Hospital Costs > In California > Lac/Olive View-Ucla Medical 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 | $19.138,90 | 1384 / 9 | $23.959,30 | 2652 / 227 | $22.179,30 | 2644 / 227 |
| Chest Pain | 21 | 130 / 51 | $16.512,00 | 639 / 9 | $21.561,10 | 1718 / 155 | $19.881,80 | 1709 / 156 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 50 | $26.025,30 | 333 / 2 | $26.762,60 | 1648 / 135 | $24.726,10 | 1645 / 135 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 93 | $21.678,50 | 1581 / 21 | $23.084,40 | 2742 / 229 | $21.312,90 | 2727 / 229 |
| Heart Failure & Shock W Cc | 11 | 267 / 89 | $37.938,80 | 2262 / 77 | $26.250,50 | 2773 / 231 | $23.894,10 | 2767 / 231 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $18.940,20 | 1456 / 11 | $22.786,90 | 2730 / 225 | $21.676,90 | 2719 / 225 |
| Renal Failure W Cc | 12 | 209 / 76 | $29.556,20 | 1675 / 30 | $25.596,60 | 2454 / 207 | $23.299,10 | 2444 / 207 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $194.487,00 | 729 / 34 | $77.106,50 | 1087 / 138 | $70.013,00 | 1086 / 136 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 56 | 460 / 158 | $52.092,10 | 1858 / 51 | $33.898,20 | 2832 / 268 | $31.317,50 | 2787 / 265 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 77 | $30.435,10 | 1655 / 39 | $26.376,50 | 2587 / 250 | $24.542,70 | 2577 / 250 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 27 | $23.642,20 | 838 / 14 | $22.510,00 | 1349 / 95 | $20.423,40 | 1346 / 95 | Total 11 procedures | 210 | 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.