Hospital Costs > In Washington > Overlake Hospital 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 | 410 | 178 / 6 | $56.189,20 | 1554 / 22 | $14.018,00 | 1239 / 3 | $11.466,30 | 1208 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 29 | $38.374,30 | 1234 / 15 | $12.294,60 | 1532 / 8 | $11.072,10 | 1501 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 113 | 120 / 1 | $18.884,90 | 1447 / 14 | $4.831,62 | 861 / 2 | $3.862,70 | 855 / 3 |
| G.I. Hemorrhage W Cc | 91 | 127 / 10 | $25.593,80 | 1250 / 19 | $6.439,83 | 728 / 3 | $5.117,25 | 727 / 2 |
| Heart Failure & Shock W Cc | 86 | 192 / 9 | $22.969,30 | 1486 / 16 | $6.206,36 | 1119 / 4 | $5.384,67 | 1117 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 9 | $17.982,10 | 1125 / 7 | $4.804,61 | 763 / 3 | $3.604,53 | 758 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 3 | $21.019,90 | 1247 / 18 | $6.072,57 | 1070 / 3 | $5.135,72 | 1067 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 15 | $22.720,60 | 1044 / 10 | $6.749,19 | 736 / 5 | $5.423,44 | 734 / 2 |
| Heart Failure & Shock W Mcc | 67 | 217 / 21 | $38.317,90 | 1574 / 22 | $10.666,00 | 1837 / 23 | $9.827,69 | 1832 / 28 |
| Renal Failure W Cc | 65 | 156 / 11 | $22.054,90 | 1185 / 17 | $6.245,09 | 786 / 5 | $4.989,17 | 779 / 2 |
| Respiratory Infections & Inflammations W Mcc | 62 | 74 / 5 | $34.199,70 | 565 / 11 | $11.895,00 | 805 / 2 | $11.136,80 | 795 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 61 | 82 / 2 | $53.162,00 | 1153 / 19 | $12.146,00 | 991 / 3 | $11.018,10 | 978 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 58 | 136 / 13 | $112.102,00 | 859 / 13 | $27.522,60 | 879 / 5 | $24.814,70 | 875 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 12 | $29.202,00 | 1100 / 19 | $6.698,67 | 928 / 4 | $5.724,88 | 925 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 11 | $38.235,80 | 635 / 12 | $10.762,50 | 517 / 2 | $9.378,66 | 516 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 6 | $17.431,90 | 1260 / 14 | $4.547,81 | 622 / 3 | $3.394,02 | 620 / 4 |
| Major Small & Large Bowel Procedures W Cc | 48 | 60 / 4 | $74.485,00 | 927 / 17 | $18.096,50 | 339 / 14 | $13.007,30 | 336 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 15 | $61.811,90 | 493 / 9 | $13.644,60 | 560 / 2 | $10.802,60 | 556 / 2 |
| Cellulitis W/O Mcc | 45 | 144 / 13 | $18.732,40 | 1330 / 16 | $5.625,00 | 504 / 7 | $3.886,80 | 501 / 3 |
| Respiratory Infections & Inflammations W Cc | 44 | 44 / 1 | $24.500,80 | 452 / 7 | $8.269,18 | 566 / 1 | $7.477,18 | 563 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 8 | $23.910,50 | 854 / 15 | $6.920,98 | 636 / 2 | $5.860,12 | 635 / 3 |
| Renal Failure W Mcc | 38 | 157 / 19 | $33.071,10 | 950 / 18 | $9.769,05 | 949 / 5 | $8.829,26 | 949 / 6 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 31 | $27.748,80 | 899 / 11 | $7.692,72 | 811 / 3 | $6.722,91 | 811 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 26 | $28.822,70 | 963 / 13 | $8.909,23 | 1175 / 1 | $8.101,77 | 1175 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 3 | $22.054,40 | 358 / 4 | $7.125,60 | 370 / 1 | $6.314,67 | 369 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 15 | $29.888,60 | 949 / 16 | $8.119,70 | 1071 / 8 | $7.272,77 | 1068 / 10 |
| G.I. Obstruction W Cc | 29 | 63 / 12 | $20.118,60 | 664 / 12 | $5.580,38 | 818 / 2 | $4.830,03 | 816 / 6 |
| Medical Back Problems W/O Mcc | 29 | 92 / 6 | $21.873,70 | 662 / 9 | $5.167,59 | 379 / 1 | $4.081,79 | 379 / 1 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 5 | $21.688,40 | 1048 / 15 | $5.301,46 | 413 / 3 | $3.883,93 | 412 / 2 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 8 | $21.106,30 | 465 / 9 | $6.122,30 | 494 / 2 | $5.184,81 | 491 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 18 | $20.790,10 | 1107 / 19 | $4.994,15 | 691 / 3 | $4.005,70 | 688 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 13 | $19.767,10 | 975 / 13 | $6.004,15 | 510 / 2 | $4.554,41 | 508 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 12 | $28.309,80 | 340 / 8 | $9.506,81 | 409 / 1 | $8.762,19 | 408 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 25 | 78 / 3 | $18.368,10 | 197 / 2 | $6.210,00 | 276 / 1 | $5.395,52 | 276 / 2 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 6 | $23.761,00 | 593 / 9 | $5.997,80 | 373 / 2 | $4.932,84 | 373 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 10 | $17.752,80 | 1132 / 11 | $4.226,58 | 350 / 1 | $3.158,46 | 348 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 3 | $43.934,50 | 343 / 8 | $10.479,10 | 446 / 1 | $9.306,91 | 445 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 18 | $41.454,70 | 365 / 2 | $14.479,00 | 864 / 2 | $13.583,00 | 856 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 14 | $23.915,70 | 834 / 15 | $4.776,65 | 212 / 1 | $3.217,22 | 210 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 7 | $102.238,00 | 460 / 8 | $23.337,00 | 385 / 5 | $20.587,80 | 384 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 8 | $95.684,10 | 615 / 15 | $23.004,00 | 695 / 12 | $22.013,50 | 692 / 16 |
| Syncope & Collapse | 22 | 147 / 14 | $21.540,80 | 991 / 12 | $4.585,73 | 766 / 3 | $3.816,27 | 763 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 3 | $68.205,50 | 627 / 13 | $11.951,80 | 224 / 5 | $8.170,05 | 224 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 9 | $141.695,00 | 749 / 15 | $37.139,50 | 772 / 11 | $33.240,90 | 770 / 11 |
| Transient Ischemia | 21 | 104 / 11 | $20.629,10 | 706 / 7 | $4.413,81 | 506 / 2 | $3.383,71 | 504 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 21 | 95 / 6 | $242.283,00 | 299 / 8 | $59.953,40 | 355 / 7 | $59.090,90 | 355 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 16 | $15.702,90 | 1078 / 16 | $3.603,29 | 338 / 2 | $2.302,48 | 336 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 6 | $16.878,80 | 919 / 8 | $4.447,33 | 577 / 2 | $3.296,86 | 575 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 23 | $22.408,60 | 933 / 12 | $7.507,05 | 648 / 3 | $5.924,75 | 645 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 5 | $14.837,90 | 519 / 11 | $4.337,60 | 279 / 3 | $2.667,45 | 279 / 3 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 20 | $42.558,60 | 786 / 18 | $10.916,30 | 427 / 2 | $9.459,80 | 428 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 19 | $47.996,60 | 1082 / 24 | $10.644,30 | 849 / 5 | $9.858,75 | 848 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 12 | $27.782,20 | 558 / 12 | $7.545,42 | 484 / 1 | $6.590,47 | 481 / 1 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 8 | $19.736,30 | 642 / 5 | $4.321,79 | 474 / 2 | $3.622,84 | 473 / 3 |
| G.I. Obstruction W Mcc | 17 | 25 / 4 | $36.478,90 | 204 / 6 | $10.205,90 | 218 / 1 | $9.421,00 | 218 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 16 | $93.754,40 | 522 / 10 | $21.445,90 | 498 / 1 | $20.309,00 | 498 / 1 |
| Seizures W/O Mcc | 17 | 91 / 9 | $21.186,50 | 612 / 6 | $4.959,82 | 110 / 1 | $3.328,59 | 110 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 21 | $111.479,00 | 632 / 14 | $34.277,50 | 724 / 8 | $31.691,80 | 718 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 19 | $40.666,80 | 968 / 19 | $7.039,00 | 903 / 2 | $6.134,94 | 900 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 10 | $40.867,80 | 648 / 10 | $7.017,50 | 341 / 2 | $5.305,62 | 341 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 11 | $68.024,20 | 569 / 12 | $14.677,10 | 389 / 3 | $12.100,30 | 386 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 10 | $63.830,10 | 344 / 6 | $18.216,70 | 394 / 1 | $17.238,70 | 391 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 4 | $46.545,60 | 242 / 3 | $13.684,90 | 378 / 1 | $12.550,00 | 377 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 21 | $30.609,30 | 988 / 20 | $7.107,87 | 614 / 4 | $6.218,27 | 611 / 4 |
| Cellulitis W Mcc | 15 | 43 / 7 | $35.340,40 | 493 / 11 | $8.886,67 | 347 / 1 | $8.082,33 | 346 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 5 | $59.678,70 | 379 / 5 | $11.522,40 | 262 / 1 | $9.530,80 | 261 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 16 | $32.938,70 | 849 / 19 | $6.847,60 | 20 / 2 | $4.267,53 | 20 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 3 | $80.391,20 | 336 / 5 | $19.618,50 | 180 / 4 | $14.558,70 | 180 / 3 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 4 | $33.793,50 | 554 / 3 | $7.908,20 | 527 / 1 | $7.586,07 | 525 / 2 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 16 | $36.454,70 | 383 / 5 | $11.516,60 | 534 / 1 | $10.872,30 | 532 / 1 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 2 | $19.467,10 | 46 / 2 | $6.296,57 | 23 / 1 | $5.258,86 | 23 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 4 | $19.866,30 | 232 / 2 | $5.851,57 | 113 / 1 | $4.644,71 | 113 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 5 | $31.196,70 | 265 / 5 | $6.798,93 | 125 / 1 | $5.770,36 | 125 / 1 |
| Diabetes W Cc | 14 | 78 / 10 | $26.229,90 | 1049 / 17 | $5.238,29 | 438 / 1 | $4.205,14 | 438 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 6 | $14.928,30 | 284 / 3 | $4.600,86 | 47 / 1 | $2.758,36 | 47 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 12 | $136.430,00 | 427 / 8 | $28.100,00 | 263 / 5 | $20.951,00 | 262 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 9 | $16.540,10 | 973 / 6 | $4.524,00 | 598 / 1 | $3.404,00 | 597 / 2 |
| Fever | 13 | 33 / 3 | $19.700,20 | 107 / 1 | $6.024,08 | 28 / 1 | $3.785,38 | 28 / 1 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 1 | $16.990,80 | 34 / 1 | $6.460,38 | 17 / 1 | $4.654,77 | 17 / 1 |
| Endocrine Disorders W Cc | 13 | 25 / 2 | $18.290,00 | 51 / 1 | $6.228,08 | 99 / 1 | $5.669,31 | 99 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 6 | $27.090,60 | 95 / 2 | $11.354,70 | 229 / 1 | $10.823,60 | 228 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 2 | $15.871,80 | 152 / 2 | $4.432,92 | 37 / 1 | $2.507,69 | 37 / 1 |
| Other Vascular Procedures W Mcc | 13 | 84 / 12 | $55.717,00 | 121 / 1 | $19.926,80 | 296 / 1 | $18.715,70 | 295 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 3 | $54.736,50 | 140 / 2 | $15.686,90 | 220 / 1 | $14.857,40 | 219 / 2 |
| Major Chest Procedures W Cc | 12 | 62 / 11 | $65.270,90 | 236 / 6 | $17.040,40 | 165 / 2 | $14.182,70 | 165 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 6 | $21.655,20 | 424 / 4 | $4.784,67 | 262 / 2 | $3.776,67 | 262 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 10 | $53.584,80 | 288 / 6 | $14.231,20 | 57 / 8 | $9.540,33 | 57 / 1 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 11 | $29.722,20 | 157 / 5 | $10.242,40 | 110 / 1 | $8.890,00 | 110 / 1 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 7 | $25.828,80 | 324 / 5 | $5.811,36 | 209 / 1 | $5.153,91 | 208 / 1 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 10 | $30.038,00 | 811 / 10 | $5.989,09 | 459 / 1 | $5.218,27 | 457 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $21.261,60 | 341 / 4 | $5.954,27 | 134 / 1 | $4.294,00 | 134 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 6 | $57.005,60 | 308 / 4 | $10.611,50 | 116 / 1 | $7.993,91 | 116 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 13 | $65.482,40 | 537 / 8 | $15.625,00 | 183 / 7 | $10.978,80 | 179 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 16 | $52.288,70 | 365 / 7 | $16.683,50 | 25 / 11 | $9.466,00 | 25 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 15 | $30.499,50 | 305 / 9 | $7.397,18 | 193 / 1 | $5.186,64 | 193 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 15 | $53.731,30 | 260 / 4 | $15.917,90 | 347 / 1 | $14.824,10 | 346 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 9 | $66.019,00 | 116 / 3 | $23.716,20 | 332 / 4 | $23.163,50 | 332 / 4 |
| Seizures W Mcc | 11 | 55 / 10 | $28.559,50 | 145 / 1 | $10.091,40 | 114 / 3 | $7.831,91 | 114 / 1 | Total 98 procedures | 3.175 | 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.