Dysequilibrium - costs for treatment in California

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Dysequilibrium - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Providence Saint John's Health CenterSanta Monica11$29,991.70$4,142.55$3,150.55
Los Robles Hospital & Medical CenterThousand Oaks16$55,116.40$4,279.25$3,145.25
Enloe Medical CenterChico13$34,856.50$4,762.38$3,738.38
Olympia Medical CenterLos Angeles16$36,262.60$4,932.69$3,728.69
Mission Hospital Regional Med CenterMission Viejo17$35,167.20$5,024.00$2,900.82
Oroville HospitalOroville28$24,781.00$5,071.50$4,162.93
Mills-Peninsula Medical CenterBurlingame11$32,665.50$5,095.91$3,996.27
John Muir Medical Center - Walnut Creek CampusWalnut Creek13$64,101.90$5,116.08$3,996.08
Providence Tarzana Medical CenterTarzana25$49,934.30$5,145.24$3,964.28
Methodist Hospital Of Southern CaArcadia17$41,493.80$5,320.41$4,315.12
Rideout Memorial HospitalMarysville13$28,414.00$5,332.31$4,310.77
Santa Barbara Cottage HospitalSanta Barbara14$21,593.70$5,398.93$4,173.79
San Joaquin Community HospitalBakersfield12$36,568.60$5,687.50$4,476.83
St Mary Medical Center Apple ValleyApple Valley22$38,058.80$5,691.73$4,867.00
Marin General HospitalGreenbrae14$54,429.40$5,698.57$4,665.43
Centinela Hospital Medical CenterInglewood11$32,743.40$5,727.82$4,942.09
Huntington Memorial HospitalPasadena23$36,312.90$5,770.39$3,988.70
Emanuel Medical Center TurlockTurlock14$47,114.90$5,848.14$4,423.79
Grossmont HospitalLa Mesa37$36,289.50$5,862.32$4,375.97
Torrance Memorial Medical CenterTorrance11$58,689.30$5,899.36$3,538.09
Good Samaritan Hospital San JoseSan Jose12$70,632.00$5,937.58$5,030.92
Long Beach Memorial Medical CenterLong Beach19$27,392.90$6,342.11$4,651.89
Washington HospitalFremont11$47,019.90$6,400.27$5,306.45
Cedars-Sinai Medical CenterLos Angeles30$61,877.00$6,448.07$4,605.83
Northbay Medical CenterFairfield13$72,033.40$6,644.92$5,623.38
Scripps Mercy HospitalSan Diego19$31,126.40$6,668.79$5,382.47
Glendale Adventist Medical CenterGlendale31$43,338.40$6,773.35$5,721.10
Good Samaritan Hospital Los AngelesLos Angeles15$34,807.10$6,781.73$5,545.20
Sharp Chula Vista Medical CenterChula Vista11$45,098.90$6,792.55$4,717.82
Saint Vincent Medical CenterLos Angeles12$47,967.20$6,798.17$4,400.17
Alta Bates Summit Medical CenterOakland12$35,090.70$6,869.75$5,319.75
Citrus Valley Medical Center-Ic CampusCovina12$23,987.10$7,360.58$6,149.92
Southern California Hospital At HollywoodHollywood11$31,550.20$7,361.00$6,482.45
Fountain Valley Regional Hospital & Medical CenterFountain Valley15$48,717.90$7,387.40$6,325.53
Northridge Hospital Medical CenterNorthridge11$51,633.80$7,398.91$4,602.55
Regional Medical Center Of San JoseSan Jose12$72,973.40$7,543.42$5,483.75
Doctors Medical CenterModesto11$76,127.00$7,882.82$6,826.55
Pacifica Hospital Of The ValleySun Valley18$13,939.10$8,185.83$7,046.28
Community Regional Medical CenterFresno15$30,345.70$8,232.27$7,218.67
University Of California Davis Medical CenterSacramento14$55,393.60$9,476.43$7,760.43
White Memorial Medical CenterLos Angeles12$36,933.20$9,551.33$8,129.33
Total 41 hospitals654

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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