Hospital Costs > In California > College Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $37.812,70 | 2451 / 132 | $5.106,00 | 1344 / 6 | $4.199,33 | 1335 / 11 |
| Psychoses | 338 | 53 / 7 | $20.111,70 | 329 / 9 | $6.714,68 | 259 / 2 | $5.733,74 | 259 / 2 |
| Renal Failure W Mcc | 18 | 177 / 68 | $28.074,30 | 652 / 6 | $9.569,11 | 935 / 1 | $8.793,11 | 935 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 149 | $71.024,40 | 2298 / 109 | $12.048,40 | 1648 / 6 | $11.319,90 | 1616 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 84 | $45.102,50 | 2170 / 124 | $6.927,28 | 1556 / 9 | $6.359,60 | 1549 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 77 | $41.305,80 | 2368 / 81 | $6.307,69 | 1721 / 3 | $5.748,92 | 1713 / 14 | Total 6 procedures | 483 | 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.