Hospital Costs > In Washington > Highline 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 | 195 | 321 / 24 | $51.252,80 | 1835 / 35 | $13.331,90 | 1917 / 25 | $12.092,90 | 1882 / 27 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 37 | $82.360,20 | 2248 / 37 | $15.565,30 | 1802 / 22 | $12.906,60 | 1762 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 20 | $35.532,10 | 1884 / 38 | $7.916,53 | 1854 / 21 | $6.918,14 | 1846 / 31 |
Heart Failure & Shock W Mcc | 50 | 234 / 28 | $44.471,60 | 1834 / 34 | $11.957,90 | 1778 / 36 | $9.652,92 | 1773 / 22 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 24 | $32.963,60 | 1199 / 20 | $8.777,09 | 1427 / 13 | $7.666,29 | 1423 / 18 |
Psychoses | 43 | 234 / 7 | $18.165,30 | 280 / 5 | $7.483,77 | 400 / 8 | $6.809,35 | 400 / 10 |
Heart Failure & Shock W Cc | 42 | 236 / 26 | $28.680,20 | 1889 / 30 | $7.407,19 | 1560 / 24 | $5.832,31 | 1555 / 12 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 39 | 46 / 2 | $14.458,10 | 31 / 1 | $8.474,90 | 46 / 2 | $7.675,72 | 46 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 19 | $32.744,70 | 1213 / 19 | $10.040,90 | 1634 / 16 | $8.979,62 | 1634 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 37 | 87 / 4 | $16.547,60 | 397 / 3 | $5.097,16 | 476 / 3 | $4.375,32 | 475 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 14 | $23.438,80 | 1799 / 32 | $5.314,20 | 1632 / 18 | $4.229,94 | 1627 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 29 | $29.712,70 | 2152 / 37 | $5.599,10 | 1981 / 15 | $4.745,10 | 1967 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 18 | $30.108,80 | 2221 / 40 | $5.731,93 | 1788 / 12 | $4.673,67 | 1777 / 22 |
Renal Failure W Cc | 29 | 192 / 25 | $28.552,10 | 1635 / 28 | $7.066,72 | 1648 / 18 | $6.017,62 | 1639 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 16 | $32.825,40 | 1639 / 30 | $8.400,21 | 1582 / 17 | $6.954,66 | 1574 / 11 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 25 | $25.624,60 | 1668 / 30 | $7.513,48 | 1336 / 27 | $5.348,28 | 1331 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 25 | $36.117,20 | 1394 / 35 | $7.834,92 | 1319 / 24 | $6.378,04 | 1316 / 23 |
G.I. Hemorrhage W Cc | 26 | 192 / 30 | $34.827,00 | 1776 / 37 | $7.865,38 | 1783 / 27 | $6.580,92 | 1779 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 14 | $38.282,00 | 1266 / 32 | $9.169,72 | 1331 / 27 | $8.290,76 | 1328 / 30 |
Transient Ischemia | 25 | 100 / 9 | $26.792,10 | 1045 / 19 | $5.292,68 | 1150 / 12 | $4.372,44 | 1144 / 18 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 21 | $81.154,30 | 1723 / 34 | $14.730,20 | 1657 / 29 | $13.716,80 | 1638 / 34 |
Cellulitis W/O Mcc | 23 | 166 / 26 | $29.604,70 | 2107 / 38 | $6.481,35 | 2010 / 22 | $5.579,22 | 2002 / 36 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 18 | $79.092,00 | 1297 / 24 | $19.924,60 | 1440 / 32 | $16.822,10 | 1426 / 29 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 18 | $50.712,00 | 1088 / 29 | $13.319,10 | 1175 / 19 | $12.414,00 | 1161 / 20 |
G.I. Hemorrhage W Mcc | 22 | 99 / 19 | $50.103,60 | 1008 / 26 | $11.617,80 | 891 / 11 | $10.813,00 | 886 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 22 | $34.787,20 | 516 / 9 | $11.376,10 | 865 / 7 | $10.491,20 | 863 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 20 | $50.878,40 | 1546 / 36 | $10.064,20 | 1604 / 32 | $9.230,91 | 1601 / 37 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 18 | $127.060,00 | 800 / 21 | $36.592,00 | 851 / 14 | $33.259,50 | 845 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 14 | $23.037,70 | 1454 / 25 | $8.879,45 | 1213 / 31 | $3.990,80 | 1203 / 12 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 10 | $56.967,80 | 641 / 21 | $9.880,32 | 473 / 18 | $6.366,63 | 472 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 16 | $30.167,70 | 1104 / 26 | $5.716,94 | 1103 / 15 | $4.574,06 | 1099 / 23 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 20 | $36.525,20 | 1399 / 31 | $8.314,11 | 1503 / 20 | $7.631,78 | 1499 / 28 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 21 | $49.259,90 | 1123 / 27 | $11.645,50 | 1130 / 13 | $10.781,50 | 1125 / 17 |
Diabetes W Cc | 17 | 75 / 9 | $27.332,10 | 1088 / 19 | $6.155,76 | 1038 / 11 | $5.228,35 | 1034 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 22 | $22.825,50 | 1282 / 17 | $7.077,00 | 1589 / 18 | $5.663,24 | 1582 / 14 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 5 | $182.724,00 | 682 / 5 | $41.527,00 | 751 / 7 | $38.702,20 | 750 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 27 | $24.752,20 | 1388 / 29 | $5.907,38 | 1444 / 19 | $4.881,25 | 1439 / 22 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 14 | $22.731,70 | 1115 / 17 | $5.977,80 | 1384 / 11 | $5.168,33 | 1375 / 20 |
Renal Failure W Mcc | 14 | 181 / 32 | $44.180,40 | 1420 / 31 | $10.802,40 | 1392 / 18 | $9.929,43 | 1392 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 22 | $36.518,80 | 819 / 11 | $7.662,00 | 1110 / 8 | $6.730,31 | 1107 / 15 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 7 | $26.080,20 | 675 / 17 | $5.162,62 | 657 / 7 | $4.418,15 | 657 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 2 | $25.141,20 | 709 / 9 | $5.302,38 | 722 / 4 | $4.461,62 | 718 / 7 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 13 | 36 / 2 | $7.365,08 | 48 / 1 | $3.729,92 | 39 / 1 | $3.081,00 | 38 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 26 | $74.448,90 | 761 / 17 | $16.830,50 | 862 / 20 | $11.918,80 | 856 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 4 | $69.528,40 | 213 / 6 | $18.253,20 | 105 / 7 | $13.293,50 | 105 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 14 | $39.068,80 | 558 / 19 | $9.826,42 | 571 / 9 | $8.911,42 | 569 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 17 | $30.235,00 | 641 / 15 | $8.899,50 | 646 / 15 | $6.988,42 | 641 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 24 | $20.325,30 | 1409 / 28 | $5.075,25 | 1184 / 30 | $3.000,42 | 1179 / 14 |
Chest Pain | 12 | 139 / 20 | $22.512,10 | 1084 / 18 | $4.690,67 | 1117 / 9 | $3.779,33 | 1110 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 5 | $51.448,00 | 511 / 7 | $10.069,10 | 430 / 6 | $7.396,55 | 430 / 6 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 14 | $34.618,50 | 840 / 17 | $9.511,91 | 962 / 7 | $8.516,09 | 957 / 11 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 19 | $89.627,50 | 1108 / 23 | $18.268,40 | 1170 / 15 | $17.264,80 | 1156 / 25 | Total 52 procedures | 1.442 | 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.