Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Washington DC
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Medstar Georgetown University Hospital | Washington | 15 | $17,738.30 | $8,137.27 | $5,483.87 |
| Sibley Memorial Hospital | Washington | 44 | $14,153.90 | $4,176.18 | $2,976.77 |
| Providence Hospital Washington | Washington | 15 | $15,199.50 | $6,681.27 | $5,443.80 |
| United Medical Center | Washington | 11 | $16,241.60 | $6,838.36 | $5,849.27 |
| Medstar Washington Hospital Center | Washington | 43 | $19,952.20 | $7,075.72 | $5,312.91 | Total 5 hospitals | 128 |
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.