Hospital Costs > In Washington DC > Providence Hospital Washington, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 247 | 86 / 1 | $14.528,40 | 171 / 1 | $9.309,64 | 470 / 2 | $7.499,15 | 470 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 143 | 373 / 2 | $45.019,40 | 1576 / 2 | $15.232,50 | 2243 / 2 | $13.340,80 | 2203 / 2 |
| Heart Failure & Shock W Cc | 120 | 158 / 2 | $20.919,40 | 1279 / 1 | $8.686,09 | 2333 / 2 | $7.448,08 | 2327 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 115 | 449 / 4 | $33.078,70 | 357 / 2 | $16.635,20 | 2198 / 2 | $14.679,90 | 2154 / 4 |
| Heart Failure & Shock W Mcc | 88 | 196 / 2 | $32.351,50 | 1236 / 2 | $12.550,50 | 2168 / 3 | $11.111,10 | 2158 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 84 | 46 / 1 | $6.330,23 | 40 / 1 | $6.473,76 | 639 / 1 | $5.216,69 | 638 / 2 |
| Renal Failure W Mcc | 71 | 124 / 2 | $27.923,60 | 642 / 1 | $12.759,70 | 1679 / 3 | $11.059,60 | 1677 / 3 |
| Renal Failure W Cc | 64 | 157 / 3 | $17.270,70 | 700 / 1 | $8.446,22 | 1986 / 2 | $6.935,75 | 1976 / 2 |
| Red Blood Cell Disorders W/O Mcc | 60 | 83 / 2 | $15.188,70 | 467 / 3 | $7.335,77 | 1681 / 2 | $6.238,10 | 1672 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 2 | $24.759,50 | 1108 / 2 | $9.979,51 | 2172 / 2 | $8.663,08 | 2164 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 5 | $15.558,30 | 822 / 2 | $6.993,60 | 2263 / 2 | $5.418,80 | 2248 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 2 | $19.962,80 | 995 / 1 | $8.303,21 | 2036 / 2 | $6.839,42 | 2029 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 47 | 79 / 3 | $18.136,90 | 312 / 1 | $9.490,87 | 1371 / 2 | $8.477,89 | 1368 / 3 |
| Cellulitis W/O Mcc | 46 | 143 / 4 | $18.332,20 | 1284 / 2 | $7.808,41 | 2213 / 3 | $6.164,41 | 2205 / 3 |
| G.I. Hemorrhage W Cc | 45 | 173 / 5 | $21.081,00 | 843 / 1 | $8.788,69 | 1988 / 3 | $7.223,20 | 1984 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 2 | $27.071,90 | 1431 / 2 | $9.524,68 | 2118 / 2 | $7.676,27 | 2110 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 2 | $32.272,20 | 1186 / 2 | $11.862,20 | 2097 / 3 | $10.610,90 | 2093 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 3 | $15.934,70 | 948 / 2 | $6.472,84 | 1752 / 2 | $5.332,89 | 1739 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 5 | $26.994,60 | 926 / 2 | $9.252,11 | 1701 / 2 | $7.618,05 | 1697 / 3 |
| Transient Ischemia | 36 | 89 / 2 | $21.636,20 | 780 / 2 | $6.942,44 | 1435 / 2 | $5.415,44 | 1427 / 4 |
| Diabetes W Cc | 35 | 57 / 2 | $14.627,40 | 312 / 1 | $7.424,46 | 1295 / 1 | $6.150,49 | 1290 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 2 | $21.779,60 | 700 / 2 | $7.028,06 | 1379 / 2 | $5.662,51 | 1375 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 2 | $16.016,30 | 907 / 2 | $6.773,00 | 1862 / 2 | $5.649,17 | 1851 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 5 | $18.431,40 | 1402 / 2 | $7.240,32 | 2333 / 2 | $5.862,53 | 2322 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 5 | $22.726,00 | 1419 / 2 | $8.715,91 | 2423 / 3 | $7.377,48 | 2414 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 4 | $38.223,10 | 634 / 2 | $13.868,20 | 1229 / 2 | $12.310,30 | 1223 / 2 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 2 | $34.342,30 | 1262 / 2 | $10.715,90 | 1836 / 3 | $9.064,67 | 1831 / 1 |
| Other Vascular Procedures W Mcc | 29 | 68 / 2 | $41.366,70 | 47 / 1 | $24.013,90 | 622 / 1 | $22.363,20 | 619 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 6 | $16.121,50 | 1097 / 1 | $6.588,86 | 2155 / 2 | $5.395,69 | 2147 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 3 | $17.450,60 | 804 / 1 | $7.149,93 | 1801 / 2 | $5.841,15 | 1796 / 2 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 2 | $28.430,10 | 413 / 3 | $10.948,10 | 879 / 3 | $9.715,15 | 875 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 2 | $37.903,10 | 731 / 1 | $13.072,60 | 1241 / 2 | $11.186,20 | 1232 / 1 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 3 | $35.708,80 | 538 / 1 | $14.172,30 | 1303 / 3 | $12.913,70 | 1293 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 3 | $75.377,80 | 218 / 1 | $35.378,30 | 861 / 1 | $33.387,00 | 855 / 1 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 2 | $21.757,30 | 75 / 1 | $14.307,30 | 966 / 2 | $13.269,10 | 959 / 2 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 2 | $17.283,40 | 281 / 1 | $8.738,23 | 939 / 1 | $6.850,14 | 936 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 3 | $44.921,10 | 1073 / 2 | $9.517,59 | 1368 / 1 | $7.926,41 | 1365 / 1 |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 2 | $14.211,10 | 321 / 2 | $6.861,38 | 682 / 3 | $4.385,00 | 681 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 5 | $64.912,80 | 278 / 1 | $29.342,10 | 1084 / 2 | $27.815,90 | 1079 / 3 |
| Hypertension W/O Mcc | 21 | 44 / 2 | $14.006,20 | 177 / 1 | $6.035,62 | 653 / 1 | $4.853,10 | 651 / 3 |
| Chest Pain | 20 | 131 / 5 | $10.558,90 | 175 / 1 | $5.821,15 | 1390 / 1 | $4.626,35 | 1382 / 2 |
| Medical Back Problems W/O Mcc | 20 | 101 / 4 | $21.469,30 | 633 / 1 | $7.595,90 | 1241 / 2 | $6.227,05 | 1237 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 4 | $13.977,30 | 275 / 1 | $6.552,65 | 858 / 2 | $5.448,85 | 854 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 4 | $25.637,10 | 958 / 2 | $9.786,21 | 1634 / 3 | $8.307,47 | 1630 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 2 | $77.297,00 | 75 / 1 | $40.249,00 | 607 / 2 | $38.699,60 | 606 / 2 |
| Syncope & Collapse | 19 | 150 / 5 | $16.951,20 | 569 / 1 | $6.895,42 | 1536 / 2 | $5.261,58 | 1529 / 2 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 3 | $21.647,50 | 476 / 2 | $8.755,24 | 1114 / 2 | $7.313,35 | 1111 / 3 |
| Seizures W Mcc | 17 | 49 / 3 | $44.471,80 | 417 / 1 | $14.158,20 | 610 / 2 | $12.426,30 | 610 / 2 |
| Seizures W/O Mcc | 17 | 91 / 5 | $15.160,40 | 271 / 1 | $7.076,35 | 1064 / 2 | $5.938,65 | 1062 / 3 |
| G.I. Obstruction W Cc | 15 | 77 / 4 | $22.751,10 | 844 / 2 | $8.241,87 | 1506 / 2 | $6.758,67 | 1501 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 3 | $33.118,60 | 17 / 1 | $20.589,70 | 327 / 2 | $16.455,00 | 326 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 3 | $16.659,80 | 262 / 1 | $7.796,33 | 904 / 1 | $6.590,07 | 900 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 3 | $15.199,50 | 754 / 2 | $6.681,27 | 1762 / 2 | $5.443,80 | 1754 / 3 |
| Other Vascular Procedures W Cc | 15 | 87 / 4 | $56.389,50 | 293 / 1 | $19.408,20 | 850 / 1 | $17.898,40 | 845 / 1 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 2 | $14.963,50 | 90 / 1 | $8.936,79 | 399 / 1 | $7.300,21 | 399 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 4 | $178.946,00 | 9 / 1 | $82.789,80 | 43 / 1 | $80.075,60 | 43 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 3 | $86.170,40 | 149 / 1 | $34.648,10 | 487 / 1 | $32.273,40 | 486 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 4 | $38.226,40 | 286 / 1 | $16.925,60 | 1334 / 2 | $15.943,60 | 1321 / 2 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 2 | $14.447,60 | 79 / 1 | $6.715,54 | 284 / 2 | $5.455,77 | 284 / 4 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 4 | $16.867,90 | 237 / 1 | $8.939,46 | 1029 / 3 | $6.591,23 | 1025 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 3 | $28.419,90 | 878 / 1 | $10.289,10 | 1560 / 2 | $8.958,85 | 1557 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 4 | $17.542,30 | 146 / 1 | $8.589,54 | 676 / 1 | $7.527,08 | 676 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 4 | $137.659,00 | 44 / 1 | $58.572,50 | 160 / 1 | $56.303,30 | 160 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 4 | $94.203,40 | 332 / 2 | $36.832,40 | 464 / 2 | $29.277,10 | 462 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 4 | $15.735,20 | 1081 / 2 | $5.601,00 | 1736 / 2 | $4.222,17 | 1730 / 3 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 2 | $18.417,20 | 187 / 1 | $6.279,00 | 316 / 1 | $5.013,00 | 316 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 6 | $21.437,30 | 268 / 1 | $10.194,80 | 1152 / 2 | $8.961,25 | 1147 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 5 | $13.009,40 | 368 / 1 | $6.162,00 | 1099 / 2 | $4.304,08 | 1096 / 2 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 5 | $44.796,80 | 290 / 1 | $19.354,00 | 1207 / 2 | $17.551,30 | 1193 / 2 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 4 | $42.591,90 | 869 / 2 | $15.461,10 | 1454 / 3 | $13.944,70 | 1439 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 3 | $18.370,90 | 247 / 1 | $8.199,09 | 839 / 1 | $7.350,09 | 836 / 3 |
| Respiratory Signs & Symptoms | 11 | 35 / 3 | $19.291,90 | 107 / 1 | $6.505,73 | 231 / 1 | $5.075,18 | 231 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 3 | $32.539,10 | 836 / 1 | $9.106,82 | 1242 / 1 | $8.077,09 | 1240 / 2 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 3 | $34.158,00 | 30 / 1 | $20.333,30 | 271 / 1 | $18.924,00 | 271 / 1 | Total 74 procedures | 2.524 | 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.