Hospital Costs > In Washington > Providence St Mary 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 | 171 | 393 / 26 | $45.707,80 | 1069 / 12 | $14.061,20 | 1398 / 4 | $11.801,00 | 1365 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 109 | 85 / 3 | $86.921,70 | 601 / 5 | $26.031,60 | 703 / 1 | $23.154,80 | 699 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 83 | 433 / 37 | $46.916,20 | 1666 / 29 | $12.598,00 | 1640 / 13 | $11.305,60 | 1608 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 42 | 62 / 3 | $52.455,70 | 372 / 8 | $14.390,50 | 556 / 1 | $13.232,50 | 553 / 9 |
| Heart Failure & Shock W Mcc | 39 | 245 / 32 | $27.416,80 | 935 / 10 | $8.953,13 | 870 / 2 | $8.125,41 | 870 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 21 | $35.186,80 | 1361 / 23 | $8.937,19 | 1049 / 2 | $7.926,43 | 1049 / 1 |
| G.I. Hemorrhage W Cc | 35 | 183 / 27 | $25.621,70 | 1256 / 20 | $6.505,09 | 1213 / 4 | $5.589,97 | 1211 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 21 | $21.873,30 | 1336 / 22 | $6.263,54 | 1120 / 4 | $5.172,09 | 1116 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 33 | $23.034,20 | 1073 / 11 | $6.627,76 | 1027 / 3 | $5.689,61 | 1024 / 4 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 30 | 17 / 1 | $152.617,00 | 60 / 5 | $41.669,90 | 54 / 4 | $37.815,90 | 54 / 1 |
| Renal Failure W Cc | 29 | 192 / 25 | $30.179,90 | 1701 / 31 | $7.288,31 | 1759 / 21 | $6.303,93 | 1749 / 32 |
| Heart Failure & Shock W Cc | 29 | 249 / 30 | $26.984,40 | 1803 / 25 | $6.383,97 | 1317 / 5 | $5.565,55 | 1313 / 8 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 33 | $30.345,50 | 1062 / 18 | $8.634,48 | 1113 / 11 | $7.125,67 | 1111 / 7 |
| Renal Failure W Mcc | 25 | 170 / 25 | $26.450,40 | 542 / 7 | $9.470,32 | 894 / 3 | $8.715,36 | 894 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 14 | $34.841,10 | 612 / 6 | $9.433,88 | 320 / 1 | $8.588,44 | 320 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 22 | $19.524,90 | 1013 / 12 | $5.250,32 | 890 / 6 | $4.190,59 | 887 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 6 | $35.211,50 | 556 / 9 | $6.927,52 | 458 / 1 | $5.615,81 | 457 / 5 |
| Cervical Spinal Fusion W Cc | 19 | 34 / 4 | $58.079,50 | 119 / 2 | $18.153,50 | 183 / 1 | $16.943,10 | 182 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 25 | $42.540,80 | 745 / 8 | $11.728,20 | 812 / 1 | $10.633,50 | 803 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 29 | $29.340,00 | 1107 / 20 | $6.766,16 | 1011 / 5 | $5.848,37 | 1008 / 8 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 20 | $38.720,80 | 731 / 17 | $11.998,20 | 852 / 4 | $11.268,20 | 842 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 33 | $19.768,30 | 1359 / 14 | $4.968,61 | 1190 / 5 | $3.882,28 | 1180 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 22 | $29.640,90 | 938 / 15 | $7.798,44 | 896 / 3 | $6.969,39 | 893 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 26 | $25.190,20 | 1142 / 16 | $7.314,59 | 1047 / 2 | $6.291,29 | 1042 / 6 |
| Cellulitis W/O Mcc | 17 | 172 / 28 | $20.537,70 | 1536 / 26 | $5.345,53 | 1210 / 3 | $4.436,59 | 1204 / 6 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 15 | 31 / 3 | $168.039,00 | 41 / 2 | $52.249,60 | 63 / 1 | $51.020,30 | 63 / 2 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 24 | $40.489,10 | 705 / 15 | $11.360,50 | 771 / 4 | $10.471,10 | 769 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 23 | $12.219,00 | 619 / 6 | $4.099,54 | 822 / 10 | $2.688,31 | 818 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 27 | $39.175,80 | 671 / 14 | $11.449,40 | 850 / 8 | $10.412,90 | 848 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 29 | $19.301,00 | 1493 / 16 | $5.149,00 | 1241 / 7 | $4.116,67 | 1232 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 19 | $24.375,20 | 494 / 10 | $6.116,50 | 520 / 1 | $5.498,33 | 519 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $108.933,00 | 596 / 13 | $32.731,30 | 719 / 4 | $31.676,30 | 713 / 6 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 14 | $71.005,00 | 227 / 2 | $21.862,10 | 230 / 1 | $18.399,50 | 230 / 2 | Total 33 procedures | 1.038 | 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.