Hospital Costs > In California > Ventura County Medical Center, 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 | 54 | 462 / 159 | $97.337,20 | 2617 / 191 | $23.845,90 | 2784 / 251 | $22.145,00 | 2739 / 250 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 119 | $61.259,40 | 1736 / 52 | $23.158,40 | 2646 / 207 | $21.720,30 | 2600 / 221 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 74 | $48.233,60 | 2226 / 136 | $14.071,50 | 2540 / 230 | $12.816,90 | 2530 / 234 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 80 | $35.110,30 | 2354 / 106 | $11.396,10 | 2703 / 215 | $10.044,40 | 2688 / 218 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 80 | $33.197,30 | 2322 / 94 | $11.602,70 | 2689 / 210 | $10.257,90 | 2678 / 212 |
| Cellulitis W/O Mcc | 25 | 164 / 61 | $27.530,30 | 2015 / 50 | $11.926,20 | 2604 / 208 | $10.644,30 | 2596 / 211 |
| Medical Back Problems W/O Mcc | 19 | 102 / 38 | $55.326,30 | 1449 / 103 | $12.417,70 | 1484 / 126 | $10.916,40 | 1479 / 129 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $34.935,30 | 1799 / 61 | $11.786,20 | 2154 / 174 | $10.689,40 | 2149 / 177 |
| G.I. Hemorrhage W Cc | 18 | 200 / 73 | $33.089,50 | 1719 / 35 | $13.551,40 | 2409 / 189 | $12.451,00 | 2405 / 194 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 72 | $40.466,80 | 2339 / 73 | $13.142,30 | 2782 / 210 | $11.621,70 | 2773 / 209 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 62 | $31.728,50 | 2188 / 89 | $10.934,80 | 2515 / 192 | $9.626,65 | 2506 / 194 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 21 | $38.831,00 | 1199 / 49 | $11.032,50 | 1324 / 89 | $9.719,29 | 1321 / 91 |
| Heart Failure & Shock W Mcc | 17 | 267 / 105 | $61.698,50 | 2219 / 97 | $17.437,70 | 2567 / 202 | $16.029,90 | 2556 / 205 |
| Heart Failure & Shock W Cc | 17 | 261 / 83 | $60.294,70 | 2671 / 185 | $13.603,10 | 2731 / 210 | $12.583,40 | 2725 / 216 |
| Renal Failure W Cc | 16 | 205 / 72 | $52.130,80 | 2284 / 146 | $13.372,10 | 2411 / 191 | $11.739,50 | 2401 / 193 |
| Chest Pain | 16 | 135 / 56 | $36.447,60 | 1527 / 91 | $10.189,10 | 1683 / 144 | $8.954,88 | 1674 / 144 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 25 | $29.304,30 | 685 / 17 | $10.883,40 | 822 / 40 | $10.039,40 | 821 / 42 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $67.760,60 | 1502 / 18 | $21.455,90 | 2016 / 145 | $19.989,10 | 1994 / 149 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $103.540,00 | 1524 / 112 | $22.899,40 | 1604 / 147 | $21.131,20 | 1597 / 152 |
| Diabetes W Cc | 12 | 80 / 23 | $32.975,30 | 1261 / 33 | $12.064,80 | 1594 / 116 | $10.732,90 | 1589 / 119 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $77.346,30 | 2021 / 152 | $15.109,40 | 2063 / 175 | $13.671,90 | 2058 / 179 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 13 | $45.476,80 | 289 / 19 | $11.403,30 | 312 / 29 | $10.221,10 | 312 / 29 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $41.638,90 | 1790 / 95 | $11.942,30 | 1976 / 149 | $10.633,50 | 1967 / 152 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $37.374,00 | 2003 / 61 | $13.022,30 | 2424 / 184 | $11.556,10 | 2417 / 186 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 20 | $38.716,90 | 715 / 30 | $11.524,90 | 810 / 63 | $10.254,50 | 808 / 64 | Total 25 procedures | 504 | 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.