Hospital Costs > In Washington > St Clare Hospital Lakewood, 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 | 210 | 354 / 20 | $78.094,20 | 2168 / 32 | $15.343,90 | 1870 / 21 | $13.095,30 | 1829 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 119 | 397 / 32 | $56.219,90 | 1989 / 38 | $12.768,50 | 1688 / 15 | $11.428,40 | 1656 / 13 |
Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 1 | $35.957,00 | 2217 / 43 | $7.193,57 | 1742 / 21 | $5.773,53 | 1734 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 8 | $31.978,60 | 2248 / 40 | $5.779,05 | 1623 / 22 | $4.249,74 | 1610 / 16 |
Heart Failure & Shock W Cc | 74 | 204 / 13 | $30.963,60 | 2009 / 37 | $7.000,51 | 1907 / 15 | $6.347,54 | 1902 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 3 | $28.163,60 | 2138 / 37 | $5.789,80 | 1691 / 19 | $4.542,05 | 1680 / 17 |
Renal Failure W Cc | 58 | 163 / 14 | $30.948,50 | 1745 / 36 | $6.875,72 | 1571 / 14 | $5.871,07 | 1562 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 3 | $28.483,90 | 2074 / 39 | $5.203,53 | 1596 / 15 | $4.175,19 | 1591 / 18 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 22 | $56.434,90 | 1869 / 39 | $9.845,72 | 1749 / 29 | $8.688,94 | 1744 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 25 | $38.703,00 | 1991 / 41 | $7.559,24 | 1684 / 14 | $6.540,88 | 1677 / 21 |
Heart Failure & Shock W Mcc | 47 | 237 / 29 | $43.388,20 | 1796 / 29 | $10.091,90 | 1591 / 13 | $9.257,81 | 1586 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 3 | $35.263,50 | 1920 / 34 | $6.700,68 | 1648 / 8 | $5.758,72 | 1641 / 18 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 46 | 50 / 3 | $86.363,90 | 692 / 18 | $17.737,00 | 462 / 17 | $12.508,50 | 459 / 5 |
G.I. Hemorrhage W Cc | 46 | 172 / 20 | $32.407,60 | 1679 / 31 | $7.537,04 | 1496 / 23 | $5.958,80 | 1492 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 8 | $40.309,70 | 1932 / 38 | $8.223,34 | 1764 / 13 | $7.352,43 | 1756 / 22 |
Cellulitis W/O Mcc | 40 | 149 / 16 | $33.424,00 | 2252 / 41 | $6.377,48 | 1653 / 18 | $4.909,90 | 1646 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 12 | $99.336,90 | 1510 / 32 | $16.150,40 | 963 / 13 | $13.979,10 | 954 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 18 | $75.853,50 | 1646 / 31 | $14.049,20 | 1290 / 22 | $11.946,50 | 1273 / 15 |
Syncope & Collapse | 31 | 138 / 8 | $26.707,90 | 1303 / 25 | $6.489,65 | 918 / 29 | $3.960,26 | 913 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 16 | $28.633,80 | 1574 / 37 | $5.744,80 | 1497 / 16 | $4.977,87 | 1492 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 27 | $49.896,70 | 1917 / 41 | $9.954,10 | 1603 / 14 | $8.923,72 | 1603 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 3 | $31.138,60 | 1741 / 19 | $5.556,04 | 1275 / 8 | $4.039,07 | 1265 / 6 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 7 | $25.523,50 | 1286 / 19 | $6.803,96 | 1145 / 21 | $4.720,73 | 1137 / 12 |
Chest Pain | 26 | 125 / 9 | $26.162,50 | 1256 / 23 | $4.878,15 | 923 / 11 | $3.427,31 | 918 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 13 | $23.509,10 | 1576 / 33 | $4.204,50 | 1188 / 12 | $3.004,50 | 1183 / 16 |
Signs & Symptoms W/O Mcc | 22 | 69 / 5 | $25.871,80 | 922 / 12 | $5.105,82 | 852 / 6 | $4.393,09 | 849 / 10 |
Psychoses | 22 | 253 / 9 | $24.145,60 | 399 / 8 | $7.036,55 | 213 / 3 | $5.562,68 | 213 / 1 |
Diabetes W Cc | 20 | 72 / 7 | $32.815,20 | 1256 / 22 | $6.003,90 | 986 / 6 | $5.099,90 | 982 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 7 | $31.751,90 | 1665 / 17 | $5.274,80 | 1208 / 6 | $3.912,85 | 1202 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 14 | $20.690,80 | 1330 / 22 | $4.949,10 | 1314 / 9 | $4.105,90 | 1304 / 19 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 2 | $23.177,70 | 641 / 10 | $4.622,21 | 570 / 5 | $3.793,58 | 569 / 7 |
Other Digestive System Diagnoses W Cc | 19 | 78 / 12 | $29.094,60 | 838 / 22 | $7.092,16 | 745 / 12 | $5.671,89 | 741 / 11 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 19 | $40.519,50 | 1518 / 35 | $7.957,84 | 1228 / 13 | $6.826,89 | 1224 / 13 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 7 | $43.211,30 | 1024 / 21 | $9.834,39 | 835 / 10 | $8.079,33 | 830 / 8 |
Hypertension W/O Mcc | 17 | 48 / 2 | $34.066,60 | 687 / 5 | $4.645,35 | 400 / 3 | $3.435,00 | 398 / 2 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 23 | $51.108,90 | 1101 / 30 | $12.715,20 | 1092 / 8 | $12.033,20 | 1078 / 15 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 11 | $49.718,70 | 704 / 22 | $9.828,94 | 619 / 10 | $9.222,94 | 617 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 5 | $21.741,20 | 563 / 7 | $5.164,56 | 402 / 8 | $3.611,88 | 401 / 4 |
Renal Failure W Mcc | 16 | 179 / 30 | $42.800,40 | 1378 / 30 | $10.618,40 | 1351 / 14 | $9.784,44 | 1351 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 10 | $41.065,40 | 838 / 19 | $8.515,12 | 820 / 10 | $7.913,12 | 818 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 31 | $37.964,00 | 1455 / 38 | $7.538,25 | 1427 / 15 | $6.634,25 | 1424 / 28 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 12 | $26.595,70 | 648 / 12 | $5.230,33 | 335 / 5 | $3.901,33 | 335 / 4 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 8 | $96.173,00 | 397 / 10 | $19.715,80 | 299 / 6 | $15.678,10 | 299 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 22 | $41.712,00 | 1337 / 34 | $7.883,43 | 1009 / 14 | $7.101,71 | 1006 / 14 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 10 | $28.489,50 | 1090 / 25 | $5.064,23 | 660 / 14 | $3.182,15 | 658 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 27 | $63.604,50 | 1725 / 39 | $8.535,62 | 1268 / 14 | $7.797,08 | 1265 / 24 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 4 | $134.649,00 | 474 / 9 | $22.936,40 | 402 / 7 | $18.726,80 | 401 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $90.717,10 | 554 / 16 | $16.045,80 | 543 / 13 | $15.120,30 | 539 / 16 |
Medical Back Problems W/O Mcc | 13 | 108 / 13 | $32.035,10 | 1087 / 22 | $5.983,46 | 936 / 5 | $5.055,46 | 933 / 10 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 13 | $131.393,00 | 829 / 21 | $23.682,70 | 805 / 21 | $22.576,10 | 802 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $27.674,50 | 708 / 19 | $5.114,92 | 531 / 6 | $4.013,58 | 531 / 8 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 16 | $42.646,10 | 1089 / 26 | $7.078,58 | 983 / 9 | $6.473,25 | 980 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 25 | $43.177,20 | 937 / 20 | $9.700,42 | 413 / 2 | $8.796,42 | 413 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 3 | $22.046,20 | 630 / 7 | $5.071,67 | 672 / 2 | $4.271,67 | 668 / 6 |
G.I. Hemorrhage W Mcc | 11 | 110 / 27 | $70.688,40 | 1350 / 35 | $12.024,70 | 1022 / 14 | $11.361,50 | 1014 / 16 |
G.I. Obstruction W Cc | 11 | 81 / 23 | $33.792,50 | 1318 / 33 | $6.386,64 | 1256 / 13 | $5.729,18 | 1252 / 23 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $177.496,00 | 1162 / 34 | $37.094,30 | 1053 / 18 | $36.209,90 | 1046 / 22 | Total 57 procedures | 1.882 | 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.