Hospital Costs > In Washington > Skagit Valley Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 12 | $27.493,60 | 633 / 14 | $7.808,35 | 1045 / 16 | $6.864,00 | 1043 / 25 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 12 | $38.087,10 | 736 / 12 | $12.733,40 | 1053 / 25 | $10.500,00 | 1050 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 6 | $26.357,10 | 496 / 7 | $5.810,07 | 664 / 4 | $5.005,64 | 660 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 14 | $27.310,30 | 1509 / 35 | $6.101,63 | 1583 / 23 | $5.164,71 | 1578 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 18 | $38.941,20 | 1291 / 33 | $9.050,46 | 1255 / 23 | $7.769,92 | 1252 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 18 | $13.809,10 | 843 / 10 | $4.502,74 | 1527 / 18 | $3.586,16 | 1521 / 27 |
Cellulitis W/O Mcc | 30 | 159 / 21 | $23.524,80 | 1777 / 30 | $6.436,00 | 1928 / 19 | $5.414,00 | 1920 / 31 |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 13 | $57.722,80 | 426 / 11 | $18.906,10 | 550 / 19 | $13.182,40 | 547 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 21 | $29.593,40 | 1699 / 29 | $7.094,89 | 1720 / 19 | $5.908,72 | 1713 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 25 | $35.395,10 | 1767 / 32 | $8.728,67 | 1919 / 24 | $7.735,11 | 1911 / 30 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 12 | $42.735,90 | 208 / 1 | $14.340,10 | 539 / 4 | $13.190,80 | 533 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 18 | $40.030,80 | 948 / 17 | $8.294,47 | 1167 / 17 | $6.898,18 | 1164 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 15 | $34.553,70 | 787 / 20 | $8.876,67 | 957 / 14 | $8.004,67 | 952 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 22 | $29.043,40 | 2120 / 36 | $6.071,02 | 2040 / 29 | $4.877,89 | 2026 / 35 |
G.I. Hemorrhage W Cc | 35 | 183 / 27 | $33.130,10 | 1722 / 34 | $7.435,51 | 1703 / 19 | $6.370,09 | 1699 / 25 |
G.I. Hemorrhage W Mcc | 14 | 107 / 24 | $39.997,60 | 691 / 14 | $12.665,10 | 1175 / 20 | $12.032,30 | 1167 / 25 |
G.I. Obstruction W Cc | 24 | 68 / 15 | $24.369,00 | 953 / 20 | $7.235,46 | 1309 / 25 | $5.886,58 | 1304 / 25 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 5 | $21.219,40 | 873 / 19 | $4.865,00 | 968 / 10 | $3.862,40 | 965 / 16 |
Heart Failure & Shock W Cc | 41 | 237 / 27 | $32.148,30 | 2063 / 40 | $7.489,12 | 2118 / 26 | $6.783,93 | 2112 / 36 |
Heart Failure & Shock W Mcc | 59 | 225 / 26 | $39.863,00 | 1652 / 24 | $11.440,80 | 1998 / 31 | $10.375,30 | 1991 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 20 | $58.762,70 | 1317 / 20 | $14.030,80 | 1502 / 21 | $12.808,90 | 1484 / 24 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 3 | $45.816,50 | 506 / 6 | $11.778,10 | 696 / 5 | $10.700,40 | 693 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 20 | $106.013,00 | 557 / 10 | $32.648,20 | 713 / 2 | $31.615,20 | 707 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 20 | $34.942,00 | 1356 / 33 | $7.818,64 | 1494 / 23 | $6.856,76 | 1491 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 18 | $39.109,70 | 665 / 13 | $11.604,90 | 910 / 10 | $10.665,70 | 908 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 15 | $26.772,30 | 975 / 20 | $5.787,14 | 1195 / 16 | $4.839,95 | 1191 / 26 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 26 | $37.474,10 | 1428 / 32 | $8.501,36 | 1511 / 23 | $7.654,45 | 1507 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 26 | $23.290,00 | 1869 / 28 | $5.997,53 | 2012 / 26 | $5.033,94 | 2001 / 29 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 13 | $28.612,20 | 610 / 13 | $9.096,83 | 642 / 17 | $7.125,33 | 640 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 129 | 435 / 30 | $57.204,60 | 1589 / 23 | $15.342,90 | 2056 / 20 | $13.826,40 | 2014 / 39 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $97.201,10 | 1195 / 27 | $24.128,10 | 1265 / 31 | $18.387,60 | 1251 / 29 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 9 | $64.009,00 | 605 / 11 | $12.194,30 | 522 / 8 | $10.155,70 | 522 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 21 | $34.499,50 | 1148 / 27 | $8.299,93 | 1109 / 19 | $7.368,20 | 1106 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 18 | $22.340,80 | 1741 / 28 | $5.804,42 | 1797 / 29 | $4.472,69 | 1792 / 27 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 18 | $54.259,10 | 835 / 14 | $13.585,40 | 959 / 8 | $13.204,40 | 952 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 14 | $85.261,90 | 338 / 7 | $22.183,80 | 645 / 3 | $21.206,00 | 641 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 19 | $64.806,80 | 561 / 12 | $14.600,40 | 1153 / 7 | $13.523,00 | 1146 / 27 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 5 | $50.356,60 | 158 / 2 | $13.479,40 | 253 / 2 | $10.087,60 | 253 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 9 | $57.547,20 | 157 / 2 | $14.068,80 | 395 / 1 | $13.011,50 | 391 / 6 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 6 | $67.189,90 | 445 / 12 | $19.361,10 | 658 / 14 | $17.326,50 | 657 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 7 | $53.627,50 | 315 / 5 | $15.672,30 | 416 / 8 | $12.847,40 | 415 / 4 |
Psychoses | 56 | 223 / 5 | $30.115,10 | 476 / 12 | $8.045,30 | 389 / 10 | $6.697,73 | 389 / 9 |
Pulmonary Edema & Respiratory Failure | 73 | 130 / 15 | $38.270,20 | 1440 / 29 | $9.042,08 | 1608 / 18 | $8.128,10 | 1603 / 28 |
Pulmonary Embolism W Mcc | 13 | 30 / 8 | $42.479,20 | 356 / 9 | $10.398,30 | 381 / 4 | $9.586,23 | 381 / 10 |
Renal Failure W Cc | 33 | 188 / 23 | $30.959,30 | 1747 / 37 | $7.465,58 | 1698 / 26 | $6.137,36 | 1689 / 26 |
Renal Failure W Mcc | 27 | 168 / 24 | $48.495,80 | 1544 / 37 | $10.912,20 | 1415 / 20 | $9.989,67 | 1415 / 23 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 12 | $32.021,90 | 750 / 14 | $9.918,46 | 1065 / 12 | $8.935,23 | 1060 / 15 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 20 | $39.446,90 | 764 / 20 | $13.293,90 | 1193 / 17 | $12.534,10 | 1178 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 19 | $58.420,40 | 877 / 14 | $15.815,60 | 1164 / 7 | $14.899,80 | 1151 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 208 | 308 / 21 | $44.613,80 | 1553 / 26 | $13.045,80 | 1861 / 19 | $11.922,90 | 1826 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 24 | $27.587,60 | 1470 / 24 | $8.796,24 | 1814 / 36 | $6.822,20 | 1806 / 29 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 18 | $31.216,00 | 2018 / 40 | $7.361,71 | 2070 / 24 | $6.308,00 | 2062 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 18 | $38.161,20 | 1495 / 30 | $11.164,00 | 1787 / 30 | $9.364,27 | 1787 / 27 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 24 | $92.567,90 | 662 / 8 | $28.046,50 | 1033 / 10 | $26.897,70 | 1028 / 19 |
Syncope & Collapse | 12 | 157 / 21 | $35.415,30 | 1596 / 32 | $5.716,50 | 1361 / 17 | $4.746,00 | 1354 / 23 | Total 55 procedures | 1.625 | 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.