Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc - costs for treatment in California

Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc - costs for treatment in California

Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc - costs for treatment in California


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Mercy General HospitalSacramento11$455,041.00$55,399.10$54,089.80
Sutter General HospitalSacramento17$189,376.00$54,167.60$52,713.10
Sequoia HospitalRedwood City21$430,552.00$59,446.20$58,188.80
Scripps Green HospitalLa Jolla14$298,617.00$47,611.40$45,520.00
Good Samaritan Hospital Los AngelesLos Angeles31$296,185.00$49,257.60$48,323.30
Cedars-Sinai Medical CenterLos Angeles24$441,454.00$60,314.40$57,826.70
Keck Hospital Of UscLos Angeles21$324,093.00$57,119.10$52,563.40
Total 7 hospitals139

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.





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