Hospital Costs > In Washington > Samaritan Hospital Moses Lake, 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 | 67 | 449 / 39 | $20.501,60 | 283 / 4 | $14.647,10 | 2048 / 38 | $12.543,50 | 2011 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 38 | $46.858,70 | 1128 / 13 | $17.940,40 | 2120 / 41 | $14.127,90 | 2077 / 41 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 28 | $18.606,80 | 323 / 3 | $10.053,80 | 1693 / 32 | $8.449,53 | 1688 / 29 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 22 | $16.184,00 | 177 / 2 | $11.377,80 | 1975 / 31 | $10.029,10 | 1975 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 37 | $13.427,40 | 244 / 1 | $8.760,33 | 2148 / 34 | $7.803,00 | 2140 / 39 |
| Heart Failure & Shock W Mcc | 22 | 262 / 37 | $17.312,20 | 263 / 1 | $12.070,10 | 2040 / 37 | $10.544,40 | 2031 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 32 | $14.252,30 | 648 / 3 | $6.503,50 | 2260 / 33 | $5.412,30 | 2245 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 24 | $11.540,50 | 205 / 2 | $6.614,42 | 1761 / 32 | $5.661,16 | 1756 / 38 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 29 | $38.808,00 | 574 / 5 | $14.939,90 | 1682 / 32 | $13.898,80 | 1663 / 36 |
| Renal Failure W Mcc | 15 | 180 / 31 | $21.177,10 | 282 / 3 | $11.905,50 | 1686 / 34 | $11.094,90 | 1684 / 36 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $13.182,60 | 175 / 2 | $7.503,53 | 1476 / 29 | $6.613,93 | 1471 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 27 | $14.426,40 | 280 / 2 | $9.416,79 | 2130 / 33 | $8.420,21 | 2122 / 39 |
| Cellulitis W/O Mcc | 13 | 176 / 30 | $17.784,20 | 1216 / 11 | $7.121,23 | 2219 / 31 | $6.190,77 | 2211 / 40 |
| Heart Failure & Shock W Cc | 12 | 266 / 35 | $11.881,20 | 258 / 4 | $8.245,00 | 2370 / 37 | $7.642,33 | 2364 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 26 | $11.591,70 | 197 / 1 | $7.883,50 | 1830 / 30 | $6.169,58 | 1823 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 25 | $11.148,90 | 77 / 2 | $9.026,67 | 1603 / 31 | $8.122,67 | 1599 / 35 |
| G.I. Hemorrhage W Cc | 11 | 207 / 34 | $14.917,50 | 302 / 3 | $8.773,82 | 1765 / 37 | $6.512,27 | 1761 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 27 | $8.236,00 | 165 / 1 | $6.224,45 | 2112 / 33 | $5.229,55 | 2104 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 35 | $17.321,40 | 308 / 2 | $8.686,36 | 1695 / 34 | $7.586,73 | 1691 / 39 | Total 19 procedures | 434 | 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.