Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in California

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Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Alta Bates Summit Medical CenterOakland14$386,008.00$93,384.20$74,325.90
Cedars-Sinai Medical CenterLos Angeles44$819,072.00$127,778.00$110,259.00
Community Hospital Of The Monterey PeninsulaMonterey13$447,345.00$98,878.40$98,043.90
Doctors Medical CenterModesto11$751,233.00$78,966.90$77,811.60
Eisenhower Medical CenterRancho Mirage13$373,136.00$59,169.40$58,110.80
Good Samaritan Hospital Los AngelesLos Angeles29$455,018.00$77,718.10$76,919.30
Good Samaritan Hospital San JoseSan Jose14$960,961.00$116,984.00$108,429.00
Hoag Memorial Hospital PresbyterianNewport Beach14$278,828.00$74,716.10$73,752.10
Keck Hospital Of UscLos Angeles29$528,470.00$99,287.80$91,941.90
Loma Linda University Medical CenterLoma Linda13$428,394.00$100,341.00$94,168.80
Mercy General HospitalSacramento59$688,602.00$96,909.60$95,858.60
Ronald Reagan U C L A Medical CenterLos Angeles23$425,988.00$139,192.00$123,199.00
Saint Agnes Medical CenterFresno14$245,355.00$67,042.40$66,093.80
Scripps Green HospitalLa Jolla26$455,174.00$78,755.50$75,453.80
Scripps Memorial Hospital La JollaLa Jolla16$499,055.00$70,923.90$70,213.40
Sequoia HospitalRedwood City14$626,047.00$97,568.10$96,278.00
Sharp Memorial HospitalSan Diego40$405,944.00$75,806.10$68,173.90
Stanford HospitalStanford15$912,233.00$153,494.00$144,520.00
Sutter General HospitalSacramento34$323,637.00$84,574.20$82,873.40
University Of California Davis Medical CenterSacramento15$700,703.00$120,966.00$113,631.00
Total 20 hospitals450

DATA

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.





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