Hospital Costs > In California > Lac/Harbor-Ucla Med Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 75 | $28.454,60 | 2063 / 57 | $21.623,10 | 2650 / 225 | $18.586,10 | 2642 / 226 |
| Heart Failure & Shock W Cc | 17 | 261 / 83 | $47.955,20 | 2515 / 136 | $23.825,30 | 2771 / 230 | $20.743,80 | 2765 / 230 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 148 | $44.834,60 | 1019 / 14 | $35.103,50 | 2694 / 232 | $31.758,80 | 2648 / 234 |
| Other Vascular Procedures W Mcc | 13 | 84 / 29 | $85.598,40 | 446 / 5 | $46.497,70 | 998 / 85 | $40.700,50 | 995 / 84 |
| Psychoses | 28 | 248 / 23 | $36.207,90 | 525 / 21 | $26.355,50 | 615 / 41 | $20.777,80 | 615 / 40 |
| Renal Failure W Mcc | 11 | 184 / 75 | $59.947,80 | 1757 / 77 | $29.676,00 | 2174 / 192 | $26.074,30 | 2170 / 192 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $162.175,00 | 595 / 15 | $75.795,10 | 1084 / 137 | $68.387,50 | 1083 / 135 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 149 | $62.685,90 | 2151 / 80 | $32.677,80 | 2825 / 267 | $28.598,80 | 2780 / 263 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 86 | $39.767,90 | 2031 / 91 | $24.173,20 | 2581 / 249 | $21.329,80 | 2571 / 247 | Total 9 procedures | 201 | 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.