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

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

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


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Community Regional Medical CenterFresno11$200,094.00$40,948.10$39,556.70
St Josephs Medical Center Of StocktonStockton15$290,554.00$41,236.50$40,228.50
Hoag Memorial Hospital PresbyterianNewport Beach11$152,075.00$32,101.90$30,897.60
French Hospital Medical CenterSan Luis Obispo14$207,837.00$31,686.10$30,474.60
Ronald Reagan U C L A Medical CenterLos Angeles21$171,219.00$57,912.20$45,485.50
El Camino HospitalMountain View23$241,851.00$43,922.20$35,850.90
Scripps Green HospitalLa Jolla24$251,125.00$35,504.00$33,944.90
Stanford HospitalStanford15$323,493.00$55,615.90$53,364.90
University Of California Davis Medical CenterSacramento11$304,015.00$54,791.40$51,700.10
Cedars-Sinai Medical CenterLos Angeles28$311,673.00$41,518.30$39,576.60
Total 10 hospitals173

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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