Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in California

Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc > Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in California

Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Grossmont HospitalLa Mesa18$57,911.20$14,836.10$13,411.50
Enloe Medical CenterChico25$85,708.80$17,104.90$12,721.40
California Pacific Medical Ctr-Pacific Campus HospSan Francisco12$123,367.00$22,238.80$18,625.20
Hollywood Presbyterian Medical CenterLos Angeles14$71,203.20$19,267.90$18,230.20
Saint Agnes Medical CenterFresno13$53,532.90$13,671.80$11,916.20
Sharp Memorial HospitalSan Diego11$69,613.00$16,315.20$14,600.10
White Memorial Medical CenterLos Angeles19$134,967.00$20,839.10$19,811.70
Tri-City Medical CenterOceanside12$80,446.20$15,195.80$14,280.40
John Muir Medical Center - Walnut Creek CampusWalnut Creek15$203,802.00$27,567.70$26,522.40
Sutter Roseville Medical CenterRoseville17$85,465.80$17,396.70$16,541.10
Scripps Memorial Hospital La JollaLa Jolla17$99,780.10$13,162.40$12,089.30
Stanford HospitalStanford13$212,691.00$26,966.70$22,376.20
Saint Vincent Medical CenterLos Angeles15$89,759.10$17,617.90$14,926.00
Mercy San Juan Medical CenterCarmichael16$80,304.20$17,243.30$16,328.20
Cedars-Sinai Medical CenterLos Angeles16$192,576.00$20,271.40$17,505.20
Total 15 hospitals233

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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