Stomach, Esophageal & Duodenal Proc W Cc - costs for treatment in California

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Stomach, Esophageal & Duodenal Proc W Cc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Clovis Community Medical CenterClovis13$68,933.60$19,889.10$18,682.90
John Muir Medical Center - Concord CampusConcord12$158,996.00$20,192.20$18,921.00
Fresno Heart And Surgical HospitalFresno24$57,936.80$17,305.40$16,301.40
Scripps Memorial Hospital La JollaLa Jolla14$144,979.00$28,320.30$14,456.50
Loma Linda University Medical CenterLoma Linda12$132,804.00$29,352.20$26,287.90
Cedars-Sinai Medical CenterLos Angeles36$275,755.00$35,666.30$29,967.00
Keck Hospital Of UscLos Angeles47$187,952.00$31,845.60$23,656.20
Ronald Reagan U C L A Medical CenterLos Angeles18$78,434.20$34,908.00$29,454.10
University Of California Irvine Med CenterOrange19$132,605.00$28,431.60$25,372.60
St Johns Regional Medical CenterOxnard11$111,214.00$20,219.40$18,011.70
University Of California Davis Medical CenterSacramento20$292,458.00$36,434.10$33,209.10
University Of California San Diego Medical CenterSan Diego25$114,157.00$33,023.00$27,526.90
Ucsf Medical CenterSan Francisco28$285,544.00$48,377.70$42,722.40
Good Samaritan Hospital San JoseSan Jose12$225,115.00$21,359.90$19,755.40
Providence Saint John's Health CenterSanta Monica14$78,979.10$17,784.20$16,833.40
Stanford HospitalStanford32$315,634.00$49,530.20$36,621.80
Total 16 hospitals337

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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