Hospital Costs > In Wisconsin > Community Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 9 | $33.529,10 | 358 / 10 | $13.289,10 | 3 / 13 | $3.384,58 | 3 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 15 | $15.618,90 | 582 / 13 | $4.645,70 | 100 / 7 | $3.287,50 | 100 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 10 | $20.774,10 | 376 / 11 | $6.890,74 | 148 / 5 | $5.746,53 | 148 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 17 | $12.143,60 | 606 / 13 | $3.436,60 | 133 / 8 | $2.010,30 | 133 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 12 | $153.215,00 | 294 / 16 | $34.204,80 | 288 / 6 | $33.135,50 | 288 / 8 |
| Cellulitis W Mcc | 12 | 46 / 8 | $48.827,10 | 724 / 13 | $14.190,20 | 769 / 11 | $10.639,80 | 767 / 12 |
| Cellulitis W/O Mcc | 49 | 140 / 13 | $13.684,70 | 686 / 16 | $4.944,16 | 165 / 10 | $3.509,24 | 165 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 14 | $19.462,90 | 949 / 24 | $5.208,29 | 159 / 3 | $4.101,62 | 159 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 9 | $22.002,10 | 902 / 25 | $6.603,98 | 405 / 8 | $5.693,07 | 404 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 15 | $15.354,60 | 822 / 17 | $4.018,46 | 254 / 2 | $3.095,38 | 254 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 18 | $21.295,70 | 139 / 4 | $6.460,56 | 115 / 3 | $4.783,78 | 115 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 6 | $115.254,00 | 337 / 10 | $22.584,60 | 300 / 3 | $21.629,60 | 299 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 10 | $26.469,00 | 505 / 9 | $6.482,60 | 158 / 1 | $5.840,47 | 157 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 10 | $21.718,60 | 1587 / 51 | $4.576,42 | 633 / 10 | $3.516,73 | 629 / 19 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 7 | $35.721,00 | 568 / 13 | $5.894,48 | 119 / 2 | $4.748,57 | 119 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 6 | $17.237,90 | 392 / 12 | $4.004,29 | 107 / 2 | $2.971,14 | 108 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 5 | $22.623,90 | 447 / 7 | $5.399,30 | 229 / 3 | $3.674,55 | 229 / 2 |
| G.I. Hemorrhage W Cc | 34 | 184 / 22 | $21.123,80 | 850 / 34 | $5.622,94 | 264 / 3 | $4.661,06 | 264 / 8 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 13 | $26.652,10 | 214 / 7 | $9.831,74 | 269 / 2 | $9.075,53 | 269 / 3 |
| G.I. Obstruction W Cc | 23 | 69 / 9 | $16.739,60 | 419 / 15 | $5.137,83 | 106 / 2 | $3.794,04 | 105 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 10 | $14.169,70 | 467 / 6 | $3.418,75 | 91 / 2 | $2.309,42 | 91 / 1 |
| Heart Failure & Shock W Cc | 60 | 218 / 15 | $14.863,50 | 562 / 14 | $6.038,65 | 353 / 20 | $4.729,03 | 353 / 13 |
| Heart Failure & Shock W Mcc | 97 | 187 / 5 | $22.189,10 | 545 / 20 | $8.412,59 | 440 / 9 | $7.601,26 | 440 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 11 | $14.394,50 | 775 / 14 | $3.986,27 | 154 / 6 | $2.911,14 | 152 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 12 | $45.632,50 | 870 / 35 | $11.498,50 | 250 / 18 | $9.624,93 | 249 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 9 | $68.071,50 | 393 / 9 | $16.973,00 | 187 / 2 | $15.805,00 | 186 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 19 | $78.892,90 | 243 / 6 | $27.478,60 | 190 / 2 | $26.821,20 | 190 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 12 | $23.923,00 | 717 / 25 | $5.824,92 | 148 / 2 | $4.711,68 | 148 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 17 | $29.337,90 | 319 / 13 | $9.443,44 | 228 / 2 | $8.572,33 | 227 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 14 | $17.702,80 | 408 / 6 | $4.534,00 | 78 / 5 | $2.932,21 | 77 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 5 | $18.077,80 | 435 / 11 | $6.280,06 | 274 / 3 | $5.382,00 | 273 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 12 | $14.819,70 | 906 / 22 | $4.301,42 | 183 / 3 | $3.272,89 | 183 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 11 | $51.844,50 | 364 / 13 | $12.550,70 | 246 / 1 | $11.343,50 | 244 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 6 | $58.881,50 | 237 / 6 | $17.430,70 | 155 / 2 | $16.408,40 | 155 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 264 | 301 / 9 | $49.780,90 | 1276 / 49 | $13.465,10 | 405 / 26 | $10.175,60 | 403 / 7 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 6 | $79.521,90 | 997 / 32 | $19.447,10 | 729 / 28 | $14.459,40 | 721 / 16 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 2 | $50.959,60 | 470 / 8 | $11.550,00 | 18 / 5 | $6.652,80 | 18 / 1 |
| Medical Back Problems W/O Mcc | 45 | 76 / 6 | $17.082,30 | 336 / 9 | $5.347,58 | 113 / 7 | $3.563,36 | 113 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 15 | $22.612,20 | 570 / 15 | $6.108,71 | 204 / 1 | $5.544,00 | 202 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 12 | $17.586,80 | 1276 / 34 | $3.911,03 | 312 / 4 | $3.150,34 | 312 / 9 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 11 | $36.947,30 | 399 / 14 | $15.360,50 | 13 / 22 | $8.129,53 | 13 / 1 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 11 | $19.076,20 | 355 / 6 | $5.688,17 | 90 / 2 | $4.373,44 | 89 / 3 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 7 | $13.680,10 | 62 / 1 | $4.886,93 | 55 / 1 | $4.109,79 | 55 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 12 | $25.471,80 | 255 / 7 | $8.463,65 | 191 / 2 | $7.946,94 | 191 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 25 | $69.896,80 | 680 / 29 | $12.811,60 | 787 / 6 | $11.598,50 | 782 / 19 |
| Pulmonary Edema & Respiratory Failure | 60 | 143 / 6 | $27.194,70 | 864 / 33 | $7.143,78 | 218 / 8 | $5.967,50 | 218 / 6 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 8 | $19.172,50 | 349 / 15 | $5.948,07 | 11 / 6 | $3.719,13 | 11 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 6 | $31.768,90 | 503 / 6 | $9.799,09 | 459 / 6 | $7.345,82 | 457 / 3 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 10 | $18.558,50 | 760 / 17 | $4.826,42 | 52 / 6 | $3.249,37 | 52 / 1 |
| Renal Failure W Cc | 35 | 186 / 21 | $18.347,80 | 808 / 26 | $5.274,86 | 201 / 3 | $4.378,23 | 200 / 5 |
| Renal Failure W Mcc | 24 | 171 / 15 | $33.289,80 | 966 / 24 | $8.739,25 | 515 / 7 | $8.083,25 | 515 / 7 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 11 | $26.266,00 | 530 / 14 | $8.213,47 | 3 / 11 | $5.635,27 | 3 / 1 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 12 | $37.732,30 | 681 / 19 | $10.940,00 | 383 / 4 | $10.223,00 | 382 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 14 | $47.464,10 | 550 / 8 | $12.862,50 | 403 / 2 | $12.155,80 | 399 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 3 | $54.722,30 | 147 / 5 | $16.568,20 | 51 / 2 | $13.012,20 | 51 / 1 |
| Seizures W Mcc | 11 | 55 / 8 | $32.254,50 | 211 / 3 | $8.072,18 | 28 / 1 | $6.997,27 | 28 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 125 | 391 / 20 | $30.995,00 | 828 / 26 | $10.625,20 | 571 / 14 | $9.620,87 | 570 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 13 | $22.487,90 | 1016 / 39 | $6.028,00 | 428 / 7 | $5.125,26 | 426 / 16 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 13 | $14.363,30 | 293 / 2 | $4.093,63 | 64 / 4 | $2.874,42 | 64 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 14 | $16.084,70 | 696 / 13 | $6.504,45 | 64 / 32 | $4.037,14 | 64 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 5 | $30.591,00 | 1073 / 43 | $8.442,93 | 727 / 10 | $7.591,15 | 727 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 13 | $13.990,20 | 615 / 11 | $3.953,00 | 156 / 2 | $2.830,87 | 155 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 16 | $54.174,60 | 150 / 6 | $25.544,40 | 257 / 12 | $20.216,30 | 256 / 4 |
| Syncope & Collapse | 19 | 150 / 16 | $13.224,70 | 275 / 1 | $4.079,63 | 177 / 4 | $3.124,68 | 176 / 4 | Total 64 procedures | 2.022 | 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.