Washington State Department of Health
DEPARTMENT OF HEALTH CHARS REPORTING SYSTEM
Payer Census & Charge Comparison - Standard Report 3 & 4 - From 01/01/04 To 12/31/04
Case-Mix Adjusted
Charges Per
Discharge
Mean
Charge/
Discharge		 Mean
Charge/
Per Day
Hospital Name LIC Payer Name Dis-charges Patient Days Mean LOS Total Charges Index Mean # weights sum of weights
Auburn Regional Medical Center 183 Commercial 337 861 2.55 3,419,572.55 10,147.10 3,971.63 0.88336 11,487.00 337 297.69
Auburn Regional Medical Center 183 HMO 2,498 6,707 2.68 23,265,518.74 9,313.66 3,468.84 0.84730 10,992.19 2,494 2,113.16
Auburn Regional Medical Center 183 Labor & Industries 89 222 2.49 1,216,424.35 13,667.69 5,479.39 1.82031 7,508.43 89 162.01
Auburn Regional Medical Center 183 Medicaid 732 2,041 2.79 6,450,428.47 8,812.06 3,160.43 0.67574 13,040.67 732 494.64
Auburn Regional Medical Center 183 Medicare 2,102 8,009 3.81 31,512,652.01 14,991.75 3,934.66 1.15985 12,925.63 2,092 2,426.40
Auburn Regional Medical Center 183 Other 13 50 3.85 184,040.49 14,156.96 3,680.81 0.88841 15,935.12 13 11.55
Auburn Regional Medical Center 183 Self Pay 21 66 3.14 293,946.18 13,997.44 4,453.73 1.00863 13,877.73 21 21.18
Auburn Regional Medical Center 183 Total 5,792 17,956 3.10 66,342,582.79 11,454.18 3,694.73 0.95650 11,975.15 5,778 5,526.63
Auburn Regional Medical Center 183P Commercial 45 111 2.47 281,479.37 6,255.10 2,535.85 0.59433 10,524.67 45 26.74
Auburn Regional Medical Center 183P HMO 661 1,478 2.24 3,585,208.69 5,423.92 2,425.72 0.51745 10,482.00 661 342.03
Auburn Regional Medical Center 183P Medicaid 230 473 2.06 1,077,552.94 4,685.01 2,278.12 0.56275 8,325.22 230 129.43
Auburn Regional Medical Center 183P Medicare 473 6,732 14.23 13,120,644.88 27,739.21 1,949.00 1.04360 26,580.18 473 493.63
Auburn Regional Medical Center 183P Other 2 10 5.00 19,256.25 9,628.13 1,925.63 0.77101 12,487.68 2 1.54
Auburn Regional Medical Center 183P Self Pay 1 2 2.00 4,478.80 4,478.80 2,239.40 0.62492 7,167.00 1 0.62
Auburn Regional Medical Center 183P Total 1,412 8,806 6.24 18,088,620.93 12,810.64 2,054.12 0.70397 18,197.74 1,412 994.00
Auburn Regional Medical Center Total 7,204 26,762 3.71 84,431,203.72 11,720.04 3,154.89 0.90690 12,923.15 7,190 6,520.63
BHC Fairfax Hospital 904 Commercial 501 3,823 7.63 7,748,314.63 15,465.70 2,026.76 0.90671 17,056.87 501 454.26
BHC Fairfax Hospital 904 Contractors 1 7 7.00 13,258.50 13,258.50 1,894.07 0.87299 15,187.46 1 0.87
BHC Fairfax Hospital 904 HMO 531 4,491 8.46 8,965,153.45 16,883.53 1,996.25 0.88465 19,084.99 531 469.75
BHC Fairfax Hospital 904 Labor & Industries 3 21 7.00 43,776.30 14,592.10 2,084.59 0.77760 18,765.64 3 2.33
BHC Fairfax Hospital 904 Medicaid 838 10,084 12.03 20,323,277.61 24,252.12 2,015.40 0.99912 24,273.49 838 837.26
BHC Fairfax Hospital 904 Medicare 282 2,553 9.05 5,409,243.59 19,181.71 2,118.78 0.85666 22,391.37 282 241.58
BHC Fairfax Hospital 904 Other 141 1,334 9.46 2,605,776.10 18,480.68 1,953.36 1.00378 18,411.16 141 141.53
BHC Fairfax Hospital 904 Self Pay 24 159 6.63 333,339.90 13,889.16 2,096.48 0.84087 16,517.54 24 20.18
BHC Fairfax Hospital Total 2,321 22,472 9.68 45,442,140.08 19,578.69 2,022.17 0.93398 20,962.61 2,321 2,167.77
Capital Medical Center 197 Charity 24 99 4.13 482,299.00 20,095.79 4,871.71 1.01369 19,824.37 24 24.33
Capital Medical Center 197 Commercial 48 115 2.40 729,254.00 15,192.79 6,341.34 0.98978 15,349.62 48 47.51
Capital Medical Center 197 Contractors 1 1 1.00 8,080.00 8,080.00 8,080.00 1.44879 5,577.07 1 1.45
Capital Medical Center 197 HMO 1,965 5,281 2.69 31,612,960.00 16,088.02 5,986.17 0.94064 17,103.33 1,964 1,847.41
Capital Medical Center 197 Labor & Industries 95 233 2.45 2,695,410.00 28,372.74 11,568.28 2.01888 14,053.69 95 191.79
Capital Medical Center 197 Medicaid 817 2,160 2.64 8,703,269.00 10,652.72 4,029.29 0.56184 18,960.53 817 459.02
Capital Medical Center 197 Medicare 1,331 5,684 4.27 31,773,073.00 23,871.58 5,589.91 1.31941 18,092.67 1,329 1,753.49
Capital Medical Center 197 Other 54 141 2.61 798,377.00 14,784.76 5,662.25 1.01766 14,528.13 54 54.95
Capital Medical Center 197 Self Pay 42 175 4.17 935,445.00 22,272.50 5,345.40 1.09041 20,425.79 41 44.71
Capital Medical Center Total 4,377 13,889 3.17 77,738,167.00 17,760.60 5,597.10 1.01181 17,553.23 4,373 4,424.66
Cascade Medical Center 158 Commercial 14 26 1.86 56,253.88 4,018.13 2,163.61 0.66821 6,013.31 14 9.35
Cascade Medical Center 158 HMO 3 7 2.33 14,572.60 4,857.53 2,081.80 0.69844 6,954.80 3 2.10
Cascade Medical Center 158 Medicaid 7 16 2.29 33,661.90 4,808.84 2,103.87 0.66757 7,203.49 7 4.67
Cascade Medical Center 158 Medicare 92 286 3.11 635,300.42 6,905.44 2,221.33 0.69412 9,948.46 92 63.86
Cascade Medical Center 158 Other 1 1 1.00 2,439.93 2,439.93 2,439.93 0.44891 5,435.23 1 0.45
Cascade Medical Center 158 Self Pay 1 3 3.00 5,628.88 5,628.88 1,876.29 0.68825 8,178.54 1 0.69
Cascade Medical Center 158 Total 118 339 2.87 747,857.61 6,337.78 2,206.07 0.68745 9,219.20 118 81.12
Cascade Medical Center 158S Commercial 1 5 5.00 9,756.26 9,756.26 1,951.25 1.20225 8,115.00 1 1.20
Cascade Medical Center 158S Medicaid 1 6 6.00 10,435.66 10,435.66 1,739.28 0.62170 16,785.68 1 0.62
Cascade Medical Center 158S Medicare 42 501 11.93 710,877.82 16,925.66 1,418.92 0.72756 23,263.67 42 30.56
Cascade Medical Center 158S Self Pay 1 5 5.00 5,820.19 5,820.19 1,164.04 0.59983 9,703.07 1 0.60
Cascade Medical Center 158S Total 45 517 11.49 736,889.93 16,375.33 1,425.32 0.73292 22,342.73 45 32.98
Cascade Medical Center Total 163 856 5.25 1,484,747.54 9,108.88 1,734.52 0.70000 13,012.60 163 114.10
Cascade Valley Hospital 106 Commercial 482 1,215 2.52 3,805,937.09 7,896.14 3,132.46 0.78824 10,017.42 482 379.93
Cascade Valley Hospital 106 Contractors 119 246 2.07 862,699.56 7,249.58 3,506.91 0.80633 8,990.85 119 95.95
Cascade Valley Hospital 106 HMO 359 1,229 3.42 4,025,151.71 11,212.12 3,275.14 1.05367 10,640.98 359 378.27
Cascade Valley Hospital 106 Labor & Industries 12 30 2.50 117,685.70 9,807.14 3,922.86 0.87689 11,183.96 12 10.52
Cascade Valley Hospital 106 Medicaid 522 1,132 2.17 2,762,502.92 5,292.15 2,440.37 0.52343 10,110.62 522 273.23
Cascade Valley Hospital 106 Medicare 536 1,835 3.42 5,897,947.24 11,003.63 3,214.14 1.08130 10,176.28 536 579.58
Cascade Valley Hospital 106 Other 165 290 1.76 765,090.64 4,636.91 2,638.24 0.48677 9,525.90 165 80.32
Cascade Valley Hospital 106 Self Pay 96 260 2.71 757,957.99 7,895.40 2,915.22 0.80798 9,771.72 96 77.57
Cascade Valley Hospital Total 2,291 6,237 2.72 18,994,972.85 8,291.13 3,045.53 0.81858 10,128.68 2,291 1,875.37
Central Washington Hospital 168 Charity 1 9 9.00 43,965.85 43,965.85 4,885.09 3.35319 13,111.65 1 3.35
Central Washington Hospital 168 Commercial 955 2,898 3.03 11,790,718.53 12,346.30 4,068.57 1.09563 11,268.63 951 1,041.95
Central Washington Hospital 168 Contractors 1,456 4,157 2.86 16,717,083.84 11,481.51 4,021.43 1.06996 10,730.77 1,451 1,552.51
Central Washington Hospital 168 HMO 99 273 2.76 1,052,911.68 10,635.47 3,856.82 0.99310 10,709.40 99 98.32
Central Washington Hospital 168 Labor & Industries 112 290 2.59 1,471,513.19 13,138.51 5,074.18 1.30112 10,097.85 112 145.73
Central Washington Hospital 168 Medicaid 2,490 6,743 2.71 18,315,371.57 7,355.57 2,716.21 0.62038 11,856.51 2,490 1,544.75
Central Washington Hospital 168 Medicare 4,231 17,199 4.06 66,109,861.49 15,625.11 3,843.82 1.37850 11,334.87 4,223 5,821.41
Central Washington Hospital 168 Other 64 232 3.63 909,648.45 14,213.26 3,920.90 1.16581 12,191.76 64 74.61
Central Washington Hospital 168 Self Pay 533 1,585 2.97 5,630,330.61 10,563.47 3,552.26 0.98969 10,673.52 532 526.51
Central Washington Hospital Total 9,941 33,386 3.36 122,041,405.21 12,276.57 3,655.47 1.08930 11,270.13 9,923 10,809.14
Childrens Hospital & Reg Medical Ctr 14 Charity 35 92 2.63 675,900.19 19,311.43 7,346.74 1.15167 16,768.15 34 39.16
Childrens Hospital & Reg Medical Ctr 14 Commercial 1,867 12,473 6.68 64,313,542.59 34,447.53 5,156.22 1.21496 28,352.75 1,863 2,263.48
Childrens Hospital & Reg Medical Ctr 14 Contractors 2,536 15,340 6.05 85,723,219.09 33,802.53 5,588.22 1.21798 27,752.88 2,534 3,086.37
Childrens Hospital & Reg Medical Ctr 14 HMO 579 3,335 5.76 17,761,638.02 30,676.40 5,325.83 1.25215 24,498.98 577 722.49
Childrens Hospital & Reg Medical Ctr 14 Labor & Industries 1 1 1.00 45,639.69 45,639.69 45,639.69 2.30020 19,841.62 1 2.30
Childrens Hospital & Reg Medical Ctr 14 Medicaid 4,023 26,058 6.48 134,855,893.71 33,521.23 5,175.22 1.13006 29,663.26 4,017 4,539.45
Childrens Hospital & Reg Medical Ctr 14 Medicare 98 639 6.52 3,886,306.73 39,656.19 6,081.86 1.42220 27,883.63 98 139.38
Childrens Hospital & Reg Medical Ctr 14 Other 265 1,566 5.91 8,865,630.92 33,455.21 5,661.32 1.48704 22,497.85 265 394.07
Childrens Hospital & Reg Medical Ctr 14 Self Pay 53 181 3.42 1,194,527.43 22,538.25 6,599.60 1.03234 21,832.30 53 54.71
Childrens Hospital & Regional Medical Center Total 9,457 59,685 6.31 317,322,298.37 33,554.22 5,316.62 1.19057 28,183.25 9,442 11,241.39
Columbia Basin Hospital 45 Commercial 5 12 2.40 29,529.45 5,905.89 2,460.79 0.60914 9,695.42 5 3.05
Columbia Basin Hospital 45 Contractors 16 32 2.00 75,676.68 4,729.79 2,364.90 0.60144 7,864.10 16 9.62
Columbia Basin Hospital 45 HMO 1 1 1.00 2,179.75 2,179.75 2,179.75 0.69908 3,118.03 1 0.70
Columbia Basin Hospital 45 Medicaid 13 30 2.31 59,578.15 4,582.93 1,985.94 0.62174 7,371.20 13 8.08
Columbia Basin Hospital 45 Medicare 145 400 2.76 673,112.40 4,642.15 1,682.78 0.76338 6,081.07 145 110.69
Columbia Basin Hospital 45 Other 2 3 1.50 9,986.20 4,993.10 3,328.73 0.69210 7,214.42 2 1.38
Columbia Basin Hospital 45 Self Pay 6 8 1.33 24,276.79 4,046.13 3,034.60 0.67906 5,958.47 6 4.07
Columbia Basin Hospital 45 Total 188 486 2.59 874,339.42 4,650.74 1,799.05 0.73191 6,354.27 188 137.60
Columbia Basin Hospital 045S Commercial 1 14 14.00 2,803.35 2,803.35 200.24 0.60128 4,662.30 1 0.60
Columbia Basin Hospital 045S Contractors 1 4 4.00 858.10 858.10 214.53 1.21872 704.10 1 1.22
Columbia Basin Hospital 045S Medicaid 1 67 67.00 15,581.65 15,581.65 232.56 0.58449 26,658.54 1 0.58
Columbia Basin Hospital 045S Medicare 53 587 11.08 193,001.57 3,641.54 328.79 0.79889 4,558.27 53 42.34
Columbia Basin Hospital 045S Self Pay 1 5 5.00 875.00 875.00 175.00 1.08362 807.48 1 1.08
Columbia Basin Hospital 045S Total 57 677 11.88 213,119.67 3,738.94 314.80 0.80402 4,650.32 57 45.83
Columbia Basin Hospital Total 245 1,163 4.75 1,087,459.09 4,438.61 935.05 0.74869 5,928.54 245 183.43
Coulee Community Hospital 150 Commercial 40 91 2.28 184,072.61 4,601.82 2,022.78 0.53751 8,561.42 40 21.50
Coulee Community Hospital 150 Contractors 50 122 2.44 223,263.38 4,465.27 1,830.03 0.55345 8,068.12 50 27.67
Coulee Community Hospital 150 HMO 1 2 2.00 16,979.51 16,979.51 8,489.76 0.73922 22,969.49 1 0.74
Coulee Community Hospital 150 Medicaid 148 353 2.39 477,657.32 3,227.41 1,353.14 0.41478 7,780.97 148 61.39
Coulee Community Hospital 150 Medicare 172 451 2.62 677,798.40 3,940.69 1,502.88 0.78533 5,017.84 172 135.08
Coulee Community Hospital 150 Other 24 65 2.71 165,144.60 6,881.03 2,540.69 0.74228 9,270.08 24 17.81
Coulee Community Hospital 150 Self Pay 12 51 4.25 113,488.31 9,457.36 2,225.26 0.76983 12,285.04 12 9.24
Coulee Community Hospital 150 Total 447 1,135 2.54 1,858,404.13 4,157.50 1,637.36 0.61170 6,796.64 447 273.43
Coulee Community Hospital 150S Medicaid 1 2 2.00 565.62 565.62 282.81 0.59842 945.19 1 0.60
Coulee Community Hospital 150S Medicare 68 628 9.24 387,284.30 5,695.36 616.69 0.78205 7,282.62 68 53.18
Coulee Community Hospital 150S Total 69 630 9.13 387,849.92 5,621.01 615.63 0.77939 7,212.10 69 53.78
Coulee Community Hospital Total 516 1,765 3.42 2,246,254.05 4,353.21 1,272.67 0.63412 6,864.92 516 327.21
Dayton General Hospital 141 Commercial 5 8 1.60 17,744.05 3,548.81 2,218.01 0.62174 5,707.83 5 3.11
Dayton General Hospital 141 Contractors 6 8 1.33 19,561.50 3,260.25 2,445.19 0.76808 4,244.70 6 4.61
Dayton General Hospital 141 HMO 4 4 1.00 9,677.10 2,419.28 2,419.28 0.55598 4,351.39 4 2.22
Dayton General Hospital 141 Labor & Industries 1 1 1.00 2,922.25 2,922.25 2,922.25 0.40791 7,163.96 1 0.41
Dayton General Hospital 141 Medicaid 21 49 2.33 83,011.39 3,952.92 1,694.11 0.63812 6,194.65 21 13.40
Dayton General Hospital 141 Medicare 106 315 2.97 512,181.07 4,831.90 1,625.97 0.69996 6,903.13 106 74.20
Dayton General Hospital 141 Self Pay 8 21 2.63 34,328.00 4,291.00 1,634.67 0.68148 6,296.59 8 5.45
Dayton General Hospital 141 Total 151 406 2.69 679,425.36 4,499.51 1,673.46 0.68475 6,571.05 151 103.40
Dayton General Hospital 141S Medicaid 3 47 15.67 36,854.80 12,284.93 784.14 0.83126 14,778.75 3 2.49
Dayton General Hospital 141S Medicare 63 981 15.57 626,503.26 9,944.50 638.64 0.74761 13,301.66 63 47.10
Dayton General Hospital 141S Self Pay 1 2 2.00 1,065.60 1,065.60 532.80 0.73598 1,447.87 1 0.74
Dayton General Hospital 141S Total 67 1,030 15.37 664,423.66 9,916.77 645.07 0.75118 13,201.50 67 50.33
Dayton General Hospital Total 218 1,436 6.59 1,343,849.02 6,164.45 935.83 0.70517 8,741.84 218 153.73
Deaconess Medical Center 37 Commercial 2,013 7,986 3.97 30,249,226.75 15,026.94 3,787.78 1.16103 12,942.73 2,009 2,332.52
Deaconess Medical Center 37 Contractors 2,445 10,214 4.18 35,157,938.78 14,379.53 3,442.13 1.09090 13,181.30 2,443 2,665.08
Deaconess Medical Center 37 HMO 341 1,308 3.84 4,785,931.17 14,034.99 3,658.97 0.96723 14,510.54 340 328.86
Deaconess Medical Center 37 Labor & Industries 109 446 4.09 2,755,580.37 25,280.55 6,178.43 1.45600 17,362.97 109 158.70
Deaconess Medical Center 37 Medicaid 3,888 19,713 5.07 45,984,043.79 11,827.17 2,332.68 0.86580 13,660.46 3,887 3,365.35
Deaconess Medical Center 37 Medicare 4,370 22,802 5.22 105,130,093.35 24,057.23 4,610.56 1.70244 14,130.99 4,360 7,422.66
Deaconess Medical Center 37 Other 784 3,054 3.90 9,041,004.68 11,531.89 2,960.38 0.93502 12,333.27 784 733.06
Deaconess Medical Center 37 Self Pay 184 694 3.77 2,547,204.72 13,843.50 3,670.32 1.22588 11,292.73 184 225.56
Deaconess Medical Center Total 14,134 66,217 4.68 235,651,023.61 16,672.64 3,558.77 1.22073 13,657.96 14,116 17,231.78
Deer Park Hospital 178 Commercial 15 29 1.93 57,368.71 3,824.58 1,978.23 0.64838 5,898.65 15 9.73
Deer Park Hospital 178 Contractors 11 26 2.36 56,878.60 5,170.78 2,187.64 0.71800 7,201.62 11 7.90
Deer Park Hospital 178 HMO 8 25 3.13 47,314.68 5,914.34 1,892.59 0.63698 9,284.94 8 5.10
Deer Park Hospital 178 Labor & Industries 4 18 4.50 26,582.13 6,645.53 1,476.79 0.62645 10,608.28 4 2.51
Deer Park Hospital 178 Medicaid 48 160 3.33 294,028.01 6,125.58 1,837.68 0.64321 9,523.50 48 30.87
Deer Park Hospital 178 Medicare 118 472 4.00 835,385.91 7,079.54 1,769.89 0.79906 8,859.83 117 93.49
Deer Park Hospital 178 Self Pay 5 14 2.80 25,172.52 5,034.50 1,798.04 0.57693 8,726.37 5 2.88
Deer Park Hospital 178 Total 209 744 3.56 1,342,730.56 6,424.55 1,804.75 0.73305 8,764.15 208 152.47
Deer Park Hospital 178S Commercial 2 6 3.00 5,647.63 2,823.82 941.27 0.84161 3,355.25 2 1.68
Deer Park Hospital 178S Contractors 1 58 58.00 9,047.19 9,047.19 155.99 0.76612 11,809.10 1 0.77
Deer Park Hospital 178S Medicaid 4 61 15.25 19,412.35 4,853.09 318.24 0.61085 7,944.78 4 2.44
Deer Park Hospital 178S Medicare 64 1,291 20.17 464,021.33 7,250.33 359.43 0.90958 7,971.08 64 58.21
Deer Park Hospital 178S Self Pay 1 1 1.00 823.85 823.85 823.85 0.16797 4,904.74 1 0.17
Deer Park Hospital 178S Total 72 1,417 19.68 498,952.35 6,929.89 352.12 0.87880 7,885.60 72 63.27
Deer Park Hospital Total 281 2,161 7.69 1,841,682.91 6,554.03 852.24 0.77053 8,505.89 280 215.75