Hospital Costs > In California > White Memorial Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 299 | 66 / 8 | $37.228,30 | 532 / 22 | $13.252,90 | 595 / 32 | $11.800,10 | 595 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 206 | 310 / 80 | $132.432,00 | 2781 / 242 | $22.109,50 | 2769 / 244 | $20.379,50 | 2724 / 248 |
Other Vascular Procedures W Mcc | 60 | 37 / 3 | $125.783,00 | 771 / 26 | $31.304,20 | 921 / 60 | $30.054,60 | 918 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 57 | $70.875,60 | 2493 / 212 | $13.628,20 | 2530 / 227 | $12.187,00 | 2520 / 231 |
Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 54 | $43.563,60 | 2560 / 159 | $10.903,90 | 2678 / 208 | $9.782,16 | 2667 / 210 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 55 | 71 / 12 | $64.988,20 | 1637 / 121 | $13.771,20 | 1694 / 147 | $12.850,60 | 1690 / 151 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 116 | $116.893,00 | 2581 / 193 | $22.035,50 | 2618 / 197 | $20.451,80 | 2572 / 215 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 58 | $45.373,60 | 2594 / 159 | $10.580,70 | 2684 / 208 | $9.229,94 | 2669 / 212 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 47 | 23 / 2 | $161.998,00 | 467 / 16 | $26.833,30 | 463 / 16 | $25.360,30 | 463 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 36 | $45.939,60 | 2457 / 161 | $10.295,80 | 2503 / 189 | $8.986,80 | 2494 / 192 |
G.I. Hemorrhage W Cc | 41 | 177 / 53 | $58.159,80 | 2285 / 144 | $12.723,20 | 2384 / 185 | $11.432,10 | 2380 / 188 |
Heart Failure & Shock W Mcc | 40 | 244 / 83 | $106.981,00 | 2584 / 201 | $17.773,40 | 2571 / 204 | $16.322,20 | 2560 / 206 |
Chest Pain | 40 | 111 / 33 | $38.386,10 | 1565 / 98 | $9.381,80 | 1669 / 139 | $8.177,15 | 1660 / 142 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 29 | $252.341,00 | 1428 / 81 | $47.644,60 | 1407 / 91 | $45.615,90 | 1397 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 39 | $81.349,40 | 2038 / 160 | $13.643,10 | 2043 / 171 | $12.175,30 | 2038 / 172 |
Renal Failure W Cc | 36 | 185 / 52 | $53.289,60 | 2301 / 148 | $12.393,60 | 2393 / 186 | $11.173,40 | 2383 / 188 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 55 | $97.301,10 | 2449 / 169 | $16.851,40 | 2477 / 187 | $15.418,40 | 2471 / 191 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 55 | $67.406,70 | 2756 / 190 | $12.795,60 | 2775 / 207 | $11.399,00 | 2766 / 207 |
Syncope & Collapse | 33 | 136 / 34 | $51.098,80 | 1843 / 120 | $10.515,70 | 1900 / 152 | $9.279,36 | 1892 / 155 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 40 | $129.806,00 | 1593 / 135 | $20.090,60 | 1572 / 135 | $18.575,70 | 1565 / 140 |
Transient Ischemia | 30 | 95 / 26 | $55.866,00 | 1609 / 117 | $10.221,90 | 1646 / 137 | $8.887,77 | 1638 / 137 |
Other Vascular Procedures W Cc | 30 | 72 / 14 | $171.533,00 | 1094 / 59 | $25.713,50 | 1096 / 62 | $24.412,40 | 1091 / 65 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $37.291,10 | 2353 / 127 | $11.362,40 | 2586 / 206 | $9.913,90 | 2578 / 206 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 45 | $53.982,50 | 2297 / 136 | $12.136,40 | 2402 / 181 | $10.794,40 | 2395 / 183 |
G.I. Hemorrhage W Mcc | 27 | 94 / 29 | $82.028,40 | 1452 / 87 | $19.376,60 | 1613 / 144 | $18.149,00 | 1603 / 146 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 23 | $97.537,00 | 1256 / 77 | $19.718,80 | 1304 / 106 | $18.465,70 | 1296 / 106 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 40 | $59.426,30 | 1808 / 125 | $13.781,30 | 1925 / 158 | $12.581,90 | 1921 / 163 |
Heart Failure & Shock W Cc | 25 | 253 / 75 | $57.757,10 | 2645 / 173 | $12.349,10 | 2701 / 203 | $11.207,00 | 2695 / 209 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 31 | $270.164,00 | 944 / 74 | $53.555,00 | 948 / 101 | $49.593,50 | 947 / 91 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 47 | $175.848,00 | 1467 / 112 | $21.677,40 | 1461 / 103 | $20.340,30 | 1453 / 112 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 67 | $66.085,00 | 2420 / 141 | $14.168,50 | 2529 / 186 | $12.788,00 | 2521 / 189 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $58.573,60 | 1262 / 72 | $14.486,30 | 1425 / 121 | $13.362,00 | 1420 / 126 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 53 | $76.903,10 | 2112 / 117 | $14.855,50 | 2196 / 161 | $13.760,20 | 2190 / 166 |
Renal Failure W Mcc | 21 | 174 / 65 | $91.095,40 | 2074 / 145 | $17.280,20 | 2084 / 166 | $15.777,40 | 2080 / 166 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 32 | $121.407,00 | 1766 / 127 | $19.816,90 | 1776 / 139 | $18.278,80 | 1763 / 144 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 46 | $43.788,50 | 1976 / 109 | $11.087,00 | 2143 / 171 | $10.076,00 | 2138 / 173 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 19 | 21 / 2 | $134.967,00 | 212 / 12 | $20.839,10 | 213 / 12 | $19.811,70 | 213 / 13 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $46.298,20 | 1865 / 112 | $11.206,30 | 1962 / 144 | $9.887,22 | 1953 / 147 |
Other Circulatory System O.R. Procedures | 18 | 37 / 9 | $119.663,00 | 370 / 19 | $25.511,50 | 392 / 21 | $24.215,50 | 392 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 48 | $209.382,00 | 1293 / 71 | $38.255,40 | 1306 / 74 | $36.958,10 | 1301 / 83 |
Diabetes W Cc | 17 | 75 / 18 | $44.408,00 | 1478 / 74 | $11.366,90 | 1581 / 114 | $10.009,20 | 1576 / 115 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $34.642,60 | 1836 / 56 | $10.256,50 | 2092 / 131 | $9.244,76 | 2080 / 134 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 7 | $45.417,50 | 292 / 11 | $11.038,50 | 310 / 14 | $9.652,18 | 310 / 14 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $69.750,40 | 1028 / 68 | $13.286,20 | 1038 / 70 | $12.279,20 | 1034 / 72 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 17 | $59.561,10 | 1048 / 61 | $11.890,30 | 1067 / 78 | $10.446,30 | 1063 / 81 |
Signs & Symptoms W/O Mcc | 16 | 75 / 22 | $54.639,90 | 1314 / 78 | $10.346,40 | 1310 / 86 | $8.940,38 | 1307 / 87 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 18 | $53.373,90 | 1170 / 66 | $12.289,60 | 1231 / 91 | $10.878,90 | 1228 / 94 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 46 | $83.194,50 | 1578 / 100 | $13.566,40 | 1610 / 121 | $12.139,30 | 1607 / 124 |
Medical Back Problems W/O Mcc | 15 | 106 / 42 | $56.073,50 | 1452 / 106 | $11.620,90 | 1479 / 122 | $10.596,30 | 1474 / 128 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $34.927,40 | 1863 / 94 | $8.972,21 | 1976 / 140 | $7.562,50 | 1970 / 144 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $103.920,00 | 1672 / 97 | $20.683,10 | 1776 / 143 | $19.242,50 | 1760 / 148 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $106.806,00 | 1471 / 117 | $18.773,00 | 1481 / 120 | $17.357,60 | 1476 / 125 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $59.216,80 | 1672 / 79 | $14.720,00 | 1872 / 136 | $13.539,10 | 1869 / 140 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $46.932,50 | 1223 / 69 | $12.651,50 | 1413 / 130 | $11.414,60 | 1409 / 134 |
Dysequilibrium | 12 | 53 / 15 | $36.933,20 | 484 / 21 | $9.551,33 | 558 / 41 | $8.129,33 | 558 / 41 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $56.155,70 | 521 / 20 | $18.423,10 | 724 / 67 | $17.650,90 | 723 / 71 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 29 | $143.928,00 | 809 / 45 | $23.736,80 | 809 / 44 | $22.266,10 | 805 / 47 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $32.607,90 | 844 / 29 | $10.071,80 | 994 / 66 | $8.978,75 | 990 / 69 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 30 | $242.079,00 | 997 / 83 | $32.790,00 | 984 / 75 | $31.291,20 | 979 / 78 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 18 | $201.248,00 | 598 / 39 | $20.088,70 | 564 / 32 | $18.327,20 | 560 / 35 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 18 | $331.825,00 | 739 / 48 | $52.453,20 | 726 / 48 | $48.603,20 | 726 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 55 | $132.831,00 | 2025 / 134 | $22.250,60 | 2023 / 148 | $20.612,10 | 2001 / 151 | Total 62 procedures | 2.074 | 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.