Hospital Costs > In Washington > Kennewick General 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 | 120 | 444 / 32 | $41.725,50 | 858 / 7 | $15.168,20 | 1579 / 18 | $12.261,50 | 1543 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 112 | 404 / 34 | $41.178,50 | 1371 / 21 | $12.396,20 | 1654 / 9 | $11.329,80 | 1622 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 17 | $21.330,10 | 1533 / 17 | $5.621,05 | 1819 / 16 | $4.517,68 | 1806 / 24 |
Heart Failure & Shock W Cc | 58 | 220 / 18 | $21.393,00 | 1341 / 13 | $7.119,67 | 1946 / 17 | $6.411,60 | 1941 / 27 |
Heart Failure & Shock W Mcc | 45 | 239 / 30 | $26.496,30 | 864 / 8 | $9.987,40 | 1617 / 11 | $9.314,16 | 1612 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 30 | $24.465,70 | 1207 / 13 | $7.603,39 | 1724 / 15 | $6.627,78 | 1717 / 25 |
Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 20 | $30.652,40 | 1078 / 14 | $9.833,97 | 1660 / 12 | $9.040,39 | 1660 / 19 |
Renal Failure W Mcc | 37 | 158 / 20 | $31.141,30 | 825 / 13 | $10.881,60 | 1136 / 19 | $9.220,59 | 1136 / 10 |
Cellulitis W/O Mcc | 36 | 153 / 18 | $24.385,30 | 1841 / 31 | $6.188,89 | 1905 / 13 | $5.349,56 | 1897 / 30 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 22 | $20.957,10 | 1239 / 15 | $7.042,18 | 1892 / 16 | $5.978,79 | 1884 / 24 |
Renal Failure W Cc | 33 | 188 / 23 | $19.299,30 | 905 / 12 | $6.848,94 | 1659 / 12 | $6.044,09 | 1650 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 16 | $15.467,60 | 1011 / 8 | $5.275,56 | 1724 / 17 | $4.365,19 | 1719 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 17 | $16.208,40 | 1106 / 7 | $5.758,55 | 1771 / 15 | $4.649,16 | 1760 / 21 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 11 | $19.278,60 | 932 / 11 | $6.745,77 | 1691 / 11 | $5.861,10 | 1684 / 21 |
Pulmonary Edema & Respiratory Failure | 30 | 173 / 32 | $27.472,00 | 886 / 9 | $8.416,40 | 1373 / 10 | $7.527,73 | 1369 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 17 | $23.068,90 | 981 / 14 | $8.359,79 | 1635 / 16 | $7.056,79 | 1627 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 4 | $18.064,50 | 1116 / 9 | $5.395,92 | 1474 / 5 | $4.372,85 | 1463 / 10 |
G.I. Hemorrhage W Cc | 24 | 194 / 31 | $25.173,30 | 1208 / 16 | $7.254,38 | 1575 / 15 | $6.099,88 | 1571 / 16 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 22 | $46.267,60 | 895 / 13 | $13.087,50 | 1312 / 13 | $12.005,10 | 1295 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 11 | $17.208,10 | 1078 / 9 | $5.153,04 | 1222 / 14 | $4.000,00 | 1212 / 13 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 18 | $24.488,10 | 886 / 17 | $7.974,81 | 1270 / 15 | $6.934,48 | 1266 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 30 | $24.811,60 | 780 / 13 | $7.504,39 | 1358 / 14 | $6.494,61 | 1355 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 26 | $19.985,20 | 1056 / 16 | $5.860,41 | 1429 / 18 | $4.863,94 | 1424 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 20 | $40.560,30 | 960 / 18 | $7.642,20 | 1146 / 7 | $6.835,53 | 1143 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 24 | $53.432,50 | 724 / 8 | $15.633,30 | 1167 / 6 | $14.910,10 | 1154 / 12 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 15 | $18.705,30 | 775 / 8 | $5.929,86 | 1295 / 8 | $4.981,29 | 1287 / 15 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 25 | $28.829,30 | 353 / 4 | $12.971,30 | 1167 / 11 | $12.357,90 | 1153 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 22 | $14.217,40 | 894 / 12 | $4.394,86 | 1467 / 16 | $3.446,29 | 1461 / 24 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 9 | $23.704,20 | 105 / 2 | $7.824,69 | 205 / 2 | $7.637,62 | 205 / 7 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 12 | $36.566,20 | 886 / 19 | $10.672,60 | 1202 / 18 | $9.737,15 | 1197 / 20 |
Syncope & Collapse | 13 | 156 / 20 | $15.047,10 | 394 / 4 | $5.466,69 | 1179 / 13 | $4.350,69 | 1172 / 17 |
Diabetes W Cc | 13 | 79 / 11 | $21.006,20 | 764 / 10 | $6.096,62 | 1012 / 9 | $5.171,08 | 1008 / 13 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 4 | $43.219,50 | 467 / 5 | $11.915,50 | 714 / 6 | $10.802,90 | 711 / 8 |
Medical Back Problems W/O Mcc | 12 | 109 / 14 | $22.340,40 | 693 / 13 | $6.212,25 | 953 / 9 | $5.106,58 | 950 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 28 | $29.196,50 | 915 / 13 | $8.475,75 | 1192 / 11 | $7.571,75 | 1189 / 19 |
Transient Ischemia | 12 | 113 / 18 | $19.325,00 | 608 / 5 | $5.290,92 | 1159 / 11 | $4.382,92 | 1153 / 19 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 12 | 35 / 5 | $99.281,70 | 23 / 1 | $40.022,70 | 63 / 1 | $38.808,70 | 63 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 10 | $36.769,80 | 200 / 4 | $12.003,30 | 234 / 7 | $8.429,09 | 234 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 10 | $27.262,70 | 457 / 12 | $7.024,64 | 528 / 3 | $6.471,91 | 528 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 14 | $25.020,00 | 476 / 8 | $8.401,64 | 552 / 8 | $6.790,36 | 550 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 26 | $42.865,50 | 926 / 19 | $11.803,60 | 1202 / 15 | $11.032,40 | 1196 / 20 | Total 41 procedures | 1.144 | 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.