Hospital Costs > In Wisconsin > St Clare Hospital Baraboo, 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 | 30 | 131 / 15 | $17.269,60 | 784 / 26 | $6.361,27 | 1643 / 37 | $5.290,43 | 1638 / 39 |
| Cellulitis W/O Mcc | 19 | 170 / 28 | $15.414,70 | 909 / 31 | $6.697,47 | 1995 / 52 | $5.549,47 | 1987 / 52 |
| Chest Pain | 11 | 140 / 15 | $15.134,10 | 506 / 9 | $5.060,27 | 1177 / 16 | $3.918,55 | 1170 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 13 | $24.455,90 | 1413 / 41 | $7.491,11 | 1919 / 41 | $6.437,11 | 1912 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 24 | $24.792,40 | 1112 / 32 | $8.820,65 | 1918 / 44 | $7.731,35 | 1910 / 47 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 9 | $17.640,30 | 1074 / 23 | $5.835,16 | 1715 / 18 | $5.001,32 | 1704 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 25 | $16.573,30 | 947 / 24 | $6.242,72 | 2095 / 51 | $4.983,88 | 2081 / 54 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $15.797,30 | 320 / 7 | $5.762,09 | 688 / 13 | $4.572,18 | 687 / 14 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $23.740,90 | 1100 / 48 | $7.978,06 | 1942 / 53 | $7.070,31 | 1938 / 55 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 11 | $14.575,00 | 500 / 8 | $5.016,45 | 1036 / 13 | $4.074,27 | 1033 / 17 |
| Heart Failure & Shock W Cc | 35 | 243 / 26 | $21.014,90 | 1292 / 49 | $7.675,43 | 2155 / 55 | $6.864,89 | 2149 / 58 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 25 | $16.434,60 | 1134 / 34 | $6.228,10 | 2087 / 47 | $5.165,21 | 2076 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 53 | $35.197,70 | 474 / 16 | $16.491,30 | 2284 / 59 | $15.252,80 | 2240 / 64 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 4 | $40.951,50 | 61 / 3 | $19.519,60 | 387 / 12 | $18.270,10 | 387 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 17 | $17.321,60 | 1247 / 32 | $5.777,83 | 2009 / 42 | $4.905,79 | 2001 / 44 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 7 | $16.290,70 | 355 / 7 | $5.317,58 | 630 / 9 | $4.350,00 | 629 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 42 | $32.302,20 | 904 / 30 | $13.783,50 | 1997 / 47 | $12.368,70 | 1960 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 32 | $21.793,70 | 949 / 30 | $7.964,70 | 1873 / 51 | $6.986,30 | 1865 / 56 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 17 | $17.511,40 | 512 / 9 | $5.651,77 | 1065 / 18 | $5.209,46 | 1062 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 11 | $21.889,20 | 1339 / 45 | $7.769,00 | 2188 / 52 | $6.592,80 | 2180 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 33 | $25.410,60 | 732 / 25 | $11.023,80 | 2022 / 51 | $10.216,90 | 2021 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 14 | $13.417,00 | 542 / 9 | $5.695,21 | 1582 / 22 | $4.691,21 | 1574 / 24 |
| Syncope & Collapse | 15 | 154 / 19 | $18.965,10 | 759 / 18 | $5.993,67 | 1410 / 24 | $4.883,53 | 1403 / 26 | Total 23 procedures | 545 | 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.