Pleural Effusion W Mcc - costs for treatment in California

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Pleural Effusion W Mcc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Methodist Hospital Of Southern CaArcadia13$100,525.00$12,480.00$12,240.90
Providence Saint Joseph Medical CtrBurbank17$115,912.00$12,122.00$11,604.50
Enloe Medical CenterChico12$59,539.40$10,850.50$10,349.10
Cedars-Sinai Medical CenterLos Angeles14$122,660.00$16,742.60$14,208.70
St Joseph Hospital OrangeOrange15$86,824.40$14,888.00$10,797.00
Eisenhower Medical CenterRancho Mirage11$84,836.50$10,199.00$9,317.18
Shasta Regional Medical CenterRedding15$51,257.80$12,270.50$11,709.50
Santa Rosa Memorial HospitalSanta Rosa13$62,006.50$13,780.50$13,032.20
Kaweah Delta Medical CenterVisalia12$66,497.80$13,629.20$11,882.50
Total 9 hospitals122

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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