Hospital Costs > In California > Washington Hospital, 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 Cc | 13 | 78 / 23 | $105.276,00 | 1420 / 98 | $10.191,40 | 1345 / 76 | $9.445,54 | 1343 / 86 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 31 | $137.466,00 | 1796 / 141 | $15.835,80 | 1665 / 107 | $14.854,50 | 1652 / 116 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $72.774,00 | 852 / 39 | $7.593,55 | 788 / 34 | $6.336,82 | 784 / 32 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 26 | $97.037,80 | 758 / 65 | $10.474,70 | 714 / 48 | $9.262,11 | 713 / 57 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 102 | 6 / 1 | $266.543,00 | 231 / 9 | $32.415,60 | 226 / 6 | $30.120,50 | 225 / 7 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 10 | $81.116,20 | 1083 / 81 | $8.562,52 | 975 / 53 | $7.510,70 | 971 / 60 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 4 | $45.587,60 | 373 / 8 | $6.579,77 | 335 / 7 | $5.464,69 | 335 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 35 | $56.722,50 | 2111 / 154 | $7.854,61 | 1991 / 120 | $6.998,87 | 1986 / 134 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $110.473,00 | 1902 / 146 | $13.432,70 | 1859 / 129 | $12.856,70 | 1856 / 136 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 11 | $48.756,20 | 1964 / 133 | $5.815,70 | 1827 / 91 | $4.758,10 | 1821 / 101 |
Cellulitis W Mcc | 13 | 45 / 21 | $118.706,00 | 960 / 88 | $14.198,80 | 912 / 71 | $13.434,50 | 910 / 75 |
Cellulitis W/O Mcc | 89 | 100 / 10 | $76.001,10 | 2637 / 224 | $8.613,82 | 2407 / 157 | $7.183,81 | 2399 / 154 |
Chest Pain | 55 | 96 / 22 | $52.831,20 | 1692 / 144 | $6.228,85 | 1496 / 90 | $5.230,75 | 1487 / 96 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 16 | $78.038,50 | 2425 / 180 | $9.042,33 | 2249 / 125 | $8.076,47 | 2242 / 135 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 43 | $118.150,00 | 2568 / 198 | $12.451,90 | 2493 / 168 | $11.551,90 | 2485 / 179 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 16 | $73.472,10 | 2101 / 136 | $7.077,93 | 1924 / 83 | $6.071,00 | 1913 / 87 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $105.473,00 | 1628 / 125 | $10.526,50 | 1522 / 84 | $9.516,33 | 1519 / 101 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $545.518,00 | 434 / 29 | $73.541,90 | 431 / 27 | $72.443,20 | 431 / 29 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 11 | $67.998,30 | 726 / 44 | $8.637,50 | 677 / 30 | $8.107,10 | 677 / 37 |
Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 11 | $75.417,50 | 858 / 49 | $9.752,11 | 775 / 37 | $8.861,11 | 775 / 39 |
Diabetes W Cc | 21 | 71 / 14 | $68.656,10 | 1606 / 117 | $11.178,70 | 1416 / 112 | $6.988,05 | 1411 / 80 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 15 | $74.130,20 | 558 / 49 | $8.490,00 | 474 / 23 | $8.125,37 | 474 / 31 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $88.159,90 | 955 / 61 | $9.482,36 | 891 / 43 | $8.269,27 | 888 / 44 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 10 | $75.458,60 | 462 / 31 | $10.112,60 | 432 / 21 | $9.253,14 | 432 / 26 |
Disorders Of The Biliary Tract W Mcc | 22 | 17 / 4 | $152.658,00 | 258 / 15 | $18.958,20 | 254 / 11 | $18.129,10 | 254 / 12 |
Dysequilibrium | 11 | 54 / 16 | $47.019,90 | 539 / 26 | $6.400,27 | 496 / 23 | $5.306,45 | 496 / 27 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 17 | $1.236.620,00 | 441 / 27 | $194.613,00 | 435 / 26 | $193.170,00 | 434 / 26 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 25 | $117.228,00 | 1465 / 134 | $12.124,20 | 1369 / 100 | $11.565,50 | 1364 / 112 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 79 | 196 / 36 | $61.020,10 | 2703 / 210 | $7.480,61 | 2486 / 139 | $6.446,72 | 2471 / 151 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 16 | $344.460,00 | 744 / 51 | $51.472,10 | 733 / 47 | $50.499,60 | 733 / 52 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 18 | $66.939,80 | 918 / 67 | $7.044,92 | 850 / 52 | $5.934,69 | 849 / 55 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 17 | $60.549,60 | 804 / 61 | $7.565,64 | 738 / 39 | $6.619,36 | 736 / 47 |
G.I. Hemorrhage W Cc | 78 | 140 / 21 | $66.953,90 | 2363 / 176 | $9.740,81 | 2265 / 138 | $8.983,06 | 2261 / 154 |
G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $115.402,00 | 1613 / 137 | $16.689,50 | 1548 / 114 | $16.101,50 | 1538 / 123 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $50.583,70 | 977 / 57 | $7.047,71 | 918 / 43 | $6.130,38 | 914 / 52 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $64.064,30 | 1690 / 118 | $8.640,21 | 1607 / 98 | $7.621,26 | 1602 / 106 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 18 | $46.527,50 | 1278 / 87 | $6.273,96 | 1224 / 71 | $5.219,35 | 1221 / 78 |
Heart Failure & Shock W Cc | 114 | 164 / 8 | $83.113,90 | 2750 / 220 | $9.678,76 | 2575 / 154 | $8.896,17 | 2569 / 171 |
Heart Failure & Shock W Mcc | 58 | 226 / 70 | $113.478,00 | 2590 / 205 | $14.314,00 | 2433 / 163 | $13.113,30 | 2422 / 164 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $76.090,40 | 2013 / 135 | $7.143,70 | 1874 / 94 | $6.207,41 | 1861 / 101 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 37 | $180.546,00 | 2052 / 154 | $18.561,40 | 1961 / 129 | $17.609,10 | 1941 / 134 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $138.770,00 | 915 / 70 | $15.167,00 | 862 / 59 | $13.960,10 | 859 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 36 | $399.111,00 | 1565 / 140 | $59.050,40 | 1552 / 131 | $57.287,50 | 1542 / 133 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 34 | $112.999,00 | 2075 / 180 | $10.560,20 | 1940 / 134 | $9.410,40 | 1936 / 147 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 40 | $103.464,00 | 1523 / 111 | $15.362,50 | 1423 / 79 | $14.426,20 | 1416 / 94 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $58.466,80 | 1551 / 99 | $7.600,24 | 1467 / 86 | $6.396,43 | 1463 / 92 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 39 | $118.282,00 | 1951 / 169 | $11.154,40 | 1819 / 141 | $9.903,37 | 1815 / 133 |
Kidney & Urinary Tract Infections W/O Mcc | 124 | 109 / 7 | $60.652,60 | 2688 / 207 | $7.632,14 | 2507 / 141 | $6.787,23 | 2496 / 153 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $432.063,00 | 641 / 46 | $63.046,30 | 638 / 44 | $62.493,50 | 637 / 48 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 7 | $109.560,00 | 1106 / 78 | $11.225,60 | 1054 / 62 | $10.533,40 | 1052 / 69 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 769 | 43 / 4 | $165.424,00 | 2673 / 229 | $18.319,50 | 2385 / 135 | $16.084,60 | 2340 / 134 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 38 | $156.826,00 | 1463 / 87 | $21.595,70 | 1398 / 57 | $20.744,90 | 1384 / 82 |
Medical Back Problems W/O Mcc | 36 | 85 / 23 | $60.045,70 | 1459 / 110 | $8.333,44 | 1383 / 84 | $7.527,22 | 1378 / 102 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 26 | $117.620,00 | 1741 / 167 | $12.210,50 | 1657 / 136 | $11.669,80 | 1653 / 139 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 18 | $68.320,70 | 2534 / 202 | $7.147,78 | 2333 / 130 | $6.286,28 | 2324 / 143 |
Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $62.168,70 | 538 / 24 | $9.572,83 | 482 / 15 | $8.871,50 | 482 / 18 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 27 | $142.543,00 | 1372 / 124 | $19.144,20 | 1298 / 100 | $18.317,00 | 1290 / 105 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 19 | $69.898,00 | 1396 / 114 | $9.530,43 | 1324 / 94 | $8.742,96 | 1320 / 107 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 15 | $143.441,00 | 754 / 78 | $19.239,60 | 739 / 71 | $18.606,30 | 738 / 77 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 6 | $64.825,40 | 360 / 12 | $6.819,54 | 325 / 10 | $5.702,00 | 325 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 21 | $103.506,00 | 861 / 58 | $11.433,80 | 832 / 48 | $10.966,30 | 832 / 54 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 25 | $163.376,00 | 1105 / 82 | $17.589,70 | 1072 / 69 | $16.895,80 | 1068 / 74 |
Other Vascular Procedures W Cc | 18 | 84 / 26 | $285.676,00 | 1136 / 80 | $33.398,00 | 1133 / 78 | $32.656,80 | 1128 / 78 |
Other Vascular Procedures W Mcc | 29 | 68 / 15 | $441.871,00 | 1007 / 90 | $62.196,10 | 1008 / 90 | $60.891,30 | 1005 / 90 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 21 | $303.852,00 | 1012 / 91 | $38.718,00 | 1015 / 90 | $37.683,30 | 1010 / 92 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 40 | $182.712,00 | 1470 / 114 | $23.455,20 | 1431 / 109 | $18.570,30 | 1423 / 103 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $108.743,00 | 1260 / 97 | $9.295,83 | 1135 / 61 | $8.487,83 | 1132 / 70 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 41 | $127.992,00 | 2227 / 168 | $13.701,20 | 2171 / 149 | $12.969,30 | 2165 / 157 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 17 | $79.344,70 | 1269 / 71 | $9.311,38 | 1196 / 49 | $8.289,85 | 1193 / 65 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $69.246,70 | 1024 / 66 | $11.859,10 | 988 / 55 | $11.168,90 | 984 / 58 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 28 | $78.977,10 | 1999 / 154 | $7.996,21 | 1817 / 103 | $7.093,39 | 1808 / 111 |
Renal Failure W Cc | 45 | 176 / 43 | $89.194,80 | 2438 / 202 | $9.439,89 | 2281 / 135 | $8.753,82 | 2271 / 155 |
Renal Failure W Mcc | 35 | 160 / 52 | $144.596,00 | 2162 / 186 | $18.823,70 | 2125 / 175 | $17.537,00 | 2121 / 179 |
Respiratory Infections & Inflammations W Cc | 39 | 49 / 11 | $107.616,00 | 1473 / 118 | $12.623,60 | 1390 / 90 | $11.869,10 | 1385 / 94 |
Respiratory Infections & Inflammations W Mcc | 44 | 92 / 31 | $203.192,00 | 1804 / 153 | $22.995,00 | 1796 / 148 | $22.276,50 | 1780 / 152 |
Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $137.142,00 | 634 / 37 | $16.327,10 | 594 / 29 | $15.553,20 | 591 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 12 | $247.274,00 | 1846 / 141 | $30.105,80 | 1844 / 135 | $29.085,30 | 1830 / 142 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 14 | $605.578,00 | 989 / 92 | $82.310,20 | 989 / 89 | $81.505,60 | 988 / 91 |
Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 16 | $171.678,00 | 635 / 26 | $25.688,60 | 553 / 8 | $24.903,60 | 551 / 12 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 37 | 32 / 5 | $186.931,00 | 502 / 39 | $23.426,10 | 471 / 21 | $22.196,40 | 470 / 29 |
Seizures W/O Mcc | 27 | 81 / 15 | $73.224,90 | 1307 / 95 | $7.675,11 | 1151 / 58 | $6.603,74 | 1149 / 64 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $646.067,00 | 1100 / 146 | $85.709,00 | 1102 / 144 | $84.870,70 | 1101 / 145 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 208 | 308 / 79 | $174.652,00 | 2819 / 265 | $20.874,20 | 2757 / 238 | $19.991,70 | 2712 / 244 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 96 | 111 / 26 | $95.306,00 | 2562 / 241 | $10.702,60 | 2405 / 186 | $9.497,78 | 2395 / 189 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $62.029,20 | 1329 / 87 | $7.310,00 | 1200 / 63 | $6.203,33 | 1197 / 69 |
Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 17 | $87.351,20 | 2812 / 218 | $9.693,96 | 2652 / 154 | $8.784,14 | 2643 / 168 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 54 | $145.387,00 | 2517 / 200 | $15.908,30 | 2463 / 182 | $15.046,60 | 2457 / 187 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 15 | $57.225,80 | 1935 / 118 | $7.986,10 | 1800 / 117 | $5.727,73 | 1792 / 92 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 44 | $370.456,00 | 1361 / 96 | $45.771,80 | 1348 / 92 | $44.566,00 | 1343 / 95 |
Syncope & Collapse | 44 | 125 / 23 | $53.932,50 | 1863 / 126 | $7.296,98 | 1756 / 103 | $6.502,07 | 1748 / 118 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 9 | $1.298.150,00 | 573 / 59 | $191.227,00 | 572 / 58 | $187.869,00 | 571 / 58 |
Transient Ischemia | 37 | 88 / 21 | $57.251,20 | 1620 / 121 | $7.058,97 | 1514 / 95 | $5.979,62 | 1506 / 103 | Total 92 procedures | 3.818 | 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.