Hospital Costs > In California > Seton Medical Center, procedure costs

Seton Medical Center, procedure costs

1900 Sullivan Avenue, Daly City, CA 94015,

Procedure Costs @ Seton 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 Mcc184332 / 88$148.848,002803 / 254$19.241,402679 / 223$17.669,402634 / 215
Heart Failure & Shock W Mcc105179 / 31$124.646,002611 / 219$15.772,202519 / 185$14.814,602508 / 189
Heart Failure & Shock W Cc76202 / 31$88.813,202756 / 224$9.986,782597 / 168$9.083,872591 / 179
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc66498 / 108$170.983,002680 / 231$20.621,202507 / 181$17.678,402461 / 181
Kidney & Urinary Tract Infections W/O Mcc48185 / 62$62.080,002695 / 212$8.220,602429 / 168$6.272,792418 / 132
G.I. Hemorrhage W Cc46172 / 48$70.292,202382 / 182$10.165,002232 / 149$8.617,132228 / 145
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc43164 / 68$96.318,702563 / 242$10.995,402455 / 195$9.968,632445 / 204
Simple Pneumonia & Pleurisy W Cc42161 / 48$80.469,702800 / 211$9.433,242603 / 142$8.407,402594 / 156
Renal Failure W Cc39182 / 49$78.949,802424 / 196$10.081,502204 / 162$8.114,622194 / 133
Kidney & Urinary Tract Infections W Mcc38106 / 28$81.868,801925 / 160$10.409,901808 / 114$9.761,551804 / 130
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc37159 / 36$193.546,001477 / 118$19.668,501380 / 87$16.732,301372 / 90
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents3466 / 9$315.306,001013 / 92$37.872,501013 / 86$36.490,401008 / 91
Cardiac Arrhythmia & Conduction Disorders W Cc32129 / 34$62.950,602132 / 160$7.781,881971 / 119$6.824,441966 / 127
Spinal Fusion Except Cervical W/O Mcc31163 / 36$304.575,001353 / 93$41.480,401336 / 84$40.374,401331 / 91
Chronic Obstructive Pulmonary Disease W Mcc29173 / 61$89.277,602537 / 181$11.086,702380 / 142$10.018,202372 / 147
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs29153 / 45$89.744,702055 / 169$10.917,901867 / 147$8.675,831863 / 122
Simple Pneumonia & Pleurisy W Mcc28177 / 63$85.746,902386 / 144$13.323,102344 / 134$12.532,102338 / 147
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2896 / 38$472.170,001579 / 149$69.553,201591 / 148$68.351,101581 / 150
Renal Failure W Mcc26169 / 60$127.571,002151 / 178$14.911,602019 / 135$14.194,102015 / 146
Respiratory Infections & Inflammations W Mcc26110 / 46$124.186,001743 / 123$19.344,001755 / 131$18.582,301739 / 137
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc25250 / 85$62.186,202705 / 212$7.380,402460 / 135$6.256,122445 / 145
Syncope & Collapse25144 / 42$59.908,801900 / 146$7.232,961727 / 101$6.308,241719 / 106
Intracranial Hemorrhage Or Cerebral Infarction W Mcc24144 / 47$156.360,001619 / 150$17.902,001527 / 116$16.923,201520 / 126
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc2368 / 15$61.411,90352 / 19$10.491,60347 / 15$10.429,20347 / 21
Hip & Femur Procedures Except Major Joint W Cc23120 / 43$144.338,002038 / 143$17.684,901920 / 120$16.563,001900 / 123
Cellulitis W/O Mcc23166 / 63$66.769,702623 / 216$8.245,912385 / 143$7.022,912377 / 145
Chest Pain23128 / 49$46.746,501664 / 129$6.227,131465 / 88$5.063,571457 / 90
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc22104 / 37$95.678,001727 / 159$11.083,901571 / 117$10.129,001568 / 118
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc21145 / 58$59.206,102522 / 193$7.063,382284 / 126$6.002,622276 / 131
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc20130 / 29$50.741,401966 / 134$5.770,351793 / 87$4.553,151787 / 95
Cardiac Arrhythmia & Conduction Disorders W Mcc20103 / 34$131.721,001915 / 152$22.244,201819 / 151$11.622,601816 / 127
G.I. Hemorrhage W Mcc20101 / 36$135.584,001652 / 148$16.660,301538 / 113$15.913,201528 / 121
Septicemia Or Severe Sepsis W Mv 96+ Hours1775 / 38$435.283,001078 / 129$61.539,401051 / 121$60.473,401050 / 123
Chronic Obstructive Pulmonary Disease W Cc17162 / 56$85.053,202437 / 188$8.984,652251 / 120$8.111,242244 / 136
Medical Back Problems W/O Mcc17104 / 40$60.469,601461 / 112$8.660,821303 / 95$6.695,531298 / 79
Transient Ischemia16109 / 40$61.732,701636 / 127$6.998,751502 / 93$5.863,501494 / 98
Diabetes W Cc1676 / 19$56.931,601571 / 105$8.109,191447 / 77$7.268,561442 / 87
Circulatory Disorders Except Ami, W Card Cath W/O Mcc15173 / 46$142.183,001643 / 135$12.111,001476 / 110$8.911,601473 / 83
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1587 / 33$62.301,401566 / 107$7.524,401458 / 82$6.304,931454 / 90
Major Small & Large Bowel Procedures W Cc1593 / 40$204.048,001518 / 110$24.544,401381 / 88$20.470,101367 / 74
Bronchitis & Asthma W Cc/Mcc1561 / 18$67.466,001067 / 69$8.479,53968 / 49$7.415,20964 / 58
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1481 / 16$163.826,00585 / 33$17.937,90539 / 26$16.893,30535 / 30
Other Digestive System Diagnoses W Cc1483 / 28$72.582,401406 / 121$9.429,791236 / 91$7.765,071232 / 82
Peripheral Vascular Disorders W Cc1470 / 19$106.231,001259 / 96$9.771,211162 / 69$8.880,211159 / 75
Respiratory Infections & Inflammations W Cc1474 / 34$92.527,701441 / 102$13.018,101417 / 94$12.400,101412 / 103
Pulmonary Edema & Respiratory Failure14189 / 61$128.160,002228 / 169$12.026,602101 / 129$11.403,202095 / 136
Heart Failure & Shock W/O Cc/Mcc1496 / 31$53.630,601988 / 121$6.809,501819 / 87$5.679,361806 / 86
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1449 / 16$299.478,00729 / 45$51.390,90687 / 46$42.860,90687 / 41
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc13107 / 33$63.120,202087 / 129$7.230,771917 / 88$6.034,081906 / 86
Combined Anterior/Posterior Spinal Fusion W Cc1333 / 12$542.811,00118 / 16$77.743,90108 / 11$76.513,30108 / 11
Acute Myocardial Infarction, Discharged Alive W Mcc13112 / 39$151.371,001807 / 148$16.271,801590 / 112$13.909,001577 / 94
Simple Pneumonia & Pleurisy W/O Cc/Mcc1281 / 33$66.797,301951 / 126$7.041,421830 / 89$5.916,831822 / 100
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1284 / 32$120.974,001466 / 135$15.069,201444 / 124$14.142,901439 / 132
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1145 / 19$132.004,00853 / 60$14.812,40772 / 49$12.069,10768 / 35
Circulatory Disorders Except Ami, W Card Cath W Mcc1182 / 22$188.218,00911 / 60$22.888,50882 / 51$21.880,10874 / 54
G.I. Obstruction W/O Cc/Mcc1160 / 30$52.951,501293 / 94$6.224,641226 / 67$5.237,001223 / 80
Red Blood Cell Disorders W/O Mcc11132 / 45$61.455,901972 / 146$7.876,361835 / 98$7.203,911826 / 116
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1162 / 23$113.284,001107 / 79$11.103,701038 / 59$10.202,101036 / 64
Total 58 procedures1.615discharges

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.