Hospital Costs > In Wisconsin > Aurora Memorial Hospital Burlington, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 23 | $17.664,70 | 824 / 28 | $4.344,78 | 303 / 3 | $3.608,78 | 303 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 20 | $28.568,20 | 889 / 29 | $6.769,15 | 193 / 3 | $5.836,23 | 193 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 20 | $12.924,80 | 701 / 16 | $3.223,12 | 126 / 4 | $1.993,62 | 126 / 3 |
| Cellulitis W/O Mcc | 26 | 163 / 23 | $13.326,30 | 634 / 14 | $4.391,54 | 88 / 2 | $3.368,77 | 88 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 23 | $19.043,30 | 909 / 23 | $5.119,46 | 270 / 2 | $4.280,08 | 269 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 26 | $27.314,40 | 1290 / 40 | $6.464,60 | 313 / 4 | $5.577,13 | 312 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 23 | $21.488,10 | 1553 / 50 | $4.148,97 | 258 / 2 | $3.186,76 | 258 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 8 | $28.729,80 | 403 / 9 | $5.887,70 | 114 / 1 | $4.740,50 | 114 / 2 |
| G.I. Hemorrhage W Cc | 34 | 184 / 22 | $17.889,10 | 561 / 14 | $5.666,09 | 200 / 4 | $4.558,88 | 200 / 5 |
| Heart Failure & Shock W Cc | 39 | 239 / 24 | $18.043,70 | 938 / 35 | $5.380,03 | 258 / 3 | $4.635,82 | 258 / 10 |
| Heart Failure & Shock W Mcc | 33 | 251 / 29 | $26.240,80 | 845 / 35 | $8.282,30 | 118 / 7 | $7.027,09 | 118 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 25 | $45.270,20 | 850 / 34 | $10.892,20 | 373 / 3 | $9.878,00 | 372 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 27 | $33.134,40 | 1290 / 44 | $6.037,55 | 358 / 6 | $5.045,55 | 357 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 22 | $15.279,90 | 981 / 25 | $4.337,52 | 124 / 5 | $3.181,76 | 124 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 13 | $58.461,20 | 116 / 4 | $19.046,40 | 46 / 1 | $16.212,30 | 46 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 50 | $51.519,00 | 1360 / 53 | $12.397,70 | 493 / 3 | $10.304,30 | 490 / 10 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 13 | $62.079,90 | 682 / 23 | $14.414,50 | 474 / 2 | $13.521,90 | 470 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 14 | $69.078,90 | 118 / 4 | $23.421,40 | 21 / 1 | $22.314,80 | 21 / 1 |
| Other Vascular Procedures W Cc | 16 | 86 / 11 | $56.421,70 | 294 / 7 | $15.114,00 | 62 / 2 | $12.431,70 | 62 / 1 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 30 | $30.607,80 | 1071 / 41 | $7.239,47 | 134 / 10 | $5.754,88 | 134 / 3 |
| Renal Failure W Cc | 17 | 204 / 30 | $18.630,70 | 840 / 29 | $5.136,00 | 384 / 2 | $4.639,06 | 381 / 14 |
| Renal Failure W Mcc | 18 | 177 / 18 | $24.346,70 | 426 / 11 | $8.300,00 | 209 / 3 | $7.562,22 | 209 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 35 | $33.665,40 | 982 / 37 | $10.478,40 | 215 / 9 | $8.970,77 | 215 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 26 | $25.802,70 | 1314 / 51 | $5.658,90 | 204 / 2 | $4.855,70 | 203 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 17 | $17.858,00 | 899 / 29 | $5.348,40 | 303 / 2 | $4.468,40 | 301 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 28 | $30.716,90 | 1084 / 44 | $9.718,13 | 244 / 40 | $6.927,04 | 244 / 8 | Total 26 procedures | 644 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.