Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc - costs for treatment in California

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Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Cedars-Sinai Medical CenterLos Angeles26$93,653.80$10,936.80$9,104.54
Sutter General HospitalSacramento18$50,021.00$12,221.20$10,556.00
Kaweah Delta Medical CenterVisalia16$33,577.10$9,772.69$8,566.69
Providence Tarzana Medical CenterTarzana15$63,743.70$9,539.67$7,559.07
University Of California San Diego Medical CenterSan Diego14$43,974.40$14,578.10$11,527.60
Scripps Memorial Hospital La JollaLa Jolla13$56,185.70$7,885.62$6,671.62
Clovis Community Medical CenterClovis11$34,837.90$9,596.36$8,070.55
Stanford HospitalStanford11$102,894.00$15,513.10$13,105.80
Total 8 hospitals124

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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