Overlake Hospital Medical Center

Bellevue, Washington 98004

CCN: 500051 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
80
DRG Categories
2,187
Total Discharges
$83,472
Avg Charges
$15,647
Avg Payment
$13,518
Avg Medicare
5.33x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Below Average
Readmissions
Same as Average
Patient Experience
Reported
Washington Average Rating
3.12 / 5 This hospital is below average
9 five-star hospitals of rated in Washington
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Other

Compared to Washington Average

How this hospital compares to the average of 45 hospitals in Washington

Average Charges
$83,472 -8%
State avg: $90,638
Average Payment
$15,647 -23%
State avg: $20,366
Charge-to-Payment Ratio
5.33x Above avg
State avg: 4.59x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
291 HEART FAILURE AND SHOCK WITH MCC 183 $57,092 $10,530 5.42x
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 159 $74,950 $16,391 4.57x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 112 $50,665 $14,407 3.52x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 58 $30,715 $6,532 4.7x
552 MEDICAL BACK PROBLEMS WITHOUT MCC 57 $37,400 $7,703 4.86x
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 55 $100,051 $16,768 5.97x
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 53 $38,592 $8,535 4.52x
683 RENAL FAILURE WITH CC 49 $36,660 $7,232 5.07x
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 48 $44,788 $8,422 5.32x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 46 $53,347 $8,190 6.51x
682 RENAL FAILURE WITH MCC 46 $54,852 $11,900 4.61x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 41 $46,920 $11,275 4.16x
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC 41 $133,169 $25,870 5.15x
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC 40 $69,324 $15,053 4.61x
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC 39 $39,296 $9,086 4.32x
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC 39 $193,544 $39,716 4.87x
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 39 $41,550 $6,311 6.58x
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 33 $42,884 $9,894 4.33x
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC 33 $87,259 $16,272 5.36x
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC 33 $155,237 $20,491 7.58x

Showing top 20 of 80 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

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