Hospital Costs > In Wisconsin > Mayo Clinic Hlth System Franciscan Med Ctr, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 191 | 373 / 18 | $30.676,20 | 247 / 10 | $14.464,10 | 1756 / 39 | $12.706,90 | 1716 / 48 |
| Psychoses | 174 | 139 / 6 | $15.182,10 | 185 / 10 | $7.328,85 | 300 / 11 | $5.987,85 | 300 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 83 | 433 / 28 | $29.780,20 | 768 / 23 | $12.116,20 | 1464 / 39 | $10.960,80 | 1435 / 40 |
| Heart Failure & Shock W Cc | 80 | 198 / 11 | $19.573,50 | 1132 / 44 | $7.029,65 | 1629 / 44 | $5.915,20 | 1624 / 44 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 12 | $17.008,50 | 799 / 23 | $6.765,33 | 1655 / 38 | $5.675,21 | 1648 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 6 | $13.530,80 | 761 / 14 | $5.476,44 | 1569 / 39 | $4.147,19 | 1564 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 15 | $20.143,60 | 797 / 27 | $7.427,44 | 1551 / 41 | $6.347,42 | 1544 / 42 |
| Cellulitis W/O Mcc | 47 | 142 / 14 | $14.829,40 | 838 / 25 | $6.002,49 | 1633 / 39 | $4.880,04 | 1626 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 15 | $19.498,20 | 1325 / 44 | $5.747,67 | 1679 / 46 | $4.316,29 | 1666 / 43 |
| Renal Failure W Cc | 45 | 176 / 16 | $19.798,10 | 964 / 35 | $7.408,93 | 1793 / 47 | $6.390,96 | 1783 / 48 |
| Heart Failure & Shock W Mcc | 44 | 240 / 23 | $25.430,60 | 777 / 32 | $10.182,60 | 1471 / 40 | $8.984,75 | 1467 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 17 | $13.532,10 | 718 / 13 | $5.591,71 | 1703 / 39 | $4.555,60 | 1692 / 39 |
| G.I. Hemorrhage W Cc | 41 | 177 / 18 | $19.362,50 | 695 / 25 | $6.951,80 | 1547 / 41 | $6.050,02 | 1543 / 45 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 40 | 84 / 5 | $14.103,70 | 297 / 12 | $5.328,92 | 373 / 16 | $4.008,40 | 373 / 11 |
| Signs & Symptoms W/O Mcc | 33 | 58 / 5 | $16.736,10 | 455 / 7 | $5.811,30 | 747 / 19 | $4.144,24 | 744 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 8 | $16.126,60 | 616 / 17 | $6.613,16 | 1660 / 29 | $5.786,94 | 1653 / 36 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 21 | $28.707,60 | 954 / 38 | $8.554,90 | 1379 / 33 | $7.549,10 | 1375 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 16 | $20.113,40 | 723 / 17 | $8.576,73 | 1545 / 37 | $6.905,20 | 1538 / 34 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 9 | $31.709,90 | 446 / 12 | $13.693,40 | 1247 / 21 | $12.708,50 | 1232 / 23 |
| Renal Failure W Mcc | 28 | 167 / 12 | $30.401,80 | 785 / 21 | $10.915,00 | 1414 / 27 | $9.985,86 | 1414 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 15 | $39.050,70 | 585 / 19 | $13.342,70 | 1302 / 36 | $11.976,60 | 1285 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 12 | $22.527,20 | 493 / 16 | $8.557,85 | 936 / 25 | $7.036,50 | 933 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 25 | $29.860,30 | 1027 / 40 | $10.225,10 | 1670 / 43 | $9.080,50 | 1670 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 5 | $20.269,10 | 592 / 11 | $5.549,28 | 960 / 14 | $4.257,92 | 956 / 19 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 2 | $17.318,70 | 415 / 9 | $4.900,26 | 529 / 6 | $3.963,43 | 528 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 16 | $24.588,00 | 266 / 7 | $7.612,73 | 1021 / 17 | $6.383,50 | 1018 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 19 | $27.827,70 | 988 / 34 | $7.974,41 | 1463 / 37 | $6.758,50 | 1460 / 39 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 9 | $43.129,10 | 419 / 6 | $15.467,20 | 1051 / 10 | $14.360,00 | 1041 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 20 | $40.097,90 | 67 / 3 | $13.548,10 | 968 / 9 | $12.347,20 | 961 / 24 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 9 | $20.373,30 | 276 / 5 | $10.325,80 | 801 / 21 | $7.994,10 | 796 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 15 | $73.563,80 | 427 / 19 | $25.440,40 | 803 / 11 | $24.151,50 | 799 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 22 | $15.090,40 | 534 / 10 | $5.795,63 | 1333 / 30 | $4.708,89 | 1328 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 14 | $16.099,50 | 967 / 20 | $5.011,58 | 1367 / 23 | $4.180,32 | 1356 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 17 | $26.283,70 | 241 / 6 | $11.781,60 | 870 / 18 | $10.502,80 | 868 / 20 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 11 | $17.552,70 | 681 / 8 | $5.792,56 | 1270 / 16 | $4.933,67 | 1262 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 14 | $22.754,20 | 576 / 17 | $7.818,50 | 943 / 16 | $6.884,28 | 940 / 17 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 2 | $12.307,10 | 232 / 5 | $4.645,28 | 565 / 2 | $3.781,39 | 564 / 4 |
| Chest Pain | 17 | 134 / 10 | $14.337,00 | 438 / 7 | $4.509,59 | 976 / 8 | $3.509,18 | 970 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $59.912,00 | 68 / 3 | $27.694,40 | 204 / 3 | $26.420,40 | 203 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 20 | $13.396,90 | 777 / 19 | $4.208,88 | 1342 / 19 | $3.222,06 | 1337 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 13 | $13.454,20 | 544 / 10 | $5.077,53 | 1159 / 17 | $3.846,80 | 1153 / 17 |
| Depressive Neuroses | 15 | 35 / 5 | $10.346,30 | 55 / 6 | $4.938,80 | 67 / 6 | $3.808,00 | 67 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 14 | $22.452,90 | 172 / 6 | $9.909,47 | 262 / 11 | $8.241,73 | 262 / 6 |
| Transient Ischemia | 15 | 110 / 11 | $17.485,30 | 451 / 8 | $5.130,07 | 966 / 13 | $3.988,93 | 961 / 14 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 13 | $17.852,90 | 278 / 3 | $6.875,00 | 825 / 9 | $5.855,21 | 821 / 13 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 9 | $21.013,60 | 441 / 18 | $7.029,00 | 836 / 17 | $5.916,86 | 833 / 19 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 16 | $52.922,90 | 485 / 12 | $16.303,30 | 875 / 7 | $15.094,40 | 867 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 3 | $30.619,80 | 167 / 2 | $8.484,23 | 380 / 2 | $7.131,15 | 379 / 3 |
| Syncope & Collapse | 13 | 156 / 21 | $16.608,80 | 540 / 11 | $5.313,85 | 1024 / 19 | $4.088,92 | 1017 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $51.737,90 | 785 / 13 | $13.481,20 | 808 / 13 | $9.768,42 | 808 / 13 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $38.015,60 | 430 / 15 | $12.191,00 | 686 / 10 | $11.534,80 | 684 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 16 | $18.554,40 | 473 / 15 | $7.775,58 | 1093 / 21 | $6.559,08 | 1089 / 20 |
| G.I. Obstruction W Cc | 12 | 80 / 17 | $19.862,60 | 642 / 22 | $6.090,67 | 1003 / 20 | $5.124,58 | 1000 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 7 | $18.507,20 | 227 / 4 | $8.111,33 | 659 / 6 | $7.202,00 | 657 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 10 | $46.145,30 | 91 / 2 | $22.193,20 | 383 / 8 | $18.232,70 | 381 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 10 | $35.323,00 | 99 / 4 | $14.691,80 | 568 / 11 | $13.409,80 | 565 / 17 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 4 | $24.767,80 | 270 / 6 | $7.327,64 | 267 / 3 | $6.066,18 | 267 / 3 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 3 | $13.759,50 | 18 / 1 | $6.814,36 | 83 / 3 | $5.891,73 | 83 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 21 | $27.815,20 | 361 / 8 | $11.163,90 | 915 / 15 | $10.043,70 | 914 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 10 | $59.348,50 | 298 / 6 | $20.537,40 | 560 / 6 | $18.955,40 | 557 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 9 | $42.767,70 | 316 / 7 | $12.047,20 | 650 / 8 | $10.620,20 | 648 / 7 |
| Transurethral Procedures W Cc | 11 | 30 / 4 | $24.361,00 | 58 / 1 | $8.713,00 | 223 / 1 | $7.523,82 | 223 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 14 | $20.874,80 | 239 / 3 | $8.271,55 | 744 / 8 | $7.241,09 | 739 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $11.085,80 | 118 / 2 | $5.109,27 | 481 / 7 | $3.886,45 | 481 / 9 | Total 64 procedures | 1.882 | 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.