Hospital Costs > In Washington > Swedish Issaquah, 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 Mcc | 13 | 112 / 24 | $48.226,50 | 1088 / 25 | $12.858,10 | 1394 / 26 | $12.021,20 | 1382 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 25 | $23.841,50 | 1342 / 27 | $4.842,39 | 202 / 1 | $3.478,17 | 202 / 1 |
| Cellulitis W/O Mcc | 14 | 175 / 29 | $18.320,60 | 1283 / 14 | $4.700,14 | 350 / 1 | $3.747,00 | 347 / 1 |
| Chest Pain | 11 | 140 / 21 | $19.609,40 | 897 / 12 | $4.199,55 | 6 / 3 | $1.892,27 | 6 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 4 | $11.708,20 | 46 / 1 | $5.132,43 | 152 / 1 | $4.438,71 | 152 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 31 | $21.392,70 | 1541 / 18 | $4.548,09 | 314 / 1 | $3.245,22 | 313 / 1 |
| G.I. Hemorrhage W Cc | 30 | 188 / 29 | $22.716,60 | 1000 / 10 | $6.242,33 | 142 / 1 | $4.453,07 | 142 / 1 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 24 | $37.857,10 | 617 / 12 | $11.531,40 | 843 / 7 | $10.667,40 | 839 / 9 |
| G.I. Obstruction W Cc | 23 | 69 / 16 | $18.373,70 | 537 / 7 | $5.137,91 | 330 / 1 | $4.244,70 | 329 / 3 |
| Heart Failure & Shock W Cc | 32 | 246 / 29 | $27.280,20 | 1824 / 26 | $5.516,12 | 380 / 1 | $4.765,12 | 380 / 1 |
| Heart Failure & Shock W Mcc | 41 | 243 / 31 | $37.652,10 | 1540 / 21 | $9.875,93 | 1179 / 10 | $8.555,58 | 1176 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 26 | $75.572,00 | 1642 / 30 | $15.738,70 | 1778 / 34 | $14.730,70 | 1759 / 38 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 14 | $75.659,50 | 481 / 10 | $19.593,70 | 523 / 5 | $18.496,80 | 520 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 31 | $27.921,60 | 997 / 16 | $5.907,25 | 23 / 1 | $4.236,31 | 23 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 23 | $40.016,80 | 694 / 15 | $11.147,00 | 407 / 4 | $9.097,19 | 406 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 20 | $25.247,60 | 915 / 17 | $4.807,73 | 52 / 2 | $2.849,09 | 52 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 21 | $20.698,50 | 615 / 8 | $5.995,12 | 175 / 1 | $5.212,06 | 175 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 28 | $18.937,50 | 1454 / 15 | $4.347,69 | 367 / 1 | $3.508,31 | 367 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 8 | $86.235,40 | 689 / 17 | $17.755,40 | 677 / 18 | $15.396,20 | 673 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 34 | $77.785,90 | 2161 / 31 | $16.037,50 | 1655 / 25 | $12.444,30 | 1618 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 23 | $18.606,20 | 336 / 4 | $6.227,50 | 149 / 1 | $5.419,50 | 148 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 25 | $17.289,80 | 1240 / 13 | $4.175,88 | 112 / 1 | $2.858,50 | 112 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 21 | 35 / 5 | $25.105,30 | 223 / 5 | $5.677,48 | 106 / 1 | $4.874,43 | 106 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 19 | $23.173,10 | 571 / 11 | $6.814,27 | 85 / 8 | $4.359,55 | 84 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 14 | $35.912,30 | 489 / 14 | $9.495,00 | 557 / 4 | $8.796,33 | 555 / 7 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $35.690,40 | 1320 / 24 | $7.892,88 | 686 / 4 | $6.575,73 | 686 / 1 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 14 | $25.651,50 | 671 / 11 | $5.727,07 | 280 / 1 | $4.760,73 | 280 / 1 |
| Renal Failure W Cc | 22 | 199 / 27 | $16.547,20 | 620 / 4 | $5.146,95 | 89 / 1 | $4.154,95 | 89 / 1 |
| Renal Failure W Mcc | 24 | 171 / 26 | $30.504,80 | 791 / 12 | $8.890,50 | 449 / 1 | $7.987,83 | 449 / 2 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 22 | $38.806,80 | 738 / 19 | $13.031,90 | 313 / 14 | $10.044,60 | 313 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 25 | $59.996,50 | 906 / 15 | $16.871,10 | 1012 / 19 | $14.165,00 | 1002 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 126 | 390 / 31 | $38.054,50 | 1214 / 14 | $11.622,40 | 1065 / 4 | $10.278,10 | 1052 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 30 | $27.681,80 | 1484 / 25 | $6.280,88 | 706 / 1 | $5.395,80 | 704 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 31 | $21.767,60 | 1328 / 21 | $6.023,86 | 109 / 2 | $4.160,86 | 109 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 32 | $45.799,30 | 1785 / 37 | $12.379,00 | 2201 / 39 | $11.345,90 | 2195 / 41 |
| Syncope & Collapse | 11 | 158 / 22 | $21.889,30 | 1027 / 15 | $4.230,36 | 233 / 1 | $3.244,18 | 231 / 1 |
| Transient Ischemia | 16 | 109 / 15 | $25.199,20 | 968 / 15 | $4.406,19 | 118 / 1 | $2.834,25 | 118 / 1 | Total 37 procedures | 898 | 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.