Hospital Costs > In Washington > Capital Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 203 | 361 / 22 | $69.923,20 | 1990 / 26 | $14.508,60 | 1314 / 7 | $11.621,80 | 1282 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 202 | 27 / 1 | $117.389,00 | 917 / 15 | $27.524,20 | 661 / 6 | $22.823,90 | 657 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 40 | $38.430,80 | 1238 / 16 | $12.058,60 | 1119 / 6 | $10.348,60 | 1103 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 41 | 63 / 4 | $64.491,70 | 518 / 13 | $15.292,60 | 343 / 4 | $11.859,70 | 342 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 34 | $28.478,90 | 1524 / 26 | $7.375,83 | 1296 / 11 | $5.975,60 | 1291 / 8 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 32 | $27.928,40 | 908 / 12 | $8.217,20 | 1133 / 8 | $7.148,27 | 1131 / 9 |
| Heart Failure & Shock W Mcc | 29 | 255 / 36 | $40.193,60 | 1670 / 25 | $9.796,34 | 1407 / 7 | $8.878,28 | 1403 / 9 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 7 | $42.195,80 | 503 / 11 | $7.760,52 | 230 / 2 | $5.315,87 | 230 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 31 | $19.750,90 | 1356 / 13 | $5.123,83 | 1555 / 10 | $4.177,74 | 1542 / 13 |
| Cervical Spinal Fusion W Cc | 21 | 32 / 3 | $83.733,80 | 239 / 6 | $20.258,00 | 145 / 3 | $16.097,30 | 144 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 7 | $43.023,40 | 682 / 11 | $8.084,85 | 379 / 10 | $5.430,90 | 379 / 2 |
| G.I. Hemorrhage W Cc | 18 | 200 / 32 | $34.303,50 | 1760 / 36 | $6.855,61 | 1586 / 10 | $6.116,06 | 1582 / 19 |
| Heart Failure & Shock W Cc | 18 | 260 / 33 | $27.749,60 | 1841 / 28 | $6.656,44 | 855 / 11 | $5.180,17 | 854 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 31 | $35.502,20 | 1382 / 24 | $9.620,94 | 1391 / 9 | $8.482,12 | 1391 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 23 | $73.244,50 | 744 / 16 | $18.046,20 | 518 / 25 | $10.687,50 | 516 / 1 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 14 | $94.960,60 | 1169 / 25 | $16.221,20 | 886 / 3 | $15.151,90 | 878 / 9 |
| Renal Failure W Cc | 15 | 206 / 30 | $24.972,90 | 1417 / 22 | $6.771,20 | 1028 / 10 | $5.212,80 | 1020 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 30 | $21.274,90 | 1277 / 20 | $6.531,53 | 1318 / 7 | $5.319,80 | 1313 / 9 |
| Spinal Fusion Except Cervical W Mcc | 14 | 11 / 2 | $172.222,00 | 38 / 1 | $39.571,90 | 26 / 1 | $38.449,50 | 26 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 17 | $34.305,50 | 887 / 20 | $7.110,57 | 811 / 4 | $6.157,43 | 809 / 7 |
| Renal Failure W Mcc | 14 | 181 / 32 | $34.368,40 | 1020 / 19 | $10.362,10 | 356 / 11 | $7.839,86 | 356 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 27 | $34.707,50 | 1150 / 27 | $8.067,92 | 1091 / 7 | $7.327,00 | 1088 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 33 | $34.867,80 | 1351 / 31 | $7.030,69 | 1056 / 8 | $5.918,08 | 1053 / 10 |
| Cellulitis W/O Mcc | 13 | 176 / 30 | $18.759,50 | 1333 / 17 | $5.572,23 | 1509 / 6 | $4.742,69 | 1502 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 14 | $76.395,90 | 640 / 14 | $14.582,90 | 460 / 2 | $12.492,60 | 457 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 23 | $37.152,50 | 843 / 13 | $7.402,75 | 604 / 4 | $5.592,08 | 602 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 20 | $19.047,70 | 1225 / 13 | $4.854,17 | 747 / 7 | $3.509,33 | 743 / 4 |
| Medical Back Problems W/O Mcc | 11 | 110 / 15 | $22.002,40 | 674 / 12 | $5.797,27 | 772 / 3 | $4.697,64 | 769 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 28 | $22.086,20 | 1214 / 22 | $5.979,73 | 733 / 22 | $4.043,91 | 730 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $225.244,00 | 1111 / 26 | $44.637,70 | 1160 / 21 | $43.903,30 | 1158 / 23 | Total 30 procedures | 947 | discharges |
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.