Hospital Costs > In Wisconsin > Meriter Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 10 | $31.789,20 | 805 / 18 | $8.607,81 | 808 / 16 | $6.145,88 | 806 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 49 | 76 / 5 | $40.636,60 | 829 / 26 | $12.907,80 | 1361 / 24 | $11.830,80 | 1350 / 26 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 5 | $42.290,70 | 749 / 7 | $6.318,69 | 666 / 6 | $5.009,62 | 662 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 20 | $14.242,80 | 304 / 14 | $6.950,54 | 460 / 22 | $4.291,54 | 459 / 14 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 6 | $46.519,30 | 233 / 6 | $14.354,00 | 321 / 5 | $11.471,20 | 319 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 3 | $21.872,20 | 455 / 9 | $6.980,00 | 833 / 9 | $6.100,57 | 829 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 9 | $19.481,20 | 1010 / 35 | $6.438,02 | 1624 / 40 | $5.262,21 | 1619 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 7 | $30.810,50 | 1001 / 32 | $9.643,74 | 1450 / 34 | $8.495,49 | 1447 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 8 | $17.354,20 | 1227 / 30 | $4.791,49 | 1586 / 27 | $3.700,19 | 1580 / 29 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 16 | 102 / 13 | $157.143,00 | 305 / 17 | $37.301,90 | 379 / 14 | $36.192,10 | 379 / 16 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 5 | $221.738,00 | 262 / 11 | $61.356,80 | 366 / 10 | $60.107,80 | 366 / 11 |
| Cellulitis W Mcc | 18 | 40 / 3 | $29.705,70 | 376 / 5 | $11.022,80 | 685 / 9 | $9.878,56 | 683 / 10 |
| Cellulitis W/O Mcc | 87 | 102 / 4 | $22.928,90 | 1726 / 54 | $7.289,34 | 1942 / 54 | $5.439,17 | 1934 / 50 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 12 | $20.435,20 | 1044 / 30 | $7.440,61 | 1939 / 38 | $6.495,71 | 1932 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 19 | $26.573,10 | 1246 / 37 | $8.960,12 | 1969 / 47 | $7.882,24 | 1961 / 49 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $13.295,90 | 585 / 5 | $5.893,18 | 1720 / 19 | $5.009,82 | 1709 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 9 | $53.266,40 | 371 / 9 | $15.979,50 | 535 / 10 | $13.161,80 | 529 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 65 | 123 / 5 | $38.334,50 | 892 / 28 | $9.047,77 | 1161 / 27 | $6.883,08 | 1158 / 26 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 5 | $231.685,00 | 293 / 6 | $55.750,30 | 353 / 5 | $54.003,10 | 353 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 9 | $159.617,00 | 390 / 15 | $36.417,50 | 441 / 11 | $30.150,50 | 441 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 10 | $18.427,70 | 174 / 3 | $6.955,64 | 495 / 5 | $6.067,64 | 495 / 7 |
| Diabetes W Cc | 15 | 77 / 10 | $26.006,00 | 1038 / 19 | $7.345,20 | 982 / 18 | $5.091,47 | 978 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 7 | $30.785,70 | 667 / 17 | $9.453,33 | 1051 / 14 | $8.378,83 | 1046 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 7 | $18.509,30 | 1210 / 39 | $6.565,35 | 2016 / 53 | $4.833,79 | 2002 / 53 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 9 | $28.251,50 | 386 / 7 | $8.143,12 | 763 / 14 | $7.082,71 | 760 / 16 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $18.752,50 | 466 / 15 | $5.767,50 | 740 / 14 | $4.823,67 | 739 / 15 |
| G.I. Hemorrhage W Cc | 56 | 162 / 14 | $21.895,70 | 934 / 43 | $7.963,48 | 1837 / 52 | $6.729,84 | 1833 / 53 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 7 | $35.818,70 | 544 / 14 | $12.922,10 | 1178 / 18 | $12.065,60 | 1170 / 20 |
| G.I. Obstruction W Cc | 17 | 75 / 12 | $25.191,00 | 999 / 30 | $7.136,47 | 1292 / 30 | $5.837,24 | 1287 / 31 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 10 | $16.850,80 | 650 / 12 | $5.174,83 | 993 / 14 | $3.945,25 | 990 / 14 |
| Heart Failure & Shock W Cc | 68 | 210 / 13 | $32.183,20 | 2066 / 62 | $8.308,85 | 2108 / 57 | $6.757,32 | 2102 / 57 |
| Heart Failure & Shock W Mcc | 126 | 158 / 3 | $40.694,10 | 1689 / 54 | $11.526,90 | 1885 / 52 | $9.985,72 | 1880 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 12 | $19.003,90 | 1219 / 26 | $5.590,76 | 1519 / 27 | $4.487,33 | 1507 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 13 | $54.779,10 | 1200 / 45 | $14.407,80 | 1574 / 44 | $13.177,00 | 1555 / 47 |
| Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 4 | $57.297,30 | 271 / 4 | $21.100,20 | 646 / 7 | $19.842,10 | 643 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 8 | $131.409,00 | 853 / 21 | $40.788,60 | 1060 / 19 | $36.280,10 | 1053 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 10 | $27.693,40 | 972 / 33 | $8.395,28 | 1624 / 38 | $7.280,85 | 1620 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 8 | $43.817,90 | 806 / 24 | $13.564,30 | 1141 / 24 | $11.760,50 | 1135 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 7 | $20.313,00 | 595 / 12 | $6.187,50 | 1271 / 24 | $5.103,64 | 1267 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 6 | $33.096,70 | 1294 / 31 | $9.600,76 | 1675 / 29 | $8.504,45 | 1671 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 13 | $16.334,00 | 1126 / 33 | $6.273,35 | 2125 / 48 | $5.253,94 | 2114 / 49 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 6 | $190.425,00 | 490 / 8 | $42.336,50 | 512 / 7 | $41.045,50 | 511 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 12 | $69.938,10 | 255 / 8 | $24.130,00 | 711 / 9 | $22.877,60 | 710 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 6 | $25.465,50 | 496 / 13 | $8.636,40 | 764 / 11 | $7.571,40 | 762 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 5 | $36.896,90 | 244 / 5 | $13.979,30 | 475 / 8 | $13.146,50 | 474 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 9 | $46.083,40 | 266 / 9 | $18.111,70 | 602 / 17 | $13.852,30 | 598 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 34 | 31 / 1 | $71.999,80 | 398 / 12 | $23.082,30 | 668 / 10 | $21.629,10 | 665 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 269 | 297 / 8 | $42.594,40 | 903 / 35 | $16.234,00 | 2061 / 58 | $13.846,50 | 2019 / 58 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 13 | $53.170,10 | 489 / 13 | $18.809,60 | 1026 / 24 | $16.021,70 | 1015 / 23 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 9 | $134.130,00 | 698 / 24 | $36.804,90 | 894 / 18 | $35.364,90 | 892 / 17 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 8 | $42.772,50 | 345 / 4 | $12.327,20 | 607 / 7 | $11.362,00 | 607 / 8 |
| Medical Back Problems W Mcc | 12 | 27 / 4 | $42.615,30 | 164 / 4 | $12.032,20 | 231 / 4 | $11.121,70 | 231 / 5 |
| Medical Back Problems W/O Mcc | 34 | 87 / 8 | $20.348,80 | 561 / 19 | $6.620,26 | 1091 / 25 | $5.532,82 | 1087 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 8 | $28.110,70 | 861 / 25 | $9.112,00 | 1325 / 24 | $8.263,81 | 1322 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $17.267,30 | 1237 / 31 | $5.825,79 | 1981 / 43 | $4.839,21 | 1973 / 43 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 3 | $27.390,30 | 265 / 4 | $7.320,00 | 313 / 3 | $6.278,17 | 313 / 3 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 10 | $61.224,60 | 946 / 25 | $15.046,10 | 1058 / 21 | $13.983,40 | 1051 / 22 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 12 | $22.646,10 | 542 / 16 | $7.675,00 | 1068 / 18 | $6.732,47 | 1064 / 20 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 7 | $18.211,40 | 146 / 2 | $7.118,86 | 449 / 6 | $6.300,43 | 449 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 12 | $36.966,80 | 568 / 17 | $11.598,80 | 758 / 15 | $10.569,70 | 756 / 17 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 5 | $102.780,00 | 360 / 4 | $26.344,40 | 415 / 1 | $25.260,70 | 414 / 4 |
| Other Vascular Procedures W Cc | 24 | 78 / 8 | $72.478,80 | 547 / 14 | $19.294,50 | 864 / 11 | $18.180,00 | 859 / 13 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 4 | $20.356,50 | 54 / 1 | $8.473,13 | 176 / 2 | $7.440,47 | 176 / 4 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 11 | 14 / 2 | $37.414,60 | 11 / 1 | $14.715,60 | 12 / 2 | $11.372,50 | 12 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 40 | 60 / 3 | $118.857,00 | 656 / 19 | $30.340,40 | 573 / 19 | $20.519,80 | 569 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 87 | 109 / 3 | $86.437,60 | 990 / 32 | $16.557,40 | 1149 / 28 | $13.491,30 | 1142 / 31 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 5 | $74.003,70 | 376 / 10 | $13.574,90 | 446 / 6 | $12.389,70 | 444 / 9 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 12 | 42 / 5 | $89.936,00 | 110 / 3 | $22.545,50 | 107 / 3 | $19.243,20 | 107 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 24 | 71 / 3 | $71.110,90 | 275 / 6 | $14.928,40 | 400 / 5 | $13.072,60 | 396 / 6 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 8 | $27.348,90 | 720 / 8 | $9.323,91 | 736 / 9 | $5.970,82 | 733 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 6 | $82.329,30 | 642 / 14 | $20.866,00 | 808 / 13 | $19.670,70 | 804 / 14 |
| Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 2 | $94.379,70 | 292 / 9 | $27.160,40 | 449 / 8 | $26.024,80 | 449 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 3 | $57.962,20 | 377 / 9 | $15.879,50 | 569 / 7 | $14.839,20 | 568 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 3 | $26.413,80 | 260 / 4 | $10.302,10 | 630 / 9 | $9.309,76 | 628 / 11 |
| Pulmonary Edema & Respiratory Failure | 66 | 137 / 5 | $31.571,50 | 1125 / 44 | $9.710,48 | 1748 / 42 | $8.686,32 | 1743 / 46 |
| Pulmonary Embolism W Mcc | 14 | 29 / 5 | $40.371,80 | 327 / 10 | $11.508,70 | 458 / 9 | $10.393,10 | 457 / 10 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 8 | $20.926,30 | 434 / 17 | $7.618,73 | 1022 / 24 | $6.621,93 | 1019 / 25 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 6 | $29.449,50 | 443 / 5 | $9.666,27 | 711 / 4 | $8.392,64 | 707 / 6 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 9 | $21.909,40 | 1062 / 20 | $7.394,13 | 1441 / 23 | $5.315,13 | 1432 / 22 |
| Renal Failure W Cc | 61 | 160 / 10 | $20.452,70 | 1021 / 37 | $7.838,28 | 1810 / 49 | $6.436,23 | 1800 / 49 |
| Renal Failure W Mcc | 51 | 144 / 4 | $34.219,90 | 1014 / 26 | $13.116,10 | 1467 / 38 | $10.179,40 | 1466 / 29 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 9 | $26.964,70 | 563 / 17 | $10.343,10 | 1137 / 22 | $9.315,95 | 1132 / 24 |
| Respiratory Infections & Inflammations W Mcc | 64 | 72 / 3 | $56.560,70 | 1207 / 32 | $16.235,40 | 1397 / 30 | $13.547,70 | 1382 / 28 |
| Respiratory Neoplasms W Mcc | 14 | 38 / 3 | $36.721,80 | 204 / 2 | $15.033,30 | 404 / 4 | $11.269,10 | 402 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 13 | $99.424,30 | 1511 / 24 | $18.770,10 | 1515 / 20 | $17.760,80 | 1501 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 7 | $186.465,00 | 698 / 8 | $40.535,20 | 774 / 6 | $39.348,50 | 773 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 238 | 278 / 6 | $51.810,90 | 1849 / 57 | $14.392,50 | 2158 / 52 | $13.033,90 | 2120 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 56 | 151 / 12 | $30.072,30 | 1620 / 59 | $8.421,05 | 2012 / 56 | $7.357,16 | 2004 / 57 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $22.143,10 | 775 / 21 | $5.610,62 | 952 / 17 | $4.735,81 | 949 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 19 | $24.357,10 | 1570 / 52 | $7.639,30 | 2192 / 50 | $6.604,34 | 2184 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 102 | 103 / 2 | $33.418,70 | 1247 / 50 | $11.101,30 | 1861 / 53 | $9.583,37 | 1861 / 52 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 15 | $74.830,10 | 449 / 20 | $29.911,40 | 962 / 21 | $25.909,90 | 957 / 27 |
| Syncope & Collapse | 33 | 136 / 8 | $19.716,20 | 830 / 21 | $6.230,52 | 1232 / 26 | $4.452,24 | 1225 / 22 |
| Transient Ischemia | 18 | 107 / 8 | $19.418,60 | 616 / 10 | $5.759,89 | 1227 / 17 | $4.597,28 | 1221 / 20 | Total 94 procedures | 3.111 | 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.