Hospital Costs > In Washington > Legacy Salmon Creek Medical Center, 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 | 244 | 320 / 13 | $36.054,50 | 523 / 6 | $16.628,80 | 1830 / 32 | $12.971,70 | 1789 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 163 | 353 / 27 | $47.279,10 | 1676 / 30 | $14.568,00 | 2136 / 37 | $12.939,90 | 2099 / 39 |
Pulmonary Edema & Respiratory Failure | 84 | 119 / 11 | $33.344,70 | 1217 / 21 | $9.551,77 | 1740 / 24 | $8.652,35 | 1735 / 31 |
Heart Failure & Shock W Mcc | 68 | 216 / 20 | $48.670,50 | 1956 / 40 | $12.758,50 | 2074 / 40 | $10.664,60 | 2065 / 37 |
Heart Failure & Shock W Cc | 66 | 212 / 16 | $32.633,30 | 2083 / 41 | $8.651,09 | 2315 / 41 | $7.374,17 | 2309 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 13 | $36.610,10 | 1438 / 28 | $11.048,70 | 1994 / 29 | $10.120,70 | 1994 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 18 | $18.856,80 | 1258 / 10 | $6.608,35 | 2014 / 35 | $4.827,81 | 2000 / 33 |
Renal Failure W Cc | 49 | 172 / 17 | $21.653,10 | 1145 / 15 | $7.891,02 | 1708 / 33 | $6.163,67 | 1698 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 28 | $26.672,50 | 1398 / 21 | $8.658,45 | 1869 / 31 | $6.980,15 | 1861 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 4 | $21.205,60 | 1133 / 15 | $7.766,78 | 1905 / 29 | $6.390,02 | 1898 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 9 | $32.096,50 | 1595 / 28 | $9.937,46 | 2021 / 36 | $8.017,93 | 2013 / 34 |
Renal Failure W Mcc | 41 | 154 / 18 | $34.586,00 | 1031 / 20 | $11.488,30 | 1642 / 30 | $10.838,10 | 1640 / 35 |
G.I. Hemorrhage W Cc | 41 | 177 / 24 | $25.119,80 | 1204 / 15 | $8.526,07 | 1808 / 36 | $6.660,56 | 1804 / 34 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 17 | $20.477,20 | 1177 / 13 | $7.810,83 | 2254 / 33 | $6.751,62 | 2246 / 37 |
Syncope & Collapse | 37 | 132 / 5 | $25.479,90 | 1239 / 21 | $6.602,62 | 1504 / 32 | $5.169,08 | 1497 / 30 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 37 | 32 / 2 | $39.760,80 | 54 / 1 | $19.445,90 | 324 / 4 | $16.123,10 | 324 / 3 |
Cellulitis W/O Mcc | 34 | 155 / 19 | $19.692,40 | 1450 / 22 | $7.352,00 | 1901 / 34 | $5.346,09 | 1893 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 14 | $19.429,60 | 1512 / 17 | $6.452,26 | 2176 / 33 | $5.394,47 | 2165 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 15 | $22.496,60 | 1246 / 23 | $7.051,77 | 1479 / 37 | $4.946,65 | 1474 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 19 | $43.756,00 | 795 / 10 | $14.165,80 | 1570 / 25 | $13.162,10 | 1551 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 23 | $31.764,60 | 1233 / 26 | $9.352,10 | 1206 / 40 | $6.154,48 | 1203 / 17 |
G.I. Obstruction W Cc | 27 | 65 / 13 | $22.679,50 | 835 / 14 | $7.448,78 | 1327 / 28 | $5.973,19 | 1322 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 17 | $19.237,60 | 1475 / 19 | $6.086,07 | 2066 / 32 | $5.042,15 | 2058 / 33 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 11 | $18.508,70 | 1309 / 24 | $5.352,04 | 1566 / 32 | $3.658,22 | 1560 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 20 | $45.817,10 | 852 / 23 | $12.930,20 | 1178 / 26 | $11.969,00 | 1172 / 29 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 7 | $36.591,70 | 125 / 2 | $16.648,00 | 629 / 14 | $14.396,30 | 625 / 14 |
Transient Ischemia | 24 | 101 / 10 | $21.559,20 | 775 / 9 | $6.378,83 | 1179 / 24 | $4.459,62 | 1173 / 20 |
Nonspecific Cerebrovascular Disorders W Cc | 24 | 32 / 4 | $28.809,60 | 277 / 7 | $7.888,04 | 383 / 11 | $7.184,04 | 383 / 16 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 17 | $40.302,80 | 799 / 21 | $14.188,60 | 1380 / 28 | $13.431,30 | 1365 / 32 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 16 | $39.673,70 | 796 / 15 | $12.949,70 | 1381 / 27 | $11.902,10 | 1370 / 29 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 17 | $21.190,80 | 649 / 9 | $8.838,95 | 1584 / 27 | $8.015,68 | 1580 / 34 |
Chest Pain | 21 | 130 / 12 | $21.847,40 | 1046 / 14 | $5.473,52 | 1247 / 20 | $4.126,38 | 1240 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 16 | $24.792,10 | 687 / 10 | $8.768,48 | 1100 / 24 | $7.344,19 | 1097 / 22 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 4 | $17.986,20 | 725 / 14 | $5.895,10 | 1024 / 20 | $4.033,10 | 1021 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 21 | $33.081,10 | 1094 / 23 | $11.475,30 | 1406 / 38 | $8.334,32 | 1403 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 22 | $56.434,40 | 813 / 11 | $16.885,30 | 1342 / 20 | $16.013,70 | 1329 / 24 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 2 | $27.453,80 | 124 / 1 | $9.834,00 | 449 / 2 | $7.840,67 | 448 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 7 | $20.317,00 | 1288 / 12 | $6.043,83 | 1779 / 14 | $5.252,28 | 1768 / 18 |
Seizures W/O Mcc | 17 | 91 / 9 | $19.412,20 | 520 / 4 | $6.618,59 | 903 / 15 | $5.098,24 | 900 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 18 | $22.865,20 | 775 / 13 | $7.919,62 | 1214 / 31 | $4.888,62 | 1210 / 28 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 22 | $101.822,00 | 511 / 9 | $35.162,00 | 951 / 10 | $34.632,10 | 945 / 16 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 4 | $26.761,20 | 319 / 6 | $7.294,56 | 479 / 6 | $6.612,56 | 479 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $26.045,90 | 476 / 9 | $9.437,81 | 958 / 24 | $8.005,06 | 953 / 21 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 3 | $48.230,70 | 35 / 1 | $25.570,80 | 154 / 1 | $20.632,40 | 154 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 19 | $20.959,70 | 1358 / 23 | $6.231,07 | 1607 / 29 | $4.746,13 | 1594 / 27 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 16 | $21.018,10 | 328 / 3 | $7.726,33 | 1039 / 15 | $6.838,87 | 1037 / 23 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 13 | $44.233,10 | 625 / 21 | $12.108,90 | 703 / 23 | $9.842,29 | 701 / 21 |
Diabetes W Cc | 14 | 78 / 10 | $18.614,50 | 594 / 5 | $6.865,71 | 1299 / 19 | $6.175,43 | 1294 / 23 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 7 | $166.656,00 | 615 / 4 | $49.240,20 | 853 / 10 | $45.072,70 | 852 / 9 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 3 | $40.536,50 | 422 / 4 | $12.785,60 | 644 / 8 | $10.121,70 | 641 / 5 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 8 | $41.579,90 | 205 / 5 | $13.036,70 | 315 / 7 | $12.197,30 | 315 / 8 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 17 | $17.861,50 | 280 / 3 | $7.798,46 | 1095 / 23 | $6.868,00 | 1091 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 15 | $56.030,10 | 191 / 3 | $24.112,80 | 743 / 16 | $22.995,20 | 740 / 20 |
Seizures W Mcc | 13 | 53 / 9 | $51.733,30 | 501 / 14 | $16.825,60 | 729 / 19 | $16.108,10 | 729 / 19 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 14 | $32.275,70 | 727 / 15 | $5.950,92 | 630 / 13 | $5.148,25 | 629 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 4 | $61.668,00 | 185 / 4 | $18.671,20 | 371 / 5 | $17.564,40 | 370 / 8 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 17 | $18.216,10 | 736 / 6 | $6.695,83 | 1559 / 19 | $5.682,50 | 1550 / 25 |
Signs & Symptoms W/O Mcc | 12 | 79 / 13 | $22.343,30 | 787 / 7 | $5.885,17 | 1013 / 13 | $4.973,17 | 1010 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 9 | $40.312,80 | 270 / 6 | $12.356,10 | 715 / 10 | $11.348,10 | 712 / 15 |
Dysequilibrium | 12 | 53 / 2 | $15.936,80 | 148 / 1 | $5.505,00 | 418 / 2 | $4.390,33 | 418 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 13 | $65.036,60 | 178 / 1 | $23.577,70 | 488 / 6 | $22.468,30 | 486 / 10 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 14 | $23.469,40 | 151 / 2 | $8.622,75 | 621 / 9 | $7.518,75 | 620 / 21 |
G.I. Hemorrhage W Mcc | 12 | 109 / 26 | $47.481,00 | 932 / 23 | $12.858,30 | 1208 / 23 | $12.258,40 | 1200 / 28 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 13 | $26.625,30 | 549 / 10 | $10.641,50 | 1228 / 17 | $9.937,50 | 1223 / 22 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 16 | $23.193,30 | 561 / 8 | $8.178,58 | 923 / 19 | $6.187,00 | 920 / 18 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 6 | $22.375,20 | 475 / 4 | $7.153,64 | 842 / 7 | $6.164,55 | 838 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 8 | $38.374,30 | 267 / 4 | $13.952,50 | 515 / 7 | $13.731,40 | 514 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 14 | $22.524,50 | 379 / 5 | $9.169,55 | 901 / 19 | $8.512,09 | 899 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $19.851,80 | 508 / 12 | $6.101,27 | 796 / 17 | $5.222,73 | 795 / 18 | Total 69 procedures | 2.068 | 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.