Hospital Costs > In Maryland > Adventist Healthcare Washington Adventist Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 17 | $14.966,50 | 113 / 31 | $13.803,50 | 1422 / 31 | $12.986,60 | 1420 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 21 | $31.624,70 | 498 / 35 | $29.152,20 | 1821 / 35 | $28.178,50 | 1808 / 35 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 14 | $9.629,60 | 47 / 25 | $8.890,00 | 837 / 25 | $7.925,73 | 833 / 24 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 19 | $12.726,20 | 229 / 27 | $11.860,10 | 824 / 27 | $10.349,00 | 823 / 26 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 14 | $9.386,10 | 43 / 22 | $8.665,38 | 989 / 22 | $7.722,90 | 985 / 23 |
| Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 3 | $7.763,00 | 25 / 16 | $7.170,00 | 356 / 16 | $6.234,89 | 356 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 24 | $9.482,82 | 83 / 30 | $8.786,37 | 2065 / 30 | $7.816,24 | 2060 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 21 | $17.082,70 | 196 / 30 | $15.789,50 | 1866 / 30 | $13.140,90 | 1863 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 22 | $5.497,44 | 27 / 19 | $5.118,78 | 1689 / 19 | $4.044,14 | 1683 / 19 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 8 | $51.928,80 | 4 / 4 | $47.948,70 | 491 / 4 | $45.193,20 | 491 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 6 | $75.601,90 | 5 / 5 | $69.657,30 | 430 / 5 | $69.009,90 | 430 / 5 |
| Cellulitis W/O Mcc | 49 | 140 / 29 | $9.382,78 | 195 / 32 | $8.691,47 | 2460 / 32 | $7.509,29 | 2452 / 32 |
| Chest Pain | 76 | 75 / 4 | $6.873,01 | 43 / 26 | $6.368,05 | 1511 / 26 | $5.319,49 | 1502 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 27 | $10.121,10 | 105 / 30 | $9.443,00 | 2214 / 30 | $7.817,58 | 2207 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 29 | $12.792,70 | 165 / 30 | $11.800,00 | 2462 / 30 | $11.030,20 | 2454 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $8.939,13 | 149 / 35 | $8.247,79 | 2049 / 35 | $7.597,95 | 2037 / 39 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 10 | $17.835,30 | 7 / 7 | $16.535,90 | 694 / 7 | $15.211,10 | 687 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 9 | $11.307,30 | 15 / 13 | $10.453,20 | 1526 / 12 | $9.569,97 | 1523 / 15 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 8 | $42.064,90 | 4 / 4 | $38.770,40 | 566 / 4 | $37.755,40 | 566 / 4 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 17 | 42 / 3 | $62.686,00 | 8 / 3 | $57.761,90 | 230 / 3 | $56.982,60 | 229 / 4 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 38 | 50 / 6 | $34.189,70 | 4 / 4 | $31.715,90 | 499 / 4 | $27.631,40 | 498 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 12 | $9.629,40 | 33 / 16 | $8.978,47 | 647 / 17 | $7.558,73 | 647 / 16 |
| Diabetes W Cc | 21 | 71 / 24 | $8.776,14 | 47 / 20 | $8.105,38 | 1429 / 20 | $7.067,67 | 1424 / 20 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 4 | $7.884,00 | 19 / 9 | $7.279,00 | 271 / 9 | $6.473,67 | 271 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 15 | $7.667,53 | 11 / 11 | $7.165,13 | 686 / 11 | $6.048,40 | 683 / 12 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 5 | $5.533,09 | 6 / 5 | $5.112,18 | 356 / 4 | $4.350,00 | 355 / 6 |
| Dysequilibrium | 17 | 48 / 11 | $5.984,82 | 8 / 8 | $5.680,47 | 401 / 9 | $4.236,82 | 401 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 12 | $9.416,92 | 11 / 6 | $8.687,88 | 965 / 6 | $8.038,04 | 960 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 28 | $6.395,20 | 26 / 7 | $5.927,01 | 2102 / 7 | $5.000,59 | 2088 / 12 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 10 | $34.485,00 | 4 / 4 | $31.782,40 | 416 / 4 | $31.034,10 | 416 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 15 | $6.978,73 | 17 / 12 | $6.448,27 | 653 / 12 | $5.477,60 | 651 / 13 |
| G.I. Hemorrhage W Cc | 53 | 165 / 26 | $11.314,10 | 96 / 31 | $10.500,70 | 2254 / 31 | $8.843,43 | 2250 / 30 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 10 | $23.771,90 | 146 / 33 | $21.959,80 | 1647 / 33 | $20.518,70 | 1637 / 34 |
| G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 12 | $7.942,88 | 45 / 27 | $7.503,32 | 893 / 28 | $5.754,92 | 889 / 23 |
| G.I. Obstruction W Cc | 16 | 76 / 24 | $6.977,50 | 12 / 11 | $6.447,69 | 1158 / 10 | $5.446,69 | 1155 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $4.119,64 | 1 / 1 | $3.938,09 | 196 / 1 | $2.530,55 | 196 / 1 |
| Heart Failure & Shock W Cc | 81 | 197 / 30 | $13.048,30 | 375 / 41 | $12.035,80 | 2702 / 40 | $11.249,30 | 2696 / 42 |
| Heart Failure & Shock W Mcc | 55 | 229 / 31 | $21.434,80 | 500 / 40 | $19.763,40 | 2603 / 40 | $18.883,70 | 2592 / 40 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 19 | $8.235,39 | 128 / 33 | $7.635,42 | 1931 / 33 | $6.841,69 | 1918 / 33 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 27 | $20.390,00 | 34 / 21 | $18.796,50 | 1984 / 20 | $18.149,10 | 1963 / 23 |
| Hypertension W/O Mcc | 27 | 38 / 4 | $6.717,70 | 29 / 18 | $6.317,07 | 654 / 18 | $4.859,15 | 652 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 14 | $58.110,60 | 91 / 27 | $53.564,60 | 1512 / 27 | $51.904,90 | 1502 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 23 | $13.159,40 | 82 / 31 | $12.140,90 | 2021 / 31 | $11.224,40 | 2017 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 22 | $23.205,90 | 155 / 31 | $21.396,50 | 1597 / 31 | $20.425,90 | 1590 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 16 | $8.257,37 | 22 / 20 | $7.714,13 | 1461 / 20 | $6.317,37 | 1457 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 21 | $9.048,63 | 30 / 13 | $8.352,56 | 1463 / 13 | $7.505,15 | 1459 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 88 | 145 / 24 | $8.590,49 | 163 / 35 | $7.944,70 | 2551 / 34 | $7.064,15 | 2540 / 35 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 14 | 15 / 2 | $9.141,21 | 15 / 10 | $8.436,36 | 144 / 10 | $7.663,79 | 144 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 13 | $38.948,40 | 26 / 20 | $35.893,70 | 989 / 20 | $35.178,10 | 988 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 46 | 518 / 32 | $26.568,00 | 115 / 28 | $24.611,60 | 2652 / 28 | $22.194,20 | 2606 / 30 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 24 | $28.089,80 | 40 / 20 | $25.896,40 | 1498 / 20 | $24.891,10 | 1484 / 21 |
| Medical Back Problems W/O Mcc | 36 | 85 / 17 | $12.037,80 | 101 / 32 | $11.111,20 | 1467 / 32 | $10.007,20 | 1462 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 24 | $10.113,80 | 23 / 12 | $9.330,96 | 1390 / 12 | $8.635,58 | 1387 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 24 | $7.409,15 | 96 / 19 | $6.841,85 | 2286 / 18 | $6.012,26 | 2278 / 20 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 12 | $10.286,90 | 27 / 21 | $9.491,00 | 616 / 21 | $8.763,53 | 615 / 21 |
| Other Circulatory System Diagnoses W Mcc | 30 | 86 / 16 | $26.852,30 | 152 / 30 | $24.758,30 | 1379 / 30 | $23.657,20 | 1371 / 30 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 25 | $11.107,80 | 47 / 27 | $10.259,80 | 1337 / 27 | $8.897,08 | 1333 / 27 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $8.695,36 | 15 / 11 | $8.016,73 | 553 / 11 | $7.690,91 | 552 / 15 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 5 | $32.128,10 | 93 / 4 | $29.638,20 | 318 / 4 | $27.545,80 | 318 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 17 | $11.109,90 | 40 / 25 | $10.251,20 | 796 / 25 | $9.417,25 | 796 / 24 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 19 | $34.232,50 | 506 / 26 | $31.547,60 | 1109 / 26 | $30.914,90 | 1105 / 26 |
| Other Vascular Procedures W Cc | 17 | 85 / 17 | $26.973,10 | 27 / 21 | $24.983,10 | 1071 / 21 | $23.164,40 | 1066 / 21 |
| Other Vascular Procedures W Mcc | 15 | 82 / 18 | $35.441,50 | 33 / 22 | $32.666,90 | 944 / 22 | $31.754,90 | 941 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 10 | $31.079,20 | 7 / 7 | $28.642,30 | 933 / 7 | $28.037,80 | 928 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 61 | 135 / 6 | $17.156,00 | 4 / 4 | $15.846,50 | 1252 / 4 | $14.679,20 | 1245 / 6 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 7 | $20.215,20 | 5 / 5 | $18.777,60 | 540 / 5 | $16.897,20 | 536 / 5 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $9.767,95 | 34 / 13 | $9.020,77 | 1076 / 13 | $7.896,36 | 1073 / 14 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 7 | $8.473,29 | 25 / 12 | $7.826,21 | 383 / 12 | $6.788,50 | 383 / 11 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 13 | $26.194,20 | 12 / 10 | $24.148,80 | 918 / 10 | $23.218,30 | 914 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 14 | $7.041,86 | 21 / 11 | $6.583,21 | 818 / 11 | $6.022,93 | 817 / 11 |
| Psychoses | 319 | 60 / 7 | $7.773,76 | 21 / 8 | $7.176,95 | 365 / 8 | $6.389,19 | 365 / 10 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 33 | $16.454,00 | 210 / 24 | $15.167,80 | 2208 / 24 | $14.649,80 | 2202 / 24 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $11.448,90 | 24 / 15 | $10.564,80 | 872 / 16 | $9.671,75 | 868 / 15 |
| Red Blood Cell Disorders W/O Mcc | 45 | 98 / 19 | $9.266,29 | 75 / 29 | $8.554,89 | 1870 / 28 | $7.611,96 | 1861 / 30 |
| Renal Failure W Cc | 36 | 185 / 29 | $9.771,61 | 80 / 23 | $9.054,92 | 2193 / 24 | $8.045,03 | 2183 / 25 |
| Renal Failure W Mcc | 34 | 161 / 18 | $16.195,10 | 98 / 22 | $14.935,50 | 2011 / 22 | $14.109,60 | 2007 / 24 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 18 | $7.360,64 | 39 / 25 | $6.987,93 | 776 / 25 | $5.134,71 | 774 / 20 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 24 | $16.797,50 | 149 / 29 | $15.484,90 | 1470 / 29 | $14.932,20 | 1465 / 29 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 16 | $17.562,30 | 49 / 12 | $16.195,70 | 1600 / 12 | $15.322,50 | 1584 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 13 | $22.838,70 | 37 / 17 | $21.051,80 | 1693 / 17 | $20.408,60 | 1679 / 19 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 13 | $44.398,20 | 12 / 8 | $40.934,40 | 767 / 7 | $39.193,60 | 766 / 9 |
| Seizures W Mcc | 17 | 49 / 13 | $10.832,90 | 5 / 5 | $10.086,80 | 169 / 6 | $8.217,47 | 169 / 3 |
| Seizures W/O Mcc | 32 | 76 / 16 | $7.636,22 | 29 / 18 | $7.095,56 | 1056 / 18 | $5.906,34 | 1054 / 16 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 37 | 55 / 3 | $47.028,00 | 13 / 11 | $43.417,60 | 679 / 11 | $40.579,10 | 678 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 165 | 351 / 23 | $23.728,20 | 460 / 35 | $21.898,50 | 2771 / 35 | $20.661,80 | 2726 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 29 | $14.805,00 | 336 / 36 | $13.764,30 | 2518 / 36 | $11.801,40 | 2508 / 35 |
| Signs & Symptoms W Mcc | 17 | 24 / 10 | $22.679,50 | 78 / 18 | $20.918,10 | 284 / 18 | $19.620,70 | 284 / 18 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 17 | $7.263,47 | 27 / 15 | $6.705,70 | 1170 / 14 | $5.968,10 | 1167 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 29 | $9.330,48 | 77 / 21 | $8.734,32 | 2343 / 21 | $7.020,78 | 2334 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 29 | $23.412,50 | 592 / 39 | $21.581,60 | 2517 / 39 | $20.884,00 | 2511 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 21 | $5.520,45 | 10 / 8 | $5.107,00 | 1282 / 7 | $4.022,20 | 1275 / 8 |
| Syncope & Collapse | 67 | 102 / 15 | $7.165,18 | 19 / 16 | $6.640,66 | 1598 / 17 | $5.528,67 | 1591 / 16 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $6.034,17 | 1 / 1 | $5.574,58 | 181 / 1 | $4.777,25 | 181 / 2 |
| Transient Ischemia | 45 | 80 / 16 | $7.994,51 | 31 / 22 | $7.413,51 | 1539 / 22 | $6.199,27 | 1531 / 22 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $7.368,09 | 8 / 8 | $6.809,45 | 349 / 8 | $5.712,73 | 348 / 9 | Total 95 procedures | 3.115 | 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.