Hospital Costs > In California > Citrus Valley Medical Center-Ic Campus, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 19 | $31.250,40 | 782 / 10 | $10.580,20 | 1354 / 82 | $9.591,94 | 1352 / 89 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $37.565,90 | 725 / 6 | $14.999,90 | 1581 / 93 | $13.822,10 | 1568 / 91 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $22.555,80 | 378 / 3 | $8.175,83 | 811 / 37 | $6.780,75 | 807 / 38 |
| Atherosclerosis W Mcc | 14 | 7 / 3 | $28.974,00 | 10 / 1 | $10.396,50 | 18 / 3 | $9.202,21 | 18 / 4 |
| Atherosclerosis W/O Mcc | 16 | 42 / 10 | $22.597,60 | 362 / 12 | $7.245,69 | / 29 | $6.035,69 | / |
| Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 5 | $22.987,10 | 508 / 3 | $9.037,97 | 1003 / 62 | $7.990,83 | 999 / 67 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 4 | $18.203,00 | 184 / 2 | $7.496,77 | 362 / 10 | $6.748,46 | 362 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 36 | $32.207,20 | 1709 / 46 | $8.594,17 | 2063 / 144 | $7.788,83 | 2058 / 154 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 29 | $35.104,20 | 1165 / 14 | $12.262,10 | 1822 / 117 | $11.684,80 | 1819 / 128 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $22.017,50 | 1506 / 22 | $6.860,00 | 1920 / 121 | $5.805,33 | 1914 / 128 |
| Cellulitis W Mcc | 21 | 37 / 13 | $37.940,70 | 540 / 12 | $13.060,30 | 878 / 56 | $12.424,90 | 876 / 64 |
| Cellulitis W/O Mcc | 78 | 111 / 17 | $22.822,40 | 1712 / 25 | $8.804,32 | 2500 / 163 | $7.998,99 | 2492 / 178 |
| Chest Pain | 93 | 58 / 7 | $16.848,20 | 675 / 10 | $7.243,91 | 1579 / 117 | $5.950,42 | 1570 / 114 |
| Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 11 | $29.072,30 | 1675 / 29 | $9.540,48 | 2292 / 143 | $8.493,52 | 2285 / 148 |
| Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 16 | $35.722,60 | 1784 / 30 | $11.512,90 | 2366 / 152 | $9.952,97 | 2358 / 141 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 10 | $21.287,60 | 1356 / 12 | $8.042,65 | 2023 / 113 | $7.078,32 | 2011 / 114 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 35 | $28.971,10 | 466 / 3 | $10.447,70 | 1459 / 82 | $8.770,73 | 1456 / 78 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 13 | $54.812,60 | 185 / 5 | $16.005,70 | 246 / 15 | $15.456,00 | 246 / 16 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $274.351,00 | 342 / 10 | $60.643,40 | 383 / 12 | $59.523,50 | 383 / 14 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $182.922,00 | 462 / 5 | $34.608,30 | 419 / 5 | $29.376,40 | 419 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $27.859,90 | 457 / 7 | $9.965,86 | 785 / 38 | $9.106,43 | 785 / 41 |
| Diabetes W Cc | 31 | 61 / 7 | $30.319,80 | 1182 / 23 | $9.665,32 | 1491 / 104 | $7.719,13 | 1486 / 97 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $14.364,00 | 115 / 1 | $6.955,09 | 268 / 6 | $6.294,73 | 268 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 15 | $31.924,50 | 396 / 10 | $9.595,53 | 503 / 34 | $8.912,58 | 503 / 37 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 25 | 51 / 13 | $40.118,50 | 211 / 7 | $16.045,70 | 437 / 37 | $15.074,20 | 437 / 39 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 9 | $25.249,70 | 485 / 3 | $9.478,81 | 905 / 42 | $8.652,81 | 902 / 47 |
| Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 7 | $60.973,60 | 263 / 13 | $17.073,40 | 322 / 21 | $16.368,80 | 322 / 21 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 7 | $23.625,60 | 315 / 4 | $7.546,15 | 445 / 20 | $6.704,31 | 444 / 21 |
| Dysequilibrium | 12 | 53 / 15 | $23.987,10 | 322 / 3 | $7.360,58 | 527 / 32 | $6.149,92 | 527 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 9 | $36.285,40 | 853 / 18 | $11.852,40 | 1348 / 98 | $11.173,80 | 1343 / 109 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 112 | 163 / 16 | $22.864,30 | 1702 / 24 | $8.281,32 | 2586 / 172 | $7.214,94 | 2571 / 178 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 15 | $100.511,00 | 213 / 1 | $36.083,20 | 556 / 11 | $35.031,50 | 556 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 27 | $44.864,60 | 712 / 13 | $10.514,10 | 904 / 47 | $9.396,54 | 901 / 51 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 18 | $19.326,20 | 488 / 1 | $7.757,92 | 882 / 60 | $6.642,85 | 881 / 64 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 16 | $26.968,50 | 547 / 10 | $8.232,40 | 763 / 47 | $7.182,80 | 761 / 52 |
| G.I. Hemorrhage W Cc | 55 | 163 / 40 | $30.399,10 | 1583 / 24 | $10.060,80 | 2292 / 146 | $9.291,65 | 2288 / 163 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 21 | $40.570,20 | 710 / 9 | $15.703,50 | 1441 / 92 | $14.337,20 | 1431 / 88 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 7 | $23.875,00 | 681 / 11 | $7.979,30 | 951 / 55 | $6.631,78 | 947 / 60 |
| G.I. Obstruction W Cc | 22 | 70 / 30 | $24.858,60 | 987 / 9 | $9.883,45 | 1634 / 121 | $7.971,55 | 1629 / 114 |
| G.I. Obstruction W Mcc | 12 | 30 / 10 | $48.681,70 | 330 / 9 | $14.690,10 | 482 / 29 | $13.884,80 | 482 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 27 | $19.490,50 | 795 / 7 | $7.250,57 | 1274 / 90 | $6.048,29 | 1271 / 93 |
| Heart Failure & Shock W Cc | 71 | 207 / 35 | $27.960,50 | 1856 / 26 | $10.053,20 | 2590 / 170 | $9.005,66 | 2584 / 176 |
| Heart Failure & Shock W Mcc | 127 | 157 / 18 | $39.646,70 | 1641 / 26 | $13.688,90 | 2406 / 144 | $12.892,30 | 2395 / 156 |
| Heart Failure & Shock W/O Cc/Mcc | 46 | 64 / 7 | $20.953,70 | 1355 / 13 | $7.668,02 | 1936 / 108 | $7.012,02 | 1923 / 114 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 44 | $59.002,00 | 1323 / 7 | $17.253,70 | 1898 / 109 | $16.213,70 | 1878 / 116 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $53.486,70 | 635 / 8 | $14.839,20 | 860 / 55 | $13.739,50 | 857 / 59 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 25 | $136.152,00 | 890 / 14 | $41.684,30 | 1150 / 49 | $37.796,20 | 1142 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 28 | $36.965,90 | 1425 / 28 | $10.616,80 | 1937 / 137 | $9.401,52 | 1933 / 146 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 51 | 117 / 22 | $52.762,00 | 1012 / 20 | $16.397,80 | 1466 / 101 | $15.224,30 | 1459 / 108 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 45 | 57 / 5 | $28.735,80 | 1054 / 11 | $8.256,78 | 1514 / 103 | $6.989,31 | 1510 / 106 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 49 | $37.464,50 | 1427 / 39 | $10.878,30 | 1835 / 131 | $10.057,60 | 1831 / 141 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 40 | $21.995,10 | 1762 / 21 | $8.444,36 | 2568 / 172 | $7.233,73 | 2557 / 174 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 1 | $17.213,00 | 61 / 1 | $7.664,25 | 142 / 2 | $6.960,25 | 142 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 8 | $71.881,40 | 248 / 5 | $21.336,60 | 427 / 26 | $20.332,10 | 426 / 30 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $42.571,20 | 340 / 6 | $11.486,90 | 558 / 35 | $10.260,90 | 557 / 40 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W/O Cc/Mcc | 11 | 2 / 1 | $18.727,00 | 1 / 1 | $8.862,55 | 2 / 1 | $8.205,09 | 2 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 19 | $81.403,00 | 493 / 2 | $26.599,00 | 759 / 32 | $23.346,70 | 756 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 76 | $60.197,40 | 1702 / 49 | $18.588,70 | 2462 / 147 | $17.041,40 | 2416 / 167 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 17 | $27.576,50 | 60 / 2 | $12.347,60 | 350 / 21 | $11.143,90 | 350 / 24 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $70.545,50 | 869 / 2 | $21.604,40 | 1390 / 58 | $20.593,80 | 1376 / 78 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $121.235,00 | 573 / 1 | $38.632,70 | 996 / 19 | $37.630,00 | 994 / 23 |
| Medical Back Problems W/O Mcc | 24 | 97 / 33 | $24.330,50 | 795 / 15 | $8.798,12 | 1388 / 102 | $7.567,29 | 1383 / 105 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 30 | $34.717,50 | 1155 / 26 | $10.963,10 | 1579 / 112 | $10.329,10 | 1576 / 121 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 14 | $20.838,70 | 1635 / 25 | $8.051,90 | 2405 / 161 | $6.812,99 | 2396 / 163 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $39.668,50 | 187 / 4 | $15.051,40 | 375 / 27 | $14.388,10 | 375 / 30 |
| Nontraumatic Stupor & Coma W/O Mcc | 12 | 7 / 3 | $24.273,50 | 12 / 2 | $8.295,50 | 17 / 4 | $7.388,83 | 17 / 4 |
| Other Circulatory System Diagnoses W Mcc | 60 | 56 / 5 | $53.861,40 | 827 / 15 | $16.512,70 | 1183 / 65 | $15.637,30 | 1175 / 69 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 15 | $61.882,20 | 164 / 2 | $21.294,50 | 311 / 11 | $20.106,50 | 311 / 8 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $27.923,50 | 794 / 14 | $9.910,45 | 1357 / 103 | $9.250,09 | 1353 / 116 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 15 | $47.077,40 | 420 / 11 | $15.533,70 | 667 / 54 | $14.721,10 | 666 / 59 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 27 | $26.282,60 | 428 / 3 | $9.733,83 | 778 / 39 | $9.029,83 | 778 / 45 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 24 | $42.559,70 | 673 / 5 | $13.959,30 | 975 / 46 | $13.291,80 | 971 / 54 |
| Other Vascular Procedures W Cc | 12 | 90 / 32 | $96.107,10 | 806 / 16 | $27.301,20 | 1073 / 66 | $23.290,70 | 1068 / 58 |
| Other Vascular Procedures W Mcc | 38 | 59 / 8 | $86.679,80 | 458 / 6 | $27.199,00 | 834 / 41 | $26.435,20 | 831 / 49 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $81.993,20 | 300 / 1 | $26.355,70 | 863 / 37 | $25.308,30 | 858 / 45 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 39 | $54.294,80 | 317 / 3 | $16.652,10 | 1271 / 43 | $15.007,70 | 1264 / 58 |
| Peripheral Vascular Disorders W Cc | 30 | 54 / 5 | $24.915,20 | 644 / 6 | $9.820,00 | 1164 / 70 | $8.895,20 | 1161 / 76 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 13 | $54.273,70 | 327 / 4 | $18.342,90 | 663 / 30 | $17.604,50 | 662 / 40 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $17.269,20 | 413 / 2 | $7.470,93 | 854 / 41 | $6.693,79 | 853 / 44 |
| Psychoses | 218 | 109 / 12 | $11.005,20 | 87 / 1 | $10.139,10 | 551 / 20 | $9.242,02 | 551 / 22 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 53 | $42.875,80 | 1598 / 31 | $11.307,80 | 2003 / 108 | $10.189,20 | 1997 / 107 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $31.096,30 | 866 / 7 | $9.977,73 | 1233 / 59 | $9.102,09 | 1230 / 69 |
| Red Blood Cell Disorders W Mcc | 33 | 38 / 3 | $30.871,80 | 474 / 8 | $12.010,80 | 997 / 57 | $11.269,80 | 993 / 62 |
| Red Blood Cell Disorders W/O Mcc | 59 | 84 / 5 | $21.383,20 | 1017 / 14 | $8.598,88 | 1881 / 117 | $7.785,39 | 1872 / 126 |
| Renal Failure W Cc | 60 | 161 / 30 | $27.721,20 | 1588 / 22 | $9.725,47 | 2300 / 149 | $8.970,80 | 2290 / 162 |
| Renal Failure W Mcc | 51 | 144 / 36 | $41.977,70 | 1348 / 24 | $13.941,90 | 1958 / 113 | $13.285,20 | 1954 / 130 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 21 | $34.740,60 | 843 / 5 | $12.739,30 | 1401 / 91 | $12.089,00 | 1396 / 97 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 45 | $57.750,90 | 1228 / 21 | $16.651,90 | 1642 / 88 | $15.848,30 | 1626 / 95 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 15 | $63.435,10 | 991 / 11 | $20.406,60 | 1633 / 73 | $19.474,00 | 1619 / 76 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $93.745,20 | 207 / 2 | $35.646,90 | 585 / 8 | $34.348,20 | 584 / 7 |
| Seizures W Mcc | 11 | 55 / 19 | $30.712,40 | 185 / 3 | $13.969,30 | 631 / 30 | $12.863,80 | 631 / 32 |
| Seizures W/O Mcc | 22 | 86 / 20 | $20.072,40 | 559 / 7 | $8.372,36 | 1226 / 74 | $7.549,09 | 1224 / 81 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 40 | 52 / 15 | $153.114,00 | 543 / 12 | $44.205,40 | 723 / 38 | $41.596,00 | 722 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 344 | 177 / 23 | $56.264,70 | 1992 / 64 | $16.625,40 | 2554 / 162 | $15.686,70 | 2510 / 177 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 89 | 118 / 32 | $31.590,60 | 1711 / 44 | $10.579,30 | 2421 / 180 | $9.619,22 | 2411 / 196 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 22 | $19.341,50 | 617 / 8 | $7.875,00 | 1258 / 73 | $7.127,00 | 1255 / 76 |
| Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 20 | $27.088,30 | 1776 / 18 | $9.936,49 | 2650 / 159 | $8.774,95 | 2641 / 167 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 24 | $47.197,60 | 1818 / 40 | $13.287,30 | 2341 / 133 | $12.512,00 | 2335 / 146 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $20.372,70 | 1224 / 9 | $7.958,94 | 1903 / 116 | $6.883,39 | 1895 / 121 |
| Syncope & Collapse | 55 | 114 / 15 | $20.740,70 | 925 / 12 | $8.146,40 | 1798 / 126 | $6.950,25 | 1790 / 129 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 26 | 38 / 2 | $254.019,00 | 255 / 3 | $80.095,50 | 405 / 12 | $78.603,80 | 404 / 12 |
| Transient Ischemia | 50 | 75 / 10 | $24.693,20 | 942 / 15 | $7.918,94 | 1596 / 114 | $6.928,86 | 1588 / 121 | Total 102 procedures | 3.772 | discharges |
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.