Washington State Department of Health
DEPARTMENT OF HEALTH CHARS REPORTING SYSTEM
Standard Report 3 & 4 Payer Census & Charge Comparison From 01/01/07 To 6/30/07
Case-Mix Adjusted
Charges Per
Discharge
Hospital Name LIC Payer Code Payer Name Discharges Patient Days Mean LOS Total Charges Mean
Charge/
Discharge
Mean
Charge/
Per Day
Index Mean # weights sum of weights
Auburn Regional Medical Center 183 1 Medicare      1,313        5,434    4.14       32,010,336.80    24,379.54    5,890.75    1.1527    21,149.09      1,312      1,512.40
Auburn Regional Medical Center 183 2 Medicaid        568        1,600    2.82         7,815,935.21    13,760.45    4,884.96    0.6472    21,261.32        568        367.61
Auburn Regional Medical Center 183 4 HMO      1,616        4,094    2.53       24,182,407.40    14,964.36    5,906.79    0.8191    18,269.85      1,615      1,322.80
Auburn Regional Medical Center 183 6 Commercial        244           667    2.73         4,094,715.21    16,781.62    6,139.00    0.8668    19,360.47        244        211.50
Auburn Regional Medical Center 183 8 Labor & Industries          40           120    3.00         1,481,481.23    37,037.03  12,345.68    2.3046    16,070.91          40          92.18
Auburn Regional Medical Center 183 9 Self Pay            8             27    3.38           195,019.41    24,377.43    7,222.94    1.0252    23,779.03            8            8.20
Auburn Regional Medical Center 183 625 Other          18             43    2.39           256,836.80    14,268.71    5,972.95    0.7405    19,268.78          18          13.33
Auburn Regional Medical Center 183P 1 Medicare        296        3,990  13.48         9,989,178.15    33,747.22    2,503.55    1.0284    32,816.50        296        304.40
Auburn Regional Medical Center 183P 2 Medicaid          18             93    5.17           262,404.65    14,578.04    2,821.56    0.7789    18,716.20          18          14.02
Auburn Regional Medical Center 183P 4 HMO          60           490    8.17         1,333,622.01    22,227.03    2,721.68    0.9499    23,399.35          60          56.99
Auburn Regional Medical Center 183P 6 Commercial            4             10    2.50             18,664.20      4,666.05    1,866.42    0.2871    16,250.51            4            1.15
Auburn Regional Medical Center 183P 9 Self Pay            1               5    5.00             12,147.65    12,147.65    2,429.53    0.8489    14,310.04            1            0.85
Auburn Regional Medical Center 183P 625 Other            2             20  10.00             62,631.50    31,315.75    3,131.58    1.0075    31,083.86            2            2.01
Auburn Regional Medical Center Total      4,188       16,593    3.96       81,715,380.22    19,511.79    4,924.69    0.9335    20,902.69      4,186      3,907.46
BHC Fairfax Hospital 904 1 Medicare        126        1,601  12.71         4,611,861.53    36,602.08    2,880.61    0.8322    43,984.14        126        104.85
BHC Fairfax Hospital 904 2 Medicaid        329        4,463  13.57       12,367,408.91    37,590.91    2,771.10    1.0282    36,560.28        329        338.27
BHC Fairfax Hospital 904 4 HMO        334        2,918    8.74         8,028,579.68    24,037.66    2,751.40    0.8855    27,146.25        334        295.75
BHC Fairfax Hospital 904 6 Commercial        275        2,253    8.19         6,288,129.91    22,865.93    2,791.00    0.8836    25,877.81        275        242.99
BHC Fairfax Hospital 904 8 Labor & Industries            1               7    7.00             18,808.93    18,808.93    2,686.99    1.7670    10,644.44            1            1.77
BHC Fairfax Hospital 904 9 Self Pay          30             95    3.17           378,472.72    12,615.76    3,983.92    0.5488    22,986.32          30          16.47
BHC Fairfax Hospital 904 625 Other          66           710  10.76         1,918,705.54    29,071.30    2,702.40    0.9305    31,242.74          66          61.41
BHC Fairfax Hospital Total      1,161       12,047  10.38       33,611,967.22    28,950.88    2,790.07    0.9143    31,664.05      1,161      1,061.52
Capital Medical Center 197 1 Medicare        885        3,565    4.03       26,200,241.00    29,604.79    7,349.30    1.2468    23,744.40        885      1,103.43
Capital Medical Center 197 2 Medicaid        500        1,050    2.10         5,776,544.00    11,553.09    5,501.47    0.5532    20,883.66        500        276.61
Capital Medical Center 197 6 Commercial          24             60    2.50           575,668.00    23,986.17    9,594.47    0.9731    24,648.15          24          23.36
Capital Medical Center 197 8 Labor & Industries          36           109    3.03         2,124,540.00    59,015.00  19,491.19    2.3869    24,724.17          36          85.93
Capital Medical Center 197 9 Self Pay          41           152    3.71           733,192.00    17,882.73    4,823.63    0.6593    27,125.27          41          27.03
Capital Medical Center 197 610 Contractors        873        2,145    2.46       17,547,043.00    20,099.71    8,180.44    0.8851    22,709.72        873        772.67
Capital Medical Center 197 625 Other          21             39    1.86           236,530.00    11,263.33    6,064.87    0.6935    16,241.08          21          14.56
Capital Medical Center 197 630 Charity          10             31    3.10           148,188.00    14,818.80    4,780.26    0.6897    21,485.36          10            6.90
Capital Medical Center Total      2,390        7,151    2.99       53,341,946.00    22,318.81    7,459.37    0.9667    23,086.99      2,390      2,310.48
Cascade Medical Center 158 1 Medicare          45           129    2.87           313,962.40      6,976.94    2,433.82    0.6372    10,948.69          45          28.68
Cascade Medical Center 158 2 Medicaid            2               6    3.00             10,132.73      5,066.37    1,688.79    0.6350      7,978.90            2            1.27
Cascade Medical Center 158 6 Commercial            4               9    2.25             17,650.59      4,412.65    1,961.18    0.6688      6,597.41            4            2.68
Cascade Medical Center 158S 1 Medicare          19           142    7.47           234,774.40    12,356.55    1,653.34    0.6399    19,309.26          19          12.16
Cascade Medical Center Total          70           286    4.09           576,520.12      8,236.00    2,015.80    0.6397    12,874.57          70          44.78
Cascade Valley Hospital 106 1 Medicare        201           705    3.51         2,209,976.26    10,994.91    3,134.72    0.9912    11,092.42        201        199.23
Cascade Valley Hospital 106 2 Medicaid        321           721    2.25         1,812,273.84      5,645.71    2,513.56    0.4748    11,889.58        321        152.43
Cascade Valley Hospital 106 4 HMO        139           457    3.29         1,544,763.96    11,113.41    3,380.23    1.0564    10,520.25        139        146.84
Cascade Valley Hospital 106 6 Commercial        217           699    3.22         2,402,578.03    11,071.79    3,437.16    0.8379    13,214.11        217        181.82
Cascade Valley Hospital 106 8 Labor & Industries            4               8    2.00             16,859.63      4,214.91    2,107.45    0.8713      4,837.66            4            3.49
Cascade Valley Hospital 106 9 Self Pay          28             74    2.64           220,298.78      7,867.81    2,977.01    0.6870    11,453.23          28          19.23
Cascade Valley Hospital 106 610 Contractors          48           115    2.40           407,277.46      8,484.95    3,541.54    0.7631    11,119.42          48          36.63
Cascade Valley Hospital 106 625 Other          48             88    1.83           271,185.02      5,649.69    3,081.65    0.6573      8,595.65          48          31.55
Cascade Valley Hospital Total      1,006        2,867    2.85         8,885,212.98      8,832.22    3,099.13    0.7666    11,521.11      1,006        771.21
Central Washington Hospital 168 1 Medicare      2,367        9,491    4.01       46,528,413.95    19,657.12    4,902.37    1.4314    13,732.56      2,366      3,386.75
Central Washington Hospital 168 2 Medicaid      1,426        3,862    2.71       13,531,747.21      9,489.30    3,503.82    0.6317    15,021.61      1,426        900.82
Central Washington Hospital 168 4 HMO          21             65    3.10           328,885.99    15,661.24    5,059.78    1.1530    13,583.47          21          24.21
Central Washington Hospital 168 6 Commercial        556        1,563    2.81         7,677,541.11    13,808.53    4,912.05    1.0368    13,318.23        556        576.47
Central Washington Hospital 168 8 Labor & Industries          60           153    2.55         1,170,745.27    19,512.42    7,651.93    1.6758    11,643.31          60        100.55
Central Washington Hospital 168 9 Self Pay        184           643    3.49         3,140,511.84    17,068.00    4,884.16    1.1734    14,546.09        184        215.90
Central Washington Hospital 168 610 Contractors        911        2,466    2.71       11,587,349.51    12,719.37    4,698.84    0.9747    13,048.90        911        887.99
Central Washington Hospital 168 625 Other          44           167    3.80           767,488.68    17,442.92    4,595.74    1.2911    13,509.97          44          56.81
Central Washington Hospital Total      5,569       18,410    3.31       84,732,683.56    15,215.06    4,602.54    1.1044    13,776.31      5,568      6,149.50
Childrens Hospital & Regional Medical Center 14 1 Medicare          42           211    5.02         2,016,567.78    48,013.52    9,557.19    1.3895    34,553.98          42          58.36
Childrens Hospital & Regional Medical Center 14 2 Medicaid      2,416       15,253    6.31     106,138,593.24    43,931.54    6,958.54    1.2066    36,408.39      2,414      2,912.81
Childrens Hospital & Regional Medical Center 14 4 HMO        253        1,834    7.25       12,612,909.13    49,853.40    6,877.27    1.3152    37,905.20        253        332.75
Childrens Hospital & Regional Medical Center 14 6 Commercial      1,060        6,467    6.10       46,291,833.61    43,671.54    7,158.16    1.2401    35,216.50      1,059      1,313.25
Childrens Hospital & Regional Medical Center 14 9 Self Pay          36           123    3.42           849,402.69    23,594.52    6,905.71    0.9273    25,445.59          36          33.38
Childrens Hospital & Regional Medical Center 14 610 Contractors      1,509        8,145    5.40       55,508,263.80    36,784.80    6,815.01    1.2185    30,188.94      1,505      1,833.82
Childrens Hospital & Regional Medical Center 14 625 Other        188        1,887  10.04       12,607,104.74    67,059.07    6,681.03    1.3804    48,580.10        187        258.13
Childrens Hospital & Regional Medical Center 14 630 Charity          14           624  44.57         4,351,907.46  310,850.53    6,974.21    2.2336  139,171.48          14          31.27
Childrens Hospital & Regional Medical Center Total      5,518       34,544    6.26     240,376,582.45    43,562.27    6,958.56    1.2294    35,434.90      5,510      6,773.78
Columbia Basin Hospital 45 1 Medicare          57           153    2.68           289,191.02      5,073.53    1,890.14    0.7293      6,956.76          57          41.57
Columbia Basin Hospital 45 2 Medicaid            6             13    2.17             31,350.20      5,225.03    2,411.55    0.6041      8,648.90            6            3.62
Columbia Basin Hospital 45 6 Commercial            7             17    2.43             29,516.05      4,216.58    1,736.24    0.6881      6,127.91            7            4.82
Columbia Basin Hospital 45 9 Self Pay            5               6    1.20             16,546.10      3,309.22    2,757.68    0.6588      5,023.06            5            3.29
Columbia Basin Hospital 45 610 Contractors            7             13    1.86             30,417.75      4,345.39    2,339.83    0.7213      6,024.56            7            5.05
Columbia Basin Hospital 45 625 Other            3               6    2.00             20,550.15      6,850.05    3,425.03    0.7118      9,623.56            3            2.14
Columbia Basin Hospital 045S 1 Medicare          37           902  24.38           288,083.73      7,786.05       319.38    0.6970    11,171.28          37          25.79
Columbia Basin Hospital 045S 4 HMO            3             42  14.00             14,657.41      4,885.80       348.99    1.3318      3,668.61            3            4.00
Columbia Basin Hospital 045S 6 Commercial            1               8    8.00               2,503.50      2,503.50       312.94    1.7920      1,397.03            1            1.79
Columbia Basin Hospital Total        126        1,160    9.21           722,815.91      5,736.63       623.12    0.7307      7,851.16        126          92.06
Coulee Community Hospital 150 1 Medicare          68           177    2.60           429,851.80      6,321.35    2,428.54    0.7587      8,331.57          68          51.59
Coulee Community Hospital 150 2 Medicaid          94           245    2.61           493,726.84      5,252.41    2,015.21    0.4071    12,900.72          93          37.86
Coulee Community Hospital 150 6 Commercial          15             48    3.20           130,241.93      8,682.80    2,713.37    0.7427    11,691.40          15          11.14
Coulee Community Hospital 150 8 Labor & Industries            1               1    1.00                  808.52        808.52       808.52    1.0477        771.69            1            1.05
Coulee Community Hospital 150 9 Self Pay            3               4    1.33             18,271.09      6,090.36    4,567.77    0.6880      8,851.71            3            2.06
Coulee Community Hospital 150 610 Contractors          29             78    2.69           156,319.22      5,390.32    2,004.09    0.5536      9,736.22          29          16.06
Coulee Community Hospital 150 625 Other          11             37    3.36             97,911.53      8,901.05    2,646.26    0.6730    13,225.44          11            7.40
Coulee Community Hospital 150S 1 Medicare          32           279    8.72           219,102.69      6,846.96       785.31    0.6679    10,252.14          32          21.37
Coulee Community Hospital 150S 6 Commercial            1             10  10.00               5,484.93      5,484.93       548.49    0.9153      5,992.30            1            0.92
Coulee Community Hospital 150S 9 Self Pay            1             16  16.00             10,990.59    10,990.59       686.91    0.7180    15,307.65            1            0.72
Coulee Community Hospital Total        255           895    3.51         1,562,709.14      6,128.27    1,746.04    0.5912    10,365.29        254        150.17
Dayton General Hospital 141 1 Medicare          37           107    2.89           175,579.87      4,745.40    1,640.93    0.6988      6,790.84          37          25.86
Dayton General Hospital 141 2 Medicaid            4             35    8.75             13,375.40      3,343.85       382.15    0.6256      5,344.90            4            2.50
Dayton General Hospital 141 4 HMO            2               4    2.00               8,564.45      4,282.23    2,141.11    0.5160      8,298.24            2            1.03
Dayton General Hospital 141 9 Self Pay            2             10    5.00             16,088.17      8,044.09    1,608.82    0.8221      9,784.50            2            1.64
Dayton General Hospital 141 610 Contractors            1               1    1.00               1,693.52      1,693.52    1,693.52    0.4700      3,602.93            1            0.47
Dayton General Hospital 141S 1 Medicare          22           574  26.09           379,482.41    17,249.20       661.12    0.7355    23,453.61          22          16.18
Dayton General Hospital 141S 2 Medicaid            2             13    6.50             10,333.00      5,166.50       794.85    0.6679      7,735.03            2            1.34
Dayton General Hospital Total          70           744  10.63           605,116.82      8,644.53       813.33    0.7003    12,344.23          70          49.02
Deaconess Medical Center 37 1 Medicare      2,575       13,792    5.36       86,160,988.88    33,460.58    6,247.17    1.6860    19,846.12      2,575      4,341.45
Deaconess Medical Center 37 2 Medicaid      1,662        8,450    5.08       27,816,853.37    16,736.98    3,291.94    0.8722    19,189.31      1,662      1,449.60
Deaconess Medical Center 37 4 HMO        146           605    4.14         3,602