Hospital Costs > In Washington > St Anthony Hospital Gig Harbor, 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 | 242 | 322 / 14 | $74.537,90 | 2103 / 29 | $14.849,40 | 1346 / 12 | $11.690,10 | 1314 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 163 | 353 / 27 | $56.933,60 | 2010 / 40 | $12.476,00 | 1406 / 11 | $10.869,00 | 1379 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 7 | $33.465,70 | 2122 / 42 | $6.397,24 | 1085 / 5 | $5.147,75 | 1082 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 20 | $28.113,00 | 2073 / 34 | $4.695,02 | 974 / 2 | $3.747,57 | 966 / 4 |
| Renal Failure W Cc | 50 | 171 / 16 | $33.146,80 | 1838 / 38 | $6.032,28 | 882 / 2 | $5.067,80 | 874 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 27 | $36.877,30 | 1929 / 39 | $6.738,50 | 1206 / 4 | $5.883,83 | 1201 / 6 |
| Heart Failure & Shock W Cc | 48 | 230 / 23 | $32.063,00 | 2061 / 39 | $6.166,88 | 1185 / 2 | $5.438,21 | 1182 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 7 | $27.490,10 | 2021 / 38 | $5.042,59 | 428 / 9 | $3.262,76 | 428 / 2 |
| Heart Failure & Shock W Mcc | 45 | 239 / 30 | $46.681,60 | 1902 / 38 | $9.846,98 | 1353 / 9 | $8.792,91 | 1350 / 7 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 25 | $40.645,40 | 1520 / 32 | $7.637,49 | 882 / 1 | $6.792,84 | 882 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 12 | $29.403,80 | 2191 / 39 | $5.118,43 | 1025 / 6 | $3.978,74 | 1017 / 4 |
| G.I. Hemorrhage W Cc | 39 | 179 / 25 | $34.941,30 | 1785 / 38 | $6.644,21 | 839 / 7 | $5.207,28 | 837 / 3 |
| Cellulitis W/O Mcc | 38 | 151 / 17 | $36.402,10 | 2332 / 42 | $5.262,87 | 1013 / 2 | $4.278,45 | 1007 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 10 | $27.628,40 | 1699 / 35 | $3.693,84 | 384 / 3 | $2.340,84 | 381 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 14 | $38.137,80 | 1864 / 34 | $7.821,44 | 1531 / 7 | $6.875,44 | 1524 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 1 | $23.214,80 | 1369 / 14 | $4.399,83 | 494 / 1 | $3.232,90 | 492 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 27 | $55.440,00 | 2028 / 43 | $9.212,38 | 1385 / 5 | $8.466,45 | 1385 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 20 | $71.497,80 | 1572 / 27 | $12.199,30 | 1047 / 4 | $11.136,90 | 1033 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 20 | $29.018,80 | 1595 / 38 | $4.938,71 | 1038 / 2 | $4.332,04 | 1034 / 8 |
| Renal Failure W Mcc | 23 | 172 / 27 | $60.786,70 | 1772 / 41 | $9.862,96 | 769 / 6 | $8.493,00 | 769 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 11 | $20.240,40 | 1298 / 18 | $4.272,30 | 526 / 2 | $3.324,83 | 524 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 16 | $32.391,60 | 1826 / 32 | $5.876,35 | 915 / 1 | $4.887,91 | 912 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 15 | $51.400,20 | 1242 / 27 | $6.833,95 | 849 / 1 | $6.009,23 | 847 / 4 |
| Syncope & Collapse | 21 | 148 / 15 | $34.776,50 | 1576 / 31 | $4.582,62 | 728 / 2 | $3.778,05 | 725 / 2 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 10 | $29.065,40 | 805 / 15 | $6.759,95 | 375 / 7 | $4.934,50 | 375 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 28 | $31.494,60 | 1228 / 25 | $6.834,40 | 1028 / 6 | $5.868,00 | 1025 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 17 | $32.648,10 | 1077 / 25 | $6.897,84 | 521 / 2 | $6.051,95 | 518 / 2 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 9 | $24.239,10 | 865 / 8 | $4.261,33 | 306 / 1 | $3.392,00 | 305 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 8 | $21.931,50 | 1399 / 14 | $5.248,47 | 190 / 3 | $2.997,18 | 190 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 23 | $32.692,70 | 1080 / 22 | $7.453,24 | 512 / 1 | $6.391,59 | 509 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 23 | $84.655,20 | 1370 / 28 | $14.784,60 | 362 / 4 | $12.051,20 | 358 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 3 | $34.281,80 | 801 / 10 | $7.419,12 | 216 / 9 | $4.145,44 | 213 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 18 | $30.124,80 | 1103 / 25 | $5.326,88 | 434 / 5 | $3.552,88 | 431 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 23 | $37.880,50 | 1439 / 33 | $7.746,53 | 441 / 9 | $5.625,07 | 440 / 2 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 23 | $79.282,10 | 1432 / 37 | $14.300,60 | 1359 / 31 | $13.376,80 | 1349 / 32 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 11 | $48.190,40 | 1125 / 22 | $8.873,07 | 783 / 3 | $7.931,36 | 778 / 5 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 16 | $28.108,60 | 801 / 21 | $6.120,00 | 482 / 1 | $5.173,71 | 479 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 4 | $25.561,10 | 522 / 6 | $4.676,07 | 215 / 1 | $3.636,07 | 215 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 7 | $25.273,60 | 656 / 11 | $4.014,50 | 254 / 1 | $3.241,93 | 253 / 1 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 5 | $20.923,40 | 581 / 7 | $3.945,86 | 271 / 1 | $3.081,86 | 270 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 21 | $32.288,80 | 1271 / 31 | $6.245,54 | 112 / 9 | $3.827,00 | 111 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 27 | $74.074,30 | 1312 / 38 | $12.198,50 | 1083 / 17 | $11.491,80 | 1078 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 25 | $49.657,80 | 1132 / 28 | $9.709,50 | 417 / 3 | $8.805,50 | 417 / 3 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 17 | $30.545,90 | 1521 / 24 | $5.072,92 | 681 / 1 | $4.163,58 | 677 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $151.032,00 | 815 / 18 | $35.588,30 | 480 / 10 | $29.456,20 | 478 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 14 | $42.159,80 | 858 / 21 | $7.419,82 | 525 / 3 | $6.704,18 | 523 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $143.829,00 | 972 / 27 | $40.119,30 | 612 / 25 | $30.523,60 | 606 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 20 | $59.443,20 | 1295 / 30 | $7.302,73 | 920 / 8 | $6.432,91 | 918 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 18 | $68.729,70 | 1351 / 32 | $7.816,91 | 759 / 2 | $7.267,09 | 754 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 15 | $26.146,40 | 644 / 11 | $4.733,09 | 79 / 1 | $3.104,91 | 79 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 17 | $122.901,00 | 753 / 20 | $28.979,40 | 700 / 22 | $22.101,30 | 697 / 17 |
| Diabetes W Cc | 11 | 81 / 13 | $24.296,10 | 961 / 14 | $5.863,27 | 263 / 5 | $3.941,64 | 263 / 1 | Total 52 procedures | 1.604 | 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.