Hospital Costs > In Washington > Harborview 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 | 162 | 354 / 28 | $51.200,50 | 1831 / 34 | $19.359,50 | 2658 / 45 | $17.189,10 | 2613 / 45 |
Spinal Fusion Except Cervical W/O Mcc | 87 | 107 / 6 | $159.598,00 | 1161 / 24 | $50.535,00 | 1311 / 29 | $37.294,00 | 1306 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 82 | 86 / 4 | $55.710,40 | 1063 / 28 | $21.579,50 | 1526 / 37 | $16.906,00 | 1519 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 75 | 107 / 6 | $43.486,30 | 1603 / 39 | $15.051,60 | 1987 / 42 | $10.391,10 | 1983 / 42 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 68 | 34 / 2 | $154.705,00 | 360 / 8 | $54.943,10 | 482 / 10 | $43.525,60 | 482 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 62 | 64 / 1 | $29.993,50 | 961 / 19 | $12.007,20 | 1625 / 33 | $10.889,20 | 1622 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 54 | 70 / 5 | $163.679,00 | 1094 / 32 | $58.038,70 | 1538 / 36 | $54.991,40 | 1528 / 37 |
Seizures W/O Mcc | 53 | 55 / 1 | $24.336,00 | 747 / 10 | $10.666,30 | 1162 / 20 | $6.683,04 | 1160 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 5 | $83.521,60 | 1749 / 36 | $23.433,40 | 1970 / 40 | $17.818,90 | 1949 / 40 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 46 | 9 / 1 | $78.754,90 | 480 / 14 | $23.113,30 | 611 / 18 | $18.182,30 | 607 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 45 | 21 / 1 | $39.487,80 | 336 / 8 | $13.809,20 | 500 / 9 | $10.862,80 | 499 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 9 | $60.027,20 | 907 / 16 | $24.252,30 | 1676 / 34 | $20.078,80 | 1662 / 33 |
Cellulitis W/O Mcc | 43 | 146 / 14 | $20.620,00 | 1546 / 27 | $9.591,93 | 2486 / 42 | $7.821,56 | 2478 / 42 |
Major Cardiovasc Procedures W/O Mcc | 42 | 59 / 3 | $124.733,00 | 765 / 12 | $36.318,80 | 978 / 19 | $33.073,30 | 977 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 29 | $29.838,10 | 1611 / 31 | $11.425,30 | 2452 / 42 | $9.923,95 | 2442 / 42 |
Heart Failure & Shock W Cc | 41 | 237 / 27 | $24.454,20 | 1624 / 19 | $11.216,20 | 2628 / 44 | $9.580,44 | 2622 / 44 |
Poisoning & Toxic Effects Of Drugs W Mcc | 40 | 32 / 2 | $29.638,40 | 338 / 7 | $14.351,70 | 894 / 26 | $12.938,30 | 891 / 28 |
Medical Back Problems W/O Mcc | 40 | 81 / 1 | $20.451,10 | 572 / 5 | $9.536,88 | 1416 / 25 | $8.123,83 | 1411 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 39 | 525 / 42 | $91.119,90 | 2377 / 41 | $24.688,80 | 2590 / 46 | $19.479,40 | 2544 / 46 |
Other O.R. Procedures For Multiple Significant Trauma W Mcc | 37 | 1 / 1 | $234.675,00 | 24 / 1 | $87.211,80 | 29 / 1 | $73.443,10 | 29 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 37 | 18 / 2 | $139.635,00 | 196 / 4 | $47.568,60 | 219 / 5 | $31.064,20 | 219 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 35 | 14 / 1 | $62.090,20 | 409 / 7 | $16.303,40 | 502 / 10 | $14.085,30 | 502 / 10 |
Non-Extensive Burns | 32 | 5 / 1 | $20.712,90 | 3 / 1 | $14.409,30 | 25 / 1 | $12.821,20 | 25 / 1 |
Renal Failure W Cc | 31 | 190 / 24 | $25.384,10 | 1454 / 23 | $10.981,30 | 2295 / 39 | $8.911,16 | 2285 / 39 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 30 | 44 / 3 | $116.124,00 | 241 / 5 | $36.455,00 | 263 / 6 | $24.499,80 | 262 / 6 |
Cervical Spinal Fusion W Cc | 30 | 23 / 2 | $126.430,00 | 333 / 7 | $34.107,30 | 372 / 10 | $28.232,40 | 371 / 10 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 30 | 12 / 1 | $176.510,00 | 117 / 2 | $60.122,60 | 165 / 3 | $54.034,00 | 165 / 3 |
Heart Failure & Shock W Mcc | 29 | 255 / 36 | $60.006,80 | 2197 / 44 | $18.280,50 | 2570 / 43 | $16.266,70 | 2559 / 44 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 28 | 23 / 1 | $61.449,30 | 208 / 3 | $20.594,70 | 313 / 6 | $18.599,50 | 313 / 6 |
Other Vascular Procedures W Cc | 26 | 76 / 8 | $68.844,40 | 502 / 8 | $25.075,50 | 939 / 18 | $19.383,00 | 934 / 17 |
Major Cardiovasc Procedures W Mcc | 26 | 42 / 2 | $186.872,00 | 476 / 7 | $58.712,40 | 626 / 10 | $56.405,70 | 625 / 10 |
Soft Tissue Procedures W/O Cc/Mcc | 26 | 3 / 1 | $42.494,20 | 16 / 1 | $12.183,20 | 21 / 1 | $10.686,00 | 21 / 1 |
Other Multiple Significant Trauma W Cc | 25 | 4 / 1 | $43.376,30 | 20 / 1 | $14.620,50 | 42 / 1 | $12.374,20 | 42 / 1 |
G.I. Hemorrhage W Mcc | 24 | 97 / 17 | $37.780,20 | 616 / 11 | $17.421,80 | 1545 / 36 | $16.073,20 | 1535 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 20 | $19.533,90 | 1514 / 20 | $8.468,88 | 2426 / 39 | $7.102,25 | 2417 / 39 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 7 | $19.676,00 | 481 / 7 | $8.333,04 | 778 / 16 | $6.998,79 | 777 / 16 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 13 | $63.853,10 | 979 / 15 | $20.040,30 | 1291 / 21 | $18.101,70 | 1283 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 14 | $35.891,60 | 1262 / 30 | $14.221,50 | 1496 / 33 | $6.759,83 | 1492 / 33 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 2 | $21.240,30 | 177 / 1 | $10.435,10 | 359 / 6 | $6.620,77 | 359 / 6 |
Renal Failure W Mcc | 22 | 173 / 28 | $42.547,40 | 1366 / 29 | $16.886,50 | 2005 / 41 | $13.969,30 | 2001 / 41 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 22 | 4 / 1 | $55.633,70 | 27 / 1 | $17.828,90 | 41 / 1 | $16.340,10 | 41 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 15 | $34.818,00 | 515 / 15 | $14.992,40 | 1002 / 24 | $13.907,90 | 998 / 27 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 8 | $44.833,80 | 538 / 13 | $12.651,50 | 743 / 22 | $10.428,10 | 742 / 22 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 21 | 60 / 1 | $523.088,00 | 283 / 3 | $191.651,00 | 406 / 4 | $169.280,00 | 405 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 18 | $24.601,40 | 1426 / 21 | $10.619,70 | 2357 / 35 | $9.338,38 | 2350 / 36 |
Spinal Fusion Except Cervical W Mcc | 20 | 5 / 1 | $241.622,00 | 62 / 3 | $86.076,50 | 71 / 3 | $65.424,40 | 71 / 3 |
Other O.R. Procedures For Multiple Significant Trauma W Cc | 20 | 1 / 1 | $140.590,00 | 7 / 1 | $50.635,50 | 8 / 1 | $34.217,60 | 8 / 1 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 20 | 20 / 2 | $284.548,00 | 73 / 3 | $86.230,00 | 88 / 3 | $82.932,00 | 88 / 3 |
Soft Tissue Procedures W Cc | 20 | 3 / 1 | $53.103,20 | 22 / 2 | $16.893,40 | 32 / 2 | $15.164,70 | 32 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 24 | $25.437,30 | 1422 / 32 | $9.285,47 | 2068 / 41 | $7.851,79 | 2063 / 42 |
Spinal Procedures W Mcc | 19 | 1 / 1 | $212.065,00 | 13 / 1 | $66.407,60 | 15 / 1 | $59.369,10 | 15 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 6 | $61.035,40 | 358 / 5 | $20.482,20 | 561 / 11 | $17.950,60 | 557 / 12 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 19 | 21 / 1 | $92.229,70 | 195 / 2 | $26.891,60 | 210 / 2 | $18.751,90 | 210 / 2 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 19 | 9 / 1 | $135.354,00 | 42 / 2 | $36.895,40 | 47 / 2 | $34.783,80 | 47 / 2 |
Diabetes W Cc | 18 | 74 / 8 | $33.255,10 | 1268 / 24 | $10.171,80 | 1541 / 26 | $8.605,11 | 1536 / 26 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 18 | 4 / 1 | $65.842,50 | 18 / 1 | $22.394,20 | 17 / 1 | $10.689,90 | 17 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 3 | $20.961,70 | 401 / 3 | $11.197,40 | 736 / 9 | $6.601,50 | 734 / 9 |
Urethral Procedures W/O Cc/Mcc | 18 | 1 / 1 | $30.180,80 | 1 / 1 | $10.844,80 | 1 / 1 | $7.953,33 | 1 / 1 |
Medical Back Problems W Mcc | 18 | 21 / 3 | $44.529,90 | 178 / 6 | $16.475,30 | 295 / 9 | $13.906,70 | 295 / 9 |
Other Multiple Significant Trauma W Mcc | 18 | 6 / 1 | $120.912,00 | 19 / 1 | $34.063,60 | 20 / 1 | $30.650,40 | 20 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 21 | $86.727,80 | 1609 / 38 | $24.279,10 | 1809 / 37 | $22.268,90 | 1796 / 38 |
Other Vascular Procedures W Mcc | 17 | 80 / 8 | $128.016,00 | 781 / 14 | $41.025,50 | 993 / 17 | $38.795,30 | 990 / 17 |
Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc | 17 | 3 / 2 | $377.304,00 | 13 / 1 | $127.782,00 | 18 / 2 | $105.305,00 | 18 / 2 |
G.I. Hemorrhage W Cc | 17 | 201 / 33 | $22.036,20 | 946 / 9 | $10.917,90 | 2325 / 41 | $9.697,24 | 2321 / 41 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 29 | $20.992,00 | 1243 / 16 | $10.776,20 | 2712 / 43 | $9.580,00 | 2703 / 43 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 16 | 6 / 1 | $244.945,00 | 56 / 1 | $70.699,80 | 61 / 1 | $67.025,80 | 61 / 1 |
Major Chest Trauma W Cc | 16 | 20 / 1 | $30.964,30 | 67 / 1 | $11.054,80 | 131 / 2 | $8.888,25 | 131 / 2 |
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 16 | 15 / 1 | $139.614,00 | 16 / 1 | $53.186,60 | 22 / 1 | $49.427,30 | 22 / 1 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 16 | 11 / 1 | $69.167,70 | 39 / 1 | $23.827,20 | 58 / 1 | $21.636,40 | 58 / 1 |
Seizures W Mcc | 16 | 50 / 7 | $40.150,20 | 358 / 9 | $16.799,80 | 644 / 18 | $13.198,80 | 644 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $21.340,40 | 265 / 4 | $12.537,20 | 1338 / 30 | $11.015,40 | 1333 / 31 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 11 | $136.166,00 | 846 / 22 | $36.552,50 | 937 / 22 | $30.885,30 | 934 / 22 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 7 | $21.931,40 | 304 / 6 | $10.764,90 | 798 / 13 | $9.473,27 | 798 / 13 |
Other O.R. Procedures For Injuries W Mcc | 14 | 23 / 2 | $149.732,00 | 158 / 3 | $50.833,90 | 192 / 4 | $48.149,30 | 192 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 26 | $68.934,30 | 1773 / 41 | $18.392,20 | 1878 / 41 | $13.765,50 | 1875 / 41 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 4 | $27.437,70 | 447 / 7 | $11.182,30 | 793 / 8 | $9.278,64 | 793 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 21 | $48.740,50 | 1176 / 25 | $12.618,60 | 1587 / 29 | $11.144,40 | 1584 / 30 |
Combined Anterior/Posterior Spinal Fusion W Mcc | 14 | 7 / 1 | $343.380,00 | 12 / 1 | $125.211,00 | 14 / 2 | $106.776,00 | 14 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 34 | $22.128,60 | 1642 / 23 | $8.997,43 | 2622 / 41 | $7.733,00 | 2607 / 41 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 8 | $27.286,80 | 717 / 8 | $15.346,30 | 1149 / 13 | $8.650,93 | 1146 / 12 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 37 | $29.668,90 | 1022 / 17 | $12.914,90 | 2127 / 39 | $11.794,20 | 2121 / 40 |
Skin Grafts For Injuries W Cc/Mcc | 13 | 7 / 1 | $64.413,50 | 4 / 1 | $31.447,80 | 15 / 1 | $26.238,80 | 15 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 7 | $164.756,00 | 625 / 4 | $57.120,40 | 955 / 12 | $53.588,20 | 954 / 13 |
Cervical Spinal Fusion W Mcc | 13 | 9 / 1 | $198.900,00 | 28 / 1 | $60.837,20 | 32 / 2 | $53.784,10 | 32 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 7 | $142.559,00 | 448 / 5 | $56.048,50 | 723 / 9 | $47.867,80 | 723 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 33 | $27.829,00 | 896 / 11 | $14.285,20 | 2284 / 42 | $12.034,20 | 2278 / 42 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 1 | $95.669,10 | 101 / 1 | $34.966,40 | 135 / 2 | $27.216,90 | 135 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 3 | $101.639,00 | 318 / 5 | $34.991,60 | 422 / 4 | $30.225,60 | 420 / 5 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 2 | $245.987,00 | 243 / 2 | $93.597,70 | 470 / 2 | $89.328,90 | 469 / 2 |
Nervous System Neoplasms W Mcc | 12 | 36 / 3 | $24.425,20 | 42 / 2 | $11.161,80 | 208 / 5 | $9.792,75 | 208 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 15 | $114.172,00 | 625 / 12 | $31.287,90 | 965 / 17 | $29.764,20 | 960 / 19 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 1 | $66.988,60 | 83 / 2 | $20.795,00 | 88 / 2 | $13.709,20 | 88 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 12 | 11 / 2 | $123.189,00 | 44 / 2 | $35.214,90 | 49 / 2 | $29.258,40 | 49 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 12 | 12 / 1 | $41.039,10 | 22 / 1 | $13.782,30 | 34 / 1 | $11.323,80 | 34 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 29 | $26.316,10 | 1226 / 20 | $11.550,20 | 2414 / 40 | $10.368,20 | 2406 / 40 |
Cellulitis W Mcc | 11 | 47 / 11 | $41.673,50 | 629 / 15 | $17.994,80 | 950 / 18 | $16.145,50 | 948 / 18 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc | 11 | 7 / 1 | $360.419,00 | 10 / 1 | $127.152,00 | 14 / 1 | $102.392,00 | 14 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 2 | $62.217,00 | 109 / 3 | $20.896,50 | 161 / 3 | $19.510,30 | 161 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 10 | $19.393,80 | 496 / 5 | $7.912,45 | 856 / 14 | $6.760,00 | 855 / 14 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 11 | 9 / 1 | $69.533,60 | 19 / 1 | $23.843,60 | 29 / 1 | $18.567,70 | 29 / 1 | Total 100 procedures | 2.641 | 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.