Hospital Costs > In Washington > Northwest Hospital, 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 | 303 | 215 / 12 | $48.040,40 | 1710 / 31 | $12.505,30 | 1707 / 12 | $11.469,00 | 1674 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 285 | 282 / 12 | $59.114,40 | 1662 / 25 | $14.733,30 | 1368 / 9 | $11.732,60 | 1335 / 7 |
| Heart Failure & Shock W Cc | 90 | 188 / 7 | $29.900,80 | 1950 / 35 | $6.642,40 | 1535 / 9 | $5.812,89 | 1530 / 11 |
| Heart Failure & Shock W Mcc | 71 | 213 / 18 | $44.144,80 | 1822 / 32 | $10.100,90 | 1636 / 14 | $9.353,62 | 1631 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 13 | $22.008,10 | 1627 / 20 | $5.076,17 | 1455 / 8 | $4.091,06 | 1444 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 21 | $27.101,00 | 1434 / 22 | $7.307,80 | 1175 / 10 | $5.841,19 | 1170 / 5 |
| G.I. Hemorrhage W Cc | 59 | 159 / 16 | $27.708,30 | 1421 / 23 | $7.101,12 | 1125 / 13 | $5.495,27 | 1123 / 5 |
| Pulmonary Edema & Respiratory Failure | 57 | 146 / 21 | $35.875,40 | 1330 / 25 | $8.126,89 | 1284 / 6 | $7.372,09 | 1281 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 3 | $28.462,70 | 1114 / 23 | $7.354,76 | 1052 / 4 | $6.495,42 | 1049 / 7 |
| Renal Failure W Cc | 46 | 175 / 18 | $30.902,30 | 1739 / 34 | $6.525,30 | 1429 / 8 | $5.657,11 | 1420 / 9 |
| Renal Failure W Mcc | 44 | 151 / 15 | $42.004,90 | 1349 / 28 | $10.342,60 | 1258 / 10 | $9.574,64 | 1258 / 15 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 11 | $48.975,90 | 1048 / 26 | $12.942,80 | 1115 / 10 | $12.126,30 | 1101 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 15 | $35.134,20 | 1365 / 34 | $7.218,84 | 1100 / 11 | $5.994,67 | 1097 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 15 | $59.002,40 | 1120 / 33 | $11.874,90 | 881 / 14 | $10.534,80 | 879 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 4 | $40.303,90 | 634 / 17 | $10.257,40 | 578 / 6 | $9.466,37 | 576 / 9 |
| Cellulitis W/O Mcc | 41 | 148 / 15 | $20.263,00 | 1508 / 25 | $5.677,46 | 1486 / 9 | $4.704,98 | 1479 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 10 | $155.134,00 | 1055 / 30 | $42.544,90 | 1294 / 31 | $41.631,70 | 1284 / 34 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 16 | $60.751,20 | 1372 / 21 | $12.903,00 | 1272 / 9 | $11.859,10 | 1255 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 20 | $87.156,90 | 606 / 6 | $27.535,20 | 655 / 7 | $22.808,30 | 651 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 23 | $36.307,00 | 1423 / 26 | $9.800,26 | 1536 / 11 | $8.766,85 | 1536 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 2 | $26.831,40 | 1621 / 30 | $4.642,06 | 1087 / 4 | $3.827,00 | 1078 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 13 | $34.460,80 | 1143 / 26 | $8.592,06 | 882 / 17 | $6.942,32 | 879 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 33 | 32 / 3 | $86.012,90 | 542 / 10 | $21.112,70 | 564 / 3 | $20.158,50 | 561 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 22 | $23.046,20 | 1453 / 24 | $6.784,39 | 1119 / 12 | $5.171,94 | 1115 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 15 | $20.679,70 | 1646 / 20 | $5.180,27 | 1412 / 8 | $4.264,88 | 1403 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 7 | $38.610,30 | 908 / 25 | $9.304,20 | 837 / 22 | $7.549,77 | 832 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 4 | $53.998,90 | 762 / 25 | $11.375,30 | 427 / 20 | $8.256,77 | 426 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 8 | $45.744,60 | 280 / 5 | $16.086,70 | 449 / 5 | $12.413,40 | 447 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 19 | $25.972,80 | 1454 / 33 | $5.377,80 | 1166 / 8 | $4.461,32 | 1162 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 20 | $88.529,80 | 1028 / 23 | $16.970,50 | 567 / 22 | $10.824,40 | 563 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 4 | $70.944,20 | 428 / 9 | $18.962,80 | 420 / 2 | $17.464,50 | 417 / 2 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 18 | $50.714,30 | 1018 / 27 | $11.544,60 | 628 / 8 | $10.004,80 | 629 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $126.719,00 | 623 / 13 | $32.958,90 | 492 / 4 | $29.558,10 | 490 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 21 | $20.701,10 | 1620 / 25 | $4.850,59 | 876 / 6 | $3.559,05 | 873 / 5 |
| Other Disorders Of Nervous System W Cc | 22 | 34 / 2 | $38.121,20 | 474 / 9 | $6.456,41 | 289 / 1 | $5.222,91 | 289 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 15 | $17.137,60 | 1209 / 21 | $3.963,50 | 775 / 7 | $2.654,23 | 771 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 21 | $30.521,00 | 1507 / 25 | $8.039,00 | 1176 / 9 | $6.426,95 | 1170 / 7 |
| Other Disorders Of Nervous System W Mcc | 21 | 19 / 2 | $36.354,20 | 117 / 1 | $9.345,52 | 82 / 1 | $8.650,67 | 82 / 1 |
| Syncope & Collapse | 21 | 148 / 15 | $21.629,90 | 1000 / 14 | $4.970,57 | 940 / 5 | $3.990,76 | 934 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 20 | $82.900,10 | 1339 / 26 | $17.362,30 | 1429 / 23 | $16.731,50 | 1415 / 28 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 2 | $25.950,50 | 527 / 7 | $5.170,30 | 339 / 3 | $4.019,90 | 339 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 2 | $24.998,30 | 388 / 4 | $6.543,32 | 214 / 2 | $5.020,05 | 214 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 20 | $30.998,10 | 1767 / 31 | $6.139,21 | 1271 / 4 | $5.244,89 | 1266 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 8 | $82.018,40 | 310 / 5 | $22.473,60 | 333 / 2 | $19.875,30 | 332 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 9 | $64.270,60 | 407 / 9 | $17.727,30 | 598 / 6 | $16.785,10 | 597 / 7 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 14 | $23.207,90 | 575 / 12 | $6.523,12 | 743 / 5 | $5.666,65 | 739 / 10 |
| Medical Back Problems W/O Mcc | 17 | 104 / 12 | $27.760,40 | 935 / 18 | $5.704,71 | 737 / 2 | $4.635,53 | 734 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 18 | $36.741,80 | 826 / 12 | $7.470,53 | 780 / 5 | $5.874,24 | 778 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 21 | $44.211,80 | 968 / 21 | $10.567,80 | 766 / 4 | $9.641,71 | 765 / 4 |
| Transient Ischemia | 17 | 108 / 14 | $31.949,20 | 1238 / 23 | $4.789,59 | 815 / 3 | $3.729,82 | 811 / 4 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 11 | $29.245,40 | 1015 / 14 | $4.903,19 | 440 / 3 | $3.573,88 | 439 / 2 |
| Seizures W Mcc | 16 | 50 / 7 | $40.674,50 | 367 / 11 | $10.300,90 | 253 / 4 | $8.597,00 | 253 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 4 | $19.564,90 | 499 / 11 | $4.788,56 | 353 / 3 | $3.584,56 | 354 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 4 | $73.303,20 | 164 / 5 | $23.601,40 | 301 / 3 | $22.619,40 | 301 / 3 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $23.579,20 | 898 / 17 | $6.008,07 | 998 / 5 | $5.118,47 | 995 / 11 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 7 | $22.920,90 | 536 / 5 | $6.835,53 | 485 / 5 | $5.294,13 | 483 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 19 | $28.323,40 | 1033 / 22 | $5.700,93 | 420 / 14 | $3.534,60 | 417 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 4 | $24.656,50 | 346 / 5 | $5.958,71 | 342 / 2 | $5.183,86 | 342 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 17 | $36.435,20 | 946 / 24 | $6.937,79 | 678 / 3 | $5.813,21 | 676 / 4 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 17 | $66.225,50 | 1007 / 18 | $15.630,10 | 1132 / 18 | $14.850,70 | 1124 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 22 | $27.434,10 | 831 / 14 | $7.454,71 | 751 / 7 | $6.499,29 | 748 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 4 | $24.655,20 | 281 / 4 | $6.162,15 | 282 / 1 | $5.884,00 | 282 / 2 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 1 | $25.688,50 | 166 / 2 | $5.069,92 | 86 / 1 | $3.861,31 | 86 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $85.843,30 | 1066 / 19 | $18.471,60 | 953 / 19 | $15.523,20 | 942 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 6 | $61.427,30 | 507 / 9 | $13.143,80 | 444 / 5 | $12.681,00 | 443 / 6 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 13 | 34 / 4 | $106.802,00 | 29 / 2 | $40.526,60 | 72 / 3 | $39.320,50 | 72 / 5 |
| Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 12 | $26.258,00 | 248 / 6 | $6.595,85 | 264 / 3 | $5.859,85 | 264 / 7 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 9 | $45.332,10 | 396 / 12 | $11.239,60 | 344 / 2 | $10.400,20 | 343 / 4 |
| Seizures W/O Mcc | 12 | 96 / 14 | $29.890,80 | 944 / 17 | $5.094,33 | 557 / 2 | $4.185,00 | 554 / 3 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 5 | $59.580,50 | 455 / 9 | $11.021,20 | 277 / 1 | $10.013,20 | 277 / 2 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 2 | $14.426,10 | 97 / 1 | $4.944,75 | 83 / 1 | $3.838,08 | 83 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 14 | $64.162,80 | 524 / 11 | $15.171,10 | 419 / 5 | $12.283,10 | 416 / 3 |
| G.I. Obstruction W Mcc | 12 | 30 / 7 | $46.107,30 | 306 / 9 | $10.415,40 | 287 / 2 | $10.111,40 | 287 / 3 |
| Chest Pain | 12 | 139 / 20 | $16.428,60 | 625 / 6 | $4.179,67 | 725 / 1 | $3.169,00 | 720 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 7 | $33.122,60 | 295 / 7 | $7.784,73 | 128 / 2 | $5.777,91 | 128 / 2 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 5 | $27.013,50 | 111 / 4 | $7.122,55 | 61 / 2 | $5.915,27 | 61 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 9 | $192.966,00 | 721 / 7 | $43.794,40 | 778 / 3 | $42.703,50 | 777 / 6 |
| Medical Back Problems W Mcc | 11 | 28 / 8 | $35.614,80 | 110 / 3 | $10.024,10 | 110 / 1 | $9.037,91 | 110 / 1 | Total 78 procedures | 2.567 | 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.