Hospital Costs > In Washington > Multicare Good Samaritan 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 | 32 | 59 / 5 | $50.731,90 | 1190 / 29 | $9.366,22 | 464 / 28 | $5.415,81 | 463 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 54 | 71 / 4 | $71.589,10 | 1480 / 37 | $12.631,80 | 1335 / 24 | $11.706,10 | 1325 / 26 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 5 | $46.982,30 | 779 / 14 | $6.278,12 | 467 / 7 | $4.196,75 | 464 / 4 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 2 | $67.577,80 | 144 / 4 | $13.007,40 | 125 / 2 | $11.893,00 | 125 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 11 | $41.304,40 | 792 / 16 | $4.964,89 | 352 / 2 | $3.949,56 | 352 / 5 |
| Atherosclerosis W/O Mcc | 12 | 46 / 4 | $34.449,70 | 490 / 7 | $4.445,25 | / | $3.632,58 | / |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 3 | $168.986,00 | 224 / 7 | $29.522,50 | 155 / 5 | $20.678,60 | 155 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 2 | $29.905,80 | 709 / 7 | $6.164,95 | 599 / 1 | $5.076,70 | 595 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 83 | 78 / 1 | $32.201,00 | 1708 / 41 | $5.638,24 | 1347 / 10 | $4.728,95 | 1342 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 60 | 63 / 4 | $53.385,70 | 1593 / 37 | $9.106,42 | 1419 / 25 | $8.384,67 | 1416 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 6 | $27.253,50 | 1691 / 34 | $4.690,12 | 1152 / 21 | $2.965,10 | 1147 / 12 |
| Cellulitis W Mcc | 14 | 44 / 8 | $36.969,20 | 522 / 13 | $9.865,86 | 545 / 4 | $8.988,43 | 543 / 3 |
| Cellulitis W/O Mcc | 67 | 122 / 8 | $29.639,70 | 2109 / 39 | $6.579,34 | 1499 / 24 | $4.726,40 | 1492 / 10 |
| Chest Pain | 35 | 116 / 6 | $33.530,00 | 1472 / 27 | $4.822,66 | 1033 / 10 | $3.613,80 | 1027 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 11 | $27.891,90 | 1613 / 26 | $6.593,97 | 1541 / 6 | $5.583,20 | 1535 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 2 | $40.286,10 | 1929 / 37 | $8.449,04 | 1718 / 20 | $7.253,40 | 1710 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 4 | $104.889,00 | 787 / 15 | $16.859,60 | 668 / 9 | $14.690,60 | 661 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 13 | $71.341,50 | 1508 / 30 | $7.937,92 | 1000 / 14 | $6.340,00 | 997 / 10 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 2 | $64.516,90 | 221 / 4 | $12.849,40 | 172 / 2 | $12.355,20 | 172 / 4 |
| Complications Of Treatment W Cc | 13 | 39 / 5 | $39.765,60 | 289 / 7 | $6.868,85 | 180 / 1 | $6.211,23 | 180 / 3 |
| Diabetes W Cc | 21 | 71 / 6 | $33.140,60 | 1266 / 23 | $5.809,33 | 914 / 4 | $4.938,76 | 910 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 8 | $33.694,40 | 700 / 15 | $7.160,20 | 481 / 9 | $5.230,73 | 479 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 38 | 58 / 3 | $52.001,50 | 1191 / 30 | $9.630,18 | 1042 / 25 | $8.299,97 | 1037 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 98 | 177 / 4 | $31.235,20 | 2221 / 38 | $5.828,00 | 1518 / 24 | $4.144,77 | 1506 / 10 |
| G.I. Hemorrhage W Cc | 128 | 90 / 2 | $46.030,90 | 2093 / 42 | $7.462,12 | 1736 / 21 | $6.450,91 | 1732 / 28 |
| G.I. Hemorrhage W Mcc | 48 | 73 / 5 | $70.147,60 | 1344 / 34 | $14.034,40 | 919 / 29 | $10.938,70 | 914 / 14 |
| G.I. Obstruction W Cc | 53 | 39 / 1 | $36.543,70 | 1382 / 34 | $6.275,85 | 1144 / 10 | $5.397,96 | 1141 / 15 |
| G.I. Obstruction W Mcc | 24 | 18 / 1 | $70.555,80 | 455 / 13 | $12.615,90 | 411 / 9 | $11.893,00 | 411 / 13 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 8 | $27.229,90 | 1066 / 23 | $5.247,88 | 520 / 16 | $2.990,50 | 519 / 4 |
| Heart Failure & Shock W Cc | 120 | 158 / 2 | $36.379,10 | 2226 / 43 | $7.282,27 | 1865 / 21 | $6.258,63 | 1860 / 21 |
| Heart Failure & Shock W Mcc | 227 | 67 / 1 | $48.792,90 | 1960 / 41 | $10.502,90 | 1835 / 19 | $9.804,16 | 1830 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 4 | $27.943,00 | 1652 / 31 | $5.397,38 | 1128 / 20 | $3.882,22 | 1119 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 11 | $102.032,00 | 1903 / 40 | $14.927,50 | 1578 / 31 | $13.210,90 | 1559 / 32 |
| Hip & Femur Procedures Except Major Joint W Mcc | 26 | 36 / 2 | $114.508,00 | 767 / 20 | $22.874,00 | 608 / 18 | $19.400,30 | 605 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 4 | $95.491,60 | 289 / 10 | $16.774,80 | 216 / 1 | $15.707,40 | 216 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 55 | 69 / 4 | $166.583,00 | 1110 / 33 | $37.592,40 | 1065 / 19 | $36.350,60 | 1058 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 64 | 118 / 9 | $47.143,00 | 1679 / 41 | $8.629,34 | 953 / 32 | $5.763,81 | 950 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 52 | 116 / 10 | $58.139,30 | 1111 / 32 | $11.571,30 | 896 / 9 | $10.609,60 | 894 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 12 | $39.352,60 | 1348 / 32 | $5.656,20 | 866 / 11 | $4.088,28 | 862 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 7 | $39.865,80 | 1500 / 34 | $8.855,36 | 1204 / 28 | $6.769,13 | 1200 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 7 | $29.016,40 | 2175 / 38 | $5.650,30 | 1650 / 10 | $4.493,51 | 1639 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 2 | $73.312,40 | 682 / 14 | $12.590,50 | 391 / 11 | $9.015,68 | 391 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 5 | $107.044,00 | 370 / 9 | $17.734,70 | 339 / 3 | $16.652,50 | 338 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $101.204,00 | 580 / 18 | $14.666,90 | 488 / 9 | $13.671,30 | 484 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 6 | $31.519,60 | 695 / 16 | $8.078,95 | 660 / 4 | $7.206,62 | 658 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 5 | $61.425,70 | 506 / 8 | $12.674,30 | 428 / 3 | $12.501,20 | 427 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 4 | $133.774,00 | 793 / 21 | $22.505,70 | 657 / 10 | $21.454,40 | 654 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 185 | 379 / 23 | $101.784,00 | 2502 / 46 | $16.204,70 | 1703 / 28 | $12.568,90 | 1666 / 22 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 11 | $114.663,00 | 1321 / 32 | $17.102,30 | 1047 / 6 | $16.156,60 | 1035 / 17 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 5 | $206.353,00 | 1064 / 25 | $40.270,70 | 1003 / 17 | $37.784,80 | 1001 / 18 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 8 | $89.948,20 | 707 / 17 | $11.176,80 | 510 / 2 | $10.047,40 | 510 / 10 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 18 | 35 / 3 | $59.218,90 | 209 / 4 | $11.904,50 | 151 / 1 | $11.024,10 | 152 / 1 |
| Medical Back Problems W Mcc | 12 | 27 / 7 | $49.507,90 | 211 / 8 | $10.902,50 | 162 / 2 | $9.786,67 | 162 / 3 |
| Medical Back Problems W/O Mcc | 20 | 101 / 10 | $42.078,50 | 1288 / 25 | $6.072,65 | 968 / 6 | $5.162,55 | 965 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 11 | $37.552,00 | 1241 / 31 | $7.462,13 | 916 / 8 | $6.816,77 | 913 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 8 | $28.859,90 | 2090 / 40 | $5.150,24 | 1560 / 13 | $4.140,56 | 1555 / 15 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 11 | $43.321,10 | 387 / 16 | $6.689,29 | 269 / 4 | $5.898,43 | 269 / 8 |
| Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 6 | $61.820,90 | 320 / 10 | $12.844,40 | 267 / 5 | $10.990,20 | 267 / 5 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 6 | $43.902,20 | 566 / 10 | $6.698,58 | 348 / 3 | $5.780,92 | 347 / 4 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 12 | $80.021,70 | 1145 / 23 | $14.165,20 | 945 / 10 | $13.074,20 | 938 / 14 |
| Other Digestive System Diagnoses W Cc | 43 | 54 / 2 | $41.366,60 | 1156 / 31 | $6.792,70 | 847 / 7 | $5.913,12 | 843 / 15 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 4 | $64.035,30 | 587 / 16 | $12.233,80 | 473 / 8 | $11.459,90 | 472 / 10 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 1 | $24.296,30 | 222 / 2 | $4.863,27 | 210 / 1 | $3.974,55 | 210 / 2 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 6 | $54.069,50 | 226 / 8 | $10.828,30 | 147 / 2 | $9.947,79 | 147 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 8 | $37.713,70 | 627 / 14 | $7.236,64 | 525 / 4 | $6.455,36 | 525 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 18 | $48.042,70 | 767 / 25 | $10.920,10 | 694 / 14 | $10.129,20 | 692 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 13 | $152.437,00 | 837 / 18 | $25.614,60 | 834 / 13 | $24.553,90 | 829 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 18 | $94.421,80 | 1100 / 25 | $16.650,20 | 720 / 18 | $11.305,40 | 716 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 6 | $106.512,00 | 507 / 10 | $13.700,60 | 454 / 4 | $12.593,80 | 452 / 10 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 9 | $35.430,70 | 926 / 11 | $6.722,92 | 709 / 3 | $5.874,69 | 706 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 4 | $51.932,10 | 735 / 24 | $9.579,93 | 566 / 5 | $8.856,00 | 564 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 8 | $26.281,10 | 688 / 12 | $4.661,08 | 377 / 3 | $3.535,85 | 376 / 3 |
| Pulmonary Edema & Respiratory Failure | 96 | 107 / 8 | $46.452,90 | 1677 / 37 | $8.805,00 | 1437 / 14 | $7.694,35 | 1432 / 19 |
| Pulmonary Embolism W Mcc | 17 | 26 / 4 | $49.938,70 | 418 / 12 | $10.452,60 | 369 / 5 | $9.488,35 | 369 / 8 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 12 | $40.274,90 | 1060 / 25 | $7.594,00 | 800 / 14 | $5.820,61 | 797 / 12 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 7 | $37.082,70 | 1716 / 29 | $6.074,00 | 956 / 13 | $4.469,35 | 950 / 8 |
| Renal Failure W Cc | 122 | 99 / 2 | $34.818,60 | 1892 / 39 | $6.803,34 | 1541 / 11 | $5.827,11 | 1532 / 14 |
| Renal Failure W Mcc | 94 | 101 / 6 | $58.787,50 | 1742 / 40 | $11.470,90 | 1576 / 29 | $10.556,40 | 1574 / 33 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 7 | $23.687,50 | 659 / 12 | $4.565,82 | 493 / 3 | $3.568,36 | 492 / 3 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 14 | $71.728,20 | 1422 / 37 | $13.315,50 | 1255 / 18 | $12.732,30 | 1240 / 26 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 3 | $71.958,10 | 514 / 11 | $12.827,90 | 462 / 8 | $11.927,30 | 460 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 53 | 78 / 5 | $105.127,00 | 1559 / 33 | $18.557,30 | 1514 / 26 | $17.754,80 | 1500 / 30 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 7 | $187.561,00 | 704 / 6 | $36.483,60 | 644 / 2 | $35.715,40 | 643 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 12 | $116.462,00 | 528 / 13 | $22.888,20 | 470 / 3 | $21.952,70 | 468 / 9 |
| Seizures W Mcc | 18 | 48 / 5 | $46.856,80 | 442 / 12 | $9.846,22 | 330 / 1 | $9.101,22 | 330 / 6 |
| Seizures W/O Mcc | 14 | 94 / 12 | $29.885,00 | 942 / 16 | $6.417,57 | 445 / 12 | $3.969,64 | 443 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 31 | 61 / 1 | $229.939,00 | 841 / 12 | $46.830,20 | 875 / 7 | $45.944,60 | 874 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 560 | 53 / 2 | $69.203,40 | 2271 / 46 | $14.510,20 | 2077 / 35 | $12.659,40 | 2040 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 142 | 65 / 1 | $43.059,70 | 2120 / 42 | $7.978,37 | 1537 / 22 | $6.318,93 | 1530 / 14 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 12 | $34.927,30 | 1129 / 16 | $5.014,47 | 604 / 4 | $3.874,80 | 603 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 11 | $33.424,70 | 2121 / 41 | $6.997,23 | 1702 / 14 | $5.720,28 | 1694 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 126 | 79 / 1 | $54.403,40 | 2004 / 42 | $10.829,00 | 1891 / 23 | $9.678,83 | 1891 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 23 | $203.349,00 | 1281 / 29 | $35.232,20 | 1270 / 24 | $34.013,70 | 1265 / 27 |
| Syncope & Collapse | 34 | 135 / 6 | $38.082,80 | 1657 / 33 | $5.901,59 | 1374 / 22 | $4.767,62 | 1367 / 25 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 1 | $34.203,20 | 304 / 2 | $5.499,00 | 170 / 1 | $3.592,46 | 170 / 1 | Total 95 procedures | 4.199 | 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.