Hospital Costs > In Hawaii > Wahiawa General 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 | 54 | 462 / 8 | $37.476,80 | 1182 / 2 | $18.855,10 | 2537 / 6 | $15.523,70 | 2493 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 3 | $18.052,90 | 222 / 2 | $9.417,35 | 1166 / 3 | $7.468,70 | 1164 / 2 |
| Cellulitis W/O Mcc | 21 | 168 / 7 | $16.217,80 | 1022 / 2 | $8.139,57 | 2312 / 5 | $6.581,67 | 2304 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 4 | $19.420,60 | 145 / 1 | $13.769,00 | 1461 / 3 | $12.550,50 | 1449 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 7 | $21.065,50 | 1255 / 2 | $9.121,00 | 2494 / 5 | $7.683,53 | 2485 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 7 | $17.366,60 | 1268 / 2 | $7.300,89 | 2182 / 4 | $5.417,50 | 2171 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 9 | $20.889,20 | 874 / 2 | $9.735,59 | 2226 / 4 | $8.143,82 | 2217 / 6 |
| Syncope & Collapse | 16 | 153 / 5 | $14.644,70 | 363 / 1 | $6.823,81 | 1578 / 2 | $5.456,56 | 1571 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 2 | $14.748,90 | 705 / 1 | $6.941,86 | 1625 / 2 | $4.810,93 | 1617 / 2 |
| Heart Failure & Shock W Mcc | 14 | 270 / 9 | $19.618,00 | 410 / 2 | $13.381,90 | 2202 / 6 | $11.264,80 | 2192 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 7 | $13.854,10 | 813 / 1 | $6.633,50 | 2164 / 3 | $5.429,64 | 2156 / 4 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 5 | $33.612,80 | 539 / 2 | $17.569,70 | 1625 / 5 | $15.658,60 | 1609 / 4 |
| G.I. Hemorrhage W Cc | 13 | 205 / 10 | $16.411,50 | 431 / 2 | $9.186,46 | 2126 / 5 | $7.890,31 | 2122 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 9 | $15.105,70 | 769 / 4 | $7.166,46 | 2418 / 4 | $6.015,54 | 2403 / 6 |
| Heart Failure & Shock W Cc | 12 | 266 / 7 | $14.530,90 | 526 / 2 | $9.061,83 | 2113 / 4 | $6.771,83 | 2107 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 9 | $27.630,70 | 967 / 5 | $11.273,70 | 1752 / 6 | $7.955,00 | 1748 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 5 | $12.090,70 | 598 / 1 | $5.777,09 | 1650 / 3 | $3.904,09 | 1644 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 3 | $13.628,70 | 109 / 1 | $6.415,09 | 726 / 1 | $5.429,73 | 722 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 7 | $17.632,20 | 531 / 1 | $10.649,10 | 2048 / 4 | $8.094,18 | 2040 / 2 | Total 19 procedures | 327 | 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.