Hospital Costs > In Washington > Evergreen Hospital Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 334 | 185 / 9 | $46.034,00 | 1627 / 27 | $13.426,00 | 1952 / 26 | $12.197,50 | 1916 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 223 | 341 / 17 | $48.352,00 | 1216 / 16 | $15.113,90 | 1277 / 15 | $11.543,70 | 1246 / 3 |
| Heart Failure & Shock W Mcc | 76 | 208 / 17 | $46.533,40 | 1893 / 37 | $12.575,90 | 2217 / 38 | $11.384,50 | 2207 / 41 |
| Heart Failure & Shock W Cc | 75 | 203 / 12 | $27.721,90 | 1840 / 27 | $7.083,60 | 1877 / 16 | $6.278,41 | 1872 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 71 | 111 / 8 | $31.269,50 | 1218 / 24 | $7.760,35 | 1155 / 20 | $6.074,63 | 1152 / 14 |
| G.I. Hemorrhage W Cc | 68 | 150 / 13 | $29.299,10 | 1521 / 25 | $7.444,93 | 1540 / 20 | $6.034,44 | 1536 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 19 | $26.038,20 | 1339 / 19 | $7.623,43 | 1595 / 18 | $6.417,55 | 1588 / 19 |
| Renal Failure W Cc | 65 | 156 / 11 | $23.374,90 | 1302 / 20 | $7.504,43 | 1529 / 27 | $5.794,83 | 1520 / 12 |
| Respiratory Infections & Inflammations W Mcc | 62 | 74 / 5 | $44.869,80 | 930 / 23 | $13.801,10 | 1176 / 24 | $12.416,60 | 1162 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 16 | $21.941,20 | 1619 / 19 | $5.770,80 | 1522 / 21 | $4.150,61 | 1510 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 15 | $42.852,50 | 1675 / 33 | $10.141,30 | 1685 / 19 | $9.112,16 | 1685 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 5 | $40.643,30 | 830 / 16 | $11.692,00 | 1094 / 14 | $10.638,50 | 1089 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 7 | $49.053,60 | 1016 / 16 | $13.215,90 | 1317 / 14 | $12.052,20 | 1300 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 9 | $23.614,40 | 1895 / 29 | $5.638,98 | 1754 / 9 | $4.628,08 | 1743 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 14 | $57.891,50 | 401 / 4 | $13.998,50 | 992 / 3 | $12.456,30 | 985 / 16 |
| Renal Failure W Mcc | 47 | 148 / 14 | $47.826,00 | 1528 / 35 | $11.505,20 | 1491 / 32 | $10.243,00 | 1490 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 13 | $48.387,40 | 930 / 25 | $12.153,50 | 1018 / 16 | $11.116,70 | 1013 / 22 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 26 | $43.205,60 | 1609 / 34 | $9.774,43 | 1358 / 27 | $7.509,52 | 1354 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 12 | $20.295,90 | 1581 / 23 | $5.212,38 | 1714 / 16 | $4.343,64 | 1709 / 21 |
| Syncope & Collapse | 37 | 132 / 5 | $25.501,80 | 1241 / 22 | $5.651,62 | 1372 / 15 | $4.763,59 | 1365 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 20 | $23.172,20 | 1465 / 25 | $7.056,03 | 1492 / 18 | $5.502,19 | 1486 / 13 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 12 | $57.118,10 | 1145 / 29 | $14.951,40 | 1435 / 32 | $14.214,60 | 1425 / 34 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 19 | $115.089,00 | 892 / 14 | $28.812,10 | 1066 / 13 | $27.535,50 | 1061 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 13 | $32.391,50 | 1619 / 29 | $8.167,65 | 1726 / 12 | $7.263,41 | 1718 / 19 |
| Cellulitis W/O Mcc | 33 | 156 / 20 | $26.919,40 | 1984 / 35 | $8.455,39 | 1643 / 41 | $4.900,88 | 1636 / 16 |
| G.I. Obstruction W Cc | 33 | 59 / 9 | $24.229,40 | 944 / 19 | $6.425,52 | 1204 / 15 | $5.569,70 | 1200 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 11 | $24.499,20 | 264 / 4 | $7.533,66 | 1064 / 6 | $6.549,76 | 1061 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 14 | $81.473,80 | 1321 / 25 | $19.180,30 | 1555 / 30 | $18.234,10 | 1541 / 31 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 4 | $34.666,70 | 841 / 18 | $10.259,80 | 884 / 15 | $8.265,07 | 879 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 8 | $26.423,70 | 591 / 13 | $7.333,74 | 897 / 11 | $6.358,11 | 895 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 16 | $32.727,90 | 1278 / 29 | $8.363,35 | 1318 / 21 | $7.053,73 | 1314 / 21 |
| Other Vascular Procedures W Cc | 25 | 77 / 9 | $61.597,30 | 390 / 5 | $17.334,00 | 734 / 1 | $16.623,80 | 730 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 19 | $22.793,80 | 1264 / 25 | $5.728,12 | 1312 / 14 | $4.677,08 | 1307 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 16 | $130.557,00 | 846 / 23 | $39.837,00 | 1124 / 23 | $37.397,60 | 1116 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 18 | $31.419,50 | 1026 / 21 | $8.507,17 | 1157 / 13 | $7.495,33 | 1154 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 8 | $100.037,00 | 489 / 9 | $24.062,30 | 762 / 8 | $22.959,50 | 757 / 13 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 9 | $76.816,80 | 339 / 2 | $23.411,70 | 687 / 3 | $22.428,20 | 686 / 7 |
| Medical Back Problems W/O Mcc | 24 | 97 / 8 | $31.009,80 | 1046 / 21 | $6.099,08 | 929 / 7 | $5.042,83 | 926 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 11 | $35.955,80 | 840 / 24 | $9.033,00 | 939 / 18 | $7.925,57 | 934 / 18 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 8 | $29.272,00 | 811 / 16 | $8.236,23 | 633 / 20 | $5.420,36 | 630 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 16 | $36.785,30 | 1222 / 30 | $7.920,10 | 1027 / 15 | $7.169,48 | 1024 / 15 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 3 | $129.178,00 | 44 / 4 | $44.859,60 | 58 / 6 | $38.113,30 | 58 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 6 | $78.257,00 | 506 / 12 | $21.988,00 | 632 / 14 | $19.671,90 | 629 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 8 | $39.043,10 | 557 / 18 | $9.667,76 | 568 / 8 | $8.865,10 | 566 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 16 | $33.357,40 | 478 / 14 | $10.804,10 | 533 / 11 | $9.233,10 | 531 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 2 | $23.518,00 | 613 / 16 | $5.220,60 | 575 / 8 | $4.147,70 | 575 / 10 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 9 | $29.253,00 | 283 / 8 | $7.771,75 | 453 / 4 | $6.236,85 | 452 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 9 | $83.910,50 | 519 / 9 | $23.460,50 | 705 / 13 | $22.155,30 | 702 / 18 |
| Transient Ischemia | 19 | 106 / 13 | $27.034,30 | 1054 / 20 | $5.187,79 | 1080 / 10 | $4.206,05 | 1075 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 11 | $125.667,00 | 614 / 11 | $40.502,90 | 1063 / 18 | $39.179,30 | 1061 / 20 |
| Pulmonary Embolism W Mcc | 18 | 25 / 3 | $39.254,40 | 311 / 6 | $10.465,50 | 376 / 6 | $9.537,56 | 376 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 5 | $54.328,10 | 293 / 7 | $13.657,90 | 337 / 5 | $11.678,50 | 335 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 10 | $64.498,00 | 411 / 10 | $17.420,80 | 548 / 4 | $16.307,60 | 547 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 3 | $24.092,10 | 328 / 4 | $6.839,41 | 428 / 4 | $5.527,76 | 428 / 6 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 14 | $49.224,40 | 402 / 6 | $17.380,20 | 855 / 7 | $14.994,80 | 847 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 17 | $25.807,00 | 942 / 19 | $5.581,41 | 1073 / 8 | $4.491,35 | 1069 / 21 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $24.421,80 | 641 / 13 | $6.848,25 | 629 / 9 | $5.450,50 | 626 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 10 | $24.767,20 | 276 / 4 | $7.810,12 | 580 / 7 | $6.037,94 | 579 / 7 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 13 | $18.573,60 | 763 / 7 | $6.115,12 | 901 / 14 | $4.410,69 | 896 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 8 | $17.317,90 | 686 / 13 | $4.746,69 | 735 / 9 | $3.313,19 | 732 / 8 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 5 | $77.645,20 | 191 / 6 | $23.302,50 | 266 / 2 | $22.116,80 | 266 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 12 | $46.108,40 | 267 / 5 | $15.893,90 | 520 / 10 | $12.964,20 | 517 / 6 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 4 | $35.931,40 | 305 / 2 | $9.512,73 | 315 / 1 | $8.569,40 | 315 / 3 |
| Other Vascular Procedures W Mcc | 14 | 83 / 11 | $118.948,00 | 721 / 13 | $26.970,30 | 831 / 11 | $26.365,10 | 828 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 25 | $25.906,10 | 1502 / 24 | $6.770,36 | 1359 / 13 | $5.327,50 | 1354 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 9 | $33.411,60 | 191 / 5 | $12.725,50 | 417 / 9 | $9.324,46 | 417 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 5 | $26.902,20 | 436 / 6 | $6.844,15 | 472 / 4 | $5.959,77 | 472 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 15 | $40.380,70 | 205 / 2 | $15.125,70 | 628 / 3 | $13.902,20 | 625 / 14 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 5 | $52.920,80 | 136 / 1 | $19.402,40 | 163 / 3 | $14.405,00 | 163 / 2 |
| Chest Pain | 12 | 139 / 20 | $16.801,60 | 670 / 7 | $4.561,92 | 995 / 7 | $3.543,58 | 989 / 11 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 5 | $28.204,20 | 347 / 7 | $6.457,92 | 396 / 2 | $5.805,00 | 396 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 20 | $22.323,20 | 1413 / 24 | $4.960,67 | 1247 / 10 | $4.026,33 | 1237 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 12 | $60.867,80 | 477 / 5 | $18.992,60 | 739 / 13 | $16.126,90 | 732 / 15 |
| Seizures W/O Mcc | 11 | 97 / 15 | $37.126,50 | 1090 / 20 | $6.844,55 | 1059 / 17 | $5.914,09 | 1057 / 19 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 5 | $33.675,50 | 171 / 6 | $7.964,55 | 132 / 4 | $6.798,91 | 132 / 4 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 5 | $150.979,00 | 27 / 1 | $59.658,30 | 33 / 2 | $44.632,00 | 33 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 6 | $38.454,50 | 370 / 2 | $11.102,50 | 623 / 2 | $9.961,64 | 621 / 4 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 10 | $48.016,80 | 308 / 10 | $7.834,36 | 201 / 3 | $7.560,27 | 201 / 6 |
| Diabetes W Cc | 11 | 81 / 13 | $20.684,90 | 740 / 9 | $6.025,36 | 946 / 7 | $5.007,18 | 942 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 10 | $21.067,30 | 280 / 4 | $6.745,00 | 477 / 2 | $6.162,00 | 477 / 6 |
| Endocrine Disorders W Mcc | 11 | 15 / 2 | $92.897,60 | 112 / 2 | $19.339,20 | 113 / 2 | $18.136,70 | 113 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $20.484,00 | 315 / 2 | $6.377,73 | 519 / 3 | $5.356,45 | 517 / 5 | Total 82 procedures | 2.761 | 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.