Hospital Costs > In California > O'Connor Hospital, procedure costs

O'Connor Hospital, procedure costs

2105 Forest Avenue, San Jose, CA 95128,

Procedure Costs @ O'Connor Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Myocardial Infarction, Discharged Alive W Mcc3293 / 20$111.255,001739 / 120$17.664,301732 / 126$16.517,601719 / 130
Bronchitis & Asthma W Cc/Mcc1462 / 19$65.025,901063 / 67$9.490,141014 / 67$8.169,861010 / 71
Cardiac Arrhythmia & Conduction Disorders W Cc25136 / 41$51.606,902077 / 140$8.639,882051 / 145$7.616,762046 / 152
Cardiac Arrhythmia & Conduction Disorders W Mcc2994 / 25$79.255,701840 / 122$13.008,301832 / 127$11.912,101829 / 130
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc18132 / 31$45.140,601950 / 124$6.453,281881 / 115$5.212,721875 / 119
Cellulitis W Mcc1246 / 22$80.495,90911 / 66$14.509,60913 / 74$13.489,10911 / 76
Cellulitis W/O Mcc65124 / 25$51.597,502568 / 193$9.527,082470 / 180$7.655,202462 / 171
Cervical Spinal Fusion W/O Cc/Mcc1193 / 26$158.981,00869 / 55$22.146,30856 / 49$20.843,50853 / 53
Chronic Obstructive Pulmonary Disease W Cc23156 / 50$62.654,802382 / 160$9.764,872315 / 150$8.700,832308 / 156
Chronic Obstructive Pulmonary Disease W Mcc51151 / 39$89.779,002539 / 183$13.036,302496 / 175$11.657,202488 / 180
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc11109 / 35$47.294,802032 / 104$7.996,092029 / 111$7.190,642017 / 117
Circulatory Disorders Except Ami, W Card Cath W Mcc1677 / 17$178.520,00906 / 58$25.747,40896 / 56$23.434,30888 / 56
Circulatory Disorders Except Ami, W Card Cath W/O Mcc21167 / 40$97.176,101618 / 120$11.335,701556 / 96$10.163,001553 / 109
Diabetes W Cc1775 / 18$56.086,101567 / 102$9.031,121510 / 97$8.029,471505 / 101
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1284 / 32$80.171,801417 / 116$13.236,201277 / 112$10.035,901272 / 83
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc32243 / 78$49.163,302638 / 175$8.240,662566 / 170$7.082,222551 / 173
Fractures Of Hip & Pelvis W/O Mcc1645 / 15$43.468,90880 / 51$7.671,00874 / 59$6.420,25873 / 62
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1448 / 17$57.155,50795 / 56$8.238,64743 / 48$6.777,79741 / 51
G.I. Hemorrhage W Cc52166 / 43$59.504,802300 / 149$10.559,802308 / 164$9.495,292304 / 166
G.I. Hemorrhage W Mcc17104 / 39$96.288,301540 / 112$16.723,101524 / 115$15.614,801514 / 115
G.I. Obstruction W Cc1775 / 35$45.357,101541 / 70$9.565,121677 / 118$8.505,711672 / 125
G.I. Obstruction W/O Cc/Mcc2150 / 20$44.655,201267 / 84$7.002,241263 / 85$5.825,571260 / 90
Heart Failure & Shock W Cc52226 / 52$63.851,302693 / 192$10.573,702632 / 181$9.611,312626 / 190
Heart Failure & Shock W Mcc65219 / 63$85.441,902501 / 165$15.421,102470 / 181$13.779,102459 / 174
Hip & Femur Procedures Except Major Joint W Cc33110 / 33$111.771,001960 / 111$19.212,001956 / 136$17.473,201936 / 132
Hip & Femur Procedures Except Major Joint W Mcc1250 / 16$201.026,00948 / 64$29.938,70924 / 65$28.884,70921 / 67
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1343 / 21$92.303,80877 / 55$16.477,80884 / 64$15.297,20881 / 67
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3292 / 34$282.834,001486 / 102$55.879,501532 / 126$54.472,101522 / 129
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs28154 / 46$75.034,202011 / 148$11.395,001977 / 153$10.150,001973 / 156
Intracranial Hemorrhage Or Cerebral Infarction W Mcc20148 / 51$105.232,001533 / 113$17.727,401515 / 113$16.564,501508 / 123
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1389 / 35$64.949,601579 / 113$8.175,001504 / 100$6.844,381500 / 104
Kidney & Urinary Tract Infections W Mcc31113 / 35$61.981,401832 / 131$11.060,501826 / 138$9.982,451822 / 136
Kidney & Urinary Tract Infections W/O Mcc39194 / 70$57.273,202681 / 205$8.437,462577 / 171$7.337,972566 / 175
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1442 / 16$104.093,00815 / 50$16.827,10848 / 61$15.241,10844 / 63
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1334 / 13$92.614,50561 / 42$12.743,50562 / 44$10.702,80561 / 43
Major Cardiovasc Procedures W Mcc1256 / 18$252.787,00580 / 20$49.051,30556 / 32$44.805,20555 / 29
Major Cardiovasc Procedures W/O Mcc2081 / 21$158.111,00904 / 34$32.569,70969 / 51$31.404,00968 / 55
Major Chest Procedures W Cc1163 / 19$185.930,00489 / 26$25.492,00472 / 23$22.182,00470 / 25
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1360 / 21$52.008,80962 / 33$11.379,301062 / 64$10.738,801060 / 70
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1154 / 22$156.205,00850 / 35$30.875,90875 / 50$29.423,40871 / 49
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc163401 / 60$109.137,002553 / 181$21.538,202591 / 193$19.521,702545 / 208
Major Small & Large Bowel Procedures W Cc2088 / 35$181.642,001499 / 101$25.503,201484 / 94$24.060,701470 / 109
Major Small & Large Bowel Procedures W Mcc1867 / 22$371.908,001264 / 79$60.646,201273 / 83$57.681,501270 / 81
Major Small & Large Bowel Procedures W/O Cc/Mcc1549 / 15$109.426,00734 / 40$16.490,30724 / 35$15.184,10724 / 41
Medical Back Problems W/O Mcc17104 / 40$53.946,101441 / 99$10.084,201387 / 114$7.566,941382 / 104
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2898 / 31$74.001,501682 / 140$12.658,701658 / 141$11.711,701654 / 140
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc41125 / 39$40.325,102383 / 139$7.742,342334 / 153$6.295,072325 / 144
Other Circulatory System Diagnoses W Mcc15101 / 35$146.595,001377 / 125$22.229,901344 / 114$20.459,001336 / 116
Other Digestive System Diagnoses W Cc2374 / 19$72.764,301408 / 122$10.854,101377 / 118$9.667,041373 / 123
Other Digestive System Diagnoses W Mcc1151 / 23$82.089,10683 / 57$16.762,70697 / 62$15.904,70696 / 66
Other Vascular Procedures W Mcc1384 / 29$279.365,001000 / 86$38.067,20982 / 74$36.943,80979 / 76
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2080 / 22$235.529,00994 / 80$32.667,30981 / 74$31.195,80976 / 77
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc41155 / 32$151.985,001436 / 97$20.195,901435 / 92$18.649,601427 / 104
Permanent Cardiac Pacemaker Implant W Cc2255 / 13$127.644,00888 / 58$26.228,00945 / 72$25.081,00941 / 75
Permanent Cardiac Pacemaker Implant W Mcc1636 / 8$246.595,00597 / 45$39.355,10599 / 42$38.191,00599 / 44
Pulmonary Edema & Respiratory Failure18185 / 57$93.816,302187 / 145$12.714,902134 / 138$11.839,402128 / 146
Red Blood Cell Disorders W Mcc1259 / 19$60.651,00952 / 50$12.906,701027 / 67$11.978,801023 / 68
Red Blood Cell Disorders W/O Mcc19124 / 37$49.559,601903 / 120$8.793,421890 / 124$7.902,261881 / 129
Renal Failure W Cc47174 / 41$65.485,402391 / 177$10.572,102306 / 169$9.045,172296 / 164
Renal Failure W Mcc42153 / 45$94.200,502091 / 154$15.387,802029 / 146$14.271,102025 / 149
Respiratory Infections & Inflammations W Cc2266 / 26$84.861,801421 / 96$13.830,901428 / 100$12.805,601423 / 105
Respiratory Infections & Inflammations W Mcc4591 / 30$104.575,001674 / 98$19.503,901753 / 133$18.516,001737 / 135
Respiratory System Diagnosis W Ventilator Support <96 Hours14117 / 39$171.414,001810 / 117$29.657,101843 / 134$28.669,601829 / 141
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 18$329.694,00941 / 67$53.247,20945 / 73$51.941,60944 / 76
Septicemia Or Severe Sepsis W Mv 96+ Hours2864 / 27$367.783,001051 / 117$65.498,401066 / 126$63.923,001065 / 127
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc244272 / 60$94.867,802594 / 188$18.286,402655 / 203$17.159,602610 / 208
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc87120 / 34$65.122,002459 / 205$11.293,602440 / 200$9.790,562430 / 199
Simple Pneumonia & Pleurisy W Cc56147 / 35$63.695,502731 / 180$10.434,202696 / 176$9.262,382687 / 183
Simple Pneumonia & Pleurisy W Mcc44161 / 47$89.214,802410 / 152$16.991,202444 / 189$14.447,902438 / 182
Simple Pneumonia & Pleurisy W/O Cc/Mcc1677 / 29$51.426,901914 / 108$7.729,811891 / 109$6.538,061883 / 116
Spinal Fusion Except Cervical W/O Mcc16178 / 50$258.022,001340 / 88$40.481,801328 / 79$39.158,101323 / 89
Tendonitis, Myositis & Bursitis W/O Mcc1230 / 3$55.607,70322 / 6$9.096,67314 / 8$7.934,67313 / 7
Total 72 procedures2.158discharges

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.