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
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | 16 | $80,304.20 | $17,243.30 | $16,328.20 |
| Enloe Medical Center | Chico | 25 | $85,708.80 | $17,104.90 | $12,721.40 |
| Saint Agnes Medical Center | Fresno | 13 | $53,532.90 | $13,671.80 | $11,916.20 |
| Scripps Memorial Hospital La Jolla | La Jolla | 17 | $99,780.10 | $13,162.40 | $12,089.30 |
| Grossmont Hospital | La Mesa | 18 | $57,911.20 | $14,836.10 | $13,411.50 |
| Cedars-Sinai Medical Center | Los Angeles | 16 | $192,576.00 | $20,271.40 | $17,505.20 |
| Hollywood Presbyterian Medical Center | Los Angeles | 14 | $71,203.20 | $19,267.90 | $18,230.20 |
| Saint Vincent Medical Center | Los Angeles | 15 | $89,759.10 | $17,617.90 | $14,926.00 |
| White Memorial Medical Center | Los Angeles | 19 | $134,967.00 | $20,839.10 | $19,811.70 |
| Tri-City Medical Center | Oceanside | 12 | $80,446.20 | $15,195.80 | $14,280.40 |
| Sutter Roseville Medical Center | Roseville | 17 | $85,465.80 | $17,396.70 | $16,541.10 |
| Sharp Memorial Hospital | San Diego | 11 | $69,613.00 | $16,315.20 | $14,600.10 |
| California Pacific Medical Ctr-Pacific Campus Hosp | San Francisco | 12 | $123,367.00 | $22,238.80 | $18,625.20 |
| Stanford Hospital | Stanford | 13 | $212,691.00 | $26,966.70 | $22,376.20 |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 15 | $203,802.00 | $27,567.70 | $26,522.40 | Total 15 hospitals | 233 |
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.