Hospital Costs > In Washington DC > Sibley Memorial 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 | 610 | 78 / 1 | $30.991,60 | 260 / 1 | $13.079,60 | 697 / 1 | $10.618,40 | 687 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 94 | 139 / 2 | $16.107,10 | 1089 / 1 | $4.577,27 | 270 / 1 | $3.391,30 | 270 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 80 | 436 / 4 | $31.818,70 | 878 / 1 | $11.961,10 | 980 / 1 | $10.155,30 | 972 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 79 | 124 / 2 | $18.987,40 | 1026 / 1 | $5.900,44 | 486 / 1 | $4.633,63 | 483 / 1 |
| G.I. Hemorrhage W Cc | 74 | 144 / 2 | $21.487,50 | 897 / 2 | $6.175,27 | 618 / 1 | $5.019,88 | 617 / 1 |
| Cellulitis W/O Mcc | 68 | 121 / 2 | $19.289,40 | 1399 / 3 | $5.440,60 | 1129 / 1 | $4.370,53 | 1123 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 65 | 129 / 3 | $69.969,60 | 374 / 2 | $25.955,90 | 507 / 1 | $21.836,80 | 504 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 4 | $18.323,00 | 1179 / 3 | $5.015,39 | 658 / 1 | $3.534,78 | 654 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 2 | $16.484,10 | 1128 / 3 | $4.341,78 | 412 / 1 | $3.253,84 | 412 / 1 |
| Heart Failure & Shock W Cc | 58 | 220 / 5 | $22.860,50 | 1477 / 3 | $5.974,79 | 508 / 1 | $4.903,48 | 508 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 2 | $26.793,60 | 911 / 1 | $6.540,19 | 546 / 1 | $5.265,02 | 545 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 2 | $14.803,90 | 830 / 1 | $4.350,55 | 36 / 1 | $2.624,04 | 36 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 46 | 23 / 1 | $40.304,40 | 48 / 2 | $16.483,80 | 199 / 1 | $14.768,80 | 199 / 1 |
| Renal Failure W Cc | 45 | 176 / 5 | $18.938,00 | 874 / 2 | $5.598,67 | 366 / 1 | $4.611,96 | 363 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 44 | 49 / 1 | $14.153,90 | 632 / 1 | $4.176,18 | 241 / 1 | $2.976,77 | 239 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 2 | $11.317,00 | 503 / 1 | $3.376,90 | 224 / 1 | $2.175,90 | 223 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 3 | $24.599,00 | 1218 / 1 | $6.611,13 | 548 / 1 | $5.258,38 | 546 / 1 |
| G.I. Obstruction W Cc | 37 | 55 / 2 | $22.175,00 | 812 / 1 | $5.740,59 | 506 / 1 | $4.483,35 | 505 / 1 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 6 | $14.129,00 | 365 / 2 | $4.870,68 | 264 / 1 | $3.715,24 | 264 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 1 | $43.530,90 | 786 / 1 | $11.842,40 | 790 / 1 | $10.597,40 | 782 / 1 |
| Transient Ischemia | 34 | 91 / 3 | $18.387,50 | 543 / 1 | $4.146,76 | 157 / 1 | $2.929,76 | 157 / 1 |
| Heart Failure & Shock W Mcc | 32 | 252 / 5 | $30.456,70 | 1109 / 1 | $8.882,84 | 748 / 1 | $7.987,69 | 748 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 32 | 29 / 1 | $15.353,70 | 301 / 1 | $4.268,69 | 146 / 1 | $3.092,03 | 147 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 2 | $14.121,10 | 282 / 2 | $4.206,50 | 103 / 1 | $2.953,20 | 103 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 30 | 41 / 2 | $16.065,50 | 596 / 2 | $3.895,70 | 99 / 1 | $2.327,17 | 99 / 1 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 2 | $48.717,80 | 387 / 2 | $16.008,10 | 613 / 1 | $14.028,30 | 607 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 29 | 27 / 1 | $33.427,00 | 274 / 1 | $10.022,60 | 223 / 1 | $8.223,76 | 223 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 4 | $38.046,50 | 1488 / 3 | $9.578,43 | 1292 / 1 | $8.299,82 | 1292 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 27 | 37 / 2 | $27.936,60 | 98 / 1 | $10.718,40 | 64 / 1 | $7.292,07 | 64 / 1 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 4 | $18.483,70 | 572 / 1 | $4.464,80 | 63 / 1 | $2.872,08 | 63 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 4 | $19.026,00 | 967 / 2 | $4.663,74 | 586 / 1 | $3.896,96 | 584 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 1 | $34.734,90 | 95 / 1 | $13.910,90 | 166 / 1 | $10.873,80 | 164 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 4 | $21.749,30 | 699 / 1 | $4.526,52 | 301 / 1 | $3.373,95 | 298 / 1 |
| Renal Failure W Mcc | 21 | 174 / 7 | $33.374,90 | 971 / 3 | $9.726,57 | 565 / 1 | $8.150,86 | 565 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 7 | $22.962,40 | 1299 / 3 | $6.249,90 | 70 / 1 | $3.925,25 | 70 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 3 | $40.115,50 | 195 / 1 | $13.248,60 | 377 / 1 | $12.004,50 | 376 / 1 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 5 | $36.203,30 | 1345 / 3 | $10.144,70 | 1854 / 2 | $9.130,89 | 1849 / 2 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 3 | $13.741,20 | 298 / 1 | $3.736,59 | 141 / 1 | $2.811,94 | 140 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 7 | $32.086,00 | 1052 / 3 | $7.809,82 | 515 / 1 | $6.035,06 | 512 / 1 |
| Respiratory Neoplasms W Cc | 17 | 30 / 3 | $27.274,80 | 158 / 1 | $7.901,18 | 3 / 1 | $4.564,71 | 3 / 1 |
| Medical Back Problems W/O Mcc | 17 | 104 / 5 | $21.631,40 | 649 / 2 | $5.403,65 | 154 / 1 | $3.667,82 | 154 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 3 | $93.767,40 | 327 / 1 | $34.806,00 | 769 / 1 | $33.140,10 | 767 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 6 | $17.883,10 | 1101 / 3 | $4.526,06 | 128 / 1 | $2.883,94 | 128 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 2 | $25.118,80 | 483 / 1 | $6.970,62 | 361 / 1 | $6.299,12 | 360 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 2 | $60.536,20 | 148 / 1 | $21.433,80 | 369 / 1 | $20.331,80 | 368 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 5 | $17.820,20 | 415 / 1 | $6.664,00 | 71 / 1 | $4.943,07 | 71 / 1 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 5 | $43.834,40 | 832 / 3 | $13.958,90 | 1290 / 2 | $12.853,90 | 1280 / 2 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 2 | $30.302,80 | 392 / 1 | $11.584,60 | 52 / 1 | $9.107,33 | 52 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 5 | $31.459,10 | 390 / 1 | $10.374,80 | 486 / 1 | $9.315,93 | 485 / 1 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 4 | $18.445,40 | 312 / 1 | $5.906,29 | 342 / 1 | $4.879,50 | 342 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 3 | $20.009,50 | 58 / 1 | $7.090,71 | 80 / 1 | $6.059,50 | 80 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 2 | $21.404,00 | 48 / 1 | $7.988,64 | 31 / 1 | $5.146,21 | 31 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 5 | $24.347,50 | 407 / 2 | $7.122,00 | 236 / 1 | $6.091,08 | 235 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 3 | $36.212,70 | 1198 / 3 | $8.802,77 | 1177 / 1 | $7.547,15 | 1174 / 1 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 4 | $22.526,40 | 537 / 2 | $6.690,00 | 278 / 1 | $4.828,92 | 275 / 1 |
| Seizures W/O Mcc | 12 | 96 / 6 | $20.443,00 | 570 / 2 | $4.359,83 | 96 / 1 | $3.287,50 | 96 / 1 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 3 | $24.919,90 | 132 / 1 | $6.259,75 | 47 / 1 | $5.060,25 | 47 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 3 | $19.714,60 | 153 / 2 | $4.624,75 | 9 / 1 | $2.914,33 | 9 / 1 |
| Syncope & Collapse | 12 | 157 / 6 | $17.762,10 | 650 / 2 | $4.639,17 | 35 / 1 | $2.797,67 | 35 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 6 | $24.348,10 | 1073 / 1 | $7.006,27 | 678 / 1 | $5.959,73 | 674 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 4 | $20.637,60 | 169 / 1 | $7.185,45 | 16 / 1 | $5.505,09 | 16 / 1 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 2 | $25.582,90 | 498 / 1 | $8.798,55 | 260 / 1 | $6.880,18 | 258 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 2 | $24.403,70 | 18 / 1 | $12.828,60 | 83 / 1 | $10.568,90 | 83 / 1 | Total 63 procedures | 2.465 | 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.