Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment in California
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
Mercy San Juan Medical Center | Carmichael | 11 | $61,510.90 | $14,826.20 | $13,941.60 |
Enloe Medical Center | Chico | 12 | $102,044.00 | $12,473.30 | $11,569.30 |
Hollywood Presbyterian Medical Center | Los Angeles | 12 | $57,110.20 | $17,160.00 | $16,149.30 |
Saint Vincent Medical Center | Los Angeles | 11 | $83,443.50 | $14,612.70 | $12,392.30 |
Huntington Memorial Hospital | Pasadena | 22 | $33,296.60 | $12,475.80 | $11,498.30 |
Scripps Mercy Hospital | San Diego | 15 | $82,756.40 | $14,860.00 | $13,741.30 |
Good Samaritan Hospital San Jose | San Jose | 12 | $130,134.00 | $14,863.60 | $14,159.60 |
Stanford Hospital | Stanford | 22 | $141,758.00 | $21,379.90 | $19,171.80 | Total 8 hospitals | 117 |
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.