Hospital Costs > In Pennsylvania > Washington Hospital, The, 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 | 107 | 409 / 55 | $19.883,40 | 263 / 20 | $12.092,60 | 359 / 73 | $9.283,28 | 359 / 27 |
Heart Failure & Shock W Cc | 101 | 177 / 30 | $13.466,20 | 410 / 23 | $7.279,68 | 784 / 96 | $5.130,55 | 783 / 52 |
Cellulitis W/O Mcc | 59 | 130 / 32 | $8.384,81 | 120 / 16 | $5.946,51 | 601 / 79 | $3.975,32 | 598 / 43 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 24 | $17.223,30 | 54 / 5 | $7.655,56 | 588 / 44 | $5.572,80 | 586 / 32 |
Heart Failure & Shock W Mcc | 53 | 231 / 51 | $16.035,10 | 198 / 15 | $9.870,19 | 501 / 73 | $7.690,45 | 501 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 39 | $9.443,15 | 231 / 16 | $5.720,87 | 677 / 87 | $3.738,15 | 673 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 56 | $14.238,50 | 647 / 34 | $5.760,10 | 584 / 92 | $3.472,47 | 581 / 44 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 36 | $11.500,60 | 211 / 14 | $6.788,29 | 163 / 79 | $4.256,31 | 163 / 18 |
G.I. Hemorrhage W Cc | 47 | 171 / 38 | $15.962,60 | 383 / 24 | $7.171,92 | 486 / 80 | $4.896,70 | 485 / 35 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 30 | $57.946,20 | 403 / 18 | $13.628,60 | 822 / 28 | $11.733,70 | 817 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 39 | $11.269,20 | 103 / 9 | $7.531,16 | 799 / 77 | $5.474,93 | 797 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 36 | $16.353,50 | 419 / 20 | $8.246,18 | 319 / 80 | $5.584,56 | 318 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 37 | $11.583,70 | 196 / 7 | $6.646,08 | 804 / 77 | $4.798,92 | 802 / 54 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 38 | $16.209,50 | 178 / 9 | $9.769,85 | 593 / 73 | $7.430,29 | 593 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 36 | $8.422,31 | 180 / 10 | $5.315,62 | 901 / 80 | $3.577,09 | 898 / 52 |
Transient Ischemia | 31 | 94 / 30 | $12.616,40 | 150 / 9 | $5.249,06 | 729 / 63 | $3.627,71 | 725 / 48 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 27 | $8.253,03 | 131 / 9 | $5.141,77 | 576 / 78 | $3.369,61 | 574 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 85 | $36.380,60 | 543 / 37 | $14.350,00 | 275 / 89 | $9.906,80 | 275 / 18 |
Renal Failure W Mcc | 29 | 166 / 37 | $18.304,20 | 164 / 11 | $10.714,90 | 259 / 68 | $7.646,34 | 259 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $11.036,10 | 176 / 11 | $5.850,86 | 176 / 75 | $3.437,89 | 176 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 39 | $7.837,32 | 133 / 6 | $4.442,29 | 277 / 76 | $2.237,54 | 275 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 48 | $15.628,00 | 184 / 10 | $7.447,69 | 966 / 61 | $5.785,19 | 963 / 59 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 31 | $31.646,70 | 276 / 17 | $12.643,20 | 696 / 57 | $10.418,70 | 691 / 43 |
Renal Failure W Cc | 25 | 196 / 59 | $10.470,60 | 122 / 10 | $7.010,80 | 691 / 83 | $4.909,72 | 684 / 43 |
Medical Back Problems W/O Mcc | 23 | 98 / 30 | $14.099,10 | 179 / 11 | $6.058,39 | 271 / 45 | $3.914,87 | 271 / 22 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 41 | $17.149,40 | 238 / 14 | $8.596,22 | 680 / 68 | $6.565,35 | 680 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 21 | $10.000,00 | 219 / 14 | $5.579,39 | 478 / 71 | $3.218,87 | 476 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 16 | $77.986,00 | 254 / 10 | $23.721,30 | 509 / 28 | $19.717,60 | 505 / 21 |
Syncope & Collapse | 21 | 148 / 44 | $13.280,80 | 279 / 19 | $5.960,48 | 1055 / 78 | $4.146,67 | 1048 / 69 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 27 | $14.412,50 | 127 / 3 | $7.730,10 | 258 / 39 | $5.626,40 | 256 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 29 | $13.734,60 | 168 / 8 | $5.976,55 | 275 / 64 | $3.331,30 | 273 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 32 | $61.696,70 | 238 / 15 | $26.477,70 | 23 / 36 | $17.392,60 | 23 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 37 | $26.819,10 | 331 / 24 | $12.335,10 | 403 / 73 | $8.762,37 | 403 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 33 | $9.456,53 | 189 / 10 | $5.356,42 | 721 / 70 | $3.507,05 | 719 / 50 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 33 | $22.112,90 | 149 / 7 | $13.068,00 | 279 / 55 | $9.968,74 | 279 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $27.896,70 | 97 / 5 | $15.509,50 | 271 / 49 | $11.822,20 | 269 / 20 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 34 | $15.827,70 | 299 / 12 | $9.174,22 | 794 / 73 | $6.089,50 | 793 / 48 |
Chest Pain | 18 | 133 / 34 | $12.665,30 | 282 / 14 | $4.634,61 | 603 / 58 | $3.025,78 | 599 / 38 |
Seizures W/O Mcc | 18 | 90 / 27 | $10.938,30 | 96 / 5 | $5.817,39 | 98 / 46 | $3.296,22 | 98 / 10 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 27 | $18.761,10 | 217 / 8 | $9.414,44 | 262 / 44 | $6.881,31 | 260 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 37 | $48.660,00 | 44 / 2 | $31.042,20 | 59 / 27 | $24.695,90 | 59 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 25 | $15.002,90 | 116 / 8 | $7.494,69 | 191 / 53 | $4.921,06 | 191 / 20 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 21 | $49.080,80 | 30 / 1 | $29.981,30 | 42 / 16 | $23.731,60 | 42 / 5 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 37 | $11.457,90 | 187 / 12 | $5.911,27 | 389 / 69 | $3.853,40 | 388 / 34 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 21 | $11.113,40 | 207 / 8 | $5.146,87 | 237 / 44 | $2.594,27 | 237 / 16 |
G.I. Hemorrhage W Mcc | 15 | 106 / 35 | $29.283,60 | 304 / 18 | $11.865,90 | 460 / 49 | $9.555,73 | 461 / 31 |
G.I. Obstruction W Cc | 14 | 78 / 31 | $10.923,40 | 77 / 2 | $6.726,43 | 64 / 54 | $3.679,64 | 64 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 43 | $10.954,50 | 28 / 2 | $8.305,43 | 330 / 61 | $6.088,29 | 329 / 33 |
Diabetes W Mcc | 13 | 44 / 11 | $25.839,20 | 191 / 7 | $9.393,31 | 106 / 8 | $7.043,23 | 106 / 3 |
Other Vascular Procedures W Mcc | 13 | 84 / 24 | $43.069,30 | 54 / 1 | $20.544,60 | 192 / 12 | $17.851,30 | 192 / 6 |
Other Vascular Procedures W Cc | 13 | 89 / 25 | $44.490,50 | 136 / 5 | $15.975,30 | 246 / 18 | $13.641,50 | 246 / 12 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $15.749,20 | 174 / 6 | $6.834,62 | 519 / 32 | $5.229,00 | 516 / 37 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 24 | $9.557,50 | 21 / 2 | $8.049,50 | 95 / 33 | $5.559,50 | 95 / 10 |
Diabetes W Cc | 12 | 80 / 28 | $11.914,60 | 148 / 7 | $5.870,75 | 281 / 39 | $3.959,92 | 281 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 13 | $48.441,80 | 47 / 3 | $19.823,70 | 45 / 13 | $13.956,30 | 44 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 24 | $23.253,90 | 19 / 1 | $13.070,80 | 239 / 12 | $11.230,00 | 234 / 8 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 19 | $16.752,30 | 77 / 5 | $7.100,18 | 235 / 22 | $5.056,91 | 235 / 11 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $62.490,00 | 45 / 3 | $35.111,60 | 11 / 16 | $26.369,10 | 11 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $38.840,80 | 71 / 4 | $17.642,10 | 9 / 31 | $11.982,00 | 9 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 19 | $8.687,27 | 54 / 1 | $4.927,18 | 301 / 16 | $3.334,09 | 300 / 14 |
Signs & Symptoms W/O Mcc | 11 | 80 / 33 | $9.991,18 | 91 / 3 | $5.162,27 | 458 / 29 | $3.605,36 | 457 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 15 | $10.496,20 | 99 / 5 | $5.571,73 | 251 / 32 | $3.348,00 | 252 / 19 | Total 62 procedures | 1.665 | 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.