Mercy San Juan Medical Center

Carmichael, California 95608

CCN: 050516 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
105
DRG Categories
3,362
Total Discharges
$127,291
Avg Charges
$20,219
Avg Payment
$18,355
Avg Medicare
6.3x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Above Average
Readmissions
Below Average
Patient Experience
Reported
California Average Rating
3.01 / 5 This hospital is below average
25 five-star hospitals of rated in California
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private

Compared to California Average

How this hospital compares to the average of 275 hospitals in California

Average Charges
$127,291 -16%
State avg: $151,712
Average Payment
$20,219 -17%
State avg: $24,418
Charge-to-Payment Ratio
6.3x Below avg
State avg: 6.59x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 395 $116,559 $21,197 5.5x
291 HEART FAILURE AND SHOCK WITH MCC 243 $82,945 $13,573 6.11x
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC 99 $152,145 $21,120 7.2x
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 99 $91,615 $11,035 8.3x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 95 $82,886 $11,828 7.01x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 88 $93,719 $18,928 4.95x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 88 $95,242 $14,486 6.57x
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 76 $71,619 $11,256 6.36x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 64 $58,624 $8,914 6.58x
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 64 $102,072 $17,229 5.92x
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 63 $59,303 $9,111 6.51x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 56 $75,005 $11,478 6.53x
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC 54 $129,399 $18,879 6.85x
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 54 $95,053 $19,093 4.98x
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 54 $74,838 $12,694 5.9x
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 53 $89,334 $12,946 6.9x
603 CELLULITIS WITHOUT MCC 50 $59,354 $10,393 5.71x
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 50 $276,700 $51,112 5.41x
682 RENAL FAILURE WITH MCC 45 $95,903 $15,332 6.26x
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 40 $54,829 $8,459 6.48x

Showing top 20 of 105 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

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