Hospital Costs > In California > West Anaheim 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 | 372 | 155 / 17 | $51.515,40 | 1840 / 48 | $13.254,90 | 2026 / 27 | $12.453,50 | 1989 / 38 |
Heart Failure & Shock W Mcc | 78 | 206 / 50 | $44.257,10 | 1825 / 37 | $12.845,70 | 2233 / 115 | $11.475,20 | 2223 / 97 |
Renal Failure W Mcc | 55 | 140 / 32 | $49.938,60 | 1581 / 46 | $11.115,60 | 1453 / 19 | $10.111,80 | 1452 / 20 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 54 | 38 / 6 | $186.113,00 | 698 / 28 | $39.178,70 | 571 / 14 | $38.075,90 | 570 / 14 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 34 | $50.991,50 | 1099 / 11 | $13.911,30 | 1351 / 20 | $13.247,30 | 1336 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 71 | $26.197,10 | 1356 / 25 | $7.996,59 | 1976 / 39 | $7.250,74 | 1968 / 60 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 72 | $21.388,60 | 1539 / 20 | $7.630,13 | 2509 / 145 | $6.577,45 | 2494 / 158 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 55 | $46.072,70 | 1793 / 37 | $10.374,10 | 1701 / 21 | $9.156,36 | 1701 / 15 |
Syncope & Collapse | 33 | 136 / 34 | $25.346,80 | 1234 / 24 | $5.729,85 | 1347 / 23 | $4.703,91 | 1340 / 27 |
Chest Pain | 32 | 119 / 41 | $24.997,80 | 1213 / 38 | $4.963,47 | 1069 / 25 | $3.683,34 | 1062 / 17 |
Renal Failure W Cc | 32 | 189 / 56 | $24.973,80 | 1418 / 14 | $7.140,31 | 1720 / 26 | $6.194,31 | 1710 / 26 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 60 | $30.860,60 | 1991 / 32 | $7.315,43 | 2119 / 31 | $6.417,30 | 2111 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 79 | $22.139,10 | 1764 / 22 | $6.069,23 | 2011 / 38 | $5.026,03 | 2000 / 36 |
Heart Failure & Shock W Cc | 29 | 249 / 71 | $29.762,00 | 1941 / 31 | $7.649,62 | 2146 / 45 | $6.847,14 | 2140 / 57 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 61 | $26.271,40 | 1221 / 4 | $8.786,41 | 1906 / 32 | $7.701,72 | 1898 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $27.732,60 | 1529 / 24 | $6.566,27 | 1538 / 51 | $5.068,81 | 1533 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 47 | $26.514,80 | 1549 / 20 | $7.273,46 | 1787 / 33 | $6.068,35 | 1780 / 22 |
G.I. Hemorrhage W Cc | 25 | 193 / 66 | $36.083,10 | 1825 / 47 | $7.718,80 | 1847 / 34 | $6.748,56 | 1843 / 41 |
G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $46.261,50 | 905 / 19 | $12.507,40 | 1114 / 16 | $11.780,40 | 1106 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 19 | $49.002,10 | 1139 / 49 | $9.214,84 | 1001 / 25 | $8.165,88 | 996 / 20 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 42 | $144.646,00 | 981 / 19 | $32.386,80 | 702 / 3 | $31.514,10 | 696 / 5 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 44 | $31.906,20 | 1250 / 20 | $8.340,36 | 1379 / 29 | $7.242,18 | 1375 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 58 | $20.704,70 | 1621 / 23 | $5.518,86 | 1947 / 31 | $4.767,62 | 1939 / 50 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 12 | $152.962,00 | 572 / 10 | $33.595,30 | 470 / 3 | $31.871,50 | 469 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $115.109,00 | 770 / 19 | $21.307,40 | 706 / 13 | $20.606,80 | 703 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $61.527,60 | 944 / 7 | $16.520,70 | 1321 / 8 | $15.851,40 | 1308 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 34 | $59.357,60 | 1317 / 35 | $12.799,80 | 1371 / 32 | $11.859,30 | 1360 / 35 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 14 | $20.163,40 | 162 / 1 | $16.037,20 | 1091 / 81 | $15.465,00 | 1087 / 87 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $45.370,90 | 1444 / 34 | $9.148,18 | 1445 / 19 | $8.479,00 | 1442 / 29 |
Nonspecific Cerebrovascular Disorders W Mcc | 17 | 34 / 9 | $41.615,10 | 206 / 6 | $11.655,90 | 241 / 6 | $10.662,10 | 241 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $42.550,40 | 764 / 8 | $12.815,90 | 941 / 22 | $10.798,30 | 937 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $24.902,00 | 697 / 8 | $8.274,75 | 1203 / 19 | $7.676,75 | 1200 / 31 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 26 | $24.747,30 | 664 / 9 | $7.455,94 | 1035 / 18 | $6.625,94 | 1031 / 31 |
Seizures W Mcc | 16 | 50 / 14 | $47.301,30 | 445 / 11 | $11.249,80 | 515 / 6 | $10.686,80 | 515 / 15 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 59 | $39.042,80 | 1474 / 20 | $9.221,81 | 1682 / 19 | $8.391,81 | 1677 / 24 |
Cellulitis W/O Mcc | 14 | 175 / 72 | $32.950,10 | 2231 / 89 | $6.501,21 | 2067 / 28 | $5.726,36 | 2059 / 54 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 36 | $68.466,90 | 1030 / 31 | $13.234,10 | 768 / 7 | $11.933,50 | 764 / 2 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 10 | $354.145,00 | 392 / 12 | $72.952,00 | 358 / 3 | $72.498,30 | 357 / 5 |
G.I. Obstruction W Cc | 13 | 79 / 39 | $20.294,50 | 676 / 4 | $6.887,62 | 1355 / 26 | $6.053,15 | 1350 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 57 | $122.743,00 | 1333 / 72 | $14.983,50 | 1189 / 13 | $13.959,50 | 1182 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $29.813,80 | 1145 / 11 | $8.147,08 | 1580 / 30 | $7.139,08 | 1577 / 43 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $47.645,20 | 1107 / 22 | $10.079,40 | 1130 / 24 | $9.274,08 | 1125 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 30 | $213.413,00 | 976 / 73 | $24.087,30 | 775 / 14 | $23.282,00 | 770 / 19 |
Medical Back Problems W/O Mcc | 12 | 109 / 45 | $22.906,60 | 722 / 11 | $7.130,58 | 1041 / 50 | $5.366,25 | 1038 / 25 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $38.044,30 | 290 / 4 | $12.286,30 | 478 / 13 | $11.577,00 | 477 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 54 | $98.983,20 | 1883 / 90 | $14.328,80 | 1581 / 29 | $13.219,50 | 1562 / 33 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 150 | $114.746,00 | 2571 / 188 | $15.711,50 | 2230 / 42 | $14.835,80 | 2186 / 90 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $23.749,90 | 192 / 1 | $11.291,70 | 578 / 25 | $8.938,18 | 576 / 8 | Total 48 procedures | 1.491 | 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.