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

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


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
California Pacific Medical Ctr-Pacific Campus HospSan Francisco13$66,320.90$16,421.20$13,373.30
Cedars-Sinai Medical CenterLos Angeles24$137,625.00$16,580.60$11,494.60
Clovis Community Medical CenterClovis15$48,787.10$11,716.40$10,668.90
Community Hospital Of The Monterey PeninsulaMonterey12$51,869.20$14,053.30$9,632.25
Fresno Heart And Surgical HospitalFresno32$42,796.40$10,005.50$8,873.50
Hoag Memorial Hospital PresbyterianNewport Beach15$49,987.20$10,019.80$8,886.07
John Muir Medical Center - Concord CampusConcord16$116,543.00$12,927.20$11,862.80
Keck Hospital Of UscLos Angeles37$108,994.00$15,891.80$12,836.70
Ronald Reagan U C L A Medical CenterLos Angeles16$50,250.90$20,502.80$17,103.60
Santa Barbara Cottage HospitalSanta Barbara26$48,352.70$12,767.20$10,083.20
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta Monica13$41,681.20$12,701.20$11,115.50
Scripps Memorial Hospital La JollaLa Jolla19$79,446.30$9,869.11$8,665.26
Stanford HospitalStanford28$141,698.00$19,759.40$16,205.30
Sutter Roseville Medical CenterRoseville11$58,488.20$11,994.00$10,898.00
Torrance Memorial Medical CenterTorrance11$74,852.80$12,988.20$8,576.18
University Of California Irvine Med CenterOrange26$60,939.60$17,080.30$15,145.50
University Of California San Diego Medical CenterSan Diego17$46,565.70$16,916.10$14,548.60
Total 17 hospitals331

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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