Hospital Costs > In California > Fallbrook Hospital District, procedure costs

Fallbrook Hospital District, procedure costs

624 E Elder St, Fallbrook, CA 92028,

Procedure Costs @ Fallbrook Hospital District
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc81483 / 100$125.753,002609 / 203$16.884,602311 / 88$15.437,602266 / 111
Kidney & Urinary Tract Infections W/O Mcc22211 / 87$45.239,402585 / 165$6.202,551994 / 47$4.990,911983 / 32
Simple Pneumonia & Pleurisy W Cc18185 / 72$70.406,602768 / 197$7.747,832295 / 49$6.876,722287 / 71
Simple Pneumonia & Pleurisy W/O Cc/Mcc1776 / 28$30.225,601620 / 40$5.657,001600 / 24$4.734,651592 / 41
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1640 / 18$76.843,20822 / 36$12.414,40733 / 17$11.085,80730 / 21
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc14152 / 65$37.246,402311 / 120$5.653,641919 / 39$4.705,071912 / 47
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc13194 / 96$48.848,502235 / 137$8.533,002124 / 67$7.698,622116 / 99
Total 7 procedures181discharges

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.