Hospital Costs > In California > Western Medical Center Santa Ana, 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 | 53 | 463 / 160 | $85.894,50 | 2504 / 159 | $19.750,60 | 2682 / 231 | $17.727,30 | 2637 / 217 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $53.180,00 | 1794 / 88 | $12.469,90 | 2013 / 166 | $10.951,70 | 2009 / 165 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $78.698,60 | 1356 / 72 | $18.629,50 | 1487 / 122 | $15.654,40 | 1480 / 113 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 74 | $58.222,20 | 2677 / 161 | $12.405,10 | 2757 / 206 | $10.722,30 | 2748 / 200 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 34 | $42.592,60 | 1399 / 57 | $10.530,30 | 1583 / 119 | $8.988,86 | 1579 / 121 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $104.808,00 | 1556 / 50 | $23.663,20 | 1747 / 113 | $21.690,60 | 1733 / 112 |
| Renal Failure W Cc | 13 | 208 / 75 | $55.630,60 | 2318 / 153 | $12.963,80 | 2390 / 190 | $11.118,00 | 2380 / 186 |
| Heart Failure & Shock W Mcc | 13 | 271 / 109 | $124.806,00 | 2613 / 221 | $22.076,20 | 2613 / 223 | $20.018,70 | 2602 / 221 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $202.789,00 | 754 / 39 | $47.947,80 | 852 / 69 | $45.048,10 | 851 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 97 | $35.829,30 | 1896 / 71 | $12.526,40 | 2499 / 220 | $11.096,40 | 2489 / 221 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 68 | $31.576,50 | 2185 / 88 | $10.094,30 | 2490 / 186 | $8.508,45 | 2481 / 189 | Total 11 procedures | 197 | 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.