Hospital Costs > In Arkansas > Washington Regional Med Ctr At North Hills, 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 | 330 | 243 / 5 | $42.184,80 | 876 / 19 | $12.922,30 | 528 / 24 | $10.358,10 | 524 / 16 |
| Heart Failure & Shock W Cc | 138 | 140 / 2 | $25.729,60 | 1726 / 32 | $6.073,19 | 705 / 23 | $5.067,27 | 704 / 23 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 116 | 10 / 1 | $114.700,00 | 509 / 8 | $14.108,70 | 231 / 8 | $11.267,10 | 229 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 116 | 38 / 2 | $14.500,30 | 922 / 24 | $3.719,93 | 419 / 18 | $2.371,32 | 416 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 115 | 81 / 4 | $73.228,50 | 743 / 17 | $12.809,50 | 313 / 19 | $10.170,80 | 313 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 111 | 78 / 6 | $27.988,90 | 423 / 15 | $6.703,47 | 370 / 16 | $5.270,36 | 369 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 110 | 123 / 5 | $19.923,00 | 1573 / 33 | $4.841,62 | 798 / 24 | $3.824,25 | 793 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 104 | 412 / 17 | $44.651,60 | 1557 / 28 | $11.230,30 | 698 / 28 | $9.784,15 | 697 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 100 | 103 / 4 | $29.418,90 | 1921 / 34 | $6.083,63 | 705 / 28 | $4.822,64 | 702 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 96 | 65 / 2 | $22.585,60 | 1255 / 18 | $5.240,21 | 540 / 21 | $3.849,41 | 538 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 10 | $19.759,70 | 1358 / 27 | $4.761,91 | 795 / 23 | $3.626,76 | 790 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 76 | 90 / 5 | $18.781,40 | 1431 / 32 | $4.527,76 | 470 / 25 | $3.289,80 | 470 / 15 |
| G.I. Hemorrhage W Cc | 71 | 147 / 11 | $27.759,30 | 1426 / 23 | $6.357,01 | 410 / 21 | $4.819,21 | 409 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 6 | $23.898,00 | 714 / 19 | $6.610,44 | 541 / 19 | $5.258,68 | 540 / 15 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 11 | $36.425,60 | 1360 / 26 | $7.472,83 | 479 / 23 | $6.314,45 | 479 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 2 | $20.651,70 | 1325 / 31 | $4.332,41 | 603 / 23 | $3.390,22 | 601 / 21 |
| Renal Failure W Cc | 63 | 158 / 11 | $22.600,80 | 1239 / 24 | $5.935,33 | 689 / 17 | $4.909,13 | 682 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 11 | $34.559,90 | 1718 / 37 | $7.096,84 | 808 / 26 | $6.051,80 | 803 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 6 | $25.910,30 | 1504 / 30 | $5.861,90 | 545 / 23 | $4.594,46 | 543 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 12 | $31.954,40 | 1729 / 27 | $6.511,61 | 804 / 19 | $5.481,10 | 802 / 22 |
| Cellulitis W/O Mcc | 49 | 140 / 10 | $20.558,70 | 1540 / 26 | $5.232,12 | 637 / 23 | $4.002,57 | 634 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 15 | $39.751,20 | 1551 / 30 | $8.817,81 | 856 / 28 | $7.723,08 | 856 / 30 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 5 | $21.049,50 | 1336 / 29 | $4.541,64 | 688 / 19 | $3.476,20 | 686 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 45 | 57 / 3 | $20.574,00 | 621 / 17 | $4.877,87 | 330 / 15 | $3.412,62 | 327 / 12 |
| Major Small & Large Bowel Procedures W Cc | 44 | 64 / 4 | $67.321,60 | 805 / 16 | $15.326,90 | 463 / 17 | $13.473,60 | 459 / 14 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 43 | 13 / 2 | $41.205,10 | 434 / 14 | $9.785,70 | 296 / 13 | $8.458,93 | 295 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 42 | 56 / 6 | $28.016,30 | 380 / 10 | $6.342,62 | 381 / 10 | $5.441,33 | 381 / 13 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 41 | 23 / 1 | $48.798,40 | 446 / 8 | $9.983,29 | 99 / 8 | $7.568,56 | 99 / 4 |
| Heart Failure & Shock W Mcc | 41 | 243 / 19 | $42.806,80 | 1778 / 32 | $9.050,29 | 807 / 27 | $8.058,83 | 807 / 24 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 39 | 18 / 1 | $52.147,60 | 307 / 9 | $13.809,90 | 46 / 11 | $10.233,90 | 46 / 4 |
| Transient Ischemia | 38 | 87 / 7 | $19.144,40 | 588 / 16 | $4.479,45 | 385 / 11 | $3.248,16 | 384 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 36 | 65 / 4 | $87.119,80 | 469 / 12 | $19.338,50 | 263 / 10 | $18.294,90 | 263 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 9 | $61.480,40 | 942 / 18 | $13.479,10 | 460 / 13 | $12.341,00 | 455 / 18 |
| Syncope & Collapse | 36 | 133 / 8 | $20.140,40 | 872 / 18 | $4.652,94 | 552 / 16 | $3.598,25 | 549 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 3 | $53.957,60 | 405 / 11 | $12.972,50 | 334 / 10 | $11.759,00 | 331 / 11 |
| Signs & Symptoms W/O Mcc | 35 | 56 / 3 | $18.934,60 | 598 / 15 | $4.408,26 | 325 / 11 | $3.417,57 | 324 / 11 |
| Pulmonary Embolism W/O Mcc | 33 | 41 / 2 | $26.289,20 | 701 / 16 | $6.113,82 | 364 / 14 | $4.925,09 | 364 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 8 | $33.228,80 | 451 / 11 | $10.128,80 | 427 / 14 | $9.163,94 | 426 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 10 | $32.665,80 | 1079 / 17 | $7.683,75 | 454 / 18 | $6.297,56 | 451 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 12 | $43.333,30 | 776 / 17 | $11.565,30 | 481 / 18 | $10.045,50 | 480 / 17 |
| Renal Failure W Mcc | 29 | 166 / 16 | $45.742,10 | 1472 / 23 | $9.892,00 | 347 / 21 | $7.823,48 | 347 / 13 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 29 | 21 / 1 | $121.856,00 | 86 / 5 | $33.571,00 | 28 / 6 | $28.502,70 | 28 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 7 | $115.831,00 | 204 / 11 | $26.507,90 | 210 / 8 | $25.089,10 | 210 / 11 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 27 | 42 / 2 | $66.236,60 | 236 / 4 | $17.316,60 | 13 / 5 | $12.155,10 | 13 / 1 |
| Diabetes W Cc | 26 | 66 / 4 | $21.706,00 | 805 / 15 | $5.258,38 | 412 / 13 | $4.168,69 | 412 / 10 |
| G.I. Obstruction W Cc | 25 | 67 / 9 | $23.392,70 | 890 / 14 | $5.732,36 | 432 / 15 | $4.390,00 | 431 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 12 | $23.277,60 | 1375 / 31 | $4.528,76 | 465 / 21 | $3.208,04 | 463 / 18 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 6 | $33.304,20 | 978 / 11 | $6.045,28 | 474 / 8 | $5.152,92 | 471 / 9 |
| Medical Back Problems W/O Mcc | 24 | 97 / 8 | $20.306,30 | 558 / 15 | $5.135,29 | 428 / 11 | $4.130,58 | 428 / 13 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 24 | 42 / 2 | $26.604,70 | 187 / 5 | $6.861,04 | 66 / 5 | $5.412,21 | 66 / 4 |
| Other Vascular Procedures W Cc | 23 | 79 / 7 | $57.291,10 | 312 / 8 | $15.026,30 | 185 / 12 | $13.297,60 | 185 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 5 | $12.154,20 | 292 / 5 | $3.997,91 | 400 / 8 | $2.832,09 | 399 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 4 | $68.004,00 | 455 / 7 | $17.860,00 | 134 / 11 | $13.578,70 | 134 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 10 | $33.806,50 | 1126 / 19 | $12.083,00 | 256 / 21 | $5.624,05 | 254 / 11 |
| Chest Pain | 22 | 129 / 11 | $18.297,50 | 792 / 17 | $4.043,45 | 172 / 15 | $2.500,55 | 171 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 14 | $27.522,30 | 1066 / 19 | $6.737,18 | 601 / 17 | $5.826,09 | 600 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 3 | $18.632,40 | 140 / 5 | $4.674,38 | 52 / 2 | $3.377,19 | 52 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 4 | $17.364,70 | 417 / 13 | $4.069,81 | 198 / 9 | $3.123,05 | 197 / 11 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 4 | $42.132,60 | 196 / 3 | $9.134,57 | 89 / 2 | $7.790,33 | 89 / 3 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 7 | $32.649,20 | 778 / 18 | $8.018,70 | 278 / 16 | $6.918,35 | 276 / 15 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 20 | 28 / 3 | $47.509,20 | 136 / 4 | $9.332,20 | 23 / 4 | $6.996,20 | 23 / 2 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 6 | $17.245,20 | 464 / 13 | $4.075,45 | 248 / 8 | $3.021,20 | 247 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 4 | $30.249,20 | 160 / 7 | $7.378,47 | 230 / 4 | $6.289,53 | 230 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 4 | $39.818,80 | 256 / 7 | $10.005,20 | 219 / 9 | $8.362,58 | 219 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 8 | $56.434,40 | 419 / 10 | $13.463,20 | 229 / 10 | $11.253,60 | 229 / 8 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 15 | $16.815,80 | 607 / 16 | $5.011,26 | 667 / 19 | $4.154,74 | 663 / 19 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 4 | $17.991,30 | 316 / 7 | $6.051,74 | 215 / 11 | $4.675,89 | 214 / 7 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 6 | $87.068,90 | 172 / 7 | $22.365,60 | 59 / 10 | $17.918,80 | 59 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 12 | $52.244,30 | 1186 / 17 | $11.598,40 | 67 / 18 | $7.699,33 | 67 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 6 | $39.083,40 | 209 / 12 | $9.539,11 | 29 / 12 | $6.460,61 | 29 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 10 | $27.893,90 | 643 / 13 | $6.463,56 | 182 / 12 | $4.897,78 | 182 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 12 | $27.581,60 | 547 / 7 | $7.567,33 | 476 / 12 | $6.574,67 | 473 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 5 | $20.217,30 | 554 / 10 | $4.438,17 | 283 / 5 | $3.334,00 | 281 / 6 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 17 | 15 / 3 | $27.456,90 | 37 / 2 | $7.371,47 | 21 / 3 | $5.502,71 | 21 / 2 |
| Major Chest Procedures W Cc | 17 | 57 / 3 | $75.139,50 | 302 / 5 | $16.255,60 | 39 / 4 | $12.350,70 | 39 / 2 |
| Respiratory Neoplasms W Cc | 17 | 30 / 2 | $31.091,80 | 211 / 5 | $7.644,18 | 17 / 6 | $5.263,18 | 17 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 8 | $61.492,60 | 282 / 9 | $10.789,40 | 177 / 10 | $9.533,18 | 177 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 11 | $98.145,60 | 466 / 10 | $20.096,30 | 283 / 15 | $17.754,90 | 281 / 13 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 6 | $21.244,90 | 518 / 8 | $4.271,71 | 192 / 4 | $3.500,71 | 192 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 3 | $76.520,20 | 210 / 6 | $15.645,40 | 86 / 2 | $14.827,90 | 85 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 12 | $77.270,20 | 487 / 11 | $23.776,20 | 305 / 11 | $20.573,20 | 304 / 11 |
| Seizures W/O Mcc | 16 | 92 / 8 | $19.680,90 | 534 / 9 | $4.780,56 | 420 / 4 | $3.930,12 | 418 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 9 | $143.160,00 | 762 / 13 | $38.245,40 | 135 / 17 | $25.563,80 | 135 / 5 |
| Major Chest Procedures W/O Cc/Mcc | 15 | 44 / 2 | $56.256,50 | 154 / 2 | $11.080,70 | 31 / 2 | $8.830,00 | 31 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 10 | $31.291,20 | 381 / 11 | $8.081,80 | 181 / 8 | $7.167,87 | 180 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 3 | $16.765,50 | 369 / 8 | $4.346,87 | 134 / 5 | $3.042,27 | 135 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 7 | $74.964,90 | 627 / 12 | $12.455,40 | 280 / 6 | $11.419,90 | 275 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 4 | $48.297,60 | 272 / 6 | $10.259,40 | 78 / 4 | $8.322,00 | 78 / 3 |
| Rectal Resection W/O Cc/Mcc | 14 | 5 / 1 | $50.600,60 | 15 / 1 | $9.427,50 | 9 / 1 | $8.199,00 | 9 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 5 | $20.726,10 | 199 / 6 | $5.726,64 | 97 / 3 | $4.807,07 | 97 / 2 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 3 | $28.410,90 | 182 / 3 | $6.620,08 | 39 / 3 | $4.994,62 | 39 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 6 | $29.222,00 | 560 / 12 | $5.089,77 | 136 / 12 | $3.417,00 | 136 / 6 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 6 | $23.279,00 | 267 / 10 | $6.090,46 | 39 / 9 | $4.398,85 | 39 / 3 |
| Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W/O Mcc | 13 | 3 / 1 | $138.536,00 | 3 / 1 | $35.008,50 | 1 / 1 | $30.172,60 | 1 / 1 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 14 | $49.345,70 | 725 / 13 | $10.747,50 | 283 / 7 | $9.914,58 | 283 / 8 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 17 | $53.741,80 | 1148 / 19 | $12.812,80 | 491 / 20 | $10.469,90 | 486 / 16 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 2 | $117.384,00 | 58 / 2 | $30.045,70 | 12 / 2 | $23.317,10 | 12 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 10 | $25.667,30 | 606 / 11 | $5.442,00 | 291 / 5 | $4.302,17 | 288 / 6 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 4 | $19.127,40 | 173 / 6 | $3.853,25 | 67 / 4 | $2.839,67 | 67 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 9 | $23.772,20 | 356 / 8 | $5.907,00 | 112 / 7 | $4.895,18 | 112 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 11 | $19.031,10 | 250 / 5 | $6.836,09 | 312 / 8 | $6.166,00 | 311 / 11 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 4 | $59.532,10 | 125 / 4 | $11.694,00 | 65 / 3 | $10.690,50 | 65 / 3 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 11 | 17 / 3 | $41.444,40 | 41 / 2 | $9.956,36 | 33 / 2 | $8.962,36 | 33 / 3 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 2 | $27.035,90 | 257 / 2 | $4.518,82 | 65 / 1 | $3.528,73 | 65 / 1 | Total 104 procedures | 3.931 | 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.