Washington State Department of Health
DEPARTMENT OF HEALTH CHARS REPORTING SYSTEM
Standard Report 3 & 4 Payer Census & Charge Comparison From 01/01/06 To 12/30/06
Case-Mix Adjusted
Charges Per
Discharge
Mean
Charge/
Discharge		 Mean
Charge/
Per Day
Hospital Name LIC Payer Code Payer Name Discharges Patient Days Mean LOS Total Charges Index Mean # weights sum of weights
Auburn Regional Medical Center 183 001 Medicare          2,454            9,655         3.93           49,689,545.36     20,248.39     5,146.51         1.15541     17,524.91          2,283       2,637.79
Auburn Regional Medical Center 183 002 Medicaid          1,105            3,162         2.86           13,661,861.88     12,363.68     4,320.64         0.61360     20,149.35          1,070          656.55
Auburn Regional Medical Center 183 004 HMO          2,839            7,294         2.57           34,263,800.07     12,068.97     4,697.53         0.79067     15,264.19          2,769       2,189.37
Auburn Regional Medical Center 183 006 Commercial             457            1,133         2.48             5,979,481.96     13,084.21     5,277.57         0.81063     16,140.76             441          357.49
Auburn Regional Medical Center 183 008 L&I               95               241         2.54             1,714,630.81     18,048.75     7,114.65         1.88156       9,592.43               93          174.99
Auburn Regional Medical Center 183 009 Self-Pay                 9                 16         1.78                 95,141.53     10,571.28     5,946.35         0.51590     20,491.00                8             4.13
Auburn Regional Medical Center 183 625 Other Gvmnt               22                 62         2.82               288,470.00     13,112.27     4,652.74         0.69494     18,868.21               21            14.59
183 Total          6,981          21,563         3.09         105,692,931.61     15,140.08     4,901.59         0.90275     16,770.99          6,685       6,034.91
Auburn Regional Medical Center 183P 001 Medicare             563            7,487        13.30           16,604,178.56     29,492.32     2,217.73         1.02149     28,871.81             563          575.10
Auburn Regional Medical Center 183P 002 Medicaid               46               260         5.65               601,776.61     13,082.10     2,314.53         1.21190     10,794.67               46            55.75
Auburn Regional Medical Center 183P 004 HMO             102               646         6.33             1,493,945.81     14,646.53     2,312.61         1.31248     11,159.46             102          133.87
Auburn Regional Medical Center 183P 006 Commercial               11                 32         2.91                 66,579.95       6,052.72     2,080.62         0.48755     12,414.66               11             5.36
Auburn Regional Medical Center 183P 625 Other Gvmnt                 2                 20        10.00                 40,537.95     20,268.98     2,026.90         0.84889     23,877.03                2             1.70
183P Total             724            8,445        11.66           18,807,018.88     25,976.55     2,227.00         1.06600     24,368.34             724          771.78
BHC Fairfax Hospital 904 001 Medicare             235            2,778        11.82             7,246,298.45     30,835.31     2,608.46         0.84007     36,705.51             235          197.42
BHC Fairfax Hospital 904 002 Medicaid             618            7,419        12.00           18,468,717.22     29,884.66     2,489.38         1.00657     29,689.53             618          622.06
BHC Fairfax Hospital 904 004 HMO             593            4,833         8.15           12,034,551.37     20,294.35     2,490.08         0.84555     24,001.28             593          501.41
BHC Fairfax Hospital 904 006 Commercial             465            3,455         7.43             8,678,360.72     18,663.14     2,511.83         0.84214     22,161.59             465          391.59
BHC Fairfax Hospital 904 008 L&I                 4                 37         9.25                 94,648.93     23,662.23     2,558.08         0.84889     27,874.32                4             3.40
BHC Fairfax Hospital 904 009 Self-Pay               54               224         4.15               780,006.48     14,444.56     3,482.17         0.62547     23,093.85               54            33.78
BHC Fairfax Hospital 904 625 Other Gvmnt               92               899         9.77             2,178,384.71     23,678.09     2,423.12         0.95057     24,909.33               92            87.45
BHC Fairfax Hospital 904 630 Charity Care                 2                  8         4.00                 20,408.95     10,204.48     2,551.12         0.84889     12,020.96                2             1.70
904 Total          2,063          19,653         9.53           49,501,376.83     23,994.85     2,518.77         0.89133     26,920.36          2,063       1,838.81
Capital Medical Center 197 001 Medicare          1,609            6,498         4.04           46,771,195.95     29,068.49     7,197.78         1.28156     22,682.17          1,535       1,967.19
Capital Medical Center 197 002 Medicaid             942            1,986         2.11             9,776,447.84     10,378.39     4,922.68         0.48574     21,366.29             932          452.71
Capital Medical Center 197 006 Commercial               41               109         2.66               768,927.75     18,754.34     7,054.38         0.87717     21,380.51               41            35.96
Capital Medical Center 197 008 L&I               76               242         3.18             3,939,826.58     51,839.82    16,280.28         2.48394     20,870.01               76          188.78
Capital Medical Center 197 009 Self-Pay               75               255         3.40             1,481,744.00     19,756.59     5,810.76         0.90599     21,806.69               71            64.33
Capital Medical Center 197 610 Contractor          1,851            4,679         2.53           35,949,788.27     19,421.82     7,683.22         0.88595     21,921.96          1,820       1,612.43
Capital Medical Center 197 625 Other Gvmnt               62               190         3.06             1,292,603.00     20,848.44     6,803.17         0.82514     25,266.64               62            51.16
Capital Medical Center 197 630 Charity Care               40               131         3.28               708,314.00     17,707.85     5,406.98         0.83595     21,182.80               39            32.60
197 Total          4,696          14,090         3.00         100,688,847.39     21,441.41     7,146.12         0.96267     22,272.94          4,576       4,405.16
Cascade Medical Center 158 001 Medicare             102               256         2.51               573,930.56       5,626.77     2,241.92         0.66376       8,477.06             102            67.70
Cascade Medical Center 158 002 Medicaid                 3                  6         2.00                 10,681.07       3,560.36     1,780.18         0.57543       6,187.30                3             1.73
Cascade Medical Center 158 006 Commercial               13                 27         2.08                 59,476.07       4,575.08     2,202.82         0.60173       7,603.19               13             7.82
Cascade Medical Center 158 009 Self-Pay                 4                 11         2.75                 22,682.53       5,670.63     2,062.05         0.69488       8,160.65                4             2.78
158 Total             122               300         2.46               666,770.23       5,465.33     2,222.57         0.65600       8,331.27             122            80.03
Cascade Medical Center 158S 001 Medicare               38               373         9.82               580,282.15     15,270.58     1,555.72         0.73334     20,823.21               38            27.87
Cascade Medical Center 158S 006 Commercial                 1                  5         5.00                   7,783.60       7,783.60     1,556.72         0.83498       9,321.90                1             0.83
158S Total               39               378         9.69               588,065.75     15,078.61     1,555.73         0.73595     20,488.63               39            28.70
Cascade Valley Hospital 106 001 Medicare             530            1,983         3.74             6,573,669.54     12,403.15     3,315.01         0.99266     12,494.92             488          484.42
Cascade Valley Hospital 106 002 Medicaid             570            1,152         2.02             3,066,202.35       5,379.30     2,661.63         0.45968     11,702.15             562          258.34
Cascade Valley Hospital 106 004 HMO             295            1,107         3.75             3,581,331.71     12,140.11     3,235.17         0.95206     12,751.42             280          266.58
Cascade Valley Hospital 106 006 Commercial             544            1,306         2.40             4,603,652.20       8,462.60     3,525.00         0.71505     11,834.97             527          376.83
Cascade Valley Hospital 106 008 L&I               13                 36         2.77               138,221.98     10,632.46     3,839.50         0.92867     11,449.10               11            10.22
Cascade Valley Hospital 106 009 Self-Pay             105               315         3.00               990,793.05       9,436.12     3,145.37         0.80938     11,658.51             100            80.94
Cascade Valley Hospital 106 610 Contractor             120               242         2.02               881,898.09       7,349.15     3,644.21         0.67522     10,884.02             118            79.68
Cascade Valley Hospital 106 625 Other Gvmnt               87               169         1.94               535,474.04       6,154.87     3,168.49         0.56936     10,810.22               85            48.40
106 Total          2,264            6,310         2.79           20,371,242.96       8,997.90     3,228.41         0.73947     12,168.02          2,171       1,605.39
Central Washington Hospital 168 001 Medicare          4,731          19,076         4.03           85,695,181.75     18,113.55     4,492.30         1.34679     13,449.41          4,497       6,056.52
Central Washington Hospital 168 002 Medicaid          2,689            7,073         2.63           23,416,016.24       8,708.08     3,310.62         0.60648     14,358.44          2,651       1,607.77
Central Washington Hospital 168 004 HMO               44               126         2.86               663,528.21     15,080.19     5,266.10         1.15812     13,021.25               43            49.80
Central Washington Hospital 168 006 Commercial          1,200            3,536         2.95           16,029,577.92     13,357.98     4,533.25         1.02102     13,082.94          1,168       1,192.56
Central Washington Hospital 168 008 L&I             121               327         2.70             2,094,617.57     17,310.89     6,405.56         1.56594     11,054.62             119          186.35
Central Washington Hospital 168 009 Self-Pay             420            1,407         3.35             6,352,369.78     15,124.69     4,514.83         1.16948     12,932.79             390          456.10
Central Washington Hospital 168 610 Contractor          1,691            4,542         2.69           20,958,727.45     12,394.28     4,614.43         0.98240     12,616.33          1,654       1,624.89
Central Washington Hospital 168 625 Other Gvmnt               91               269         2.96             1,165,609.29     12,808.89     4,333.12         0.92886     13,789.88               86            79.88
168 Total         10,987          36,356         3.31         156,375,628.21     14,232.79     4,301.23         1.06088     13,415.96        10,608     11,253.86
Childrens Hospital & Regional Medical Center 014 001 Medicare             101               433         4.29             3,615,247.87     35,794.53     8,349.30         1.42136     25,183.31               98          139.29
Childrens Hospital & Regional Medical Center 014 002 Medicaid          4,315          29,165         6.76         183,294,572.72     42,478.46     6,284.74         1.29447     32,815.29          4,239       5,487.27
Childrens Hospital & Regional Medical Center 014 004 HMO             609            3,502         5.75           24,887,527.92     40,866.22     7,106.66         1.32454     30,853.04             599          793.40
Childrens Hospital & Regional Medical Center 014 006 Commercial          2,068          11,632         5.62           75,568,524.62     36,541.84     6,496.61         1.21199     30,150.31          2,039       2,471.25
Childrens Hospital & Regional Medical Center 014 009 Self-Pay               74               189         2.55             1,095,248.52     14,800.66     5,794.97         0.80602     18,362.55               74            59.65
Childrens Hospital & Regional Medical Center 014 610 Contractor          2,831          14,856         5.25           99,376,110.22     35,102.83     6,689.29         1.29271     27,154.51          2,789       3,605.36
Childrens Hospital & Regional Medical Center 014 625 Other Gvmnt             347            3,201         9.22           22,416,290.21     64,600.26     7,002.90         1.69086     38,205.54             336          568.13
Childrens Hospital & Regional Medical Center 014 630 Charity Care               17                 38         2.24               277,693.05     16,334.89     7,307.71         1.02391     15,953.38               17            17.41
014 Total         10,362          63,016         6.08         410,531,215.13     39,618.92     6,514.71         1.28954     30,723.19        10,191     13,141.75
Columbia Basin Hospital 045 001 Medicare               95               287         3.02               467,337.05       4,919.34     1,628.35         0.71075       6,921.29               93            66.10
Columbia Basin Hospital 045 002 Medicaid               15                 31         2.07                 80,969.22       5,397.95     2,611.91         0.64204       8,407.47               15             9.63
Columbia Basin Hospital 045 006 Commercial               13                 29         2.23                 71,705.12       5,515.78     2,472.59         0.62977       8,758.44               13             8.19
Columbia Basin Hospital 045 009 Self-Pay                 7                 11         1.57                 31,040.30       4,434.33     2,821.85         0.58178       7,622.06                7             4.07
Columbia Basin Hospital 045 610 Contractor                 9                 19         2.11                 44,858.50       4,984.28     2,360.97         0.66688       7,474.02                8             5.34
Columbia Basin Hospital 045 625 Other Gvmnt                 3                  5         1.67                 19,370.05       6,456.68     3,874.01         0.64257     10,048.27                3             1.93
045 Total             142               382         2.69               715,280.24       5,037.18     1,872.46         0.68527       7,350.62             139            95.25
Columbia Basin Hospital 045S 001 Medicare               82            1,518        18.51               474,648.31       5,788.39        312.68         0.75897       7,626.69               82            62.24
Columbia Basin Hospital 045S 006 Commercial                 4                 93        23.25                 32,759.34       8,189.84        352.25         0.97681       8,384.24                4             3.91
Columbia Basin Hospital 045S 610 Contractor                 1                  5         5.00                   2,488.55       2,488.55        497.71         0.59457       4,185.46                1             0.59
045S Total               87            1,616        18.57               509,896.20       5,860.88        315.53         0.76709       7,640.38               87            66.74
Coulee Community Hospital 150 001 Medicare             129               327         2.53               647,607.34       5,020.21     1,980.45         0.72671       6,908.10             127            92.29
Coulee Community Hospital 150 002 Medicaid             191               551         2.88               925,476.68       4,845.43     1,679.63         0.44516     10,884.60             190            84.58
Coulee Community Hospital 150 006 Commercial               44                 81         1.84               202,735.77       4,607.63     2,502.91         0.51284       8,984.53               42            21.54
Coulee Community Hospital 150 009 Self-Pay               12                 25         2.08               108,716.05       9,059.67     4,348.64         0.67823     13,357.87               11             7.46
Coulee Community Hospital 150 610 Contractor               51               106         2.08               252,092.30       4,942.99     2,378.23         0.53391       9,258.03               51            27.23
Coulee Community Hospital 150 625 Other Gvmnt               16                 51         3.19               124,146.67       7,759.17     2,434.25         0.67130     11,558.40               16            10.74
150 Total             443            1,141         2.58             2,260,774.81       5,103.33     1,981.40         0.55800       9,145.83             437          243.84
Coulee Community Hospital 150S 001 Medicare               51               372         7.29               326,892.35       6,409.65        878.74         0.76385       8,391.23               51            38.96
150S Total               51               372         7.29               326,892.35       6,409.65        878.74         0.76385       8,391.23               51            38.96
Dayton General Hospital 141 001 Medicare               99               301         3.04               491,717.44       4,966.84     1,633.61         0.67771       7,328.84               99            67.09
Dayton General Hospital 141 002 Medicaid                 4                 11         2.75                 19,341.50       4,835.38     1,758.32         0.68484       7,060.64                4             2.74
Dayton General Hospital 141 004 HMO                 4                 11         2.75                 18,009.35       4,502.34     1,637.21         0.65783       6,844.28                4             2.63
Dayton General Hospital 141 006 Commercial                 2                  3         1.50                   7,541.55       3,770.78     2,513.85         0.56841       6,633.96                2             1.14
Dayton General Hospital 141 009 Self-Pay                 2                 10         5.00                 13,363.45       6,681.73     1,336.35         0.71061       9,402.87                2