Washington State Department of Health
DEPARTMENT OF HEALTH CHARS REPORTING SYSTEM
Standard Report 3 & 4 Payer Census & Charge Comparison From 01/01/03 To 12/31/03 - Re-release
Case-Mix Adjusted
Charges Per
Discharge
Mean
Charge/
Discharge
Mean
Charge/
Per Day
Hospital Name LIC Payer Name Discharges Patient Days Mean LOS Total Charges Index Mean # weights sum of weights
Affiliated Health Services 73 Commercial 644 1,709 2.6537 5,860,143.18 9,099.60 3,428.99 0.74746 12,174.09 644 481.36
Affiliated Health Services 73 Contractors 1,452 3,676 2.5317 13,062,038.35 8,995.89 3,553.33 0.71610 12,562.39 1,452 1,039.77
Affiliated Health Services 73 HMO 409 1,211 2.9609 4,221,833.36 10,322.33 3,486.24 0.85059 12,135.44 409 347.89
Affiliated Health Services 73 Labor & Industries 81 238 2.9383 1,287,155.77 15,890.81 5,408.22 1.07994 14,714.49 81 87.48
Affiliated Health Services 73 Medicaid 2,109 4,979 2.3608 12,848,916.75 6,092.42 2,580.62 0.50811 11,990.36 2,109 1,071.60
Affiliated Health Services 73 Medicare 3,781 14,773 3.9072 51,205,947.40 13,542.96 3,466.18 1.04543 12,954.50 3,780 3,951.71
Affiliated Health Services 73 Other 198 534 2.6970 1,952,723.73 9,862.24 3,656.79 0.74838 13,178.15 198 148.18
Affiliated Health Services 73 Self Pay 164 500 3.0488 1,854,655.99 11,308.88 3,709.31 0.88086 12,838.49 164 144.46
Affiliated Health Services 73 Total 8,838 27,620 3.1251 92,293,414.53 10,442.79 3,341.54 0.82296 12,689.39 8,837 7,272.45
Affiliated Health Services 073P Commercial 47 289 6.1489 340,326.20 7,240.98 1,177.60 0.77015 9,402.01 47 36.20
Affiliated Health Services 073P Contractors 62 444 7.1613 528,325.81 8,521.38 1,189.92 0.81752 10,423.50 62 50.69
Affiliated Health Services 073P HMO 35 181 5.1714 226,481.64 6,470.90 1,251.28 0.78201 8,274.76 35 27.37
Affiliated Health Services 073P Labor & Industries 6 29 4.8333 36,206.51 6,034.42 1,248.50 0.80348 7,510.34 6 4.82
Affiliated Health Services 073P Medicaid 202 1,445 7.1535 1,744,166.65 8,634.49 1,207.04 0.79429 10,870.64 202 160.45
Affiliated Health Services 073P Medicare 312 3,172 10.1667 4,139,166.25 13,266.56 1,304.91 0.91059 14,569.19 312 284.10
Affiliated Health Services 073P Other 63 470 7.4603 580,262.50 9,210.52 1,234.60 0.79639 11,565.31 63 50.17
Affiliated Health Services 073P Self Pay 21 87 4.1429 103,096.62 4,909.36 1,185.02 0.77632 6,323.93 21 16.30
Affiliated Health Services 073P Total 748 6,117 8.1778 7,698,032.18 10,291.49 1,258.47 0.84238 12,217.14 748 630.10
Affiliated Health Services Total 9,586 33,737 3.5194 99,991,446.71 10,430.99 2,963.85 0.82447 12,651.73 9,585 7,902.55
Auburn Regional Medical Center 183 Commercial 325 765 2.3538 2,896,549.59 8,912.46 3,786.34 0.85709 10,398.50 325 278.55
Auburn Regional Medical Center 183 HMO 2,718 6,815 2.5074 23,038,945.56 8,476.43 3,380.62 0.85884 9,869.67 2,717 2,333.46
Auburn Regional Medical Center 183 Labor & Industries 77 184 2.3896 855,328.30 11,108.16 4,648.52 1.61311 6,886.18 77 124.21
Auburn Regional Medical Center 183 Medicaid 858 2,440 2.8438 7,456,426.79 8,690.47 3,055.91 0.72524 11,982.97 858 622.25
Auburn Regional Medical Center 183 Medicare 1,995 7,260 3.6391 26,937,733.56 13,502.62 3,710.43 1.14646 11,777.63 1,995 2,287.19
Auburn Regional Medical Center 183 Other 6 16 2.6667 46,553.30 7,758.88 2,909.58 0.87715 8,845.53 6 5.26
Auburn Regional Medical Center 183 Self Pay 59 115 1.9492 444,278.37 7,530.14 3,863.29 0.88377 8,520.47 59 52.14
Auburn Regional Medical Center 183 Total 6,038 17,595 2.9140 61,675,815.47 10,214.61 3,505.30 0.94469 10,812.69 6,037 5,703.07
Auburn Regional Medical Center 183P Commercial 34 93 2.7353 206,561.85 6,075.35 2,221.10 0.56624 10,729.21 34 19.25
Auburn Regional Medical Center 183P HMO 588 1,079 1.8350 2,887,801.15 4,911.23 2,676.37 0.50337 9,756.63 588 295.98
Auburn Regional Medical Center 183P Medicaid 200 369 1.8450 865,712.40 4,328.56 2,346.10 0.48468 8,930.85 200 96.94
Auburn Regional Medical Center 183P Medicare 457 6,181 13.5252 11,438,522.74 25,029.59 1,850.59 1.08928 22,978.19 457 497.80
Auburn Regional Medical Center 183P Self Pay 6 22 3.6667 48,451.85 8,075.31 2,202.36 0.61890 13,047.95 6 3.71
Auburn Regional Medical Center 183P Total 1,285 7,744 6.0265 15,447,049.99 12,021.05 1,994.71 0.71104 16,906.35 1,285 913.68
Auburn Regional Medical Center Total 7,323 25,339 3.4602 77,122,865.46 10,531.59 3,043.64 0.90368 11,654.10 7,322 6,616.76
BHC Fairfax Hospital 904 Charity 5 19 3.8000 35,024.50 7,004.90 1,843.39 0.86975 8,053.92 5 4.35
BHC Fairfax Hospital 904 Commercial 491 3,899 7.9409 7,132,690.26 14,526.86 1,829.36 0.95047 15,283.93 491 466.68
BHC Fairfax Hospital 904 Contractors 16 131 8.1875 240,669.00 15,041.81 1,837.17 0.88723 16,953.71 16 14.20
BHC Fairfax Hospital 904 HMO 483 3,835 7.9400 7,015,451.28 14,524.74 1,829.32 0.94010 15,450.22 483 454.07
BHC Fairfax Hospital 904 Labor & Industries 6 27 4.5000 51,376.80 8,562.80 1,902.84 0.81861 10,460.23 6 4.91
BHC Fairfax Hospital 904 Medicaid 790 9,336 11.8177 17,053,232.26 21,586.37 1,826.61 1.06749 20,221.56 790 843.32
BHC Fairfax Hospital 904 Medicare 205 1,991 9.7122 3,841,926.20 18,741.10 1,929.65 0.85225 21,990.24 205 174.71
BHC Fairfax Hospital 904 Other 120 1,318 10.9833 2,362,382.76 19,686.52 1,792.40 1.02231 19,256.82 120 122.68
BHC Fairfax Hospital 904 Self Pay 16 145 9.0625 268,319.03 16,769.94 1,850.48 0.85057 19,716.10 16 13.61
BHC Fairfax Hospital 904 Total 2,132 20,701 9.7097 38,001,072.09 17,824.14 1,835.71 0.98430 18,108.51 2,132 2,098.52
BHC Fairfax Hospital Total 2,132 20,701 9.7097 38,001,072.09 17,824.14 1,835.71 0.98430 18,108.51 2,132 2,098.52
Capital Medical Center 197 Charity 5 23 4.6000 57,017.00 11,403.40 2,479.00 0.89826 12,694.99 5 4.49
Capital Medical Center 197 Commercial 35 88 2.5143 549,530.00 15,700.86 6,244.66 1.06807 14,700.19 35 37.38
Capital Medical Center 197 HMO 2,209 5,987 2.7103 29,243,855.00 13,238.50 4,884.56 0.94183 14,056.18 2,209 2,080.50
Capital Medical Center 197 Labor & Industries 123 272 2.2114 2,604,081.00 21,171.39 9,573.83 1.67850 12,613.28 123 206.46
Capital Medical Center 197 Medicaid 695 1,775 2.5540 6,413,731.00 9,228.39 3,613.37 0.59758 15,443.03 695 415.32
Capital Medical Center 197 Medicare 1,476 5,790 3.9228 29,396,421.00 19,916.27 5,077.10 1.33299 14,941.03 1,476 1,967.50
Capital Medical Center 197 Other 119 423 3.5546 2,150,997.00 18,075.61 5,085.10 1.18452 15,259.80 119 140.96
Capital Medical Center 197 Self Pay 71 176 2.4789 979,920.00 13,801.69 5,567.73 1.08351 12,738.00 71 76.93
Capital Medical Center 197 Total 4,733 14,534 3.0708 71,395,552.00 15,084.63 4,912.31 1.04152 14,483.25 4,733 4,929.53
Capital Medical Center Total 4,733 14,534 3.0708 71,395,552.00 15,084.63 4,912.31 1.04152 14,483.25 4,733 4,929.53
Cascade Medical Center 158 Commercial 16 22 1.3750 45,404.59 2,837.79 2,063.85 0.64543 4,396.73 16 10.33
Cascade Medical Center 158 Labor & Industries 2 2 1.0000 5,597.97 2,798.99 2,798.99 0.46678 5,996.37 2 0.93
Cascade Medical Center 158 Medicaid 3 10 3.3333 20,677.06 6,892.35 2,067.71 0.82639 8,340.35 3 2.48
Cascade Medical Center 158 Medicare 88 289 3.2841 594,558.95 6,756.35 2,057.30 0.63406 10,655.78 88 55.80
Cascade Medical Center 158 Self Pay 2 3 1.5000 6,734.03 3,367.02 2,244.68 0.50833 6,623.68 2 1.02
Cascade Medical Center 158 Total 111 326 2.9369 672,972.60 6,062.82 2,064.33 0.63561 9,538.52 111 70.55
Cascade Medical Center 158S Medicaid 1 10 10.0000 13,176.10 13,176.10 1,317.61 1.66888 7,895.18 1 1.67
Cascade Medical Center 158S Medicare 21 246 11.7143 298,051.18 14,192.91 1,211.59 0.64803 21,901.58 21 13.61
Cascade Medical Center 158S Total 22 256 11.6364 311,227.28 14,146.69 1,215.73 0.69443 20,371.56 22 15.28
Cascade Medical Center Total 133 582 4.3759 984,199.88 7,400.00 1,691.07 0.64534 11,466.76 133 85.83
Cascade Valley Hospital 106 Commercial 560 1,394 2.4893 4,530,910.63 8,090.91 3,250.29 0.78572 10,297.40 560 440.01
Cascade Valley Hospital 106 Contractors 117 282 2.4103 1,012,734.08 8,655.85 3,591.26 0.91685 9,440.85 117 107.27
Cascade Valley Hospital 106 HMO 470 1,431 3.0447 4,862,231.79 10,345.17 3,397.79 1.04277 9,920.82 470 490.10
Cascade Valley Hospital 106 Labor & Industries 18 76 4.2222 270,827.91 15,046.00 3,563.53 1.32352 11,368.20 18 23.82
Cascade Valley Hospital 106 Medicaid 524 1,037 1.9790 2,435,059.64 4,647.06 2,348.18 0.45534 10,205.65 524 238.60
Cascade Valley Hospital 106 Medicare 519 1,743 3.3584 5,694,539.80 10,972.14 3,267.09 1.07239 10,231.49 517 554.43
Cascade Valley Hospital 106 Other 126 252 2.0000 747,582.36 5,933.19 2,966.60 0.58908 10,071.91 126 74.22
Cascade Valley Hospital 106 Self Pay 64 208 3.2500 632,435.02 9,881.80 3,040.55 0.90058 10,972.73 64 57.64
Cascade Valley Hospital 106 Total 2,398 6,423 2.6785 20,186,321.23 8,417.98 3,142.82 0.82892 10,155.37 2,396 1,986.09
Cascade Valley Hospital Total 2,398 6,423 2.6785 20,186,321.23 8,417.98 3,142.82 0.82892 10,155.37 2,396 1,986.09
Central Washington Hospital 168 Commercial 657 1,999 3.0426 7,146,668.45 10,877.73 3,575.12 1.10961 9,803.21 657 729.01
Central Washington Hospital 168 Contractors 1,772 5,234 2.9537 17,084,822.32 9,641.55 3,264.20 0.98289 9,809.43 1,771 1,740.69
Central Washington Hospital 168 HMO 125 307 2.4560 938,484.98 7,507.88 3,056.95 0.84508 8,884.20 125 105.64
Central Washington Hospital 168 Labor & Industries 86 239 2.7791 1,103,663.80 12,833.30 4,617.84 1.57987 8,123.04 86 135.87
Central Washington Hospital 168 Medicaid 2,468 7,039 2.8521 16,399,295.00 6,644.77 2,329.78 0.62134 10,694.21 2,468 1,533.47
Central Washington Hospital 168 Medicare 3,983 17,301 4.3437 56,594,466.68 14,209.00 3,271.17 1.42372 9,980.17 3,983 5,670.69
Central Washington Hospital 168 Other 43 129 3.0000 413,844.97 9,624.30 3,208.10 0.96650 9,957.90 43 41.56
Central Washington Hospital 168 Self Pay 527 1,443 2.7381 4,422,329.32 8,391.52 3,064.68 0.92008 9,120.44 527 484.88
Central Washington Hospital 168 Total 9,661 33,691 3.4873 104,103,575.52 10,775.65 3,089.95 1.08093 9,968.84 9,660 10,441.81
Central Washington Hospital Total 9,661 33,691 3.4873 104,103,575.52 10,775.65 3,089.95 1.08093 9,968.84 9,660 10,441.81
Childrens Hospital & Regional Medical Center 14 Charity 42 161 3.8333 738,698.63 17,588.06 4,588.19 1.12434 15,642.97 42 47.22
Childrens Hospital & Regional Medical Center 14 Commercial 1,886 10,529 5.5827 57,784,970.67 30,638.90 5,488.17 1.21556 25,205.62 1,883 2,288.90
Childrens Hospital & Regional Medical Center 14 Contractors 2,661 15,483 5.8185 80,386,149.22 30,209.00 5,191.90 1.23669 24,427.31 2,660 3,289.59
Childrens Hospital & Regional Medical Center 14 HMO 623 4,440 7.1268 22,926,500.83 36,800.16 5,163.63 1.32223 27,831.94 623 823.75
Childrens Hospital & Regional Medical Center 14 Medicaid 4,064 25,794 6.3469 119,456,976.77 29,393.94 4,631.19 1.14850 25,593.34 4,060 4,662.91
Childrens Hospital & Regional Medical Center 14 Medicare 109 625 5.7339 3,763,009.29 34,523.02 6,020.81 1.33610 25,838.59 109 145.64
Childrens Hospital & Regional Medical Center 14 Other 226 1,480 6.5487 7,902,879.56 34,968.49 5,339.78 1.37848 25,367.49 226 311.54
Childrens Hospital & Regional Medical Center 14 Self Pay 60 279 4.6500 1,801,124.50 30,018.74 6,455.64 1.31530 22,822.77 60 78.92
Childrens Hospital & Regional Medical Center 14 Total 9,671 58,791 6.0791 294,760,309.47 30,478.78 5,013.70 1.20547 25,283.73 9,663 11,648.46
Childrens Hospital & Regional Medical Center Total 9,671 58,791 6.0791 294,760,309.47 30,478.78 5,013.70 1.20547 25,283.73 9,663 11,648.46
Columbia Basin Hospital 45 Commercial 6 7 1.1667 15,774.45 2,629.08 2,253.49 0.57099 4,604.40 6 3.43
Columbia Basin Hospital 45 Contractors 14 32 2.2857 46,785.50 3,341.82 1,462.05 0.72918 4,582.96 14 10.21
Columbia Basin Hospital 45 HMO 1 1 1.0000 1,366.25 1,366.25 1,366.25 0.83320 1,639.76 1 0.83
Columbia Basin Hospital 45 Medicaid 15 35 2.3333 59,292.75 3,952.85 1,694.08 0.75575 5,230.40 15 11.34
Columbia Basin Hospital 45 Medicare 95 302 3.1789 358,013.37 3,768.56 1,185.47 0.74832 5,036.03 95 71.09
Columbia Basin Hospital 45 Other 2 3 1.5000 5,514.00 2,757.00 1,838.00 0.69754 3,952.46 2 1.40
Columbia Basin Hospital 45 Self Pay 6 11 1.8333 24,564.42 4,094.07 2,233.13 0.84034 4,871.94 6 5.04
Columbia Basin Hospital 45 Total 139 391 2.8129 511,310.74 3,678.49 1,307.70 0.74339 4,948.26 139 103.33
Columbia Basin Hospital 045S Contractors 2 49 24.5000 15,248.00 7,624.00 311.18 0.50837 14,997.10 2 1.02
Columbia Basin Hospital 045S Medicaid 1 5 5.0000 1,996.54 1,996.54 399.31 0.58487 3,413.65 1 0.58
Columbia Basin Hospital 045S Medicare 50 1,124 22.4800 340,382.37 6,807.65 302.83 0.84019 8,102.48 50 42.01
Columbia Basin Hospital 045S Total 53 1,178 22.2264 357,626.91 6,747.68 303.59 0.82285 8,200.34 53 43.61
Columbia Basin Hospital Total 192 1,569 8.1719 868,937.65 4,525.72 553.82 0.76533 5,913.45 192 146.94
Coulee Community Hospital 150 Commercial 46 113 2.4565 261,985.41 5,695.34 2,318.45 0.59349 9,596.28 46 27.30
Coulee Community Hospital 150 Contractors 76 173 2.2763 418,305.78 5,504.02 2,417.95 0.67022 8,212.24 76 50.94
Coulee Community Hospital 150 Labor & Industries 1 2 2.0000 5,419.76 5,419.76 2,709.88 0.50085 10,821.12 1 0.50
Coulee Community Hospital 150 Medicaid 224 539 2.4063 928,985.89 4,147.26 1,723.54 0.48283 8,589.51 224 108.15
Coulee Community Hospital 150 Medicare 186 469 2.5215 771,944.26 4,150.24 1,645.94 0.75842 5,472.19 186 141.07
Coulee Community Hospital 150 Other 26 55 2.1154 152,236.97 5,855.27 2,767.94 0.77554 7,549.91 26 20.16
Coulee Community Hospital 150 Self Pay 9 14 1.5556 59,920.78 6,657.86 4,280.06 0.68476 9,722.92 9 6.16
Coulee Community Hospital 150 Total 568 1,365 2.4032 2,598,798.85 4,575.35 1,903.88 0.62374 7,335.32 568 354.29
Coulee Community Hospital 150S Contractors 1 8 8.0000 5,456.00 5,456.00 682.00 1.50926 3,615.02 1 1.51
Coulee Community Hospital 150S Medicare 74 1,087 14.6892 571,117.48 7,717.80 525.41 0.67333 11,462.10 74 49.83
Coulee Community Hospital 150S Self Pay 2 29 14.5000 5,955.67 2,977.84 205.37 0.61125 4,871.75 2 1.22
Coulee Community Hospital 150S Total 77 1,124 14.5974 582,529.15 7,565.31 518.26 0.68258 11,083.47 77 52.56
Coulee Community Hospital Total 645 2,489 3.8589 3,181,328.00 4,932.29 1,278.16 0.63077 7,819.53 645 406.84
Dayton General Hospital 141 Commercial 11 38 3.4545 50,850.19 4,622.74 1,338.16 0.81028 5,705.09 11 8.91
Dayton General Hospital 141 Contractors 9 19 2.1111 27,380.54 3,042.28