Hospital Costs > In California > Watsonville Community 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 | 108 | 408 / 123 | $186.272,00 | 2824 / 268 | $20.992,10 | 2755 / 239 | $19.874,70 | 2710 / 243 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 56 | $110.098,00 | 2570 / 247 | $12.893,80 | 2496 / 224 | $11.015,70 | 2486 / 219 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 110 | $152.643,00 | 2662 / 225 | $22.243,60 | 2607 / 199 | $20.076,80 | 2561 / 212 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 67 | $70.220,40 | 2709 / 220 | $9.117,45 | 2629 / 187 | $8.338,79 | 2618 / 196 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 51 | $100.686,00 | 2820 / 221 | $11.899,60 | 2710 / 200 | $9.556,62 | 2701 / 188 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 73 | $70.071,20 | 2722 / 222 | $10.465,60 | 2619 / 206 | $7.679,14 | 2604 / 192 |
Heart Failure & Shock W Mcc | 34 | 250 / 88 | $114.341,00 | 2593 / 207 | $16.373,40 | 2551 / 192 | $15.484,90 | 2540 / 199 |
G.I. Hemorrhage W Cc | 32 | 186 / 59 | $94.307,40 | 2418 / 197 | $11.378,40 | 2362 / 177 | $10.507,40 | 2358 / 181 |
Heart Failure & Shock W Cc | 30 | 248 / 70 | $69.933,30 | 2727 / 212 | $11.147,10 | 2663 / 190 | $10.161,00 | 2657 / 198 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 63 | $96.630,20 | 2551 / 189 | $12.677,10 | 2503 / 171 | $11.785,90 | 2495 / 182 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 66 | $164.550,00 | 2521 / 202 | $15.543,60 | 2452 / 177 | $14.625,80 | 2446 / 184 |
Transient Ischemia | 24 | 101 / 32 | $73.191,00 | 1657 / 139 | $8.765,88 | 1605 / 127 | $7.103,21 | 1597 / 124 |
Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 43 | $298.221,00 | 1351 / 92 | $41.597,80 | 1337 / 85 | $40.440,30 | 1332 / 92 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 56 | $60.351,70 | 2525 / 196 | $8.470,00 | 2448 / 169 | $7.523,91 | 2439 / 176 |
Cellulitis W/O Mcc | 22 | 167 / 64 | $76.623,70 | 2638 / 225 | $9.876,14 | 2527 / 188 | $8.453,23 | 2519 / 187 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $96.027,90 | 1942 / 166 | $12.516,80 | 1876 / 154 | $11.013,80 | 1872 / 149 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $83.441,20 | 1960 / 133 | $8.560,56 | 1927 / 124 | $7.479,67 | 1919 / 128 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 50 | $167.171,00 | 2049 / 152 | $20.445,20 | 2009 / 143 | $19.545,20 | 1987 / 146 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 33 | $57.880,20 | 1980 / 144 | $7.152,00 | 1927 / 126 | $5.950,00 | 1921 / 131 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $60.173,90 | 1997 / 125 | $8.296,13 | 1954 / 116 | $7.412,93 | 1941 / 117 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 30 | $116.604,00 | 768 / 73 | $12.262,60 | 753 / 61 | $11.055,10 | 752 / 70 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $64.236,60 | 998 / 67 | $8.544,07 | 947 / 61 | $6.538,93 | 943 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 34 | $97.942,60 | 1612 / 130 | $10.137,60 | 1548 / 116 | $7.668,71 | 1544 / 113 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 60 | $119.677,00 | 2077 / 182 | $13.730,90 | 2048 / 172 | $12.608,60 | 2043 / 174 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $114.886,00 | 907 / 65 | $17.262,80 | 895 / 69 | $16.152,70 | 892 / 69 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $122.575,00 | 1633 / 142 | $18.679,70 | 1569 / 138 | $16.565,30 | 1559 / 129 |
Angina Pectoris | 13 | 12 / 4 | $39.992,70 | 65 / 7 | $7.279,08 | 67 / 9 | $6.255,08 | 67 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 53 | $71.157,30 | 2153 / 172 | $9.387,54 | 2086 / 159 | $8.270,00 | 2081 / 158 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $70.384,90 | 2099 / 134 | $8.675,77 | 2051 / 124 | $7.654,23 | 2039 / 124 |
Medical Back Problems W/O Mcc | 12 | 109 / 45 | $63.241,20 | 1466 / 115 | $9.913,25 | 1444 / 112 | $8.905,25 | 1439 / 118 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $101.984,00 | 1896 / 141 | $12.940,10 | 1835 / 126 | $11.934,80 | 1832 / 132 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 11 | 12 / 1 | $129.715,00 | 35 / 1 | $14.072,40 | 34 / 1 | $12.862,20 | 34 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 60 | $195.391,00 | 1634 / 159 | $19.437,20 | 1564 / 128 | $18.334,60 | 1557 / 135 | Total 33 procedures | 837 | 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.