Hospital Costs > In California > Saddleback Memorial Medical Center, procedure costs

Saddleback Memorial Medical Center, procedure costs

24451 Health Center Drive, Laguna Hills, CA 92653,

Procedure Costs @ Saddleback Memorial 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 Mcc244272 / 60$64.602,602195 / 89$12.435,901662 / 13$11.355,701630 / 16
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc167397 / 58$59.800,401687 / 46$14.319,901710 / 7$12.581,901672 / 18
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc11592 / 17$34.183,101827 / 60$7.106,62982 / 13$5.644,19979 / 4
Heart Failure & Shock W Mcc96188 / 37$52.011,602037 / 69$9.658,211047 / 4$8.354,821045 / 2
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc93182 / 26$28.556,402097 / 63$5.770,151016 / 29$3.771,541008 / 2
Heart Failure & Shock W Cc77201 / 30$40.039,802329 / 86$6.658,09959 / 12$5.263,23958 / 5
Kidney & Urinary Tract Infections W/O Mcc65168 / 46$28.158,702137 / 53$4.965,40988 / 2$3.952,95980 / 3
G.I. Hemorrhage W Cc64154 / 32$36.418,201834 / 48$7.430,661181 / 19$5.554,921179 / 4
Chronic Obstructive Pulmonary Disease W Mcc63139 / 27$46.513,602109 / 61$8.486,101168 / 21$6.418,781162 / 4
Cellulitis W/O Mcc60129 / 29$31.644,202187 / 82$5.668,971020 / 7$4.284,201014 / 2
Simple Pneumonia & Pleurisy W Cc58145 / 33$36.583,102234 / 54$6.257,741263 / 1$5.266,721259 / 3
Respiratory Infections & Inflammations W Mcc5680 / 21$59.060,101249 / 24$12.266,10948 / 1$11.557,80938 / 1
Simple Pneumonia & Pleurisy W Mcc55150 / 38$65.641,502184 / 96$9.550,531353 / 5$8.404,651353 / 7
Hip & Femur Procedures Except Major Joint W Cc5291 / 17$69.367,201535 / 23$12.892,601168 / 4$11.534,601154 / 7
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc47103 / 6$20.199,601403 / 14$3.842,53625 / 5$2.536,02621 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc43153 / 30$88.787,201032 / 28$15.611,00736 / 21$11.347,60732 / 2
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs43139 / 34$37.367,401438 / 29$6.814,37872 / 2$5.658,33870 / 2
Renal Failure W Cc43178 / 45$29.777,401683 / 31$6.067,47983 / 1$5.166,28975 / 4
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3963 / 10$34.596,201227 / 27$4.950,28706 / 1$3.861,92702 / 5
Cardiac Arrhythmia & Conduction Disorders W Mcc3984 / 15$40.676,501349 / 26$8.649,41877 / 10$6.936,00874 / 1
Pulmonary Edema & Respiratory Failure37166 / 39$45.912,901665 / 36$9.108,65885 / 16$6.798,54885 / 1
Cardiac Arrhythmia & Conduction Disorders W Cc36125 / 30$30.349,401642 / 35$5.332,39819 / 7$4.127,06816 / 2
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc36130 / 44$26.901,601991 / 59$4.620,78942 / 2$3.612,86939 / 6
G.I. Obstruction W/O Cc/Mcc3536 / 7$26.283,901034 / 30$4.063,51582 / 4$3.059,37581 / 7
Spinal Fusion Except Cervical W/O Mcc32162 / 35$110.668,00841 / 14$31.893,00215 / 36$19.970,20214 / 1
Respiratory Infections & Inflammations W Cc3256 / 17$43.996,001041 / 16$8.295,81539 / 3$7.429,47536 / 4
Syncope & Collapse31138 / 36$30.116,001436 / 39$4.851,68831 / 4$3.878,52827 / 3
G.I. Obstruction W Cc3161 / 21$36.060,901372 / 45$5.905,29977 / 4$5.080,13974 / 8
Red Blood Cell Disorders W/O Mcc31112 / 25$32.086,901582 / 48$5.826,81924 / 8$4.435,61918 / 8
Intracranial Hemorrhage Or Cerebral Infarction W Mcc30138 / 41$57.640,001101 / 25$10.586,80631 / 1$9.696,63630 / 2
Chronic Obstructive Pulmonary Disease W Cc28151 / 45$36.762,501984 / 58$5.879,681160 / 1$5.109,041156 / 5
Renal Failure W Mcc28167 / 59$66.653,901856 / 94$10.518,101328 / 11$9.734,641328 / 12
Medical Back Problems W/O Mcc2596 / 32$29.861,001008 / 27$5.437,68698 / 2$4.564,56695 / 5
Respiratory System Diagnosis W Ventilator Support <96 Hours25106 / 28$118.765,001671 / 71$16.825,601337 / 11$15.986,001324 / 15
Acute Myocardial Infarction, Discharged Alive W Mcc25100 / 27$75.677,801514 / 65$14.481,901480 / 76$12.705,101468 / 50
G.I. Hemorrhage W Mcc2497 / 32$86.325,701483 / 94$17.086,701406 / 120$13.943,201396 / 77
Permanent Cardiac Pacemaker Implant W Cc2453 / 11$63.809,30395 / 4$19.583,30273 / 14$14.471,00272 / 1
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2235 / 5$53.985,70320 / 3$14.464,10464 / 1$13.363,80463 / 5
Other Kidney & Urinary Tract Diagnoses W Mcc2180 / 27$33.376,70479 / 1$8.618,48174 / 1$7.895,81174 / 1
Seizures W Mcc2046 / 10$46.408,20435 / 10$9.709,25296 / 1$8.860,75296 / 3
Simple Pneumonia & Pleurisy W/O Cc/Mcc2073 / 25$24.652,201433 / 22$4.699,85920 / 3$3.609,40915 / 6
Major Small & Large Bowel Procedures W Cc1989 / 36$102.416,001233 / 27$18.886,90897 / 17$15.228,50889 / 3
Major Small & Large Bowel Procedures W Mcc1966 / 21$211.322,001077 / 35$35.921,90884 / 6$35.085,30882 / 11
Infectious & Parasitic Diseases W O.R. Procedure W Mcc18106 / 48$156.916,001063 / 25$33.582,80797 / 8$32.700,40791 / 11
Other Vascular Procedures W Cc1884 / 26$93.247,50775 / 12$16.841,50659 / 1$16.033,40656 / 4
Fractures Of Hip & Pelvis W/O Mcc1843 / 13$22.598,70596 / 6$4.495,67364 / 1$3.618,28365 / 4
Heart Failure & Shock W/O Cc/Mcc1892 / 27$27.608,901641 / 35$4.457,44673 / 4$3.450,56671 / 2
Nonspecific Cerebrovascular Disorders W Cc1739 / 9$36.724,60346 / 10$6.568,00223 / 2$5.644,18223 / 2
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc17107 / 22$28.903,50677 / 16$4.559,12365 / 1$3.984,76365 / 3
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 19$45.574,20644 / 10$9.188,56413 / 2$8.201,38412 / 1
Kidney & Urinary Tract Infections W Mcc16128 / 50$40.039,401503 / 51$6.823,38778 / 2$6.069,81777 / 5
Coronary Bypass W Cardiac Cath W Mcc1640 / 8$267.211,00333 / 8$43.730,60208 / 2$42.659,70208 / 2
Transient Ischemia16109 / 40$36.468,901363 / 53$4.666,12718 / 3$3.609,94714 / 4
Major Small & Large Bowel Procedures W/O Cc/Mcc1648 / 14$71.894,60647 / 15$12.190,60387 / 9$9.082,19387 / 1
Extracranial Procedures W/O Cc/Mcc1682 / 24$45.058,30715 / 14$6.981,94424 / 2$5.539,94423 / 1
Pulmonary Embolism W Mcc1528 / 5$58.696,90478 / 5$11.466,60175 / 7$8.133,27175 / 1
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc15111 / 44$28.178,40866 / 12$7.116,33596 / 1$6.188,73593 / 1
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1523 / 5$29.805,20368 / 10$4.259,33183 / 1$3.287,87183 / 1
Bronchitis & Asthma W Cc/Mcc1561 / 18$40.028,10886 / 26$5.823,40490 / 3$4.774,47486 / 2
Major Chest Procedures W Mcc1534 / 10$170.023,00239 / 3$33.770,30151 / 2$30.867,10151 / 2
G.I. Hemorrhage W/O Cc/Mcc1553 / 14$17.681,00457 / 3$4.608,33358 / 1$3.480,20355 / 4
Chest Pain14137 / 58$19.444,50881 / 17$4.026,14570 / 3$2.991,79566 / 4
Nonspecific Cerebrovascular Disorders W Mcc1437 / 11$51.105,40270 / 10$12.219,80119 / 11$9.103,57119 / 1
Peripheral Vascular Disorders W Cc1470 / 19$42.224,401045 / 41$8.344,29443 / 44$5.183,14441 / 2
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1481 / 16$87.065,20389 / 9$13.261,20343 / 2$12.304,30339 / 5
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1442 / 12$49.996,40422 / 2$11.648,60261 / 1$11.021,90260 / 2
Hip & Femur Procedures Except Major Joint W Mcc1349 / 15$116.898,00778 / 21$20.883,80641 / 9$19.765,50638 / 11
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1343 / 21$50.310,60583 / 4$10.550,80440 / 1$8.961,69438 / 2
Acute Myocardial Infarction, Discharged Alive W Cc1378 / 23$48.349,201160 / 39$7.066,31799 / 3$6.130,62797 / 6
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc12104 / 25$296.690,00383 / 14$76.146,206 / 27$37.833,706 / 1
Major Cardiovasc Procedures W/O Mcc1289 / 29$74.534,20310 / 2$22.030,10562 / 1$20.917,90562 / 2
Traumatic Stupor & Coma, Coma <1 Hr W Cc1254 / 18$50.878,40425 / 8$7.685,92137 / 2$5.812,08137 / 1
Circulatory Disorders Except Ami, W Card Cath W/O Mcc12176 / 49$49.235,401185 / 27$7.806,83251 / 6$5.067,00251 / 1
Disorders Of The Biliary Tract W Cc1242 / 12$41.861,00338 / 6$8.776,1767 / 10$5.243,0867 / 1
Disorders Of Pancreas Except Malignancy W Cc1249 / 13$35.452,70730 / 14$6.142,67512 / 3$5.330,75510 / 3
Other Digestive System Diagnoses W Cc1285 / 30$30.769,90892 / 20$6.473,08644 / 3$5.465,33640 / 3
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1284 / 32$59.030,501269 / 74$8.216,58802 / 3$7.405,42797 / 6
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc12108 / 34$26.063,901579 / 21$4.986,00795 / 5$3.569,83791 / 2
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 20$25.262,30362 / 5$6.378,27133 / 2$4.368,36133 / 1
Signs & Symptoms W/O Mcc1180 / 27$28.413,90994 / 23$4.534,18415 / 1$3.548,55414 / 2
Septicemia Or Severe Sepsis W Mv 96+ Hours1181 / 44$302.278,00999 / 94$49.140,10929 / 76$48.352,60928 / 87
Seizures W/O Mcc1197 / 31$30.041,80952 / 26$4.759,73376 / 1$3.875,91374 / 1
Pulmonary Embolism W/O Mcc1163 / 19$33.852,80943 / 11$6.670,64444 / 3$5.088,45442 / 1
Cellulitis W Mcc1147 / 23$27.990,50327 / 3$8.539,36254 / 1$7.661,00253 / 1
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1162 / 23$42.818,00872 / 22$8.195,00458 / 6$6.557,64457 / 2
Permanent Cardiac Pacemaker Implant W Mcc1141 / 13$118.219,00412 / 10$24.592,50132 / 4$19.893,80132 / 1
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1189 / 31$140.255,00780 / 27$23.950,10761 / 12$22.955,60756 / 15
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 19$186.894,00605 / 18$33.104,50462 / 2$32.326,60462 / 2
Total 88 procedures2.769discharges

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.