Hospital Costs > In Washington > Island Hospital, 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 | 138 | 426 / 29 | $34.849,80 | 452 / 4 | $13.894,40 | 1357 / 2 | $11.710,00 | 1325 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 38 | $16.912,50 | 133 / 1 | $11.194,40 | 1107 / 2 | $10.336,90 | 1093 / 3 |
| Respiratory Infections & Inflammations W Mcc | 44 | 92 / 10 | $23.474,00 | 185 / 2 | $11.376,50 | 557 / 1 | $10.580,10 | 550 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 31 | $14.519,00 | 313 / 3 | $6.595,21 | 973 / 2 | $5.637,67 | 970 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 24 | $18.493,70 | 387 / 3 | $6.555,74 | 876 / 3 | $5.662,11 | 874 / 4 |
| G.I. Hemorrhage W Cc | 26 | 192 / 30 | $13.722,80 | 205 / 1 | $6.311,65 | 1148 / 2 | $5.521,50 | 1146 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 30 | $11.883,20 | 374 / 1 | $4.970,80 | 587 / 6 | $3.475,20 | 584 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 21 | $24.157,40 | 184 / 3 | $10.418,10 | 552 / 1 | $9.464,75 | 551 / 4 |
| Cellulitis W/O Mcc | 23 | 166 / 26 | $10.190,90 | 260 / 1 | $5.401,78 | 372 / 4 | $3.773,39 | 369 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 29 | $16.380,70 | 191 / 3 | $9.025,48 | 1199 / 3 | $8.133,65 | 1199 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 22 | $9.926,57 | 304 / 2 | $4.427,48 | 614 / 2 | $3.389,76 | 612 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 25 | $16.339,50 | 418 / 3 | $7.306,61 | 465 / 1 | $5.752,89 | 464 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 28 | $11.714,10 | 232 / 1 | $5.998,59 | 1087 / 1 | $5.147,76 | 1083 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 19 | $18.644,20 | 341 / 5 | $6.937,53 | 723 / 3 | $6.438,71 | 720 / 5 |
| Heart Failure & Shock W Mcc | 16 | 268 / 38 | $18.333,90 | 331 / 3 | $9.412,06 | 1100 / 4 | $8.432,06 | 1097 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 20 | $6.761,44 | 65 / 1 | $3.492,19 | 496 / 1 | $2.438,19 | 492 / 3 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 36 | $16.573,80 | 216 / 2 | $7.690,47 | 900 / 2 | $6.809,40 | 900 / 4 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 24 | $21.161,70 | 85 / 2 | $10.849,60 | 621 / 1 | $9.994,71 | 622 / 3 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 11 | $17.828,90 | 185 / 1 | $8.514,79 | 741 / 2 | $7.831,36 | 736 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 27 | $9.670,50 | 266 / 2 | $4.865,50 | 815 / 3 | $3.832,36 | 810 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 16 | $11.135,90 | 165 / 2 | $5.356,92 | 206 / 4 | $3.630,62 | 206 / 1 |
| Heart Failure & Shock W Cc | 13 | 265 / 34 | $11.394,10 | 222 / 2 | $6.183,23 | 941 / 3 | $5.252,77 | 940 / 3 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $40.776,70 | 203 / 4 | $15.939,80 | 801 / 1 | $14.738,50 | 793 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 30 | $31.912,70 | 292 / 2 | $12.276,80 | 1057 / 6 | $11.164,20 | 1043 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 28 | $11.295,00 | 35 / 1 | $7.641,67 | 547 / 2 | $6.436,33 | 544 / 2 |
| G.I. Obstruction W Cc | 12 | 80 / 22 | $9.399,58 | 42 / 1 | $5.893,83 | 244 / 3 | $4.113,25 | 243 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 13 | $9.608,58 | 12 / 1 | $5.730,08 | 158 / 2 | $5.231,42 | 158 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $79.050,90 | 245 / 2 | $33.708,40 | 801 / 7 | $32.716,50 | 795 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 12 | $10.335,30 | 161 / 2 | $3.829,73 | 245 / 1 | $2.622,45 | 245 / 1 | Total 29 procedures | 720 | 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.