Hospital Costs > In California > Foothill Presbyterian Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $20.993,10 | 1451 / 16 | $4.819,82 | 1626 / 40 | $3.827,82 | 1620 / 60 |
| Cellulitis W/O Mcc | 24 | 165 / 62 | $20.555,30 | 1539 / 14 | $7.053,38 | 1913 / 69 | $5.375,08 | 1905 / 33 |
| Chest Pain | 14 | 137 / 58 | $21.476,90 | 1016 / 26 | $5.146,43 | 1302 / 40 | $4.280,14 | 1295 / 57 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 53 | $29.418,20 | 1686 / 31 | $7.313,85 | 1909 / 34 | $6.408,25 | 1902 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $24.129,40 | 1061 / 2 | $8.893,93 | 1985 / 37 | $7.927,53 | 1977 / 42 |
| Diabetes W Cc | 12 | 80 / 23 | $23.854,80 | 931 / 8 | $6.698,08 | 1232 / 21 | $5.890,08 | 1227 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 89 | $24.600,00 | 1853 / 36 | $6.114,33 | 2121 / 48 | $5.046,14 | 2107 / 56 |
| G.I. Hemorrhage W Cc | 15 | 203 / 76 | $31.920,10 | 1656 / 31 | $7.915,60 | 1954 / 40 | $7.107,07 | 1950 / 57 |
| Heart Failure & Shock W Cc | 21 | 257 / 79 | $26.996,90 | 1804 / 24 | $7.853,86 | 2194 / 54 | $6.994,43 | 2188 / 65 |
| Heart Failure & Shock W Mcc | 34 | 250 / 88 | $35.939,60 | 1448 / 16 | $11.176,90 | 2019 / 38 | $10.467,20 | 2011 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $19.898,70 | 1283 / 10 | $5.550,91 | 1586 / 26 | $4.675,27 | 1573 / 38 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 52 | $96.629,20 | 454 / 1 | $35.333,80 | 922 / 14 | $34.365,80 | 916 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 96 | $23.333,20 | 1876 / 32 | $6.128,38 | 2216 / 42 | $5.478,54 | 2205 / 77 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 143 | $59.800,20 | 1686 / 45 | $15.790,30 | 2185 / 45 | $14.588,60 | 2141 / 79 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 64 | $19.910,30 | 1549 / 20 | $5.835,53 | 1958 / 53 | $4.785,93 | 1950 / 55 |
| Renal Failure W Cc | 21 | 200 / 67 | $29.515,30 | 1673 / 29 | $7.609,43 | 1771 / 46 | $6.338,19 | 1761 / 29 |
| Renal Failure W Mcc | 14 | 181 / 72 | $46.235,80 | 1483 / 36 | $11.344,10 | 1526 / 26 | $10.390,90 | 1525 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 97 | 419 / 128 | $50.637,60 | 1811 / 45 | $13.677,80 | 2126 / 39 | $12.884,10 | 2089 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 74 | $29.232,60 | 1568 / 35 | $8.783,28 | 1747 / 90 | $6.676,81 | 1740 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $26.910,80 | 1761 / 17 | $7.744,59 | 2327 / 48 | $6.967,18 | 2318 / 80 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 61 | $38.873,50 | 1521 / 22 | $10.826,50 | 1739 / 36 | $9.228,23 | 1739 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $27.920,20 | 1553 / 26 | $5.834,64 | 1637 / 31 | $4.851,36 | 1629 / 46 |
| Transient Ischemia | 11 | 114 / 45 | $19.578,70 | 634 / 4 | $6.277,82 | 1073 / 59 | $4.191,55 | 1068 / 18 | Total 23 procedures | 495 | 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.