Hospital Costs > In California > Doctors Medical Center, procedure costs

Doctors Medical Center, procedure costs

1441 Florida Avenue, Modesto, CA 95350,

Procedure Costs @ Doctors Medical Center
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 Mcc12113 / 40$209.992,001823 / 157$17.290,801720 / 122$16.220,301707 / 128
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc12112 / 27$88.603,50851 / 49$8.419,33791 / 36$7.321,25790 / 37
Atherosclerosis W/O Mcc1246 / 14$114.847,00548 / 33$7.779,33 / 32$6.967,33 /
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1254 / 22$177.932,00575 / 47$17.512,20528 / 33$15.917,20524 / 33
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1277 / 33$116.053,00767 / 72$12.439,40717 / 65$9.462,17716 / 59
Cardiac Arrhythmia & Conduction Disorders W Cc39122 / 27$104.041,002170 / 183$9.224,212089 / 155$8.332,212084 / 159
Cardiac Arrhythmia & Conduction Disorders W Mcc22101 / 32$159.085,001918 / 153$14.272,301811 / 133$11.492,001808 / 124
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc30120 / 19$78.113,001989 / 149$7.354,301936 / 129$6.123,171930 / 134
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc1158 / 12$751.233,00291 / 17$78.966,90238 / 8$77.811,60238 / 9
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc17101 / 24$403.585,00531 / 34$44.516,70478 / 12$43.374,40478 / 18
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc16100 / 21$617.287,00473 / 37$64.754,90396 / 11$63.646,20396 / 16
Cellulitis W Mcc1543 / 19$164.289,00968 / 91$14.637,90917 / 76$13.636,10915 / 77
Cellulitis W/O Mcc49140 / 37$77.994,502639 / 226$9.575,802535 / 182$8.542,452527 / 190
Cervical Spinal Fusion W/O Cc/Mcc1193 / 26$146.266,00858 / 48$20.688,20835 / 42$19.419,50832 / 48
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1378 / 22$132.909,00400 / 33$11.758,30362 / 19$11.247,10362 / 23
Chest Pain7774 / 13$75.668,201713 / 156$7.710,841619 / 124$6.613,871610 / 125
Chronic Obstructive Pulmonary Disease W Cc39140 / 34$128.777,002448 / 196$10.819,202370 / 170$9.744,362363 / 173
Chronic Obstructive Pulmonary Disease W Mcc55147 / 35$113.583,002561 / 194$12.431,702485 / 166$11.430,702477 / 176
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4476 / 6$64.849,502090 / 130$8.611,322054 / 122$7.752,932042 / 126
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 21$216.324,00916 / 63$19.670,40819 / 40$18.417,60811 / 42
Circulatory Disorders Except Ami, W Card Cath W/O Mcc54134 / 11$120.010,001638 / 131$11.560,201565 / 100$10.540,001562 / 111
Coronary Bypass W Cardiac Cath W Mcc3125 / 1$676.566,00438 / 32$63.831,50395 / 16$61.727,70395 / 17
Coronary Bypass W Cardiac Cath W/O Mcc2749 / 5$474.497,00615 / 35$48.238,60560 / 31$36.831,00560 / 20
Coronary Bypass W/O Cardiac Cath W Mcc1841 / 2$574.255,00239 / 12$50.436,00211 / 4$49.254,60210 / 5
Coronary Bypass W/O Cardiac Cath W/O Mcc1177 / 19$360.706,00592 / 28$32.977,30554 / 14$31.865,30553 / 17
Craniotomy & Endovascular Intracranial Procedures W Cc1243 / 13$282.115,00230 / 18$28.472,00207 / 10$27.357,20207 / 11
Craniotomy & Endovascular Intracranial Procedures W Mcc1385 / 20$396.231,00505 / 43$46.989,50452 / 32$38.053,20452 / 27
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1262 / 14$192.022,00269 / 18$20.751,70240 / 7$19.456,20239 / 10
Diabetes W Cc2171 / 14$78.724,601618 / 123$9.068,571532 / 98$8.363,141527 / 105
Diabetes W Mcc1344 / 14$117.899,00739 / 42$13.731,30698 / 38$13.071,40697 / 40
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2149 / 13$101.046,00571 / 54$10.787,70514 / 41$9.200,05514 / 41
Dysequilibrium1154 / 16$76.127,00567 / 41$7.882,82543 / 37$6.826,55543 / 37
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2175 / 23$132.729,001469 / 138$12.447,301372 / 105$11.621,101367 / 114
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc55220 / 55$79.605,202730 / 228$9.190,272610 / 190$7.559,442595 / 187
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1430 / 10$254.090,00431 / 30$25.234,90387 / 19$24.081,00385 / 23
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1746 / 13$410.934,00752 / 57$44.764,90694 / 39$43.633,10694 / 42
Extracranial Procedures W/O Cc/Mcc5345 / 4$74.699,90880 / 38$11.199,90918 / 52$10.241,10915 / 54
Fractures Of Hip & Pelvis W/O Mcc1249 / 19$81.136,20922 / 71$8.649,17901 / 67$7.424,92900 / 68
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1250 / 19$83.516,70811 / 66$8.946,75782 / 55$7.975,08780 / 59
G.I. Hemorrhage W Cc43175 / 51$110.609,002422 / 200$10.905,902333 / 168$9.800,722329 / 174
G.I. Hemorrhage W Mcc2596 / 31$189.262,001673 / 161$17.613,201578 / 128$16.757,501568 / 132
G.I. Hemorrhage W/O Cc/Mcc1751 / 12$74.200,101001 / 69$9.161,65971 / 64$7.130,47967 / 63
G.I. Obstruction W Cc1775 / 35$96.694,601732 / 141$9.688,651674 / 120$8.499,241669 / 123
G.I. Obstruction W/O Cc/Mcc1160 / 30$88.401,801309 / 104$7.804,181294 / 93$6.931,181291 / 98
Heart Failure & Shock W Cc64214 / 41$100.853,002763 / 230$11.051,002645 / 187$9.737,172639 / 193
Heart Failure & Shock W Mcc80204 / 48$146.757,002627 / 232$15.041,802486 / 178$14.117,702475 / 181
Heart Failure & Shock W/O Cc/Mcc3377 / 14$62.315,002002 / 127$8.250,941957 / 114$7.452,061944 / 118
Hip & Femur Procedures Except Major Joint W Cc40103 / 27$141.405,002033 / 139$17.906,901934 / 125$16.780,401914 / 128
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1838 / 16$125.181,00912 / 69$15.717,50871 / 61$14.405,80868 / 63
Hypertension W/O Mcc1253 / 14$71.392,80782 / 28$7.868,33751 / 25$6.928,75749 / 25
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3193 / 35$608.786,001592 / 157$54.573,401525 / 120$53.398,801515 / 127
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs51131 / 27$130.801,002081 / 185$11.446,501982 / 154$10.247,601978 / 157
Intracranial Hemorrhage Or Cerebral Infarction W Mcc42126 / 30$208.989,001636 / 160$18.028,101524 / 117$16.800,101517 / 124
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3072 / 18$89.951,601609 / 128$9.427,301541 / 112$7.526,131537 / 112
Kidney & Urinary Tract Infections W Mcc40104 / 26$153.433,001955 / 172$13.016,701897 / 156$11.733,401893 / 156
Kidney & Urinary Tract Infections W/O Mcc91142 / 24$94.653,802717 / 226$10.020,502621 / 199$8.089,942610 / 192
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1640 / 14$140.420,00857 / 62$16.053,40844 / 57$14.834,30840 / 62
Major Cardiovasc Procedures W Mcc2246 / 8$541.349,00645 / 50$50.449,20598 / 34$49.266,10597 / 35
Major Cardiovasc Procedures W/O Mcc2081 / 21$252.590,00992 / 61$30.325,20936 / 44$29.372,10935 / 46
Major Chest Procedures W Cc1163 / 19$296.903,00505 / 37$27.162,00492 / 24$26.286,80490 / 28
Major Chest Procedures W Mcc1534 / 10$306.386,00318 / 18$42.053,80284 / 12$41.188,10283 / 14
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc118446 / 76$118.716,002589 / 194$20.012,702539 / 174$18.406,202493 / 193
Major Small & Large Bowel Procedures W Cc1692 / 39$235.587,001532 / 117$23.673,801451 / 80$22.486,401437 / 94
Medical Back Problems W/O Mcc3586 / 24$87.429,901494 / 129$9.261,631424 / 108$8.312,291419 / 113
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4284 / 19$98.522,501729 / 161$11.765,201631 / 130$11.084,401628 / 134
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc50116 / 31$71.414,302537 / 205$8.833,042445 / 172$7.461,102436 / 175
Organic Disturbances & Mental Retardation1247 / 12$136.370,00566 / 33$10.852,50506 / 20$9.558,08506 / 21
Other Circulatory System Diagnoses W Mcc2492 / 26$183.061,001390 / 130$18.704,601259 / 95$17.288,501251 / 92
Other Digestive System Diagnoses W Cc1384 / 29$114.773,001436 / 139$12.743,801362 / 131$9.286,541358 / 118
Other Kidney & Urinary Tract Diagnoses W Cc1390 / 26$114.488,00864 / 60$10.865,90815 / 45$9.983,85815 / 51
Other Vascular Procedures W Cc2379 / 21$253.025,001134 / 79$23.151,001043 / 45$22.113,301038 / 48
Other Vascular Procedures W Mcc1879 / 24$274.585,00999 / 85$28.190,30859 / 44$27.284,70856 / 52
Other Vascular Procedures W/O Cc/Mcc1343 / 13$121.263,00538 / 17$16.098,20503 / 14$14.283,70502 / 14
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2476 / 18$319.645,001015 / 93$30.306,90956 / 67$29.113,80951 / 69
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc61135 / 16$184.088,001471 / 115$19.735,501402 / 89$17.437,701394 / 96
Peripheral Vascular Disorders W Cc1569 / 18$96.331,901254 / 92$10.258,501182 / 77$9.333,131179 / 82
Peripheral Vascular Disorders W Mcc1336 / 9$162.123,00592 / 38$14.513,40560 / 36$13.617,70560 / 36
Permanent Cardiac Pacemaker Implant W Cc1166 / 24$201.977,00963 / 79$24.115,30916 / 63$22.986,60912 / 68
Poisoning & Toxic Effects Of Drugs W Mcc2745 / 9$199.091,00989 / 85$17.633,30939 / 77$14.815,60936 / 75
Poisoning & Toxic Effects Of Drugs W/O Mcc2437 / 3$76.577,00929 / 54$7.989,75870 / 43$7.105,88869 / 47
Pulmonary Edema & Respiratory Failure29174 / 46$146.596,002241 / 180$12.668,702120 / 137$11.662,302114 / 142
Pulmonary Embolism W/O Mcc1460 / 16$165.846,001280 / 78$10.886,801255 / 66$9.703,141252 / 74
Red Blood Cell Disorders W Mcc1655 / 15$192.049,001114 / 91$15.050,201063 / 78$13.613,801059 / 78
Red Blood Cell Disorders W/O Mcc36107 / 20$96.212,102002 / 156$10.704,701957 / 141$9.765,171948 / 145
Renal Failure W Cc47174 / 41$97.412,002443 / 206$10.646,202350 / 170$9.670,702340 / 173
Renal Failure W Mcc29166 / 58$165.866,002169 / 192$15.279,302030 / 142$14.309,402026 / 150
Renal Failure W/O Cc/Mcc1640 / 5$67.837,30858 / 32$7.921,88837 / 32$7.079,31835 / 32
Respiratory Infections & Inflammations W Cc1573 / 33$157.791,001484 / 125$15.818,501467 / 113$14.753,601462 / 118
Respiratory Infections & Inflammations W Mcc17119 / 55$196.360,001802 / 152$17.284,501673 / 102$16.447,801657 / 107
Respiratory System Diagnosis W Ventilator Support <96 Hours5081 / 8$279.916,001853 / 146$21.845,701716 / 94$20.938,201702 / 103
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 19$503.250,00981 / 87$46.870,60894 / 57$45.789,40893 / 62
Seizures W/O Mcc1791 / 25$95.642,601317 / 99$10.221,001221 / 87$7.449,941219 / 78
Septicemia Or Severe Sepsis W Mv 96+ Hours3161 / 24$641.138,001099 / 145$56.654,801022 / 112$55.228,601021 / 114
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc151365 / 102$211.451,002827 / 270$19.776,502675 / 233$17.632,102630 / 213
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc46161 / 65$146.642,002576 / 251$12.012,302462 / 213$10.068,102452 / 208
Signs & Symptoms W/O Mcc2467 / 14$72.911,501339 / 92$8.399,001277 / 78$7.614,121274 / 82
Simple Pneumonia & Pleurisy W Cc74129 / 22$116.747,002825 / 225$11.804,002713 / 198$9.588,552704 / 189
Simple Pneumonia & Pleurisy W Mcc48157 / 43$140.795,002514 / 197$15.546,502390 / 178$13.269,402384 / 166
Simple Pneumonia & Pleurisy W/O Cc/Mcc4944 / 3$75.419,001955 / 129$8.464,291921 / 121$7.303,041913 / 125
Spinal Fusion Except Cervical W/O Mcc30164 / 37$202.404,001280 / 68$33.893,801248 / 53$32.649,601243 / 64
Syncope & Collapse44125 / 23$98.165,201931 / 166$8.720,231833 / 137$7.533,951825 / 137
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1351 / 11$1.064.470,00570 / 57$103.190,00513 / 39$100.061,00512 / 40
Transient Ischemia4580 / 14$87.386,201664 / 144$8.416,581613 / 124$7.273,221605 / 127
Traumatic Stupor & Coma, Coma <1 Hr W Cc1353 / 17$114.482,00530 / 36$11.750,50492 / 29$10.607,40491 / 31
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1437 / 14$288.930,00353 / 30$22.309,60285 / 20$16.708,20285 / 12
Total 105 procedures3.101discharges

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.