Hospital Costs > In Washington > Yakima Regional Medical And Cardiac Center, 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 | 84 | 432 / 36 | $46.510,70 | 1652 / 28 | $12.883,40 | 1322 / 17 | $10.678,40 | 1299 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 82 | 112 / 8 | $168.846,00 | 1190 / 25 | $28.620,20 | 926 / 12 | $25.380,00 | 921 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 69 | 127 / 5 | $118.758,00 | 1312 / 29 | $14.101,00 | 980 / 4 | $12.394,00 | 973 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 40 | $89.355,60 | 2350 / 40 | $14.767,70 | 1574 / 10 | $12.255,30 | 1538 / 14 |
| Heart Failure & Shock W Cc | 55 | 223 / 19 | $25.666,50 | 1721 / 21 | $6.892,40 | 1662 / 13 | $5.941,64 | 1657 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 6 | $24.621,80 | 1427 / 22 | $6.613,24 | 1288 / 7 | $5.262,08 | 1283 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 8 | $39.104,10 | 920 / 16 | $7.386,39 | 996 / 3 | $6.336,29 | 993 / 8 |
| G.I. Hemorrhage W Cc | 36 | 182 / 26 | $30.062,80 | 1558 / 26 | $6.718,47 | 1288 / 9 | $5.677,78 | 1285 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 12 | $30.887,30 | 1528 / 26 | $7.804,03 | 1644 / 6 | $7.077,17 | 1636 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 28 | $26.191,10 | 1959 / 33 | $5.227,76 | 1526 / 11 | $4.152,62 | 1514 / 12 |
| Heart Failure & Shock W Mcc | 33 | 251 / 35 | $31.566,50 | 1191 / 15 | $9.573,91 | 1385 / 5 | $8.841,79 | 1381 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 24 | $25.139,90 | 1633 / 29 | $6.539,74 | 1604 / 8 | $5.609,68 | 1597 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 2 | $19.337,50 | 1219 / 11 | $5.020,84 | 1283 / 2 | $4.043,29 | 1272 / 7 |
| Cellulitis W/O Mcc | 30 | 159 / 21 | $25.561,60 | 1906 / 32 | $6.033,30 | 1367 / 12 | $4.594,70 | 1361 / 8 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 29 | 59 / 8 | $140.392,00 | 441 / 9 | $24.011,50 | 382 / 1 | $23.265,60 | 381 / 3 |
| Chest Pain | 29 | 122 / 8 | $17.410,50 | 720 / 8 | $4.311,24 | 864 / 4 | $3.353,45 | 859 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 18 | $19.814,40 | 1044 / 15 | $5.674,22 | 843 / 13 | $4.148,59 | 840 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 36 | $27.139,60 | 1436 / 23 | $6.927,41 | 1304 / 6 | $5.987,56 | 1299 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 13 | $22.352,80 | 550 / 6 | $7.485,35 | 898 / 10 | $6.788,73 | 895 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 18 | $19.668,50 | 1525 / 22 | $4.990,04 | 1542 / 8 | $4.120,65 | 1537 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 18 | $34.057,50 | 1127 / 25 | $8.143,21 | 978 / 9 | $7.097,38 | 975 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 10 | $175.365,00 | 364 / 8 | $36.372,90 | 131 / 3 | $29.252,50 | 131 / 1 |
| Renal Failure W Mcc | 23 | 172 / 27 | $35.412,50 | 1066 / 21 | $9.687,17 | 963 / 4 | $8.849,61 | 963 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 9 | $106.808,00 | 797 / 20 | $14.727,50 | 528 / 2 | $13.068,00 | 525 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 17 | $39.190,50 | 779 / 14 | $11.514,30 | 971 / 12 | $10.208,00 | 969 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 12 | $14.246,70 | 753 / 5 | $4.726,86 | 1104 / 5 | $3.846,86 | 1095 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 8 | $59.737,50 | 663 / 22 | $8.585,67 | 452 / 8 | $6.231,48 | 451 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 24 | $23.805,50 | 1911 / 31 | $5.772,11 | 1256 / 16 | $4.128,00 | 1247 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 24 | $53.706,20 | 1028 / 27 | $12.268,80 | 1075 / 18 | $11.468,80 | 1070 / 23 |
| Renal Failure W Cc | 18 | 203 / 29 | $22.964,90 | 1268 / 19 | $6.188,50 | 1313 / 3 | $5.520,06 | 1305 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 14 | $31.222,10 | 781 / 16 | $7.137,33 | 860 / 6 | $6.269,78 | 858 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 12 | $176.807,00 | 905 / 20 | $24.472,10 | 774 / 9 | $23.268,40 | 769 / 14 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 7 | $176.720,00 | 447 / 8 | $30.162,20 | 405 / 1 | $29.030,90 | 405 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 31 | $24.551,60 | 766 / 12 | $6.017,19 | 235 / 2 | $4.887,19 | 235 / 2 |
| Syncope & Collapse | 16 | 153 / 18 | $20.645,90 | 918 / 11 | $5.088,00 | 979 / 7 | $4.038,00 | 973 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 21 | $18.918,30 | 1328 / 25 | $4.016,27 | 1335 / 9 | $3.209,87 | 1330 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 19 | $30.631,80 | 1127 / 27 | $5.429,40 | 808 / 6 | $4.003,80 | 804 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 17 | $160.471,00 | 910 / 17 | $25.150,00 | 775 / 10 | $24.102,50 | 774 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 32 | $35.685,30 | 1393 / 25 | $9.270,07 | 1356 / 6 | $8.410,64 | 1356 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 6 | $69.899,70 | 440 / 7 | $11.903,40 | 364 / 3 | $10.781,10 | 363 / 5 |
| Transient Ischemia | 14 | 111 / 17 | $23.363,90 | 873 / 14 | $4.921,07 | 806 / 5 | $3.714,21 | 802 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 6 | $27.244,10 | 517 / 8 | $5.275,57 | 513 / 2 | $4.340,71 | 509 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 25 | $67.893,10 | 1101 / 18 | $14.293,50 | 872 / 1 | $13.622,60 | 864 / 3 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 8 | $45.348,60 | 229 / 6 | $10.673,80 | 183 / 1 | $10.019,00 | 183 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 11 | $45.684,90 | 725 / 14 | $7.334,38 | 426 / 3 | $5.546,08 | 425 / 4 |
| Other Vascular Procedures W Mcc | 13 | 84 / 12 | $100.487,00 | 606 / 10 | $20.996,50 | 292 / 2 | $18.635,10 | 291 / 3 |
| Atherosclerosis W/O Mcc | 12 | 46 / 4 | $31.022,80 | 458 / 6 | $4.660,08 | / | $3.862,75 | / |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 27 | $50.554,20 | 1086 / 28 | $12.238,70 | 884 / 6 | $11.352,00 | 874 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 26 | $210.808,00 | 1297 / 37 | $40.019,50 | 1212 / 24 | $39.254,40 | 1203 / 30 |
| Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 3 | $32.228,70 | 65 / 2 | $8.714,18 | 58 / 1 | $8.050,91 | 58 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 12 | $20.087,90 | 1203 / 11 | $4.944,09 | 1062 / 4 | $3.739,73 | 1056 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 11 | $270.599,00 | 354 / 9 | $52.978,30 | 253 / 3 | $52.264,10 | 253 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 15 | $99.745,50 | 770 / 22 | $17.023,90 | 572 / 2 | $16.471,20 | 571 / 6 | Total 53 procedures | 1.350 | 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.