Inpatient Standard Charges Report
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ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARAS
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MS-DRG CHARGES BY HOSPITAL
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Note: Cases < 11 are displayed as *** in accordance with CMS data use agreement.
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ActualExpectedALOSAct OverallExp OverallOverallAct R&BExp R&BR&BAct ICUExp ICUICUAct CCUExp CCUCCU
Act Pharmacy
Exp Pharmacy
PharmacyAct SupplyExp SupplySupplyAct TherapyExp TherapyTherapyAct O.R.Exp. O.R.O.R.
Act Laboratory
Exp Laboratory
Laboratory
Act Radiology
Exp Radiology
RadiologyAct ERExp ERERAct OtherExp OtherOther
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HospitalCityStateMS-DRGDescriptionCases
Length of Stay
Length of Stay
Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
Charge/Case
Charge/Case
Charge Index
6
Stanford HospitalStanfordCA001
Heart transplant or implant of heart assist system w MCC
3543.136.11.20$3,311,914$2,237,8111.48$6,446$45,5120.14$1,166,199$618,4151.89$29,601$90,7330.33$335,486$231,0051.45$240,732$259,6570.93$258,094$150,2001.72$320,801$238,1471.35$660,202$388,4121.70$62,524$41,9371.49$2,756$1,7241.60$229,074$172,0701.33
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UCSF Medical Center
San Francisco
CA001
Heart transplant or implant of heart assist system w MCC
1726.136.10.72$1,485,920$2,237,8110.66$150,160$45,5123.30$16,096$618,4150.03$272,020$90,7333.00$146,150$231,0050.63$286,958$259,6571.11$50,828$150,2000.34$106,296$238,1470.45$236,406$388,4120.61$31,317$41,9370.75$0$1,7240.00$189,689$172,0701.10
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UC Davis Medical CenterSacramentoCA001
Heart transplant or implant of heart assist system w MCC
***24.036.10.67$1,381,735$2,237,8110.62$100,216$45,5122.20$214,476$618,4150.35$0$90,7330.00$167,098$231,0050.72$234,224$259,6570.90$63,683$150,2000.42$416,228$238,1471.75$106,942$388,4120.28$29,191$41,9370.70$3,134$1,7241.82$46,545$172,0700.27
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California Pacific Med Ctr-Pacific
San Francisco
CA001
Heart transplant or implant of heart assist system w MCC
1937.236.11.03$1,292,399$2,237,8110.58$811$45,5120.02$318,335$618,4150.51$79,345$90,7330.87$141,369$231,0050.61$280,801$259,6571.08$76,789$150,2000.51$128,879$238,1470.54$142,265$388,4120.37$18,883$41,9370.45$770$1,7240.45$104,151$172,0700.61
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Stanford HospitalStanfordCA002
Heart transplant or implant of heart assist system w/o MCC
***16.418.40.89$1,217,668$1,173,2171.04$9,130$7,9891.14$341,963$309,9861.10$0$33,2580.00$97,922$98,9330.99$143,572$130,6861.10$67,405$62,5151.08$195,003$182,6811.07$203,468$188,2321.08$25,882$23,3061.11$1,646$1,4401.14$131,677$134,1910.98
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California Pacific Med Ctr-Pacific
San Francisco
CA002
Heart transplant or implant of heart assist system w/o MCC
***32.018.41.74$862,066$1,173,2170.73$0$7,9890.00$86,149$309,9860.28$266,067$33,2588.00$106,008$98,9331.07$40,488$130,6860.31$28,281$62,5150.45$96,426$182,6810.53$81,579$188,2320.43$5,278$23,3060.23$0$1,4400.00$151,790$134,1911.13
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Stanford HospitalStanfordCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
6529.930.01.00$2,487,137$1,703,4661.46$22,265$51,0160.44$901,420$526,6361.71$1,138$69,1540.02$243,860$208,9321.17$78,966$78,5311.01$262,098$187,6941.40$232,808$164,4051.42$539,846$269,9882.00$69,047$55,0541.25$2,406$2,9780.81$133,282$89,0781.50
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NorthBay Medical CenterFairfieldCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***27.330.00.91$2,168,732$1,703,4661.27$5,017$51,0160.10$0$526,6360.00$443,897$69,1546.42$752,460$208,9323.60$233,402$78,5312.97$275,808$187,6941.47$131,628$164,4050.80$172,822$269,9880.64$67,959$55,0541.23$13,957$2,9784.69$71,782$89,0780.81
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UC Davis Medical CenterSacramentoCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
3537.430.01.25$1,599,208$1,703,4660.94$58,224$51,0161.14$524,147$526,6361.00$0$69,1540.00$264,771$208,9321.27$56,694$78,5310.72$226,924$187,6941.21$227,734$164,4051.39$122,703$269,9880.45$76,935$55,0541.40$4,884$2,9781.64$36,192$89,0780.41
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UCSF Medical Center
San Francisco
CA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
6329.530.00.98$1,435,244$1,703,4660.84$106,601$51,0162.09$330,962$526,6360.63$175,905$69,1542.54$152,126$208,9320.73$96,551$78,5311.23$121,450$187,6940.65$109,877$164,4050.67$190,397$269,9880.71$40,089$55,0540.73$1,105$2,9780.37$110,179$89,0781.24
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John Muir Medical Center-Walnut Creek
Walnut Creek
CA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
2335.330.01.18$1,291,140$1,703,4660.76$54,734$51,0161.07$535,129$526,6361.02$0$69,1540.00$161,912$208,9320.78$99,059$78,5311.26$152,943$187,6940.81$67,371$164,4050.41$120,489$269,9880.45$25,222$55,0540.46$8,239$2,9782.77$66,041$89,0780.74
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Sutter Delta Medical CenterAntiochCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***39.030.01.30$1,156,614$1,703,4660.68$2,131$51,0160.04$378,688$526,6360.72$11,078$69,1540.16$272,923$208,9321.31$32,222$78,5310.41$154,308$187,6940.82$136,017$164,4050.83$98,996$269,9880.37$52,383$55,0540.95$6,696$2,9782.25$11,175$89,0780.13
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Stanford ValleyCare-LivermoreLivermoreCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***22.030.00.73$858,225$1,703,4660.50$0$51,0160.00$259,376$526,6360.49$0$69,1540.00$62,836$208,9320.30$18,946$78,5310.24$189,359$187,6941.01$192,540$164,4051.17$85,857$269,9880.32$17,850$55,0540.32$6,398$2,9782.15$25,065$89,0780.28
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Eden Medical CenterCastro valleyCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***24.030.00.80$797,391$1,703,4660.47$0$51,0160.00$296,000$526,6360.56$0$69,1540.00$83,988$208,9320.40$71,104$78,5310.91$103,883$187,6940.55$102,104$164,4050.62$66,003$269,9880.24$54,002$55,0540.98$6,117$2,9782.05$14,191$89,0780.16
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California Pacific Med Ctr-Pacific
San Francisco
CA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
1220.130.00.67$614,736$1,703,4660.36$416$51,0160.01$195,537$526,6360.37$10,627$69,1540.15$90,050$208,9320.43$34,502$78,5310.44$104,120$187,6940.55$56,729$164,4050.35$71,057$269,9880.26$18,014$55,0540.33$796$2,9780.27$32,889$89,0780.37
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Alta Bates Summit Med Ctr-Alta Bates
BerkeleyCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***24.430.00.82$606,147$1,703,4660.36$2,854$51,0160.06$295,746$526,6360.56$0$69,1540.00$62,781$208,9320.30$26,777$78,5310.34$99,598$187,6940.53$41,444$164,4050.25$39,275$269,9880.15$27,474$55,0540.50$4,165$2,9781.40$6,031$89,0780.07
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Alta Bates Summit Med Ctr-SummitOAKLANDCA003
ECMO or tracheostomy with mechanical ventilation 96+ hours with majo
***25.030.00.83$599,958$1,703,4660.35$14,985$51,0160.29$275,857$526,6360.52$0$69,1540.00$69,358$208,9320.33$20,516$78,5310.26$89,408$187,6940.48$17,302$164,4050.11$53,891$269,9880.20$26,580$55,0540.48$4,374$2,9781.47$27,688$89,0780.31
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Stanford HospitalStanfordCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***37.329.71.26$2,007,247$1,029,2801.95$41,424$69,4430.60$1,129,612$348,8203.24$0$57,5640.00$149,125$156,8640.95$18,232$28,9960.63$231,281$167,7261.38$23,556$25,8840.91$271,024$105,4972.57$60,424$35,2551.71$6,082$6,9020.88$76,487$26,3292.91
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NorthBay Medical CenterFairfieldCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***23.229.70.78$1,505,643$1,029,2801.46$4,515$69,4430.07$0$348,8200.00$375,503$57,5646.52$507,647$156,8643.24$134,801$28,9964.65$266,979$167,7261.59$55,110$25,8842.13$84,727$105,4970.80$23,534$35,2550.67$16,142$6,9022.34$36,684$26,3291.39
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UCSF Medical Center
San Francisco
CA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
2132.029.71.08$1,136,722$1,029,2801.10$136,807$69,4431.97$424,778$348,8201.22$62,544$57,5641.09$108,442$156,8640.69$33,455$28,9961.15$125,254$167,7260.75$24,640$25,8840.95$161,052$105,4971.53$34,095$35,2550.97$3,730$6,9020.54$21,925$26,3290.83
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UC Davis Medical CenterSacramentoCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
2044.629.71.50$1,126,710$1,029,2801.09$160,532$69,4432.31$360,494$348,8201.03$0$57,5640.00$164,360$156,8641.05$7,846$28,9960.27$246,435$167,7261.47$27,951$25,8841.08$78,489$105,4970.74$48,940$35,2551.39$9,911$6,9021.44$21,753$26,3290.83
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John Muir Medical Center-Walnut Creek
Walnut Creek
CA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
1727.529.70.93$1,065,849$1,029,2801.04$5,718$69,4430.08$495,035$348,8201.42$0$57,5640.00$178,120$156,8641.14$25,771$28,9960.89$151,673$167,7260.90$10,275$25,8840.40$138,310$105,4971.31$24,226$35,2550.69$11,013$6,9021.60$25,708$26,3290.98
28
San Ramon Regional Medical CenterSan RamonCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***20.529.70.69$798,657$1,029,2800.78$12,296$69,4430.18$260,541$348,8200.75$0$57,5640.00$192,958$156,8641.23$25,480$28,9960.88$160,820$167,7260.96$20,242$25,8840.78$79,145$105,4970.75$24,453$35,2550.69$2,837$6,9020.41$19,886$26,3290.76
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Stanford ValleyCare-LivermoreLivermoreCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***21.029.70.71$618,060$1,029,2800.60$3,025$69,4430.04$238,768$348,8200.68$0$57,5640.00$70,169$156,8640.45$11,229$28,9960.39$143,746$167,7260.86$19,027$25,8840.74$65,589$105,4970.62$24,183$35,2550.69$7,333$6,9021.06$34,992$26,3291.33
30
California Pacific Med Ctr-Pacific
San Francisco
CA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***21.029.70.71$595,367$1,029,2800.58$0$69,4430.00$181,171$348,8200.52$49,002$57,5640.85$138,410$156,8640.88$21,587$28,9960.74$78,731$167,7260.47$16,281$25,8840.63$73,818$105,4970.70$29,904$35,2550.85$1,690$6,9020.24$4,774$26,3290.18
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Sutter Delta Medical CenterAntiochCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***25.629.70.86$578,946$1,029,2800.56$4,261$69,4430.06$217,875$348,8200.62$19,940$57,5640.35$92,820$156,8640.59$10,635$28,9960.37$123,563$167,7260.74$17,020$25,8840.66$50,119$105,4970.48$22,995$35,2550.65$6,130$6,9020.89$13,587$26,3290.52
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Eden Medical CenterCastro valleyCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***17.829.70.60$422,095$1,029,2800.41$539$69,4430.01$189,263$348,8200.54$11,852$57,5640.21$43,008$156,8640.27$2,293$28,9960.08$82,233$167,7260.49$17,737$25,8840.69$36,404$105,4970.35$24,280$35,2550.69$4,851$6,9020.70$9,637$26,3290.37
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Alta Bates Summit Med Ctr-Alta Bates
BerkeleyCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***17.529.70.59$399,910$1,029,2800.39$7,633$69,4430.11$186,029$348,8200.53$6,676$57,5640.12$51,057$156,8640.33$11,918$28,9960.41$60,277$167,7260.36$15,396$25,8840.59$17,371$105,4970.16$29,410$35,2550.83$2,535$6,9020.37$11,610$26,3290.44
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Alta Bates Summit Med Ctr-SummitOAKLANDCA004
Trach w MV 96+ hrs or PDX exc face, mouth & neck without maj O.R.
***16.029.70.54$304,168$1,029,2800.30$39,042$69,4430.56$95,066$348,8200.27$4,451$57,5640.08$29,536$156,8640.19$4,390$28,9960.15$51,155$167,7260.31$21,180$25,8840.82$22,845$105,4970.22$27,627$35,2550.78$4,920$6,9020.71$3,957$26,3290.15
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Stanford HospitalStanfordCA005Liver transplant w MCC or intestinal transplant3227.622.41.23$1,614,463$1,211,2131.33$143,720$106,7301.35$408,146$265,4661.54$0$4,2950.00$207,495$136,9461.52$29,249$29,8160.98$48,122$34,3211.40$164,847$134,7731.22$304,658$201,3361.51$46,153$29,7271.55$2,906$1,3382.17$259,167$266,4650.97
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UCSF Medical Center
San Francisco
CA005Liver transplant w MCC or intestinal transplant2417.322.40.77$1,047,318$1,211,2130.86$100,818$106,7300.94$189,261$265,4660.71$0$4,2950.00$81,794$136,9460.60$28,786$29,8160.97$22,430$34,3210.65$113,288$134,7730.84$143,758$201,3360.71$17,850$29,7270.60$139$1,3380.10$349,194$266,4651.31
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California Pacific Med Ctr-Pacific
San Francisco
CA005Liver transplant w MCC or intestinal transplant1619.622.40.87$650,557$1,211,2130.54$41,616$106,7300.39$94,412$265,4660.36$19,326$4,2954.50$78,577$136,9460.57$32,497$29,8161.09$24,556$34,3210.72$106,853$134,7730.79$81,058$201,3360.40$14,694$29,7270.49$0$1,3380.00$156,968$266,4650.59
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Stanford HospitalStanfordCA006Liver transplant w/o MCC147.37.01.04$728,810$590,3761.23$41,839$44,2470.95$113,714$65,2681.74$0$1,4210.00$136,030$75,7871.79$14,930$21,6180.69$17,662$10,6211.66$147,104$115,7651.27$90,417$62,2221.45$9,519$7,4261.28$0$00.00$157,597$186,0020.85
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UCSF Medical Center
San Francisco
CA006Liver transplant w/o MCC137.17.01.01$542,133$590,3760.92$57,327$44,2471.30$31,573$65,2680.48$0$1,4210.00$33,732$75,7870.45$20,229$21,6180.94$5,152$10,6210.49$96,028$115,7650.83$46,856$62,2220.75$6,664$7,4260.90$0$00.00$244,573$186,0021.31
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California Pacific Med Ctr-Pacific
San Francisco
CA006Liver transplant w/o MCC***6.27.00.88$328,191$590,3760.56$16,983$44,2470.38$17,230$65,2680.26$9,092$1,4216.40$16,448$75,7870.22$43,956$21,6182.03$5,126$10,6210.48$79,330$115,7650.69$23,231$62,2220.37$3,544$7,4260.48$0$00.00$113,252$186,0020.61
41
Stanford HospitalStanfordCA007Lung transplant1717.416.51.05$1,442,296$1,363,2731.06$11,279$19,3480.58$393,056$334,0981.18$0$20,5220.00$193,800$183,9101.05$28,164$29,4720.96$104,287$96,4871.08$221,597$201,8291.10$248,442$223,0431.11$24,419$22,4211.09$1,230$1,0461.18$216,023$231,0970.93
42
UCSF Medical Center
San Francisco
CA007Lung transplant***11.716.50.71$915,474$1,363,2730.67$65,072$19,3483.36$0$334,0980.00$136,815$20,5226.67$127,870$183,9100.70$36,885$29,4721.25$52,286$96,4870.54$89,812$201,8290.45$79,119$223,0430.35$11,100$22,4210.50$0$1,0460.00$316,516$231,0971.37
43
UC Davis Medical CenterSacramentoCA008Simultaneous pancreas/kidney transplant***26.010.52.48$976,129$688,5591.42$183,457$60,5063.03$91,715$62,3961.47$0$2,7340.00$141,773$93,4391.52$45,131$11,3883.96$22,676$4,9974.54$176,307$86,6092.04$91,178$60,1971.51$42,920$10,2354.19$0$00.00$180,972$296,0580.61
44
UCSF Medical Center
San Francisco
CA008Simultaneous pancreas/kidney transplant***10.910.51.04$798,605$688,5591.16$82,409$60,5061.36$68,408$62,3961.10$0$2,7340.00$103,312$93,4391.11$8,282$11,3880.73$3,457$4,9970.69$68,361$86,6090.79$67,094$60,1971.11$8,577$10,2350.84$0$00.00$388,706$296,0581.31
45
Stanford HospitalStanfordCA008Simultaneous pancreas/kidney transplant***6.010.50.57$783,627$688,5591.14$5,326$60,5060.09$108,009$62,3961.73$0$2,7340.00$104,104$93,4391.11$4,051$11,3880.36$1,172$4,9970.23$197,717$86,6092.28$116,066$60,1971.93$6,938$10,2350.68$0$00.00$240,245$296,0580.81
46
California Pacific Med Ctr-Pacific
San Francisco
CA008Simultaneous pancreas/kidney transplant***8.710.50.83$425,532$688,5590.62$21,902$60,5060.36$32,285$62,3960.52$8,659$2,7343.17$65,373$93,4390.70$13,388$11,3881.18$5,893$4,9971.18$65,037$86,6090.75$24,916$60,1970.41$8,650$10,2350.85$0$00.00$179,429$296,0580.61
47
UCSF Medical Center
San Francisco
CA010Pancreas transplant***10.08.01.25$584,345$477,2111.22$79,704$65,7391.21$54,726$27,3632.00$0$00.00$98,402$99,6180.99$5,355$7,1020.75$1,416$7082.00$62,501$105,8980.59$72,362$45,6441.59$5,638$3,4291.64$0$00.00$204,241$121,7111.68
48
UC Davis Medical CenterSacramentoCA010Pancreas transplant***6.08.00.75$370,076$477,2110.78$51,774$65,7390.79$0$27,3630.00$0$00.00$100,833$99,6181.01$8,849$7,1021.25$0$7080.00$149,295$105,8981.41$18,925$45,6440.41$1,220$3,4290.36$0$00.00$39,180$121,7110.32
49
NorthBay Medical CenterFairfieldCA011Tracheostomy for face,mouth & neck diagnoses w MCC***72.014.74.90$2,843,123$531,7285.35$90,307$72,3301.25$0$87,2710.00$766,945$24,92630.77$812,944$59,08113.76$271,992$21,05812.92$187,378$27,0596.92$249,575$164,2271.52$207,785$48,2094.31$235,385$19,26512.22$14,763$1,22912.01$6,049$7,0720.86
50
Stanford HospitalStanfordCA011Tracheostomy for face,mouth & neck diagnoses w MCC1412.214.70.83$594,009$531,7281.12$33,034$72,3300.46$177,077$87,2712.03$37,001$24,9261.48$37,293$59,0810.63$13,669$21,0580.65$39,956$27,0591.48$145,963$164,2270.89$68,826$48,2091.43$22,201$19,2651.15$1,600$1,2291.30$17,391$7,0722.46
51
UC Davis Medical CenterSacramentoCA011Tracheostomy for face,mouth & neck diagnoses w MCC1716.314.71.11$593,062$531,7281.12$82,283$72,3301.14$51,749$87,2710.59$0$24,9260.00$83,578$59,0811.41$20,378$21,0580.97$19,725$27,0590.73$276,833$164,2271.69$32,574$48,2090.68$19,544$19,2651.01$1,197$1,2290.97$5,203$7,0720.74
52
Eden Medical CenterCastro valleyCA011Tracheostomy for face,mouth & neck diagnoses w MCC***12.014.70.82$366,134$531,7280.69$0$72,3300.00$110,763$87,2711.27$19,482$24,9260.78$30,827$59,0810.52$11,984$21,0580.57$62,822$27,0592.32$46,693$164,2270.28$26,126$48,2090.54$54,368$19,2652.82$0$1,2290.00$3,069$7,0720.43
53
UCSF Medical Center
San Francisco
CA011Tracheostomy for face,mouth & neck diagnoses w MCC1812.814.70.87$348,947$531,7280.66$103,033$72,3301.42$59,287$87,2710.68$0$24,9260.00$17,541$59,0810.30$16,111$21,0580.77$14,086$27,0590.52$89,376$164,2270.54$43,378$48,2090.90$4,345$19,2650.23$142$1,2290.12$1,649$7,0720.23
54
Alta Bates Summit Med Ctr-Alta Bates
BerkeleyCA011Tracheostomy for face,mouth & neck diagnoses w MCC***9.014.70.61$212,417$531,7280.40$10,270$72,3300.14$88,641$87,2711.02$0$24,9260.00$21,319$59,0810.36$3,778$21,0580.18$25,327$27,0590.94$30,110$164,2270.18$18,287$48,2090.38$8,970$19,2650.47$5,086$1,2294.14$629$7,0720.09
55
Sutter Delta Medical CenterAntiochCA011Tracheostomy for face,mouth & neck diagnoses w MCC***7.014.70.48$80,661$531,7280.15$17,044$72,3300.24$0$87,2710.00$16,617$24,9260.67$7,519$59,0810.13$558$21,0580.03$10,332$27,0590.38$19,263$164,2270.12$4,766$48,2090.10$1,086$19,2650.06$0$1,2290.00$3,476$7,0720.49
56
UCSF Medical Center
San Francisco
CA012
Tracheostomy for face, mouth & neck diagnoses with complications
219.18.31.09$372,023$348,3291.07$59,677$54,0371.10$80,786$47,2191.71$0$1,2400.00$17,697$18,2870.97$28,738$21,1781.36$10,083$8,9011.13$129,429$162,5470.80$42,245$28,5381.48$1,980$3,4440.58$0$3050.00$1,388$2,6350.53
57
UC Davis Medical CenterSacramentoCA012
Tracheostomy for face, mouth & neck diagnoses with complications
198.18.30.97$365,973$348,3291.05$44,340$54,0370.82$13,439$47,2190.28$0$1,2400.00$28,111$18,2871.54$18,028$21,1780.85$5,016$8,9010.56$234,367$162,5471.44$16,431$28,5380.58$4,762$3,4441.38$204$3050.67$1,275$2,6350.48
58
Stanford HospitalStanfordCA012
Tracheostomy for face, mouth & neck diagnoses with complications
267.68.30.92$323,875$348,3290.93$58,646$54,0371.09$46,608$47,2190.99$0$1,2400.00$12,037$18,2870.66$18,153$21,1780.86$10,582$8,9011.19$142,083$162,5470.87$27,062$28,5380.95$3,543$3,4441.03$441$3051.45$4,721$2,6351.79
59
Sutter Delta Medical CenterAntiochCA012
Tracheostomy for face, mouth & neck diagnoses with complications
***15.08.31.80$151,279$348,3290.43$0$54,0370.00$0$47,2190.00$83,085$1,24067.00$6,481$18,2870.35$909$21,1780.04$14,199$8,9011.60$25,463$162,5470.16$9,126$28,5380.32$6,538$3,4441.90$5,069$30516.64$409$2,6350.16
60
John Muir Medical Center-Walnut Creek
Walnut Creek
CA012
Tracheostomy for face, mouth & neck diagnoses with complications
***4.08.30.48$131,394$348,3290.38$24,440$54,0370.45$21,251$47,2190.45$0$1,2400.00$20,201$18,2871.10$6,873$21,1780.32$0$8,9010.00$29,907$162,5470.18$20,647$28,5380.72$486$3,4440.14$7,196$30523.62$393$2,6350.15
61
UC Davis Medical CenterSacramentoCA013
Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
***6.36.11.03$324,994$273,6371.19$36,714$32,4581.13$6,114$47,2190.13$0$00.00$21,407$13,5091.58$10,152$9,6171.06$1,111$3,4910.32$235,255$149,7021.57$12,553$16,1530.78$1,528$1,3391.14$0$00.00$160$1501.07
62
Stanford HospitalStanfordCA013
Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
***7.06.11.14$273,703$273,6371.00$26,630$32,4580.82$97,615$47,2192.07$0$00.00$9,416$13,5090.70$5,580$9,6170.58$5,093$3,4911.46$117,447$149,7020.78$10,887$16,1530.67$676$1,3390.51$0$00.00$359$1502.40
63
UCSF Medical Center
San Francisco
CA013
Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
***5.36.10.87$222,234$273,6370.81$32,087$32,4580.99$54,726$47,2191.16$0$00.00$8,339$13,5090.62$11,773$9,6171.22$4,804$3,4911.38$85,651$149,7020.57$23,263$16,1531.44$1,591$1,3391.19$0$00.00$0$1500.00
64
UCSF Medical Center
San Francisco
CA014ALLOGENEIC BONE MARROW TRANSPLANT2129.427.41.07$934,192$853,1971.09$254,995$151,0641.69$78,180$213,7520.37$2,606$1,1402.29$346,728$287,2571.21$2,630$3,4330.77$13,377$7,5221.78$493$8930.55$141,529$103,9941.36$17,522$17,3821.01$0$2400.00$76,133$66,5191.14
65
Stanford HospitalStanfordCA014ALLOGENEIC BONE MARROW TRANSPLANT1723.627.40.86$828,991$853,1970.97$97,752$151,0640.65$290,261$213,7521.36$0$1,1400.00$263,895$287,2570.92$1,686$3,4330.49$4,354$7,5220.58$0$8930.00$78,820$103,9940.76$11,504$17,3820.66$678$2402.82$80,041$66,5191.20
66
UC Davis Medical CenterSacramentoCA014ALLOGENEIC BONE MARROW TRANSPLANT***29.727.41.08$724,256$853,1970.85$23,439$151,0640.16$368,388$213,7521.72$0$1,1400.00$202,085$287,2570.70$8,088$3,4332.36$614$7,5220.08$3,251$8933.64$67,968$103,9940.65$27,081$17,3821.56$0$2400.00$23,341$66,5190.35
67
Stanford HospitalStanfordCA016AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC2117.819.10.93$685,601$484,3441.42$36,263$97,3390.37$284,760$148,2631.92$0$00.00$297,123$169,5281.75$1,259$1,2421.01$4,433$3,2181.38$0$6350.00$43,689$48,0720.91$2,570$6,2080.41$895$2543.52$14,608$9,5841.52
68
UC Davis Medical CenterSacramentoCA016AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC2418.819.10.98$468,866$484,3440.97$510$97,3390.01$257,399$148,2631.74$0$00.00$167,559$169,5280.99$2,719$1,2422.19$543$3,2180.17$2,170$6353.42$29,760$48,0720.62$2,978$6,2080.48$0$2540.00$5,228$9,5840.55
69
UCSF Medical Center
San Francisco
CA016AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC3720.119.11.05$380,158$484,3440.78$194,812$97,3392.00$0$148,2630.00$0$00.00$98,387$169,5280.58$274$1,2420.22$4,264$3,2181.33$0$6350.00$62,439$48,0721.30$10,368$6,2081.67$56$2540.22$9,557$9,5841.00
70
UCSF Medical Center
San Francisco
CA017
AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC
***14.014.01.00$263,243$263,2431.00$134,764$134,7641.00$0$00.00$0$00.00$92,317$92,3171.00$0$00.00$0$00.00$0$00.00$30,119$30,1191.00$509$5091.00$0$00.00$5,534$5,5341.00
71
John Muir Medical Center-Walnut Creek
Walnut Creek
CA020
Intracranial vascular procedures with PDX hemorrhage with major comp
***18.417.71.04$1,038,775$811,7791.28$12,594$20,1490.63$320,829$305,2481.05$0$2,2570.00$137,930$89,1141.55$139,766$75,8991.84$65,275$55,7911.17$57,399$81,2180.71$94,239$58,4711.61$41,796$73,1940.57$4,161$2,9361.42$164,786$47,5053.47
72
UCSF Medical Center
San Francisco
CA020
Intracranial vascular procedures with PDX hemorrhage with major comp
1218.617.71.05$918,499$811,7791.13$25,232$20,1491.25$437,808$305,2481.43$0$2,2570.00$75,633$89,1140.85$61,629$75,8990.81$46,068$55,7910.83$64,121$81,2180.79$77,839$58,4711.33$93,033$73,1941.27$261$2,9360.09$36,876$47,5050.78
73
UC Davis Medical CenterSacramentoCA020
Intracranial vascular procedures with PDX hemorrhage with major comp
1122.417.71.27$910,903$811,7791.12$35,770$20,1491.78$302,293$305,2480.99$0$2,2570.00$133,091$89,1141.49$56,883$75,8990.75$86,836$55,7911.56$115,169$81,2181.42$60,894$58,4711.04$86,199$73,1941.18$5,079$2,9361.73$28,689$47,5050.60
74
Stanford HospitalStanfordCA020
Intracranial vascular procedures with PDX hemorrhage with major comp
***13.217.70.75$908,052$811,7791.12$8,877$20,1490.44$331,561$305,2481.09$0$2,2570.00$87,815$89,1140.99$116,414$75,8991.53$45,372$55,7910.81$61,989$81,2180.76$65,753$58,4711.12$49,412$73,1940.68$0$2,9360.00$140,862$47,5052.97
75
Eden Medical CenterCastro valleyCA020
Intracranial vascular procedures with PDX hemorrhage with major comp
1114.417.70.81$543,723$811,7790.67$5,131$20,1490.25$149,239$305,2480.49$8,207$2,2573.64$60,550$89,1140.68$88,385$75,8991.16$41,035$55,7910.74$76,406$81,2180.94$30,947$58,4710.53$51,517$73,1940.70$5,311$2,9361.81$26,995$47,5050.57
76
UCSF Medical Center
San Francisco
CA021
Intracranial vascular procedures w PDX hemorrhage w CC
***14.512.01.21$609,129$513,9211.19$14,439$11,1191.30$355,719$231,3471.54$0$00.00$30,731$26,1971.17$27,148$67,2810.40$11,186$10,4091.07$74,663$44,9791.66$18,218$17,2991.05$51,257$51,0441.00$0$2,9750.00$25,769$51,2710.50
77
Stanford HospitalStanfordCA021
Intracranial vascular procedures w PDX hemorrhage w CC
***9.312.00.78$547,473$513,9211.07$0$11,1190.00$220,264$231,3470.95$0$00.00$18,463$26,1970.70$107,808$67,2811.60$11,984$10,4091.15$14,625$44,9790.33$22,439$17,2991.30$59,734$51,0441.17$4,991$2,9751.68$87,165$51,2711.70
78
Eden Medical CenterCastro valleyCA021
Intracranial vascular procedures w PDX hemorrhage w CC
***12.012.01.00$382,215$513,9210.74$0$11,1190.00$118,800$231,3470.51$0$00.00$26,868$26,1971.03$65,253$67,2810.97$6,445$10,4090.62$85,100$44,9791.89$8,314$17,2990.48$31,422$51,0440.62$5,850$2,9751.97$34,163$51,2710.67
79
UC Davis Medical CenterSacramentoCA021
Intracranial vascular procedures w PDX hemorrhage w CC
***15.012.01.25$354,559$513,9210.69$48,952$11,1194.40$128,401$231,3470.56$0$00.00$39,662$26,1971.51$27,992$67,2810.42$8,097$10,4090.78$36,552$44,9790.81$9,029$17,2990.52$44,174$51,0440.87$0$2,9750.00$11,700$51,2710.23
80
NorthBay Medical CenterFairfieldCA023
Craniotomy with major device implant with major complications
***8.510.60.80$773,309$451,2301.71$0$29,6810.00$0$142,6900.00$118,225$5,76520.51$175,405$45,9483.82$97,849$51,8881.89$58,864$29,1532.02$140,842$46,0583.06$91,083$38,1402.39$47,643$39,2851.21$12,578$5,9582.11$30,821$16,6641.85
81
UC Davis Medical CenterSacramentoCA023
Craniotomy with major device implant with major complications
2219.610.61.85$655,231$451,2301.45$62,980$29,6812.12$189,833$142,6901.33$0$5,7650.00$105,246$45,9482.29$30,979$51,8880.60$63,059$29,1532.16$62,226$46,0581.35$45,765$38,1401.20$63,102$39,2851.61$10,026$5,9581.68$22,014$16,6641.32
82
Stanford HospitalStanfordCA023
Craniotomy with major device implant with major complications
3511.310.61.06$578,938$451,2301.28$35,007$29,6811.18$227,293$142,6901.59$0$5,7650.00$40,706$45,9480.89$75,400$51,8881.45$28,694$29,1530.98$31,957$46,0580.69$54,106$38,1401.42$45,459$39,2851.16$7,682$5,9581.29$32,635$16,6641.96
83
John Muir Medical Center-Walnut Creek
Walnut Creek
CA023
Craniotomy with major device implant with major complications
349.610.60.90$450,988$451,2301.00$10,774$29,6810.36$147,263$142,6901.03$0$5,7650.00$57,182$45,9481.24$88,170$51,8881.70$25,558$29,1530.88$15,945$46,0580.35$32,976$38,1400.86$14,440$39,2850.37$6,828$5,9581.15$51,852$16,6643.11
84
UCSF Medical Center
San Francisco
CA023
Craniotomy with major device implant with major complications
308.610.60.81$354,527$451,2300.79$36,171$29,6811.22$134,079$142,6900.94$0$5,7650.00$32,257$45,9480.70$33,194$51,8880.64$16,313$29,1530.56$23,456$46,0580.51$40,652$38,1401.07$31,128$39,2850.79$1,979$5,9580.33$5,300$16,6640.32
85
Eden Medical CenterCastro valleyCA023
Craniotomy with major device implant with major complications
296.910.60.64$302,609$451,2300.67$3,559$29,6810.12$63,207$142,6900.44$6,180$5,7651.07$22,760$45,9480.50$61,743$51,8881.19$20,750$29,1530.71$70,411$46,0581.53$14,919$38,1400.39$25,764$39,2850.66$5,292$5,9580.89$8,025$16,6640.48
86
California Pacific Med Ctr-Pacific
San Francisco
CA023
Craniotomy with major device implant with major complications
***5.910.60.55$212,742$451,2300.47$0$29,6810.00$26,985$142,6900.19$29,249$5,7655.07$13,652$45,9480.30$37,435$51,8880.72$10,287$29,1530.35$40,943$46,0580.89$14,213$38,1400.37$31,319$39,2850.80$2,878$5,9580.48$5,781$16,6640.35
87
Alta Bates Summit Med Ctr-Alta Bates
BerkeleyCA023
Craniotomy with major device implant with major complications
***6.010.60.56$209,756$451,2300.46$0$29,6810.00$30,768$142,6900.22$44,139$5,7657.66$26,729$45,9480.58$19,810$51,8880.38$24,422$29,1530.84$26,577$46,0580.58$16,666$38,1400.44$11,186$39,2850.28$6,066$5,9581.02$3,396$16,6640.20
88
NorthBay Medical CenterFairfieldCA024
Craniotomy with major device implant without complications
***5.54.01.38$524,350$291,5551.80$13,088$12,8601.02$0$36,4510.00$55,270$6,7108.24$183,836$28,1256.54$83,026$86,3070.96$11,480$5,7581.99$106,543$63,0031.69$11,949$9,1851.30$25,215$27,0500.93$18,389$4,7063.91$15,556$11,3991.36
89
Stanford HospitalStanfordCA024
Craniotomy with major device implant without complications
163.24.00.80$341,045$291,5551.17$16,018$12,8601.25$48,269$36,4511.32$0$6,7100.00$31,245$28,1251.11$123,322$86,3071.43$8,152$5,7581.42$55,887$63,0030.89$9,934$9,1851.08$25,607$27,0500.95$4,138$4,7060.88$18,473$11,3991.62
90
California Pacific Med Ctr-Pacific
San Francisco
CA024
Craniotomy with major device implant without complications
***8.04.02.00$281,100$291,5550.96$7,493$12,8600.58$42,678$36,4511.17$16,417$6,7102.45$17,285$28,1250.61$65,369$86,3070.76$6,164$5,7581.07$72,098$63,0031.14$11,111$9,1851.21$33,363$27,0501.23$4,779$4,7061.02$4,345$11,3990.38
91
UC Davis Medical CenterSacramentoCA024
Craniotomy with major device implant without complications
***6.74.01.67$271,758$291,5550.93$30,516$12,8602.37$30,449$36,4510.84$0$6,7100.00$24,196$28,1250.86$18,809$86,3070.22$3,053$5,7580.53$111,057$63,0031.76$19,140$9,1852.08$22,350$27,0500.83$3,813$4,7060.81$8,376$11,3990.73
92
John Muir Medical Center-Walnut Creek
Walnut Creek
CA024
Craniotomy with major device implant without complications
***2.74.00.68$257,596$291,5550.88$2,328$12,8600.18$39,198$36,4511.08$0$6,7100.00$46,125$28,1251.64$84,180$86,3070.98$2,451$5,7580.43$7,331$63,0030.12$15,195$9,1851.65$11,028$27,0500.41$4,885$4,7061.04$44,875$11,3993.94
93
Eden Medical CenterCastro valleyCA024
Craniotomy with major device implant without complications
***4.24.01.05$246,643$291,5550.85$0$12,8600.00$20,795$36,4510.57$14,515$6,7102.16$9,944$28,1250.35$68,565$86,3070.79$3,850$5,7580.67$92,766$63,0031.47$5,157$9,1850.56$20,978$27,0500.78$4,898$4,7061.04$5,174$11,3990.45
94
UCSF Medical Center
San Francisco
CA024
Craniotomy with major device implant without complications
***3.24.00.80$218,756$291,5550.75$16,398$12,8601.28$41,045$36,4511.13$0$6,7100.00$13,519$28,1250.48$69,919$86,3070.81$3,422$5,7580.59$19,684$63,0030.31$8,090$9,1850.88$35,947$27,0501.33$2,941$4,7060.62$7,793$11,3990.68
95
NorthBay Medical CenterFairfieldCA025
Craniotomy & endovascular intracranial procedures with major complic
***7.76.81.13$633,583$282,7672.24$11,826$27,2740.43$0$67,5910.00$89,622$6,42213.96$144,678$19,8277.30$103,089$30,7203.36$28,766$10,9232.63$176,226$68,0602.59$27,216$21,6541.26$41,331$20,8481.98$7,067$2,6612.66$3,762$6,7890.55
96
John Muir Medical Center-Walnut Creek
Walnut Creek
CA025
Craniotomy & endovascular intracranial procedures with major complic
5211.56.81.68$440,494$282,7671.56$15,867$27,2740.58$175,996$67,5912.60$0$6,4220.00$44,424$19,8272.24$48,198$30,7201.57$17,937$10,9231.64$62,741$68,0600.92$31,841$21,6541.47$13,774$20,8480.66$5,352$2,6612.01$24,364$6,7893.59
97
UC Davis Medical CenterSacramentoCA025
Craniotomy & endovascular intracranial procedures with major complic
628.96.81.31$359,882$282,7671.27$31,254$27,2741.15$74,212$67,5911.10$0$6,4220.00$38,053$19,8271.92$26,333$30,7200.86$21,087$10,9231.93$102,682$68,0601.51$24,845$21,6541.15$28,783$20,8481.38$6,673$2,6612.51$5,960$6,7890.88
98
Stanford HospitalStanfordCA025
Craniotomy & endovascular intracranial procedures with major complic
735.86.80.84$347,135$282,7671.23$24,862$27,2740.91$97,185$67,5911.44$0$6,4220.00$18,135$19,8270.91$29,501$30,7200.96$11,106$10,9231.02$92,784$68,0601.36$29,941$21,6541.38$19,676$20,8480.94$3,777$2,6611.42$20,167$6,7892.97
99
Eden Medical CenterCastro valleyCA025
Craniotomy & endovascular intracranial procedures with major complic
359.16.81.34$276,639$282,7670.98$9,541$27,2740.35$56,263$67,5910.83$15,082$6,4222.35$19,363$19,8270.98$52,426$30,7201.71$17,166$10,9231.57$54,279$68,0600.80$15,913$21,6540.73$23,428$20,8481.12$3,669$2,6611.38$9,509$6,7891.40
100
UCSF Medical Center
San Francisco
CA025
Craniotomy & endovascular intracranial procedures with major complic
2056.06.80.88$250,062$282,7670.88$32,560$27,2741.19$67,406$67,5911.00$4,538$6,4220.71$11,383$19,8270.57$29,617$30,7200.96$6,476$10,9230.59$54,732$68,0600.80$20,928$21,6540.97$18,892$20,8480.91$604$2,6610.23$2,926$6,7890.43
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