Hospital Costs > In Washington > Cascade Valley Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 17 | 172 / 28 | $15.819,10 | 971 / 6 | $7.520,59 | 2009 / 37 | $5.573,76 | 2001 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 26 | $17.078,70 | 484 / 4 | $9.200,88 | 2114 / 30 | $8.350,06 | 2106 / 38 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 12 | $16.168,70 | 927 / 5 | $5.958,27 | 1673 / 13 | $4.870,27 | 1662 / 16 |
Heart Failure & Shock W Cc | 12 | 266 / 35 | $11.615,60 | 242 / 3 | $7.921,25 | 2246 / 34 | $7.118,58 | 2240 / 39 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 25 | $13.858,70 | 777 / 5 | $6.342,33 | 2135 / 32 | $5.273,89 | 2124 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 45 | $47.264,40 | 1149 / 14 | $16.562,50 | 2309 / 31 | $15.428,50 | 2265 / 44 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 33 | $16.005,20 | 683 / 5 | $7.628,58 | 2284 / 32 | $6.825,92 | 2276 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 12 | $11.827,30 | 405 / 3 | $5.865,55 | 1647 / 14 | $4.873,55 | 1639 / 16 | Total 8 procedures | 114 | 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.