Hospital Costs > In California > Victor Valley Global 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 | 46 | 470 / 164 | $65.553,30 | 2210 / 92 | $17.451,10 | 2633 / 185 | $16.729,00 | 2588 / 197 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 129 | $82.361,70 | 2249 / 101 | $19.821,90 | 2513 / 170 | $17.863,00 | 2467 / 183 |
| Heart Failure & Shock W Mcc | 26 | 258 / 96 | $49.260,60 | 1970 / 56 | $14.866,30 | 2499 / 174 | $14.358,00 | 2488 / 185 |
| Heart Failure & Shock W Cc | 22 | 256 / 78 | $33.369,40 | 2115 / 52 | $11.076,20 | 2670 / 188 | $10.322,00 | 2664 / 199 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 40 | $42.753,10 | 1024 / 13 | $11.826,80 | 1580 / 104 | $10.906,40 | 1577 / 116 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 90 | $26.787,40 | 1984 / 49 | $9.254,20 | 2660 / 192 | $8.588,60 | 2645 / 206 |
| Cellulitis W/O Mcc | 20 | 169 / 66 | $33.394,80 | 2249 / 93 | $10.003,30 | 2560 / 192 | $9.337,70 | 2552 / 199 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 71 | $59.673,80 | 2350 / 121 | $13.735,10 | 2480 / 182 | $11.298,90 | 2472 / 173 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $27.722,20 | 2114 / 49 | $9.458,22 | 2644 / 193 | $8.718,67 | 2633 / 199 |
| Chest Pain | 17 | 134 / 55 | $26.234,50 | 1260 / 45 | $8.224,06 | 1645 / 131 | $7.532,29 | 1636 / 135 |
| Renal Failure W Mcc | 16 | 179 / 70 | $72.696,90 | 1929 / 109 | $17.262,40 | 2113 / 165 | $16.865,40 | 2109 / 176 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 63 | $23.651,90 | 1813 / 39 | $9.039,81 | 2461 / 175 | $7.873,00 | 2452 / 179 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $35.081,60 | 1851 / 59 | $9.060,88 | 2063 / 128 | $8.152,88 | 2051 / 127 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $35.798,90 | 1946 / 55 | $10.563,30 | 2359 / 165 | $9.371,00 | 2352 / 169 |
| Renal Failure W Cc | 14 | 207 / 74 | $24.502,90 | 1388 / 10 | $10.499,00 | 2363 / 168 | $9.982,43 | 2353 / 179 |
| Seizures W Mcc | 14 | 52 / 16 | $40.696,60 | 368 / 8 | $14.778,00 | 688 / 35 | $14.432,90 | 688 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 76 | $28.866,90 | 1890 / 25 | $11.017,20 | 2738 / 186 | $10.237,80 | 2729 / 195 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $92.776,80 | 1434 / 35 | $23.493,10 | 1776 / 111 | $22.939,20 | 1762 / 117 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 78 | $57.314,20 | 2051 / 67 | $14.376,30 | 2417 / 159 | $13.721,50 | 2411 / 171 | Total 19 procedures | 374 | 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.