Hospital Costs > In California > Santa Clara Valley Medical Center, procedure costs

Santa Clara Valley Medical Center, procedure costs

751 South Bascom Avenue, San Jose, CA 95128,

Procedure Costs @ Santa Clara Valley 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 Mcc265253 / 53$86.471,202509 / 162$26.810,902813 / 260$25.116,402768 / 260
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc75132 / 42$49.876,702258 / 142$18.282,402572 / 243$16.753,502562 / 245
Heart Failure & Shock W Cc74204 / 33$52.223,602581 / 155$17.358,302757 / 225$16.025,102751 / 227
Heart Failure & Shock W Mcc65219 / 63$98.600,402562 / 188$27.269,502638 / 229$25.189,102627 / 232
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc44122 / 36$52.281,102495 / 180$15.723,802549 / 208$14.005,002540 / 208
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc34241 / 76$34.451,102334 / 100$14.634,302729 / 227$13.312,302714 / 227
Cellulitis W/O Mcc31158 / 55$43.478,302481 / 158$15.841,802635 / 223$14.212,802627 / 222
Chronic Obstructive Pulmonary Disease W Mcc31171 / 59$62.786,702388 / 132$19.825,302573 / 203$18.515,502565 / 203
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3096 / 29$46.418,401433 / 72$18.771,701736 / 163$17.395,401732 / 165
Kidney & Urinary Tract Infections W/O Mcc29204 / 80$39.446,002482 / 143$14.702,002713 / 220$13.494,702702 / 222
Septicemia Or Severe Sepsis W Mv 96+ Hours2963 / 26$323.677,001023 / 104$78.703,801097 / 142$75.323,601096 / 142
Diabetes W Cc2864 / 8$43.115,301460 / 69$15.302,201619 / 124$14.042,701614 / 126
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2797 / 39$202.449,001271 / 49$63.097,301571 / 141$60.413,401561 / 142
Renal Failure W Cc27194 / 61$55.182,602314 / 150$17.479,602439 / 204$16.109,202429 / 205
Syncope & Collapse25144 / 42$40.672,301708 / 89$14.430,101926 / 164$13.095,301918 / 164
Simple Pneumonia & Pleurisy W Cc24179 / 66$40.891,402357 / 78$17.114,202823 / 220$15.587,902814 / 221
Intracranial Hemorrhage Or Cerebral Infarction W Mcc24144 / 47$131.959,001598 / 138$31.952,401638 / 159$29.998,301631 / 161
G.I. Hemorrhage W Cc23195 / 68$47.404,302110 / 102$17.436,602429 / 198$16.074,602425 / 200
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs23159 / 51$85.879,602050 / 166$22.257,702085 / 185$20.317,302080 / 185
Other Circulatory System Diagnoses W Mcc2294 / 28$84.434,501180 / 57$28.487,901391 / 133$26.974,501383 / 134
Renal Failure W Mcc22173 / 64$117.030,002148 / 176$30.679,302176 / 193$27.769,702172 / 194
Respiratory System Diagnosis W Ventilator Support <96 Hours21110 / 32$142.736,001753 / 92$33.495,301852 / 143$31.597,201838 / 146
Other Kidney & Urinary Tract Diagnoses W Mcc2180 / 27$63.701,10919 / 32$22.676,101100 / 79$21.402,501096 / 83
Chest Pain21130 / 51$36.335,601523 / 90$13.018,801703 / 152$11.893,101694 / 154
Respiratory System Diagnosis W Ventilator Support 96+ Hours2051 / 13$298.573,00916 / 56$73.561,70984 / 84$69.689,40983 / 88
Poisoning & Toxic Effects Of Drugs W/O Mcc2041 / 6$36.096,10825 / 24$13.316,40919 / 51$12.230,70918 / 54
Medical Back Problems W/O Mcc19102 / 38$53.343,701435 / 97$15.748,801494 / 132$14.123,801489 / 132
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1977 / 25$52.619,901199 / 56$19.519,101468 / 137$18.206,701463 / 138
Degenerative Nervous System Disorders W/O Mcc1860 / 12$47.017,60745 / 29$17.118,90873 / 52$15.829,70873 / 55
G.I. Hemorrhage W Mcc17104 / 39$80.684,301444 / 85$25.547,001663 / 157$24.132,901653 / 158
Simple Pneumonia & Pleurisy W Mcc17188 / 74$69.343,502227 / 104$22.569,402520 / 201$21.245,102514 / 202
Cardiac Arrhythmia & Conduction Disorders W Cc17144 / 49$43.100,001965 / 107$15.143,602168 / 181$13.729,102163 / 181
Kidney & Urinary Tract Infections W Mcc16128 / 50$52.983,601717 / 101$18.511,001952 / 171$16.877,601948 / 171
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1686 / 32$55.414,101539 / 95$14.740,501611 / 128$13.079,401607 / 128
Chronic Obstructive Pulmonary Disease W Cc15164 / 58$45.313,302175 / 108$16.570,302443 / 193$15.250,202436 / 193
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc15549 / 146$85.667,902306 / 112$30.525,002687 / 226$28.590,902641 / 231
Transient Ischemia14111 / 42$34.586,401317 / 44$13.986,301664 / 144$12.584,101656 / 144
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1456 / 20$36.639,40446 / 18$16.731,60568 / 54$15.765,00568 / 54
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1462 / 22$104.478,00514 / 50$28.699,50556 / 62$27.044,80556 / 63
Poisoning & Toxic Effects Of Drugs W Mcc1359 / 22$67.282,20855 / 39$22.018,80986 / 85$20.795,20983 / 85
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc13111 / 26$42.743,20797 / 32$13.900,00836 / 45$12.780,80835 / 47
Traumatic Stupor & Coma, Coma <1 Hr W Cc1353 / 17$67.794,80499 / 22$18.959,80532 / 38$17.295,40531 / 39
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1341 / 15$48.724,30373 / 8$14.534,40407 / 27$13.303,80407 / 28
Circulatory Disorders Except Ami, W Card Cath W Mcc1380 / 20$126.922,00851 / 39$33.442,10919 / 62$31.612,00911 / 65
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc13183 / 57$106.265,001221 / 52$28.984,501488 / 122$27.424,501480 / 123
Acute Myocardial Infarction, Discharged Alive W Mcc12113 / 40$76.083,201518 / 66$25.767,801814 / 155$24.178,301801 / 155
Organic Disturbances & Mental Retardation1247 / 12$142.876,00567 / 34$32.299,20564 / 33$24.994,60564 / 33
Major Small & Large Bowel Procedures W Cc1197 / 44$128.097,001378 / 60$35.791,901532 / 119$33.184,501518 / 121
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc11139 / 38$29.532,901747 / 66$12.425,501989 / 147$11.124,201983 / 147
Circulatory Disorders Except Ami, W Card Cath W/O Mcc11177 / 50$80.605,301564 / 95$18.656,801641 / 133$17.061,501638 / 133
Other Digestive System Diagnoses W Cc1186 / 31$45.492,401210 / 66$17.279,301435 / 139$15.725,501431 / 139
Respiratory Infections & Inflammations W Cc1177 / 37$80.551,501396 / 87$25.050,401487 / 126$22.868,101482 / 126
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 28$39.941,10662 / 17$16.616,90863 / 59$15.801,50863 / 61
Hip & Femur Procedures Except Major Joint W Cc11132 / 55$100.255,001891 / 94$28.655,202055 / 156$26.876,802033 / 156
Total 54 procedures1.445discharges

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.