Hospital Costs > In Washington > Multicare Auburn 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 | 173 | 343 / 26 | $62.840,00 | 2157 / 43 | $13.318,90 | 1986 / 24 | $12.326,50 | 1949 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 39 | $101.522,00 | 2497 / 45 | $14.871,40 | 1636 / 13 | $12.400,20 | 1599 / 16 |
| Heart Failure & Shock W Mcc | 55 | 229 / 27 | $46.320,90 | 1885 / 36 | $10.317,60 | 1724 / 18 | $9.525,75 | 1719 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 25 | $31.721,30 | 1719 / 36 | $7.612,67 | 1499 / 17 | $6.259,96 | 1493 / 13 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 29 | $53.885,20 | 1828 / 38 | $9.242,81 | 1467 / 19 | $7.764,51 | 1462 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 25 | $43.952,80 | 1712 / 35 | $10.049,20 | 1783 / 17 | $9.349,29 | 1783 / 26 |
| Renal Failure W Mcc | 30 | 165 / 22 | $37.118,30 | 1156 / 23 | $10.560,00 | 1188 / 12 | $9.384,73 | 1188 / 12 |
| G.I. Hemorrhage W Cc | 30 | 188 / 29 | $43.246,60 | 2033 / 41 | $7.328,97 | 1618 / 17 | $6.189,77 | 1614 / 21 |
| Heart Failure & Shock W Cc | 28 | 250 / 31 | $29.855,80 | 1947 / 34 | $7.373,86 | 1631 / 23 | $5.915,93 | 1626 / 14 |
| Cellulitis W/O Mcc | 24 | 165 / 25 | $26.493,20 | 1964 / 34 | $6.263,58 | 1762 / 15 | $5.068,00 | 1754 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 31 | $32.231,50 | 2254 / 41 | $5.686,13 | 1818 / 18 | $4.517,26 | 1805 / 23 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 18 | $59.313,00 | 1180 / 31 | $12.192,80 | 1078 / 15 | $11.615,30 | 1070 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 27 | $29.981,20 | 1945 / 38 | $7.295,36 | 1650 / 22 | $5.669,18 | 1643 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 20 | $112.275,00 | 1624 / 35 | $19.527,30 | 1591 / 31 | $18.782,20 | 1577 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 22 | $36.520,70 | 1815 / 33 | $8.261,71 | 1501 / 14 | $6.835,38 | 1494 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 23 | $25.031,80 | 1402 / 31 | $5.734,05 | 1432 / 15 | $4.868,52 | 1427 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 18 | $33.018,10 | 1851 / 33 | $6.875,62 | 1566 / 15 | $5.623,24 | 1560 / 11 |
| Renal Failure W Cc | 21 | 200 / 28 | $28.857,50 | 1652 / 29 | $7.016,19 | 1590 / 17 | $5.915,19 | 1581 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 17 | $31.729,40 | 1031 / 22 | $7.701,16 | 1092 / 11 | $7.320,53 | 1089 / 21 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 19 | $112.154,00 | 642 / 15 | $33.393,30 | 240 / 5 | $27.323,70 | 240 / 1 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 14 | $34.436,10 | 1006 / 27 | $7.082,94 | 751 / 11 | $5.690,47 | 747 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $45.695,10 | 1080 / 27 | $8.456,06 | 859 / 9 | $7.624,06 | 854 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 22 | $31.621,00 | 1238 / 27 | $7.683,88 | 1267 / 8 | $6.929,88 | 1263 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 28 | $84.320,70 | 1758 / 37 | $13.302,80 | 1366 / 15 | $12.246,80 | 1348 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 24 | $98.310,60 | 1142 / 26 | $15.211,10 | 863 / 10 | $11.922,20 | 857 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 24 | $37.273,40 | 1233 / 32 | $8.573,88 | 1272 / 15 | $7.817,88 | 1269 / 25 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $26.376,10 | 1054 / 23 | $6.323,93 | 1190 / 11 | $5.517,53 | 1187 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 22 | $45.112,40 | 993 / 22 | $10.729,50 | 956 / 6 | $10.164,10 | 954 / 7 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 24 | $52.471,00 | 1125 / 31 | $12.028,20 | 863 / 5 | $11.302,90 | 853 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 26 | $21.350,80 | 1678 / 26 | $5.105,00 | 1590 / 11 | $4.165,57 | 1585 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 27 | $21.353,70 | 1712 / 23 | $5.746,86 | 1889 / 14 | $4.800,57 | 1878 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 22 | $38.380,10 | 600 / 16 | $9.909,62 | 538 / 3 | $9.259,77 | 536 / 6 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 8 | $250.304,00 | 898 / 13 | $48.263,20 | 901 / 8 | $47.232,60 | 900 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 34 | $36.453,20 | 1408 / 36 | $7.159,50 | 1136 / 9 | $6.050,17 | 1133 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 27 | $55.788,10 | 1066 / 30 | $12.152,50 | 764 / 15 | $10.085,40 | 763 / 5 |
| Seizures W Mcc | 11 | 55 / 10 | $61.891,00 | 588 / 18 | $13.187,50 | 630 / 15 | $12.858,70 | 630 / 17 | Total 36 procedures | 963 | 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.