Hospital Costs > In Wisconsin > Sauk Prairie Hospital, 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 | 11 | 150 / 29 | $15.066,30 | 529 / 9 | $5.339,91 | 1253 / 24 | $4.574,82 | 1248 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 33 | $15.030,30 | 762 / 15 | $5.197,50 | 772 / 32 | $3.609,79 | 767 / 21 |
| Heart Failure & Shock W Cc | 11 | 267 / 39 | $15.715,40 | 653 / 17 | $6.107,82 | 81 / 24 | $4.304,27 | 81 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 8 | $35.291,60 | 97 / 3 | $15.913,30 | 564 / 12 | $13.370,40 | 561 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 330 | 243 / 6 | $27.454,40 | 140 / 5 | $15.155,10 | 1826 / 50 | $12.967,10 | 1785 / 51 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 27 | $17.295,70 | 243 / 11 | $8.256,30 | 1265 / 28 | $7.344,30 | 1263 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 51 | $20.411,40 | 281 / 6 | $11.074,40 | 1117 / 20 | $10.346,10 | 1101 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 34 | $16.255,40 | 461 / 11 | $6.685,52 | 353 / 29 | $5.043,38 | 352 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 38 | $16.677,50 | 756 / 19 | $6.308,91 | 1195 / 25 | $5.223,82 | 1191 / 28 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 19 | $40.185,00 | 44 / 3 | $27.105,30 | 961 / 15 | $25.902,80 | 956 / 26 | Total 10 procedures | 469 | 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.