Hospital Costs > In Washington > Yakima Valley Memorial Hospital, 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 | 312 | 258 / 9 | $34.422,00 | 419 / 3 | $15.214,10 | 1744 / 19 | $12.674,40 | 1704 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 247 | 269 / 17 | $27.059,00 | 650 / 6 | $13.069,80 | 1728 / 20 | $11.548,60 | 1695 / 16 |
| G.I. Hemorrhage W Cc | 93 | 125 / 9 | $19.567,10 | 712 / 6 | $7.575,56 | 1773 / 25 | $6.539,15 | 1769 / 32 |
| Heart Failure & Shock W Mcc | 93 | 191 / 12 | $23.661,50 | 638 / 5 | $10.515,90 | 1774 / 20 | $9.648,95 | 1769 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 88 | 106 / 5 | $53.738,40 | 145 / 1 | $26.828,20 | 824 / 2 | $24.336,10 | 820 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 11 | $18.301,70 | 617 / 5 | $8.705,93 | 1857 / 33 | $6.932,67 | 1849 / 32 |
| Pulmonary Edema & Respiratory Failure | 76 | 127 / 13 | $21.713,30 | 519 / 5 | $9.033,46 | 1465 / 16 | $7.763,97 | 1460 / 20 |
| Heart Failure & Shock W Cc | 71 | 207 / 14 | $18.130,40 | 947 / 6 | $7.411,08 | 2013 / 25 | $6.553,32 | 2008 / 31 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 8 | $23.369,10 | 591 / 6 | $10.545,30 | 1858 / 21 | $9.568,46 | 1858 / 29 |
| Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 6 | $15.499,10 | 623 / 4 | $7.329,48 | 2084 / 23 | $6.334,36 | 2076 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 14 | $16.103,00 | 879 / 5 | $5.929,97 | 1966 / 25 | $4.704,83 | 1952 / 28 |
| Renal Failure W Cc | 59 | 162 / 13 | $19.200,20 | 897 / 10 | $7.289,34 | 1778 / 22 | $6.365,17 | 1768 / 33 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 9 | $62.043,80 | 496 / 10 | $15.523,20 | 986 / 14 | $12.426,20 | 979 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 6 | $36.178,70 | 462 / 3 | $13.734,00 | 1467 / 18 | $12.617,80 | 1449 / 22 |
| Renal Failure W Mcc | 44 | 151 / 15 | $24.295,80 | 422 / 4 | $10.947,40 | 1438 / 21 | $10.060,50 | 1438 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 9 | $13.088,60 | 695 / 4 | $5.609,84 | 1656 / 23 | $4.251,11 | 1651 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 11 | $16.635,60 | 706 / 6 | $6.140,59 | 1607 / 24 | $5.208,50 | 1602 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 10 | $20.241,60 | 739 / 8 | $8.418,85 | 1671 / 19 | $7.143,46 | 1663 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 5 | $13.940,30 | 187 / 2 | $5.887,24 | 1036 / 19 | $4.423,44 | 1032 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 16 | $19.402,80 | 439 / 4 | $7.886,92 | 1523 / 26 | $6.948,23 | 1520 / 36 |
| Cellulitis W/O Mcc | 40 | 149 / 16 | $15.518,20 | 921 / 5 | $6.441,27 | 1871 / 20 | $5.282,92 | 1863 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 9 | $30.499,30 | 986 / 17 | $9.240,08 | 1423 / 26 | $8.387,41 | 1420 / 33 |
| G.I. Obstruction W Cc | 38 | 54 / 5 | $16.193,40 | 375 / 4 | $7.083,50 | 969 / 23 | $5.057,74 | 966 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 8 | $12.260,40 | 628 / 7 | $4.748,00 | 1545 / 23 | $3.619,84 | 1539 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 13 | $12.216,00 | 537 / 3 | $5.957,67 | 2024 / 24 | $5.053,92 | 2013 / 30 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 36 | 55 / 5 | $31.276,20 | 178 / 5 | $8.205,08 | 152 / 5 | $7.141,14 | 152 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 9 | $29.343,50 | 419 / 3 | $12.016,60 | 1184 / 16 | $10.969,60 | 1178 / 18 |
| Other Digestive System Diagnoses W Cc | 34 | 63 / 4 | $18.628,40 | 329 / 4 | $7.469,68 | 1026 / 19 | $6.576,79 | 1022 / 26 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 13 | $31.888,10 | 387 / 4 | $12.914,00 | 1209 / 24 | $12.270,90 | 1201 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 10 | $14.129,20 | 196 / 3 | $8.030,74 | 1111 / 16 | $6.594,59 | 1107 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 10 | $15.802,00 | 182 / 2 | $8.115,34 | 1046 / 16 | $7.225,97 | 1043 / 18 |
| Pulmonary Embolism W/O Mcc | 31 | 43 / 3 | $33.352,60 | 927 / 22 | $9.835,71 | 1133 / 26 | $7.462,55 | 1130 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 16 | $18.535,30 | 66 / 2 | $11.684,80 | 928 / 12 | $10.759,50 | 925 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 10 | $27.385,80 | 390 / 7 | $7.928,43 | 1162 / 12 | $6.885,87 | 1159 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 12 | $15.080,40 | 523 / 3 | $7.126,86 | 1678 / 20 | $5.836,10 | 1671 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 6 | $21.210,10 | 340 / 4 | $7.594,03 | 949 / 14 | $6.523,83 | 947 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 5 | $24.203,00 | 258 / 2 | $7.958,93 | 660 / 8 | $6.345,63 | 657 / 10 |
| Transient Ischemia | 27 | 98 / 8 | $15.040,30 | 299 / 1 | $5.687,37 | 1106 / 17 | $4.255,30 | 1100 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 3 | $11.179,00 | 333 / 2 | $5.593,04 | 1527 / 9 | $4.502,85 | 1519 / 11 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 8 | $14.814,00 | 437 / 3 | $6.226,00 | 1463 / 15 | $5.378,12 | 1454 / 23 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 10 | $76.145,40 | 328 / 1 | $23.616,00 | 693 / 4 | $22.533,10 | 692 / 9 |
| Syncope & Collapse | 22 | 147 / 14 | $14.166,90 | 335 / 2 | $5.735,77 | 1413 / 19 | $4.888,23 | 1406 / 29 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 12 | $37.970,40 | 149 / 1 | $17.859,00 | 1120 / 9 | $16.742,00 | 1107 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 6 | $44.810,80 | 89 / 2 | $19.282,80 | 495 / 3 | $18.180,40 | 492 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 4 | $15.996,00 | 151 / 1 | $6.947,05 | 578 / 6 | $5.559,05 | 575 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 8 | $46.504,40 | 165 / 2 | $17.807,20 | 615 / 7 | $16.916,20 | 614 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 5 | $11.908,00 | 275 / 4 | $4.988,35 | 1013 / 12 | $3.996,25 | 1010 / 17 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 20 | $29.672,90 | 375 / 5 | $14.090,60 | 1371 / 27 | $13.405,80 | 1356 / 31 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 11 | $74.113,00 | 212 / 3 | $22.141,40 | 633 / 2 | $21.089,10 | 629 / 6 |
| Medical Back Problems W/O Mcc | 18 | 103 / 11 | $16.277,10 | 295 / 3 | $6.365,50 | 1023 / 13 | $5.318,61 | 1020 / 17 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 9 | $36.288,60 | 119 / 1 | $15.263,80 | 615 / 6 | $14.093,70 | 611 / 12 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 14 | $36.066,40 | 369 / 4 | $14.670,00 | 941 / 14 | $13.034,10 | 934 / 13 |
| Disorders Of The Biliary Tract W Cc | 17 | 37 / 3 | $18.905,40 | 57 / 1 | $7.590,59 | 261 / 3 | $6.559,06 | 261 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $22.014,90 | 88 / 1 | $8.707,12 | 287 / 1 | $7.901,56 | 287 / 3 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 4 | $16.070,00 | 101 / 1 | $7.139,38 | 332 / 6 | $5.663,31 | 331 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 10 | $16.303,60 | 155 / 1 | $8.438,06 | 738 / 9 | $7.494,25 | 736 / 11 |
| Chest Pain | 16 | 135 / 16 | $10.270,80 | 162 / 1 | $5.031,19 | 1067 / 14 | $3.676,56 | 1060 / 16 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 4 | $40.010,10 | 147 / 2 | $14.845,00 | 496 / 3 | $13.748,10 | 495 / 8 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 10 | $16.195,40 | 61 / 2 | $7.483,53 | 238 / 7 | $5.694,00 | 238 / 5 |
| Cellulitis W Mcc | 15 | 43 / 7 | $24.572,20 | 234 / 3 | $10.372,90 | 551 / 8 | $9.021,80 | 549 / 4 |
| Diabetes W Mcc | 15 | 42 / 6 | $33.197,40 | 341 / 8 | $10.763,10 | 532 / 8 | $9.728,00 | 531 / 10 |
| Other Vascular Procedures W Cc | 15 | 87 / 13 | $75.083,70 | 597 / 9 | $20.740,40 | 913 / 14 | $18.951,00 | 908 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 23 | $83.993,10 | 287 / 5 | $36.204,80 | 997 / 12 | $35.470,50 | 991 / 18 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 7 | $26.532,40 | 80 / 1 | $11.558,50 | 234 / 3 | $10.613,20 | 234 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 19 | $14.603,90 | 803 / 6 | $5.506,80 | 1379 / 22 | $4.191,80 | 1368 / 22 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 15 | 16 / 1 | $43.383,00 | 30 / 1 | $13.469,40 | 104 / 2 | $12.450,10 | 104 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 21 | $26.247,90 | 279 / 7 | $10.913,80 | 724 / 13 | $10.334,10 | 722 / 15 |
| Female Reproductive System Reconstructive Procedures | 14 | 11 / 1 | $16.358,30 | 5 / 1 | $7.548,36 | 22 / 1 | $6.330,29 | 22 / 1 |
| Disorders Of The Biliary Tract W Mcc | 14 | 25 / 4 | $29.860,40 | 47 / 3 | $11.344,00 | 99 / 2 | $10.172,60 | 99 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 9 | $12.577,10 | 503 / 1 | $6.088,21 | 1475 / 15 | $4.373,79 | 1464 / 11 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 9 | $22.049,50 | 36 / 1 | $12.068,10 | 442 / 7 | $9.497,46 | 442 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 15 | $55.555,50 | 188 / 2 | $22.540,20 | 648 / 11 | $21.271,30 | 645 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 2 | $11.170,90 | 139 / 2 | $5.553,77 | 733 / 5 | $4.502,85 | 729 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 14 | $14.404,10 | 22 / 2 | $10.352,40 | 466 / 12 | $8.404,75 | 464 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 5 | $16.582,10 | 257 / 1 | $6.661,75 | 693 / 3 | $5.426,58 | 689 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 7 | $18.396,40 | 241 / 3 | $5.902,92 | 632 / 5 | $4.870,92 | 628 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $9.762,92 | 74 / 1 | $5.525,92 | 647 / 11 | $4.391,25 | 647 / 13 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 13 | $16.418,00 | 438 / 2 | $5.443,67 | 944 / 9 | $4.714,17 | 941 / 12 |
| Diabetes W Cc | 11 | 81 / 13 | $13.332,50 | 224 / 1 | $6.382,18 | 1129 / 14 | $5.478,00 | 1125 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 16 | $40.015,40 | 194 / 1 | $16.126,20 | 707 / 6 | $15.102,90 | 704 / 20 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 14 | $18.287,30 | 201 / 2 | $9.510,45 | 1028 / 6 | $8.796,45 | 1023 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 8 | $110.150,00 | 312 / 1 | $37.889,00 | 691 / 4 | $36.848,00 | 690 / 5 |
| G.I. Obstruction W Mcc | 11 | 31 / 8 | $25.954,50 | 76 / 2 | $11.439,90 | 336 / 4 | $10.590,60 | 336 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 4 | $13.343,80 | 101 / 1 | $5.160,73 | 316 / 3 | $4.025,91 | 315 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 18 | $18.357,80 | 148 / 2 | $8.453,55 | 699 / 8 | $7.134,00 | 694 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $82.567,30 | 213 / 3 | $34.102,40 | 764 / 5 | $33.077,70 | 762 / 10 | Total 86 procedures | 3.037 | 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.