Hospital Costs > In California > Whittier Hospital Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 22 | $77.143,60 | 1523 / 67 | $14.160,00 | 1548 / 64 | $13.424,50 | 1535 / 77 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $59.894,60 | 1050 / 62 | $8.970,17 | 1009 / 61 | $8.096,83 | 1005 / 69 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $44.795,90 | 2499 / 163 | $8.834,00 | 2388 / 164 | $7.084,10 | 2380 / 147 |
Chest Pain | 32 | 119 / 41 | $36.082,00 | 1518 / 89 | $6.969,75 | 1600 / 113 | $6.217,75 | 1591 / 121 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 60 | $58.447,00 | 2352 / 152 | $9.131,46 | 2238 / 126 | $8.024,08 | 2231 / 132 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 74 | $62.192,90 | 2380 / 129 | $10.970,20 | 2348 / 136 | $9.832,25 | 2340 / 135 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $45.397,20 | 2016 / 98 | $7.814,82 | 2005 / 106 | $6.819,06 | 1994 / 109 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $55.230,20 | 1222 / 61 | $11.125,30 | 1265 / 80 | $9.918,00 | 1260 / 81 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 77 | $52.900,60 | 2666 / 189 | $8.014,27 | 2575 / 163 | $7.134,76 | 2560 / 175 |
G.I. Hemorrhage W Cc | 16 | 202 / 75 | $63.892,20 | 2338 / 164 | $9.931,81 | 2272 / 142 | $9.029,81 | 2268 / 157 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $48.130,60 | 969 / 54 | $7.666,64 | 974 / 52 | $7.227,36 | 970 / 65 |
Heart Failure & Shock W Cc | 15 | 263 / 85 | $53.718,30 | 2599 / 158 | $9.807,80 | 2589 / 160 | $8.999,27 | 2583 / 175 |
Heart Failure & Shock W Mcc | 28 | 256 / 94 | $98.381,00 | 2561 / 187 | $13.421,50 | 2383 / 138 | $12.654,90 | 2372 / 146 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 50 | $328.535,00 | 1534 / 126 | $45.611,10 | 1388 / 78 | $45.007,10 | 1378 / 86 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 78 | $49.419,00 | 2641 / 184 | $8.291,55 | 2546 / 169 | $6.996,58 | 2535 / 167 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $135.550,00 | 2637 / 213 | $18.429,80 | 2486 / 140 | $17.289,10 | 2440 / 176 |
Medical Back Problems W/O Mcc | 13 | 108 / 44 | $41.805,60 | 1281 / 60 | $8.752,08 | 1402 / 100 | $7.845,00 | 1397 / 108 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $55.835,30 | 1558 / 104 | $10.780,60 | 1554 / 106 | $9.899,18 | 1551 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 55 | $44.851,20 | 2442 / 153 | $7.652,88 | 2397 / 150 | $6.746,21 | 2388 / 161 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $50.197,50 | 1270 / 80 | $9.701,07 | 1328 / 99 | $8.754,79 | 1324 / 109 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $33.267,90 | 1619 / 54 | $8.456,27 | 1868 / 114 | $7.548,53 | 1859 / 125 |
Renal Failure W Cc | 23 | 198 / 65 | $50.355,60 | 2259 / 136 | $9.462,61 | 2235 / 136 | $8.388,35 | 2225 / 141 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $65.857,90 | 1299 / 60 | $11.879,80 | 1319 / 71 | $10.835,50 | 1314 / 69 |
Seizures W/O Mcc | 14 | 94 / 28 | $38.401,90 | 1113 / 43 | $8.144,57 | 1195 / 70 | $7.024,57 | 1193 / 74 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $272.868,00 | 949 / 75 | $45.403,00 | 808 / 51 | $43.470,40 | 807 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 115 | 401 / 119 | $105.638,00 | 2682 / 206 | $16.058,70 | 2480 / 146 | $15.087,60 | 2436 / 152 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 79 | $80.104,00 | 2539 / 231 | $10.372,30 | 2419 / 176 | $9.616,60 | 2409 / 195 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $63.492,00 | 2729 / 178 | $9.580,06 | 2653 / 148 | $8.795,12 | 2644 / 169 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 76 | $93.609,90 | 2434 / 164 | $13.196,40 | 2304 / 129 | $12.268,40 | 2298 / 130 |
Syncope & Collapse | 15 | 154 / 52 | $45.289,30 | 1779 / 102 | $7.703,80 | 1749 / 113 | $6.420,87 | 1741 / 115 | Total 30 procedures | 661 | 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.