Hospital Costs > In Washington DC > United Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 82 | 202 / 3 | $35.861,70 | 1441 / 3 | $12.450,00 | 2254 / 2 | $11.579,40 | 2244 / 3 |
Heart Failure & Shock W Cc | 70 | 208 / 4 | $20.954,40 | 1283 / 2 | $8.690,47 | 2436 / 3 | $7.931,61 | 2430 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 6 | $57.357,40 | 2018 / 3 | $16.196,80 | 2497 / 3 | $15.175,60 | 2453 / 4 |
Renal Failure W Mcc | 53 | 142 / 4 | $28.230,70 | 661 / 2 | $12.619,70 | 1748 / 2 | $11.431,70 | 1745 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 3 | $27.653,50 | 1322 / 3 | $10.489,60 | 2317 / 3 | $9.528,64 | 2309 / 4 |
Chest Pain | 48 | 103 / 2 | $14.720,40 | 473 / 2 | $6.196,25 | 1484 / 2 | $5.164,25 | 1475 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 4 | $22.946,00 | 586 / 2 | $9.676,64 | 1405 / 3 | $8.728,64 | 1402 / 4 |
Renal Failure W Cc | 40 | 181 / 6 | $25.032,40 | 1422 / 3 | $8.540,00 | 2169 / 3 | $7.837,38 | 2159 / 4 |
Psychoses | 39 | 237 / 3 | $14.770,30 | 177 / 2 | $8.726,59 | 486 / 1 | $7.808,44 | 486 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 7 | $13.931,60 | 614 / 1 | $7.042,26 | 2431 / 3 | $6.109,69 | 2416 / 5 |
Syncope & Collapse | 34 | 135 / 4 | $21.500,30 | 988 / 3 | $6.977,15 | 1692 / 3 | $6.087,74 | 1684 / 5 |
G.I. Hemorrhage W Cc | 30 | 188 / 6 | $24.446,20 | 1158 / 3 | $8.751,60 | 2148 / 2 | $8.026,27 | 2144 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 2 | $50.837,00 | 645 / 2 | $16.386,80 | 1283 / 1 | $15.612,20 | 1270 / 1 |
Seizures W/O Mcc | 29 | 79 / 4 | $23.666,00 | 718 / 3 | $7.155,31 | 1118 / 3 | $6.278,07 | 1116 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 4 | $26.721,20 | 820 / 1 | $11.352,80 | 2033 / 2 | $10.261,90 | 2032 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $20.586,10 | 1062 / 2 | $8.313,43 | 2178 / 3 | $7.494,00 | 2171 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 6 | $19.402,70 | 1507 / 3 | $7.273,54 | 2457 / 3 | $6.437,85 | 2446 / 5 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 3 | $28.915,80 | 973 / 1 | $9.968,85 | 1894 / 1 | $9.337,46 | 1888 / 4 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 7 | $13.752,70 | 334 / 1 | $7.409,75 | 1728 / 3 | $6.500,42 | 1719 / 4 |
Diabetes W Cc | 23 | 69 / 4 | $22.630,40 | 861 / 3 | $7.628,35 | 1371 / 2 | $6.601,57 | 1366 / 4 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 6 | $22.899,80 | 1443 / 3 | $8.585,39 | 2516 / 2 | $7.797,91 | 2507 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 3 | $14.291,90 | 698 / 1 | $6.913,86 | 1899 / 3 | $5.873,10 | 1888 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 3 | $41.041,80 | 858 / 2 | $12.574,50 | 1315 / 1 | $11.570,30 | 1305 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 3 | $110.083,00 | 254 / 2 | $39.377,90 | 533 / 1 | $37.434,80 | 532 / 1 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 5 | $24.650,00 | 110 / 2 | $13.348,90 | 826 / 1 | $12.249,40 | 821 / 1 |
Cellulitis W/O Mcc | 17 | 172 / 6 | $19.663,10 | 1446 / 4 | $7.724,35 | 2340 / 2 | $6.722,94 | 2332 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 6 | $17.096,80 | 1069 / 3 | $6.651,75 | 1844 / 3 | $5.899,75 | 1831 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 7 | $16.426,90 | 1125 / 2 | $6.828,67 | 2261 / 3 | $5.886,27 | 2253 / 6 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 5 | $32.905,40 | 1284 / 3 | $9.736,60 | 1747 / 2 | $9.171,27 | 1743 / 4 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 3 | $100.425,00 | 253 / 2 | $37.806,00 | 661 / 2 | $36.193,40 | 660 / 2 |
Seizures W Mcc | 13 | 53 / 4 | $47.185,40 | 444 / 2 | $12.011,90 | 528 / 1 | $10.899,30 | 528 / 1 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 5 | $28.445,90 | 813 / 4 | $8.519,82 | 1172 / 2 | $7.226,73 | 1168 / 4 |
Angina Pectoris | 11 | 14 / 3 | $19.885,70 | 32 / 1 | $5.979,18 | 61 / 1 | $5.094,82 | 61 / 2 |
G.I. Hemorrhage W Mcc | 11 | 110 / 6 | $39.448,00 | 675 / 2 | $12.812,10 | 1118 / 1 | $11.789,50 | 1110 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 4 | $16.241,60 | 853 / 3 | $6.838,36 | 1820 / 3 | $5.849,27 | 1812 / 5 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 4 | $47.544,30 | 1014 / 3 | $14.455,50 | 1416 / 2 | $13.684,50 | 1401 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 6 | $38.233,20 | 1976 / 3 | $9.631,45 | 2302 / 3 | $8.654,00 | 2293 / 4 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 4 | $21.754,90 | 201 / 2 | $10.295,50 | 922 / 2 | $10.074,40 | 918 / 4 | Total 38 procedures | 1.059 | 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.