Hospital Costs > In California > Mission Hospital Regional Med Center, procedure costs

Mission Hospital Regional Med Center, procedure costs

27700 Medical Center Rd, Mission Viejo, CA 92691,

Procedure Costs @ Mission Hospital Regional Med 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 Mcc371156 / 18$88.209,002528 / 169$14.417,902209 / 73$13.190,902169 / 68
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc258307 / 33$84.659,202284 / 105$15.213,801646 / 28$12.423,201609 / 15
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc123152 / 11$37.951,302425 / 124$6.227,641787 / 58$4.452,411774 / 25
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc11097 / 19$45.309,602174 / 126$7.960,041696 / 34$6.568,481689 / 34
Heart Failure & Shock W Mcc102182 / 34$73.669,702394 / 145$12.664,002132 / 108$10.921,802122 / 73
Kidney & Urinary Tract Infections W/O Mcc101132 / 16$31.041,402257 / 77$5.686,261821 / 17$4.715,501810 / 23
Spinal Fusion Except Cervical W/O Mcc81113 / 11$141.466,001073 / 30$27.702,10871 / 5$24.767,10867 / 6
Simple Pneumonia & Pleurisy W Cc78125 / 18$47.638,802511 / 124$7.287,961750 / 27$5.781,171742 / 15
Medical Back Problems W/O Mcc7546 / 4$41.209,501266 / 58$6.464,52853 / 21$4.878,61850 / 12
Cellulitis W/O Mcc72117 / 20$34.868,602294 / 106$7.091,891553 / 71$4.785,321546 / 14
Heart Failure & Shock W Cc70208 / 36$40.776,102349 / 90$7.160,761906 / 23$6.347,131901 / 31
Renal Failure W Cc68153 / 23$41.022,402077 / 81$6.976,321371 / 20$5.579,321362 / 12
Respiratory Infections & Inflammations W Mcc6670 / 14$84.712,101541 / 68$14.052,801383 / 25$13.439,501368 / 33
G.I. Hemorrhage W Cc57161 / 38$37.868,901890 / 60$7.652,191509 / 28$5.975,421505 / 18
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc57109 / 26$34.800,502254 / 105$5.394,541558 / 25$4.138,141553 / 16
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs54128 / 24$51.013,201766 / 79$8.371,021160 / 39$6.083,721157 / 8
Chronic Obstructive Pulmonary Disease W Mcc52150 / 38$56.127,302301 / 111$8.557,981805 / 23$7.445,791797 / 20
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc5199 / 5$23.510,001577 / 31$4.483,631140 / 23$2.947,331135 / 11
Simple Pneumonia & Pleurisy W Mcc50155 / 42$57.214,302050 / 66$10.142,301770 / 16$9.301,641770 / 23
Cardiac Arrhythmia & Conduction Disorders W Cc49112 / 17$38.686,501882 / 80$6.277,001566 / 33$5.126,221561 / 31
Hip & Femur Procedures Except Major Joint W Cc4994 / 20$88.658,001803 / 73$13.517,301409 / 13$12.412,901391 / 18
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4678 / 20$244.016,001400 / 71$42.317,101283 / 54$41.348,401273 / 60
Kidney & Urinary Tract Infections W Mcc4599 / 22$46.746,901638 / 83$8.443,581436 / 33$7.435,331432 / 32
Renal Failure W Mcc43152 / 44$72.470,901923 / 108$12.515,801678 / 67$11.056,701676 / 50
G.I. Obstruction W Cc4349 / 9$38.527,601427 / 54$7.122,65816 / 36$4.825,93814 / 4
Circulatory Disorders Except Ami, W Card Cath W/O Mcc43145 / 19$64.035,001441 / 66$9.052,881024 / 36$6.387,771021 / 8
Major Small & Large Bowel Procedures W Cc4167 / 15$112.013,001306 / 41$18.268,001177 / 11$17.299,501163 / 30
Intracranial Hemorrhage Or Cerebral Infarction W Mcc40128 / 32$66.647,001230 / 40$13.299,00674 / 36$9.807,15673 / 3
Cardiac Arrhythmia & Conduction Disorders W Mcc3885 / 16$51.155,901551 / 52$11.163,60967 / 93$7.084,79964 / 3
Syncope & Collapse37132 / 30$30.870,701467 / 44$5.431,89935 / 10$3.986,70929 / 6
Chest Pain35116 / 38$37.275,401542 / 93$5.319,03838 / 50$3.308,89833 / 9
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc3490 / 11$35.625,30752 / 23$5.036,62371 / 3$3.997,09371 / 4
G.I. Hemorrhage W Mcc3487 / 22$77.952,101415 / 80$13.624,701190 / 41$12.165,101182 / 31
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc3356 / 15$55.837,30627 / 27$7.887,52531 / 7$6.716,12530 / 17
Chronic Obstructive Pulmonary Disease W Cc33146 / 40$44.613,102156 / 101$6.972,211672 / 22$5.822,911665 / 14
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3393 / 26$35.209,201167 / 29$7.926,94960 / 11$6.937,85957 / 9
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc31165 / 41$100.759,001169 / 44$14.610,50993 / 9$12.467,60986 / 10
Red Blood Cell Disorders W/O Mcc31112 / 25$37.470,001720 / 74$6.411,131202 / 28$4.794,391194 / 12
Other Kidney & Urinary Tract Diagnoses W Mcc3170 / 20$59.386,50874 / 23$10.660,50651 / 7$9.799,65649 / 9
Pulmonary Edema & Respiratory Failure30173 / 45$85.747,102165 / 138$11.065,501968 / 92$9.870,031962 / 91
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim2838 / 10$76.888,40453 / 11$14.838,00311 / 12$11.363,80309 / 3
Traumatic Stupor & Coma, Coma <1 Hr W Cc2838 / 7$61.080,60473 / 15$8.152,96322 / 5$7.075,25322 / 7
Signs & Symptoms W/O Mcc2863 / 10$31.398,501063 / 32$5.148,61835 / 6$4.372,61832 / 10
Bronchitis & Asthma W Cc/Mcc2749 / 7$40.847,90904 / 30$6.954,93605 / 13$5.081,78601 / 6
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2636 / 6$36.074,70680 / 26$5.489,92497 / 5$4.559,46495 / 9
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2647 / 8$45.422,40903 / 24$8.752,38651 / 13$7.174,15649 / 5
Respiratory Infections & Inflammations W Cc2662 / 22$53.605,601193 / 42$9.328,42931 / 10$8.399,19926 / 10
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2472 / 20$48.707,401131 / 47$8.680,04875 / 7$7.673,33870 / 9
Pulmonary Embolism W/O Mcc2450 / 7$44.655,801115 / 31$8.058,62698 / 24$5.561,71695 / 5
Other Digestive System Diagnoses W Cc2473 / 18$38.722,401109 / 46$8.288,00841 / 59$5.900,38837 / 11
Transient Ischemia23102 / 33$36.666,001367 / 55$5.349,78927 / 14$3.907,26922 / 9
Permanent Cardiac Pacemaker Implant W Cc2354 / 12$87.875,50683 / 21$18.100,10636 / 8$17.102,60635 / 11
Heart Failure & Shock W/O Cc/Mcc2288 / 23$30.211,801713 / 48$5.539,001161 / 24$3.910,771151 / 10
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc2144 / 12$111.069,00708 / 15$19.675,50426 / 2$18.525,00424 / 4
Respiratory System Diagnosis W Ventilator Support <96 Hours21110 / 32$135.760,001731 / 86$25.299,001453 / 122$16.998,001439 / 35
G.I. Obstruction W/O Cc/Mcc2051 / 21$31.041,701129 / 46$4.567,00818 / 11$3.480,60815 / 14
Acute Myocardial Infarction, Discharged Alive W Mcc20105 / 32$78.290,501540 / 73$12.514,601343 / 28$11.729,001333 / 31
Medical Back Problems W Mcc2019 / 2$51.515,50218 / 6$10.661,50142 / 5$9.511,10142 / 4
Diabetes W Cc1973 / 16$43.157,601461 / 70$6.103,471006 / 6$5.148,531002 / 9
Other Circulatory System Diagnoses W Mcc1997 / 31$89.034,601209 / 63$15.282,701099 / 41$14.502,101091 / 49
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1936 / 8$107.075,00595 / 26$18.389,00385 / 33$12.080,70382 / 3
Peripheral Vascular Disorders W Cc1965 / 14$34.956,10919 / 20$6.938,05796 / 6$6.176,79793 / 9
Simple Pneumonia & Pleurisy W/O Cc/Mcc1875 / 27$37.800,301772 / 66$5.341,061431 / 18$4.263,721423 / 19
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1836 / 10$51.347,40379 / 10$7.345,06160 / 15$4.038,28160 / 2
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1838 / 12$91.064,70777 / 43$12.014,30693 / 9$11.075,60690 / 18
Fractures Of Hip & Pelvis W/O Mcc1843 / 13$26.272,50680 / 13$5.233,94596 / 8$4.225,94596 / 8
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1851 / 1$99.432,20487 / 6$13.993,10371 / 3$11.098,30370 / 3
Major Small & Large Bowel Procedures W/O Cc/Mcc1846 / 12$79.763,00669 / 18$11.582,10559 / 4$10.508,30559 / 14
Craniotomy & Endovascular Intracranial Procedures W Mcc1880 / 15$216.233,00446 / 22$30.034,80278 / 2$29.028,70278 / 5
Dysequilibrium1748 / 10$35.167,20468 / 16$5.024,00129 / 5$2.900,82129 / 1
Cervical Spinal Fusion W/O Cc/Mcc1787 / 21$105.615,00789 / 29$16.506,90506 / 8$12.841,60503 / 6
Major Small & Large Bowel Procedures W Mcc1768 / 23$225.787,001115 / 41$36.292,40775 / 11$33.277,40773 / 4
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1727 / 7$39.618,40262 / 13$5.514,29142 / 2$4.373,59142 / 3
Other Disorders Of Nervous System W Cc1739 / 10$52.342,90569 / 33$7.613,24480 / 20$6.615,59480 / 19
Other Digestive System Diagnoses W Mcc1745 / 17$68.969,50623 / 44$12.108,90426 / 9$11.045,40425 / 7
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1631 / 10$66.264,50508 / 25$9.416,75311 / 3$6.717,25311 / 2
Acute Myocardial Infarction, Discharged Alive W Cc1675 / 20$47.636,401150 / 35$7.637,69968 / 15$6.577,69966 / 12
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 19$93.994,80946 / 68$14.787,40924 / 64$13.974,40921 / 69
Hip & Femur Procedures Except Major Joint W Mcc1646 / 12$118.871,00788 / 25$20.811,30640 / 8$19.761,20637 / 10
Revision Of Hip Or Knee Replacement W Cc1670 / 17$128.256,00562 / 12$24.612,60525 / 6$23.784,60523 / 7
Major Chest Procedures W Cc1559 / 15$118.687,00448 / 17$18.959,10371 / 7$17.996,90369 / 10
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1587 / 33$42.769,301401 / 58$6.023,40421 / 22$3.534,80418 / 1
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1530 / 4$128.361,00217 / 1$20.494,50161 / 1$19.376,50160 / 1
Other Kidney & Urinary Tract Diagnoses W Cc1489 / 25$51.011,20761 / 36$8.245,64466 / 17$6.095,43466 / 5
Craniotomy & Endovascular Intracranial Procedures W Cc1441 / 12$193.281,00220 / 13$26.074,90185 / 5$25.041,80185 / 7
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1426 / 7$55.066,30251 / 10$7.898,71151 / 2$7.123,86151 / 4
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1442 / 20$66.837,90766 / 23$11.276,40523 / 5$9.367,29521 / 5
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc14106 / 32$39.191,701936 / 80$5.786,071296 / 20$4.066,501285 / 9
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1437 / 14$71.189,90243 / 4$12.538,10126 / 1$11.674,10126 / 3
Septicemia Or Severe Sepsis W Mv 96+ Hours1478 / 41$321.784,001020 / 103$49.995,90944 / 81$49.305,70943 / 90
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy1362 / 6$30.503,1062 / 5$9.472,8528 / 4$6.999,6928 / 1
Postoperative & Post-Traumatic Infections W Mcc1330 / 6$85.972,20195 / 7$13.145,70116 / 2$12.867,50116 / 3
Permanent Cardiac Pacemaker Implant W Mcc1339 / 11$119.616,00420 / 11$23.631,80293 / 2$22.524,10293 / 2
Peripheral Vascular Disorders W Mcc1336 / 9$44.970,00386 / 3$9.671,69348 / 2$8.832,31348 / 5
Degenerative Nervous System Disorders W/O Mcc1365 / 17$48.039,50760 / 32$6.923,92503 / 6$6.089,38503 / 7
Major Cardiovasc Procedures W Mcc1355 / 17$294.270,00618 / 37$44.598,20540 / 20$43.240,00539 / 25
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1343 / 13$114.985,00648 / 38$17.598,30616 / 38$16.953,30615 / 39
Respiratory Neoplasms W Mcc1240 / 14$46.961,10345 / 1$11.409,70347 / 1$10.609,70346 / 1
Pulmonary Embolism W Mcc1231 / 8$83.368,90543 / 19$11.816,80434 / 10$10.106,40434 / 9
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 21$97.848,80746 / 18$15.258,50642 / 8$14.250,50635 / 8
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1283 / 18$120.799,00531 / 24$15.324,00317 / 9$12.037,50313 / 4
Hypertension W/O Mcc1253 / 14$36.758,60716 / 17$4.707,50462 / 1$3.600,83460 / 1
Cellulitis W Mcc1246 / 22$46.176,60694 / 27$9.890,50562 / 7$9.079,83560 / 11
Other Digestive System Diagnoses W/O Cc/Mcc1231 / 7$34.287,40308 / 6$7.614,75181 / 11$3.747,92181 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1228 / 13$107.208,00371 / 16$17.668,80145 / 4$13.717,40144 / 1
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 13$33.856,20798 / 19$5.090,00401 / 4$3.611,00400 / 2
Traumatic Injury W/O Mcc117 / 2$37.923,2021 / 1$5.442,2715 / 1$4.346,1815 / 1
Degenerative Nervous System Disorders W Mcc1127 / 8$60.496,60167 / 4$11.663,00105 / 2$10.679,70105 / 1
Major Chest Procedures W Mcc1138 / 14$211.239,00284 / 9$34.577,20209 / 3$33.695,60208 / 5
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1189 / 31$151.649,00834 / 36$25.520,40418 / 27$18.972,90415 / 1
Biopsies Of Musculoskeletal System & Connective Tissue W Cc1121 / 4$76.871,6084 / 3$14.517,7070 / 2$13.421,0070 / 2
Spinal Fusion Except Cervical W Mcc1114 / 2$254.747,0066 / 2$46.011,5048 / 1$45.025,2048 / 2
G.I. Obstruction W Mcc1131 / 11$47.955,50322 / 8$14.413,30206 / 25$9.276,18206 / 2
G.I. Hemorrhage W/O Cc/Mcc1157 / 18$26.972,40746 / 16$5.218,09659 / 5$4.231,91655 / 14
Renal Failure W/O Cc/Mcc1145 / 10$23.346,20647 / 3$4.849,00439 / 5$3.421,27438 / 2
Tendonitis, Myositis & Bursitis W/O Mcc1131 / 4$38.117,00282 / 4$6.163,36206 / 1$5.066,64206 / 1
Red Blood Cell Disorders W Mcc1160 / 20$38.682,70659 / 16$9.460,73468 / 8$7.370,18466 / 2
Other Vascular Procedures W Cc1191 / 33$99.947,30840 / 19$17.814,20792 / 7$17.261,50787 / 10
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 19$199.533,00627 / 23$35.838,70555 / 10$34.957,30555 / 12
Total 119 procedures3.995discharges

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.