Hospital Costs > In Washington > Providence Holy Family 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 | 299 | 269 / 11 | $55.114,90 | 1512 / 21 | $14.840,80 | 1678 / 11 | $12.495,50 | 1641 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 261 | 255 / 15 | $33.644,30 | 981 / 8 | $12.237,90 | 1531 / 7 | $11.069,50 | 1500 / 8 |
| Pulmonary Edema & Respiratory Failure | 105 | 98 / 6 | $29.285,90 | 998 / 14 | $8.397,33 | 1399 / 9 | $7.591,85 | 1395 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 7 | $23.676,70 | 613 / 7 | $9.703,62 | 1341 / 10 | $8.387,86 | 1341 / 6 |
| Heart Failure & Shock W Mcc | 65 | 219 / 22 | $25.752,80 | 804 / 7 | $9.845,12 | 1530 / 8 | $9.117,98 | 1526 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 22 | $20.389,20 | 822 / 6 | $7.269,19 | 1431 / 7 | $6.153,05 | 1426 / 11 |
| G.I. Hemorrhage W Cc | 62 | 156 / 15 | $27.289,70 | 1389 / 22 | $7.031,45 | 1420 / 12 | $5.845,55 | 1417 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 61 | 82 / 2 | $48.269,30 | 983 / 15 | $12.875,10 | 1257 / 8 | $11.821,70 | 1241 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 6 | $22.998,10 | 974 / 13 | $7.929,94 | 1637 / 8 | $7.067,25 | 1629 / 15 |
| Renal Failure W Cc | 46 | 175 / 18 | $18.099,90 | 780 / 5 | $6.887,33 | 1532 / 15 | $5.808,59 | 1523 / 13 |
| Heart Failure & Shock W Cc | 44 | 234 / 25 | $19.428,20 | 1108 / 10 | $6.885,82 | 1664 / 12 | $5.944,45 | 1659 / 17 |
| Renal Failure W Mcc | 42 | 153 / 17 | $25.714,60 | 499 / 5 | $10.080,80 | 1246 / 9 | $9.537,52 | 1246 / 14 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 3 | $5.376,88 | 23 / 1 | $5.110,60 | 278 / 4 | $3.727,76 | 278 / 3 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 12 | $32.805,90 | 508 / 9 | $12.685,80 | 525 / 7 | $10.532,00 | 519 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 25 | $19.585,50 | 1334 / 12 | $5.468,26 | 1643 / 12 | $4.271,85 | 1630 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 18 | $17.537,60 | 855 / 8 | $6.815,45 | 1758 / 13 | $5.794,82 | 1750 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 17 | $23.639,40 | 699 / 8 | $7.326,82 | 1301 / 12 | $6.339,87 | 1298 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 9 | $19.021,40 | 512 / 7 | $7.634,62 | 941 / 7 | $6.298,03 | 938 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 34 | 52 / 4 | $86.578,40 | 353 / 6 | $23.317,60 | 297 / 4 | $19.292,70 | 296 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 8 | $20.034,90 | 572 / 8 | $5.624,91 | 967 / 10 | $4.277,31 | 963 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 17 | $30.412,70 | 353 / 5 | $11.234,40 | 839 / 6 | $10.349,10 | 837 / 9 |
| Cellulitis W/O Mcc | 28 | 161 / 23 | $17.261,00 | 1158 / 9 | $5.893,18 | 1584 / 11 | $4.814,32 | 1577 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 14 | $52.909,50 | 705 / 7 | $15.976,70 | 959 / 9 | $13.949,20 | 950 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 19 | $13.626,00 | 782 / 5 | $5.098,00 | 1557 / 10 | $4.135,44 | 1552 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 2 | $13.544,20 | 409 / 7 | $4.502,56 | 847 / 4 | $3.537,44 | 844 / 13 |
| G.I. Obstruction W Cc | 25 | 67 / 14 | $21.298,40 | 744 / 13 | $6.170,24 | 1079 / 6 | $5.256,32 | 1076 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 14 | $19.308,20 | 936 / 12 | $6.728,76 | 1583 / 10 | $5.648,92 | 1576 / 12 |
| Syncope & Collapse | 24 | 145 / 12 | $18.964,90 | 758 / 8 | $5.247,04 | 1110 / 10 | $4.240,38 | 1103 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 21 | $17.790,70 | 1319 / 11 | $5.840,52 | 1203 / 22 | $4.089,00 | 1195 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 20 | $26.335,20 | 745 / 9 | $8.308,82 | 1035 / 10 | $7.209,18 | 1032 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 18 | $37.971,10 | 732 / 11 | $12.485,30 | 1298 / 19 | $11.505,50 | 1288 / 22 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 9 | $18.576,10 | 318 / 5 | $6.618,29 | 760 / 5 | $5.696,38 | 757 / 11 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 20 | $45.760,80 | 886 / 22 | $11.586,10 | 871 / 10 | $10.736,50 | 866 / 10 |
| Diabetes W Mcc | 19 | 38 / 3 | $26.868,60 | 218 / 5 | $9.285,11 | 341 / 2 | $8.328,47 | 341 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 19 | $91.560,80 | 396 / 7 | $32.698,80 | 720 / 3 | $31.678,30 | 714 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 19 | $16.707,80 | 1165 / 20 | $4.165,44 | 1357 / 11 | $3.235,67 | 1352 / 22 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 3 | $35.054,30 | 176 / 2 | $10.120,70 | 332 / 2 | $9.118,00 | 332 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 10 | $25.969,10 | 242 / 3 | $9.195,00 | 453 / 1 | $8.342,29 | 452 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 9 | $65.931,20 | 366 / 7 | $19.540,10 | 528 / 4 | $18.546,20 | 525 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 12 | $68.728,00 | 363 / 7 | $19.236,90 | 395 / 2 | $18.308,90 | 393 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 26 | $18.526,70 | 910 / 10 | $5.649,06 | 1302 / 11 | $4.653,29 | 1297 / 10 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 14 | $58.584,50 | 603 / 11 | $16.021,70 | 835 / 2 | $14.882,90 | 827 / 7 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 14 | $24.783,50 | 668 / 14 | $7.080,00 | 869 / 10 | $6.016,47 | 865 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 26 | $118.072,00 | 922 / 16 | $27.783,90 | 741 / 8 | $23.533,50 | 737 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 9 | $16.439,10 | 879 / 6 | $5.106,44 | 1192 / 5 | $3.896,44 | 1186 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 20 | $30.143,80 | 390 / 9 | $10.260,50 | 575 / 7 | $9.454,07 | 573 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 15 | $22.788,90 | 330 / 5 | $8.189,87 | 737 / 6 | $7.221,33 | 732 / 7 |
| Pulmonary Embolism W Mcc | 15 | 28 / 6 | $26.125,30 | 111 / 1 | $10.122,60 | 353 / 2 | $9.314,07 | 353 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 19 | $13.153,10 | 627 / 3 | $4.930,07 | 1131 / 8 | $3.886,87 | 1122 / 8 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 15 | $21.674,00 | 1045 / 14 | $5.720,29 | 1235 / 6 | $4.860,86 | 1227 / 13 |
| Seizures W Mcc | 13 | 53 / 9 | $30.211,80 | 172 / 3 | $9.917,15 | 327 / 2 | $9.082,69 | 327 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $41.945,60 | 166 / 4 | $13.155,80 | 371 / 2 | $11.949,70 | 368 / 7 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 6 | $16.088,20 | 418 / 2 | $4.608,08 | 508 / 4 | $3.605,42 | 507 / 4 |
| Cellulitis W Mcc | 12 | 46 / 10 | $18.818,80 | 107 / 1 | $9.735,17 | 554 / 3 | $9.028,50 | 552 / 5 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 10 | $32.297,50 | 199 / 6 | $11.296,80 | 359 / 3 | $10.511,30 | 358 / 5 |
| Diabetes W Cc | 12 | 80 / 12 | $17.970,70 | 556 / 4 | $5.742,17 | 912 / 3 | $4.936,83 | 908 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 9 | $44.917,80 | 365 / 9 | $11.111,70 | 570 / 2 | $9.999,67 | 568 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 20 | $21.424,40 | 351 / 5 | $7.136,82 | 803 / 5 | $6.141,91 | 801 / 5 |
| Digestive Malignancy W Mcc | 11 | 26 / 3 | $44.769,90 | 50 / 1 | $12.507,50 | 26 / 1 | $11.629,00 | 26 / 2 |
| Seizures W/O Mcc | 11 | 97 / 15 | $18.790,30 | 484 / 3 | $5.352,82 | 813 / 4 | $4.800,09 | 810 / 11 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 5 | $202.033,00 | 54 / 3 | $63.645,40 | 92 / 4 | $62.438,10 | 92 / 4 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 6 | $28.799,80 | 97 / 2 | $11.412,60 | 339 / 2 | $10.531,20 | 338 / 4 | Total 62 procedures | 2.212 | 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.