Hospital Costs > In Wisconsin > Orthopaedic Hospital Of Wisconsin, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 30 | 66 / 3 | $37.508,80 | 138 / 6 | $12.560,80 | 253 / 2 | $11.352,20 | 250 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 253 | 312 / 11 | $45.228,40 | 1043 / 39 | $14.435,10 | 280 / 38 | $9.917,82 | 280 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $37.663,60 | 39 / 2 | $14.916,00 | 159 / 2 | $13.711,60 | 159 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 6 | $56.871,30 | 168 / 6 | $15.550,90 | 177 / 1 | $14.540,20 | 177 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 8 | $60.849,30 | 227 / 11 | $23.194,30 | 327 / 6 | $20.736,20 | 326 / 5 | Total 5 procedures | 341 | 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.