Hospital Costs > In California > West Hills Hospital & 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 | 270 | 248 / 50 | $148.945,00 | 2805 / 256 | $16.094,60 | 2458 / 147 | $14.746,20 | 2414 / 143 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 69 | $122.394,00 | 2603 / 198 | $16.603,90 | 2038 / 79 | $13.746,50 | 1996 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 35 | $55.457,30 | 2668 / 197 | $6.039,73 | 2027 / 35 | $5.057,24 | 2016 / 38 |
Heart Failure & Shock W Mcc | 74 | 210 / 54 | $118.388,00 | 2600 / 210 | $13.013,00 | 2264 / 124 | $11.640,70 | 2254 / 104 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 41 | $52.699,80 | 2662 / 186 | $5.837,15 | 2019 / 32 | $4.840,51 | 2005 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 48 | $76.187,00 | 2531 / 229 | $8.403,80 | 1783 / 57 | $6.769,48 | 1776 / 41 |
Syncope & Collapse | 69 | 100 / 8 | $55.550,60 | 1877 / 136 | $5.863,77 | 1342 / 29 | $4.685,94 | 1335 / 25 |
Chest Pain | 57 | 94 / 20 | $41.309,40 | 1611 / 111 | $4.851,58 | 1089 / 18 | $3.715,16 | 1082 / 20 |
Kidney & Urinary Tract Infections W Mcc | 54 | 90 / 14 | $79.031,80 | 1919 / 157 | $8.513,20 | 1550 / 38 | $7.809,22 | 1546 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 40 | $129.144,00 | 2508 / 196 | $12.108,20 | 2181 / 90 | $11.158,50 | 2176 / 96 |
Respiratory Infections & Inflammations W Mcc | 45 | 91 / 30 | $171.324,00 | 1794 / 147 | $17.894,50 | 1707 / 111 | $17.226,80 | 1691 / 118 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 17 | $106.993,00 | 1630 / 126 | $9.096,24 | 1155 / 38 | $6.868,80 | 1152 / 22 |
G.I. Hemorrhage W Cc | 45 | 173 / 49 | $61.999,30 | 2328 / 158 | $7.458,58 | 1789 / 20 | $6.614,49 | 1785 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 36 | $45.867,50 | 2454 / 159 | $5.552,00 | 1822 / 32 | $4.506,91 | 1816 / 28 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 41 | 51 / 14 | $494.186,00 | 1089 / 139 | $54.284,80 | 1004 / 105 | $53.319,30 | 1003 / 109 |
Cellulitis W/O Mcc | 40 | 149 / 46 | $47.437,30 | 2531 / 172 | $6.561,30 | 1909 / 30 | $5.361,83 | 1901 / 32 |
Transient Ischemia | 40 | 85 / 18 | $53.654,20 | 1598 / 113 | $5.957,95 | 1116 / 42 | $4.279,17 | 1110 / 21 |
Heart Failure & Shock W Cc | 39 | 239 / 63 | $61.545,30 | 2680 / 189 | $7.589,64 | 1944 / 40 | $6.408,54 | 1939 / 33 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 38 | $128.669,00 | 2230 / 170 | $10.143,60 | 1808 / 54 | $8.953,58 | 1803 / 43 |
Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 29 | $140.387,00 | 2031 / 138 | $14.122,20 | 1523 / 24 | $12.906,20 | 1505 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 13 | $38.228,30 | 1904 / 107 | $4.782,22 | 1385 / 39 | $3.271,38 | 1379 / 21 |
Renal Failure W Cc | 35 | 186 / 53 | $74.209,10 | 2415 / 190 | $8.061,60 | 1966 / 75 | $6.858,86 | 1956 / 62 |
Renal Failure W Mcc | 35 | 160 / 52 | $116.821,00 | 2147 / 175 | $14.907,10 | 1661 / 133 | $10.946,50 | 1659 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 32 | $379.832,00 | 1560 / 138 | $46.914,10 | 1417 / 87 | $46.127,10 | 1407 / 92 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 38 | $158.865,00 | 1622 / 152 | $22.610,30 | 1407 / 146 | $14.208,10 | 1400 / 88 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 40 | $156.762,00 | 1444 / 101 | $21.226,00 | 925 / 101 | $12.150,00 | 918 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 59 | $114.625,00 | 2565 / 195 | $10.210,70 | 2257 / 108 | $9.122,42 | 2249 / 103 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 15 | $61.413,40 | 2086 / 128 | $5.545,03 | 1560 / 14 | $4.560,26 | 1549 / 18 |
Medical Back Problems W/O Mcc | 29 | 92 / 29 | $62.767,00 | 1465 / 114 | $6.508,38 | 1032 / 23 | $5.339,83 | 1029 / 23 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 29 | 66 / 5 | $230.070,00 | 601 / 40 | $26.885,40 | 422 / 40 | $13.391,80 | 418 / 11 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 27 | $42.652,10 | 1802 / 99 | $6.245,97 | 1475 / 22 | $5.411,76 | 1466 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 46 | $69.490,10 | 1987 / 141 | $8.131,68 | 1363 / 28 | $6.497,21 | 1360 / 16 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $85.290,50 | 2808 / 216 | $7.375,56 | 2085 / 33 | $6.337,00 | 2077 / 31 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 7 | $44.218,90 | 886 / 54 | $5.428,58 | 686 / 12 | $4.544,88 | 685 / 18 |
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 26 | 5 / 1 | $304.103,00 | 36 / 2 | $48.323,30 | 20 / 1 | $46.261,10 | 20 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $242.544,00 | 1845 / 140 | $24.778,60 | 1792 / 117 | $23.765,00 | 1778 / 124 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 30 | $147.050,00 | 1805 / 147 | $15.026,80 | 1620 / 95 | $14.271,10 | 1607 / 104 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $58.803,30 | 1555 / 101 | $6.222,52 | 895 / 30 | $4.128,95 | 891 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $53.829,00 | 2096 / 149 | $6.101,43 | 1565 / 26 | $5.124,67 | 1560 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $98.211,20 | 1893 / 138 | $9.946,90 | 1610 / 51 | $9.258,19 | 1607 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 38 | $53.652,50 | 1536 / 97 | $7.904,71 | 1069 / 8 | $7.273,86 | 1066 / 15 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $73.638,10 | 1409 / 123 | $7.420,05 | 1069 / 16 | $6.734,33 | 1065 / 37 |
G.I. Hemorrhage W Mcc | 20 | 101 / 36 | $143.414,00 | 1656 / 152 | $17.220,90 | 1101 / 122 | $11.713,30 | 1093 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 53 | $92.331,50 | 2441 / 191 | $7.429,90 | 1744 / 41 | $5.955,85 | 1737 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $59.834,60 | 1943 / 122 | $5.848,61 | 1453 / 33 | $4.306,50 | 1445 / 22 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $207.866,00 | 952 / 68 | $23.447,90 | 796 / 31 | $22.308,30 | 793 / 32 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 37 | $188.288,00 | 1509 / 105 | $20.373,90 | 1130 / 41 | $16.821,00 | 1117 / 24 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 30 | $80.374,00 | 1394 / 86 | $9.569,83 | 1005 / 15 | $8.695,17 | 1000 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $40.224,70 | 924 / 44 | $5.457,00 | 654 / 10 | $4.210,11 | 650 / 12 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $64.309,70 | 1691 / 119 | $6.792,83 | 1407 / 21 | $6.255,94 | 1402 / 50 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $422.154,00 | 1282 / 90 | $59.194,30 | 1181 / 80 | $44.724,20 | 1178 / 59 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 33 | $169.446,00 | 1387 / 129 | $19.023,30 | 1308 / 98 | $18.629,80 | 1300 / 108 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 25 | $43.532,20 | 1260 / 79 | $4.883,50 | 929 / 20 | $3.755,50 | 926 / 21 |
Respiratory Neoplasms W Mcc | 15 | 37 / 11 | $120.920,00 | 618 / 31 | $12.661,10 | 461 / 7 | $11.913,30 | 459 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $386.763,00 | 964 / 77 | $42.699,30 | 830 / 40 | $41.639,50 | 829 / 46 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $78.079,10 | 1063 / 79 | $9.422,40 | 761 / 7 | $8.654,93 | 757 / 11 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 18 | $80.635,20 | 1081 / 79 | $6.839,27 | 798 / 9 | $5.953,93 | 794 / 15 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 51 | $230.992,00 | 1322 / 80 | $29.836,70 | 1043 / 20 | $27.168,50 | 1038 / 21 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 10 | $939.826,00 | 564 / 52 | $112.301,00 | 537 / 45 | $110.533,00 | 536 / 47 |
Signs & Symptoms W/O Mcc | 14 | 77 / 24 | $47.088,80 | 1296 / 70 | $5.240,21 | 837 / 8 | $4.373,93 | 834 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $92.166,60 | 1047 / 64 | $11.300,00 | 772 / 15 | $10.652,60 | 770 / 17 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $71.026,50 | 843 / 50 | $7.427,00 | 606 / 5 | $6.966,69 | 606 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 22 | $86.067,30 | 918 / 59 | $10.357,70 | 661 / 13 | $9.520,77 | 659 / 14 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 27 | $89.716,30 | 911 / 49 | $7.995,69 | 724 / 12 | $6.792,00 | 721 / 13 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $108.004,00 | 737 / 71 | $13.219,10 | 485 / 22 | $11.642,60 | 484 / 17 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 18 | $119.700,00 | 838 / 55 | $12.278,80 | 706 / 12 | $11.169,50 | 703 / 20 |
Seizures W Mcc | 12 | 54 / 18 | $63.646,80 | 597 / 23 | $10.927,30 | 374 / 4 | $9.392,50 | 374 / 5 |
Atherosclerosis W/O Mcc | 12 | 46 / 14 | $55.876,80 | 542 / 30 | $4.864,42 | / 5 | $4.259,08 | / |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $127.791,00 | 853 / 40 | $16.451,70 | 393 / 17 | $12.115,10 | 388 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 15 | $153.932,00 | 713 / 49 | $15.864,70 | 564 / 10 | $14.762,20 | 563 / 16 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 22 | $477.377,00 | 508 / 46 | $52.369,10 | 502 / 38 | $51.385,80 | 502 / 41 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $54.967,00 | 909 / 44 | $5.081,73 | 564 / 3 | $4.089,73 | 563 / 5 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 12 | $88.028,50 | 449 / 20 | $7.295,00 | 276 / 4 | $6.634,64 | 276 / 3 | Total 73 procedures | 2.425 | 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.