Hospital Costs > In Washington > Valley Hospital Spokane, 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 | 222 | 342 / 18 | $81.641,30 | 2235 / 36 | $14.401,20 | 1502 / 6 | $12.050,80 | 1468 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 218 | 298 / 20 | $39.987,80 | 1315 / 18 | $11.595,70 | 1227 / 3 | $10.520,20 | 1206 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 16 | $29.331,60 | 1577 / 29 | $7.498,70 | 1276 / 13 | $5.952,35 | 1271 / 7 |
Heart Failure & Shock W Mcc | 67 | 217 / 21 | $31.071,60 | 1159 / 14 | $9.144,58 | 1117 / 3 | $8.443,45 | 1114 / 4 |
Heart Failure & Shock W Cc | 52 | 226 / 20 | $23.082,80 | 1500 / 17 | $6.465,00 | 1077 / 6 | $5.351,50 | 1075 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 20 | $22.507,00 | 1673 / 24 | $5.057,02 | 1416 / 7 | $4.060,63 | 1405 / 7 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 16 | $32.429,20 | 1193 / 18 | $9.056,94 | 1256 / 4 | $8.235,18 | 1256 / 5 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 14 | $20.803,90 | 1217 / 14 | $6.637,47 | 1134 / 10 | $5.181,70 | 1130 / 7 |
Cellulitis W/O Mcc | 36 | 153 / 18 | $18.593,90 | 1312 / 15 | $5.654,89 | 1552 / 8 | $4.782,00 | 1545 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 12 | $28.131,30 | 1352 / 24 | $8.147,86 | 1046 / 10 | $6.290,77 | 1041 / 5 |
G.I. Hemorrhage W Cc | 35 | 183 / 27 | $20.316,50 | 773 / 7 | $6.574,14 | 960 / 5 | $5.331,09 | 958 / 4 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 13 | $27.708,90 | 1081 / 22 | $6.987,57 | 789 / 3 | $6.081,97 | 788 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 15 | $28.802,10 | 900 / 11 | $7.962,13 | 1058 / 5 | $7.233,60 | 1055 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 17 | $19.713,30 | 1036 / 14 | $5.212,11 | 1009 / 5 | $4.304,68 | 1005 / 7 |
G.I. Obstruction W Cc | 27 | 65 / 13 | $24.702,80 | 979 / 21 | $6.005,93 | 891 / 4 | $4.943,30 | 889 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 27 | 69 / 5 | $91.133,40 | 718 / 21 | $14.302,50 | 538 / 1 | $13.141,00 | 535 / 9 |
Renal Failure W Mcc | 25 | 170 / 25 | $37.452,10 | 1177 / 25 | $9.437,96 | 675 / 2 | $8.330,76 | 675 / 3 |
Syncope & Collapse | 24 | 145 / 12 | $25.951,60 | 1266 / 23 | $4.956,12 | 801 / 4 | $3.846,79 | 797 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 22 | $20.834,10 | 1660 / 21 | $5.053,50 | 1071 / 4 | $4.006,23 | 1063 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 27 | $29.152,50 | 1099 / 18 | $6.987,68 | 405 / 7 | $5.114,09 | 404 / 3 |
Renal Failure W Cc | 21 | 200 / 28 | $28.340,20 | 1621 / 27 | $6.218,43 | 1107 / 4 | $5.299,57 | 1099 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 23 | $51.042,30 | 1082 / 17 | $12.239,90 | 1104 / 5 | $11.318,00 | 1090 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 17 | $23.745,80 | 219 / 3 | $9.873,26 | 251 / 2 | $8.198,42 | 251 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 24 | $22.382,30 | 1747 / 29 | $4.806,33 | 1270 / 5 | $3.862,33 | 1266 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 18 | $28.764,20 | 903 / 16 | $7.466,22 | 572 / 9 | $6.140,22 | 569 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 21 | $25.177,40 | 1466 / 23 | $6.128,00 | 1171 / 3 | $5.118,22 | 1167 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 13 | $33.293,70 | 753 / 17 | $7.849,33 | 665 / 4 | $7.044,00 | 660 / 4 |
Pulmonary Embolism W Mcc | 16 | 27 / 5 | $41.171,40 | 339 / 8 | $8.907,06 | 189 / 1 | $8.227,06 | 189 / 1 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 23 | $32.037,60 | 468 / 8 | $11.983,90 | 841 / 3 | $11.227,90 | 831 / 5 |
Hypertension W/O Mcc | 16 | 49 / 3 | $27.082,90 | 589 / 4 | $4.300,62 | 364 / 1 | $3.314,62 | 362 / 1 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $25.188,10 | 689 / 16 | $6.457,69 | 650 / 4 | $5.471,69 | 646 / 6 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 21 | $15.874,40 | 1090 / 17 | $3.893,73 | 823 / 5 | $2.688,40 | 819 / 7 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 15 | $28.340,20 | 784 / 14 | $6.604,46 | 711 / 4 | $5.585,38 | 708 / 7 |
Chest Pain | 13 | 138 / 19 | $29.371,70 | 1373 / 25 | $4.189,69 | 645 / 2 | $3.069,69 | 641 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 9 | $31.580,70 | 662 / 13 | $6.147,23 | 540 / 2 | $5.403,85 | 538 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 15 | $92.468,60 | 594 / 13 | $18.547,60 | 264 / 1 | $17.343,80 | 262 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $17.119,90 | 387 / 7 | $4.628,17 | 282 / 2 | $3.422,83 | 283 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 10 | $71.212,50 | 436 / 11 | $13.051,50 | 230 / 1 | $10.778,80 | 230 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 14 | $25.520,90 | 500 / 9 | $7.385,45 | 443 / 2 | $6.515,64 | 442 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $95.938,40 | 446 / 8 | $29.980,60 | 414 / 1 | $28.776,30 | 412 / 2 |
G.I. Hemorrhage W Mcc | 11 | 110 / 27 | $41.943,90 | 770 / 16 | $11.229,20 | 812 / 3 | $10.571,70 | 809 / 6 | Total 41 procedures | 1.440 | 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.