Hospital Costs > In Washington > Swedish Edmonds Hospital, 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 | 251 | 265 / 16 | $41.280,80 | 1377 / 22 | $12.779,20 | 1787 / 16 | $11.706,80 | 1752 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 141 | 423 / 28 | $86.376,80 | 2312 / 39 | $15.996,50 | 1644 / 24 | $12.417,70 | 1607 / 17 |
Psychoses | 93 | 198 / 4 | $61.542,90 | 600 / 16 | $9.205,69 | 481 / 14 | $7.768,44 | 481 / 16 |
Heart Failure & Shock W Mcc | 77 | 207 / 16 | $35.579,60 | 1429 / 18 | $10.140,60 | 1640 / 15 | $9.361,56 | 1635 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 13 | $30.995,10 | 1678 / 33 | $8.072,33 | 1587 / 23 | $6.405,39 | 1580 / 18 |
Pulmonary Edema & Respiratory Failure | 64 | 139 / 18 | $32.497,50 | 1169 / 19 | $9.431,36 | 1405 / 22 | $7.601,34 | 1401 / 17 |
Heart Failure & Shock W Cc | 49 | 229 / 22 | $29.590,30 | 1933 / 33 | $7.346,82 | 1888 / 22 | $6.299,69 | 1883 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 8 | $69.455,00 | 1539 / 25 | $13.351,60 | 1376 / 16 | $12.271,60 | 1358 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 12 | $41.166,60 | 726 / 17 | $11.763,30 | 819 / 13 | $10.283,80 | 817 / 8 |
G.I. Hemorrhage W Cc | 44 | 174 / 21 | $25.317,80 | 1222 / 18 | $7.310,11 | 1650 / 16 | $6.255,57 | 1646 / 23 |
Renal Failure W Mcc | 44 | 151 / 15 | $31.988,90 | 884 / 16 | $10.615,00 | 1221 / 13 | $9.476,18 | 1221 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 17 | $36.317,50 | 1424 / 27 | $9.882,07 | 1561 / 13 | $8.822,10 | 1561 / 14 |
Renal Failure W Cc | 42 | 179 / 19 | $21.921,40 | 1171 / 16 | $7.258,52 | 1483 / 20 | $5.724,24 | 1474 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 18 | $30.222,60 | 1171 / 22 | $7.677,75 | 1302 / 18 | $6.343,25 | 1299 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 28 | $25.360,10 | 1907 / 31 | $5.660,06 | 1960 / 17 | $4.699,12 | 1946 / 27 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 15 | $34.723,80 | 579 / 12 | $13.022,70 | 899 / 12 | $11.397,10 | 889 / 9 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 14 | $26.483,20 | 1002 / 19 | $7.951,97 | 1201 / 12 | $6.762,31 | 1197 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 14 | $129.363,00 | 826 / 22 | $33.558,20 | 784 / 6 | $32.537,60 | 778 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 19 | $25.652,00 | 2006 / 34 | $5.829,86 | 1978 / 20 | $4.964,71 | 1967 / 27 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 15 | $68.183,00 | 1107 / 19 | $16.532,60 | 1313 / 17 | $15.819,10 | 1300 / 23 |
G.I. Hemorrhage W Mcc | 26 | 95 / 15 | $37.526,20 | 605 / 10 | $12.365,00 | 882 / 17 | $10.794,60 | 877 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 15 | $40.860,70 | 843 / 17 | $11.269,30 | 1002 / 9 | $10.314,70 | 1000 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 14 | $47.481,40 | 1132 / 23 | $7.762,25 | 1119 / 10 | $6.762,25 | 1116 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 20 | $23.637,90 | 1329 / 26 | $5.910,71 | 1491 / 20 | $4.967,04 | 1486 / 25 |
Cellulitis W/O Mcc | 23 | 166 / 26 | $17.966,30 | 1240 / 12 | $6.232,13 | 1890 / 14 | $5.336,13 | 1882 / 28 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 13 | $32.770,60 | 467 / 13 | $10.707,80 | 644 / 8 | $9.757,57 | 642 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 20 | $31.195,70 | 1018 / 19 | $8.696,36 | 1288 / 20 | $7.877,45 | 1285 / 26 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 8 | $34.670,60 | 462 / 10 | $9.593,57 | 570 / 6 | $8.903,29 | 568 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 15 | $20.945,60 | 643 / 10 | $5.789,14 | 1007 / 17 | $4.351,19 | 1003 / 17 |
Nonspecific Cerebrovascular Disorders W Mcc | 21 | 30 / 4 | $38.159,80 | 179 / 3 | $11.030,40 | 199 / 2 | $10.225,90 | 199 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 21 | $93.716,50 | 1090 / 24 | $15.366,80 | 798 / 12 | $11.654,80 | 793 / 6 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 13 | $97.199,90 | 1194 / 26 | $16.976,90 | 1002 / 4 | $15.888,90 | 991 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 23 | $21.672,60 | 1694 / 27 | $5.331,05 | 1732 / 19 | $4.372,74 | 1727 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 20 | $23.579,50 | 1351 / 19 | $6.919,05 | 1794 / 16 | $6.088,74 | 1787 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 24 | $27.808,80 | 1333 / 22 | $8.338,47 | 1811 / 15 | $7.454,26 | 1803 / 25 |
G.I. Obstruction W Cc | 17 | 75 / 18 | $29.264,20 | 1173 / 26 | $6.944,53 | 749 / 21 | $4.760,18 | 747 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 19 | $34.323,40 | 1141 / 26 | $8.179,47 | 1032 / 17 | $7.181,88 | 1029 / 16 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 14 | $45.041,10 | 628 / 10 | $13.003,50 | 813 / 4 | $12.154,60 | 808 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 9 | $29.006,00 | 283 / 9 | $6.963,82 | 292 / 5 | $6.111,12 | 292 / 9 |
Transient Ischemia | 16 | 109 / 15 | $22.048,40 | 805 / 11 | $5.373,00 | 1129 / 14 | $4.313,00 | 1123 / 16 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 9 | $70.444,20 | 590 / 10 | $14.011,80 | 537 / 3 | $13.181,80 | 531 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 13 | $111.966,00 | 714 / 19 | $21.187,50 | 576 / 4 | $20.279,60 | 573 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 12 | $68.424,10 | 460 / 13 | $19.215,30 | 486 / 13 | $15.783,40 | 485 / 2 |
Syncope & Collapse | 15 | 154 / 19 | $25.956,80 | 1267 / 24 | $5.548,80 | 1360 / 14 | $4.744,53 | 1353 / 22 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 31 | $30.105,40 | 1952 / 39 | $7.594,64 | 1780 / 31 | $5.825,00 | 1772 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 22 | $17.176,10 | 1214 / 22 | $4.780,43 | 1324 / 25 | $3.198,86 | 1319 / 19 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 18 | $32.004,50 | 815 / 18 | $7.308,77 | 903 / 9 | $6.375,85 | 901 / 11 |
Seizures W Mcc | 13 | 53 / 9 | $29.228,80 | 156 / 2 | $10.707,80 | 416 / 5 | $9.681,31 | 416 / 8 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 7 | $18.176,70 | 441 / 8 | $4.879,77 | 388 / 4 | $3.673,62 | 389 / 4 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 18 | $25.285,40 | 693 / 17 | $7.461,08 | 769 / 18 | $5.720,25 | 765 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 17 | $33.369,50 | 756 / 18 | $9.224,42 | 630 / 20 | $6.956,00 | 625 / 2 |
Cervical Spinal Fusion W Cc | 12 | 41 / 6 | $81.857,10 | 232 / 5 | $24.946,00 | 40 / 7 | $14.179,60 | 40 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 13 | $28.125,80 | 596 / 12 | $8.227,92 | 751 / 7 | $7.526,58 | 749 / 12 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 28 | $138.117,00 | 1047 / 19 | $26.850,00 | 939 / 3 | $25.634,00 | 934 / 14 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 5 | $54.764,30 | 141 / 4 | $16.812,50 | 106 / 2 | $13.310,10 | 106 / 3 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 8 | $42.425,80 | 753 / 12 | $6.812,82 | 535 / 11 | $4.424,91 | 531 / 9 | Total 56 procedures | 1.852 | 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.