Hospital Costs > In California > Mercy San Juan Medical Center, procedure costs

Mercy San Juan Medical Center, procedure costs

6501 Coyle Ave, Carmichael, CA 95608,

Procedure Costs @ Mercy San Juan Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc56950 / 5$84.073,602478 / 152$16.151,402509 / 150$15.307,502465 / 161
Pulmonary Edema & Respiratory Failure2778 / 1$60.356,301938 / 75$11.440,302038 / 112$10.521,102032 / 119
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc199365 / 48$94.256,902405 / 141$18.707,902470 / 154$17.110,702424 / 171
Heart Failure & Shock W Mcc175109 / 5$71.828,902371 / 137$13.317,502368 / 134$12.545,102358 / 141
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc12186 / 15$56.399,002362 / 176$9.902,252359 / 159$9.038,582349 / 178
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc121154 / 13$42.755,202534 / 150$7.503,582508 / 141$6.576,512493 / 157
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs12063 / 2$61.939,301895 / 113$9.959,361894 / 116$8.919,631890 / 130
Kidney & Urinary Tract Infections W/O Mcc108125 / 13$38.969,802477 / 141$7.810,192483 / 149$6.596,652472 / 149
Intracranial Hemorrhage Or Cerebral Infarction W Mcc9078 / 3$119.524,001575 / 128$17.109,101504 / 110$16.138,301497 / 120
Heart Failure & Shock W Cc86192 / 24$46.357,602491 / 127$9.281,012535 / 139$8.576,342529 / 160
Respiratory System Diagnosis W Ventilator Support <96 Hours7754 / 1$126.479,001702 / 78$21.060,401663 / 82$19.907,601649 / 87
G.I. Hemorrhage W Cc74144 / 24$42.832,702023 / 82$9.444,282214 / 128$8.511,042210 / 139
Cellulitis W/O Mcc72117 / 20$39.631,902402 / 137$8.099,462432 / 135$7.323,102424 / 163
Renal Failure W Cc70151 / 21$44.208,502132 / 96$9.128,902228 / 124$8.310,812218 / 140
Kidney & Urinary Tract Infections W Mcc6777 / 8$46.231,601626 / 79$10.240,101769 / 111$9.347,221765 / 117
Simple Pneumonia & Pleurisy W Mcc67138 / 27$60.509,702101 / 78$13.125,702313 / 124$12.312,802307 / 134
Infectious & Parasitic Diseases W O.R. Procedure W Mcc6361 / 10$289.479,001494 / 104$51.855,201484 / 111$50.172,501474 / 111
Renal Failure W Mcc63132 / 26$70.900,801900 / 104$13.933,501954 / 112$13.233,301950 / 129
G.I. Hemorrhage W Mcc6358 / 4$81.386,301449 / 86$15.594,401477 / 87$14.868,901467 / 96
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc61105 / 22$38.286,902339 / 127$7.084,412312 / 128$6.170,212304 / 140
Other Kidney & Urinary Tract Diagnoses W Mcc6041 / 6$76.855,90994 / 48$13.472,30946 / 35$12.802,90942 / 43
Cardiac Arrhythmia & Conduction Disorders W Cc59102 / 10$47.840,702035 / 123$8.201,121962 / 134$6.737,611957 / 125
Poisoning & Toxic Effects Of Drugs W Mcc5814 / 3$67.265,30853 / 38$13.339,70869 / 52$12.238,80866 / 54
Transient Ischemia4976 / 11$42.023,001475 / 84$7.096,001522 / 96$6.109,801514 / 106
Simple Pneumonia & Pleurisy W Cc47156 / 43$45.608,202475 / 111$9.282,452606 / 138$8.429,042597 / 158
Chronic Obstructive Pulmonary Disease W Mcc46156 / 44$49.324,002166 / 74$10.700,302358 / 128$9.881,742350 / 137
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4581 / 17$50.634,501495 / 83$10.920,401494 / 110$9.373,361491 / 94
Acute Myocardial Infarction, Discharged Alive W Mcc4580 / 10$86.075,501599 / 84$15.086,201617 / 96$14.196,101604 / 102
Red Blood Cell Disorders W/O Mcc4499 / 12$38.482,801740 / 82$7.898,451825 / 99$7.147,681816 / 114
Hip & Femur Procedures Except Major Joint W Cc4499 / 24$96.996,101866 / 86$17.023,001884 / 107$15.980,301864 / 114
Chronic Obstructive Pulmonary Disease W Cc44135 / 29$45.879,002183 / 109$8.831,752237 / 116$8.004,982230 / 131
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4458 / 6$52.228,001515 / 87$7.666,751484 / 89$6.624,111480 / 98
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc44106 / 8$32.495,301817 / 80$5.945,181850 / 98$4.899,951844 / 110
Chest Pain43108 / 30$42.657,101631 / 119$6.492,301512 / 100$5.335,721503 / 100
Medical Back Problems W/O Mcc4279 / 17$71.024,401484 / 124$8.204,601334 / 81$6.992,071329 / 86
Traumatic Stupor & Coma, Coma <1 Hr W Cc4125 / 3$68.700,00502 / 23$10.398,90463 / 24$9.364,00462 / 26
G.I. Obstruction W Cc4052 / 12$45.538,501544 / 73$8.620,701618 / 97$7.746,301613 / 109
Syncope & Collapse40129 / 27$45.269,501778 / 101$7.321,551730 / 104$6.322,651722 / 107
Seizures W/O Mcc3969 / 8$52.409,701249 / 72$7.593,261142 / 56$6.519,741140 / 61
Other Disorders Of Nervous System W Cc3917 / 1$55.078,50581 / 37$9.873,10545 / 45$7.473,13544 / 35
Cardiac Arrhythmia & Conduction Disorders W Mcc3885 / 16$53.470,801597 / 66$11.133,201727 / 91$10.202,401724 / 100
Septicemia Or Severe Sepsis W Mv 96+ Hours3854 / 17$267.114,00939 / 72$46.424,30859 / 61$45.358,80858 / 66
Seizures W Mcc3828 / 3$108.749,00748 / 45$16.134,30717 / 42$15.340,40717 / 46
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc37159 / 36$137.482,001401 / 89$18.374,501359 / 67$16.388,501351 / 80
Other Circulatory System Diagnoses W Mcc3680 / 15$99.846,401271 / 82$17.073,801231 / 76$16.559,901223 / 81
Other Vascular Procedures W Cc3666 / 9$113.299,00934 / 27$21.759,901003 / 36$20.886,90998 / 43
Other Vascular Procedures W Mcc3463 / 10$162.004,00910 / 55$28.918,10886 / 54$28.305,20883 / 59
Nonspecific Cerebrovascular Disorders W Mcc3318 / 3$56.751,20295 / 13$13.769,30339 / 18$12.937,20339 / 20
Respiratory Infections & Inflammations W Mcc32104 / 40$74.772,701455 / 55$16.328,901621 / 81$15.603,301605 / 87
Extracranial Procedures W/O Cc/Mcc3167 / 13$71.111,80872 / 36$9.914,29882 / 44$8.676,77879 / 48
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2971 / 13$184.357,00930 / 57$30.075,90939 / 65$28.207,60934 / 66
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant2913 / 2$314.223,00165 / 8$49.006,80155 / 5$47.958,30155 / 6
Nonspecific Cerebrovascular Disorders W Cc2927 / 3$60.803,50439 / 25$10.058,70442 / 26$9.193,38442 / 28
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc2925 / 3$55.335,50386 / 13$7.377,69352 / 16$6.377,07352 / 20
Cellulitis W Mcc2830 / 6$75.163,00892 / 61$13.191,00874 / 58$12.329,80872 / 63
Major Cardiovasc Procedures W/O Mcc2873 / 14$203.623,00968 / 48$31.203,40951 / 48$30.166,40950 / 51
Diabetes W Mcc2631 / 5$66.405,50676 / 30$12.427,30671 / 30$12.013,30670 / 36
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2694 / 20$39.031,001934 / 78$7.114,421935 / 85$6.139,121924 / 91
Other Kidney & Urinary Tract Diagnoses W Cc2578 / 15$45.580,70706 / 23$9.158,04742 / 34$8.477,16742 / 41
Other Digestive System Diagnoses W Cc2572 / 17$55.688,601330 / 95$10.272,501229 / 114$7.735,881225 / 81
Spinal Fusion Except Cervical W/O Mcc24170 / 42$195.175,001262 / 65$37.617,601266 / 72$33.720,201261 / 70
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2472 / 20$52.919,501203 / 58$11.098,201298 / 79$10.324,801293 / 91
Red Blood Cell Disorders W Mcc2447 / 7$46.299,20780 / 25$11.949,50937 / 56$10.271,70933 / 43
Acute Myocardial Infarction, Discharged Alive W Cc2467 / 12$57.982,801283 / 64$9.964,001312 / 74$8.907,331310 / 78
Diabetes W Cc2369 / 12$45.176,701490 / 79$8.052,001444 / 75$7.208,351439 / 86
Major Chest Procedures W/O Cc/Mcc2336 / 3$62.938,90184 / 4$15.719,30226 / 9$14.616,80226 / 10
Degenerative Nervous System Disorders W/O Mcc2256 / 9$46.725,10743 / 28$9.111,27726 / 25$8.026,77726 / 28
Peripheral Vascular Disorders W Cc2262 / 11$46.606,001111 / 52$9.223,091145 / 60$8.616,551142 / 73
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc22102 / 17$38.151,90775 / 28$6.982,36728 / 24$6.046,18727 / 27
Pulmonary Embolism W/O Mcc2252 / 8$48.343,501147 / 36$9.456,731224 / 53$8.905,001221 / 68
Heart Failure & Shock W/O Cc/Mcc2288 / 23$37.984,001872 / 75$6.752,051841 / 82$5.870,141828 / 91
Craniotomy & Endovascular Intracranial Procedures W Mcc2177 / 12$247.094,00471 / 29$38.339,10450 / 24$37.444,00450 / 26
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2141 / 10$46.140,10769 / 45$7.379,19723 / 38$6.342,24721 / 45
Signs & Symptoms W/O Mcc2071 / 18$38.124,801184 / 46$6.941,301188 / 57$6.089,901185 / 66
Circulatory Disorders Except Ami, W Card Cath W/O Mcc20168 / 41$77.462,001551 / 92$10.258,201503 / 75$9.289,351500 / 93
Major Small & Large Bowel Procedures W Mcc1966 / 21$298.666,001230 / 66$49.200,801228 / 67$48.354,301225 / 70
Other Disorders Of Nervous System W Mcc1921 / 4$96.882,00302 / 23$16.414,00299 / 23$15.321,30299 / 25
Cranial & Peripheral Nerve Disorders W/O Mcc1949 / 12$41.526,10626 / 27$10.616,20650 / 42$7.619,68650 / 32
Hypertension W/O Mcc1847 / 9$37.721,10723 / 19$6.482,00698 / 15$5.408,78696 / 19
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1858 / 18$84.484,20456 / 39$15.777,20426 / 33$14.880,30426 / 38
Hip & Femur Procedures Except Major Joint W Mcc1844 / 10$129.480,00824 / 34$24.752,40838 / 44$23.943,40835 / 46
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1833 / 10$118.870,00322 / 15$19.957,60309 / 17$18.293,00309 / 19
Other Digestive System Diagnoses W Mcc1844 / 16$61.499,60568 / 29$14.840,40635 / 42$14.064,00634 / 50
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 8$38.518,10849 / 27$6.550,35773 / 32$5.370,24772 / 32
Major Cardiovasc Procedures W Mcc1751 / 13$268.595,00594 / 25$44.851,50545 / 21$43.778,60544 / 26
Respiratory System Diagnosis W Ventilator Support 96+ Hours1754 / 16$339.632,00949 / 71$50.699,30936 / 69$49.999,40935 / 74
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1748 / 16$162.064,00860 / 38$28.699,60858 / 44$27.564,50854 / 45
Major Chest Procedures W Cc1757 / 13$97.134,20396 / 8$22.305,70455 / 16$21.104,90453 / 20
Major Male Pelvic Procedures W/O Cc/Mcc1756 / 14$115.278,00363 / 28$11.922,70344 / 20$10.710,60344 / 23
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1647 / 14$177.739,00573 / 13$38.795,10606 / 23$37.728,20606 / 24
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1628 / 8$55.720,60308 / 23$7.345,94265 / 17$6.292,44265 / 20
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc1624 / 5$80.304,20174 / 5$17.243,30193 / 7$16.328,20193 / 8
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1657 / 18$54.900,20988 / 39$10.756,901029 / 51$10.073,301027 / 61
Respiratory Neoplasms W Mcc1636 / 10$91.075,10574 / 23$15.239,80573 / 24$14.326,50570 / 27
Digestive Malignancy W Cc1532 / 8$48.968,30291 / 8$11.390,50339 / 11$10.575,50337 / 17
Other Vascular Procedures W/O Cc/Mcc1541 / 11$114.207,00533 / 14$15.270,80504 / 13$14.385,90503 / 15
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 11$77.401,10537 / 37$11.370,10557 / 33$10.240,10556 / 39
Psychoses14261 / 29$75.301,50608 / 37$11.362,30573 / 23$10.240,40573 / 24
Other Disorders Of Nervous System W/O Cc/Mcc1421 / 2$40.430,60133 / 1$6.757,93126 / 3$5.809,93126 / 3
Disorders Of The Biliary Tract W Cc1440 / 10$52.908,90412 / 18$9.716,21413 / 20$8.756,21413 / 22
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1426 / 11$140.362,00428 / 32$22.699,40419 / 31$19.895,90418 / 28
Lymphoma & Non-Acute Leukemia W Cc1422 / 3$58.099,6084 / 2$13.974,0099 / 4$13.543,7099 / 4
Respiratory Infections & Inflammations W Cc1474 / 34$38.962,40944 / 11$11.564,001310 / 63$10.679,301305 / 65
Major Small & Large Bowel Procedures W Cc1395 / 42$123.411,001359 / 56$22.065,601409 / 63$21.035,801395 / 85
Permanent Cardiac Pacemaker Implant W Cc1364 / 22$99.153,50764 / 30$22.406,30876 / 52$21.468,60872 / 57
Pulmonary Embolism W Mcc1330 / 7$65.892,60507 / 9$13.282,60539 / 20$12.818,20538 / 24
G.I. Obstruction W/O Cc/Mcc1358 / 28$35.887,301191 / 60$6.372,081233 / 74$5.352,851230 / 82
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1376 / 32$85.613,40744 / 57$10.391,20710 / 44$9.176,38709 / 56
Signs & Symptoms W Mcc1328 / 7$52.660,60245 / 3$10.463,50223 / 1$9.771,23223 / 2
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1342 / 14$123.697,00622 / 35$17.385,30591 / 29$16.648,80587 / 35
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1343 / 21$80.516,50843 / 45$14.466,90844 / 51$13.271,40841 / 54
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1269 / 17$848.210,00415 / 15$151.399,00363 / 12$150.044,00362 / 15
Coagulation Disorders1215 / 4$50.559,3044 / 1$14.748,2062 / 2$13.737,3062 / 2
Nervous System Neoplasms W Mcc1236 / 11$77.262,50281 / 10$11.861,60241 / 6$10.847,10241 / 6
Infectious & Parasitic Diseases W O.R. Procedure W Cc1224 / 10$93.778,20285 / 7$20.104,90304 / 14$19.089,40303 / 15
Degenerative Nervous System Disorders W Mcc1226 / 7$65.323,80177 / 6$15.451,30181 / 7$14.431,80181 / 7
Bronchitis & Asthma W Cc/Mcc1264 / 21$35.860,30826 / 18$8.480,83966 / 50$7.372,67962 / 56
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1234 / 11$55.764,10231 / 18$9.471,92227 / 18$8.368,75227 / 23
G.I. Obstruction W Mcc1230 / 10$58.982,80403 / 17$14.215,80467 / 23$13.399,60467 / 27
Renal Failure W/O Cc/Mcc1244 / 9$40.460,20822 / 17$6.529,92795 / 25$5.513,75793 / 25
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1241 / 11$55.409,80814 / 29$7.579,25802 / 33$6.567,42798 / 34
Coronary Bypass W Cardiac Cath W/O Mcc1264 / 16$415.023,00610 / 31$50.057,50609 / 33$48.832,20609 / 33
Fractures Of Hip & Pelvis W/O Mcc1249 / 19$65.823,40916 / 66$7.225,25855 / 53$6.110,58854 / 56
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1257 / 20$169.488,00494 / 34$24.040,70480 / 25$23.032,20479 / 32
Revision Of Hip Or Knee Replacement W Cc1175 / 22$202.653,00652 / 31$29.659,20624 / 23$28.769,20622 / 25
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1117 / 5$61.510,9073 / 3$14.826,2090 / 4$13.941,6090 / 5
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1145 / 19$83.738,70751 / 34$14.787,50823 / 48$13.583,80819 / 56
Major Chest Procedures W Mcc1138 / 14$251.330,00305 / 12$43.692,50296 / 14$41.839,70295 / 16
Organic Disturbances & Mental Retardation1148 / 13$69.286,90548 / 25$9.817,00480 / 16$8.818,09480 / 17
Other Resp System O.R. Procedures W Mcc1152 / 7$219.185,00573 / 19$34.605,60550 / 14$33.818,80549 / 15
G.I. Hemorrhage W/O Cc/Mcc1157 / 18$34.136,50860 / 32$7.262,82859 / 44$5.460,36855 / 39
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc1117 / 3$99.514,6052 / 2$14.614,5048 / 3$13.400,8048 / 3
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc1117 / 6$85.948,3097 / 3$13.568,5084 / 4$12.467,1084 / 5
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1153 / 13$811.742,00555 / 46$130.240,00557 / 51$127.908,00556 / 52
Total 134 procedures5.245discharges

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.