9.339,58 | 2470 / 179 | $8.100,77 | 2461 / 182 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 46 | $75.978,80 | 1331 / 66 | $20.652,80 | 1589 / 138 | $19.683,90 | 1582 / 148 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 31 | $24.081,10 | 1192 / 21 | $10.218,00 | 1942 / 137 | $9.335,44 | 1933 / 142 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 41 | $175.609,00 | 1152 / 31 | $54.896,30 | 1513 / 123 | $52.108,50 | 1503 / 123 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 27 | $57.671,00 | 1282 / 29 | $17.406,60 | 1737 / 123 | $16.683,40 | 1724 / 134 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $49.377,70 | 726 / 10 | $19.503,40 | 1306 / 103 | $18.589,80 | 1298 / 107 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 68 | $33.258,10 | 2111 / 43 | $12.385,90 | 2779 / 204 | $11.453,50 | 2770 / 208 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 53 | $33.946,50 | 1320 / 20 | $12.055,30 | 2006 / 160 | $10.790,20 | 2002 / 164 |
Transient Ischemia | 21 | 104 / 35 | $24.205,20 | 926 / 13 | $9.405,19 | 1635 / 133 | $8.254,71 | 1627 / 134 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 39 | $25.661,10 | 746 / 10 | $12.412,50 | 1659 / 139 | $11.714,90 | 1655 / 141 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $26.785,20 | 1479 / 19 | $10.112,60 | 2115 / 165 | $9.066,68 | 2110 / 167 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 14 | $81.399,10 | 342 / 5 | $25.403,10 | 490 / 31 | $24.320,10 | 489 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $24.816,40 | 1530 / 17 | $9.522,33 | 2081 / 130 | $8.717,00 | 2069 / 129 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $116.817,00 | 703 / 19 | $39.355,90 | 981 / 75 | $36.827,50 | 978 / 75 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $63.420,50 | 1247 / 47 | $19.440,00 | 1625 / 145 | $18.943,10 | 1615 / 148 |
Diabetes W Cc | 17 | 75 / 18 | $29.660,50 | 1160 / 22 | $10.346,00 | 1547 / 106 | $8.818,82 | 1542 / 108 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 31 | $30.249,50 | 1108 / 13 | $9.815,00 | 1573 / 113 | $8.608,41 | 1569 / 118 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $67.318,40 | 1091 / 14 | $21.959,90 | 1735 / 95 | $21.356,60 | 1721 / 109 |
Cellulitis W Mcc | 16 | 42 / 18 | $48.644,10 | 721 / 30 | $15.532,90 | 930 / 79 | $14.452,30 | 928 / 81 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $59.641,30 | 945 / 49 | $16.948,80 | 1095 / 84 | $16.285,80 | 1091 / 89 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $134.212,00 | 470 / 6 | $43.029,80 | 827 / 43 | $41.519,80 | 826 / 44 |
Seizures W Mcc | 16 | 50 / 14 | $59.853,20 | 568 / 19 | $16.877,20 | 672 / 44 | $13.959,20 | 672 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 29 | $21.017,40 | 1362 / 14 | $9.240,62 | 1983 / 122 | $8.542,12 | 1970 / 126 |
Seizures W/O Mcc | 15 | 93 / 27 | $28.414,00 | 904 / 20 | $9.871,33 | 1269 / 86 | $8.844,13 | 1267 / 93 |
Medical Back Problems W/O Mcc | 15 | 106 / 42 | $24.215,80 | 787 / 13 | $10.573,50 | 1455 / 117 | $9.444,93 | 1450 / 121 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 57 | $83.132,10 | 1529 / 67 | $20.785,90 | 1784 / 144 | $19.681,90 | 1768 / 149 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $225.554,00 | 1114 / 40 | $62.276,10 | 1285 / 85 | $61.386,50 | 1282 / 88 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $39.882,10 | 1134 / 50 | $11.975,70 | 1408 / 127 | $11.173,60 | 1404 / 131 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $92.123,40 | 590 / 7 | $26.736,50 | 751 / 33 | $23.163,70 | 748 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 34 | $23.501,70 | 1575 / 30 | $8.322,73 | 1971 / 135 | $7.439,53 | 1965 / 142 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 46 | $40.431,70 | 956 / 10 | $12.313,10 | 1594 / 113 | $11.346,70 | 1591 / 119 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 60 | $44.097,50 | 1631 / 33 | $14.113,30 | 2195 / 154 | $13.714,50 | 2189 / 165 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 20 | $21.575,70 | 480 / 3 | $11.505,40 | 1230 / 86 | $10.858,00 | 1227 / 93 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 12 | $27.424,30 | 553 / 6 | $11.104,00 | 939 / 51 | $10.269,50 | 936 / 56 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $28.739,90 | 587 / 14 | $9.939,85 | 797 / 60 | $8.918,31 | 795 / 62 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 54 | $67.401,30 | 1495 / 16 | $19.301,20 | 1975 / 138 | $18.009,80 | 1954 / 138 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 30 | $100.536,00 | 494 / 9 | $29.405,20 | 947 / 62 | $28.701,20 | 942 / 68 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 22 | $33.421,40 | 414 / 14 | $11.120,20 | 541 / 43 | $10.616,20 | 541 / 47 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $30.382,20 | 719 / 10 | $10.742,60 | 1051 / 77 | $9.607,92 | 1047 / 78 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $53.630,70 | 381 / 1 | $20.200,90 | 833 / 42 | $19.319,50 | 825 / 45 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 12 | $26.584,50 | 96 / 2 | $11.648,50 | 248 / 29 | $10.551,80 | 248 / 31 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $81.559,90 | 664 / 6 | $24.269,40 | 1079 / 54 | $23.501,30 | 1074 / 62 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $93.358,20 | 656 / 6 | $30.392,00 | 927 / 67 | $29.402,90 | 924 / 69 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 22 | $88.571,00 | 373 / 4 | $30.893,90 | 636 / 26 | $30.128,80 | 634 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $24.019,30 | 1407 / 21 | $9.284,64 | 1936 / 128 | $8.080,27 | 1928 / 130 | Total 67 procedures | 2.033 | 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.