Hospital Costs > In Wisconsin > St Mary's Hospital Medical Ctr, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 31 | $12.991,50 | 588 / 11 | $5.086,47 | 791 / 16 | $4.120,07 | 786 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 17 | $26.611,10 | 360 / 12 | $7.269,35 | 345 / 12 | $5.217,05 | 344 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 22 | $16.603,50 | 949 / 25 | $4.642,45 | 619 / 15 | $3.501,10 | 615 / 18 |
| G.I. Hemorrhage W Cc | 31 | 187 / 23 | $19.251,70 | 683 / 24 | $6.266,45 | 415 / 22 | $4.826,13 | 414 / 14 |
| G.I. Obstruction W Cc | 11 | 81 / 18 | $15.620,40 | 334 / 7 | $5.382,91 | 624 / 8 | $4.612,00 | 623 / 14 |
| Heart Failure & Shock W Cc | 23 | 255 / 32 | $20.645,50 | 1253 / 47 | $5.938,78 | 738 / 19 | $5.094,26 | 737 / 24 |
| Heart Failure & Shock W Mcc | 25 | 259 / 33 | $28.615,20 | 1004 / 44 | $8.810,32 | 435 / 18 | $7.595,92 | 435 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 24 | $43.119,10 | 767 / 30 | $11.114,60 | 166 / 9 | $9.398,50 | 165 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 14 | $101.741,00 | 510 / 15 | $30.176,40 | 462 / 5 | $29.165,80 | 458 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 26 | $22.252,00 | 620 / 18 | $6.309,92 | 478 / 12 | $5.203,25 | 477 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 99 | 465 / 36 | $39.888,70 | 747 / 27 | $13.117,70 | 852 / 19 | $10.831,90 | 838 / 23 |
| Medical Back Problems W/O Mcc | 11 | 110 / 22 | $15.198,10 | 236 / 4 | $5.175,91 | 380 / 5 | $4.082,09 | 380 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $11.941,00 | 541 / 12 | $4.355,36 | 911 / 10 | $3.584,45 | 908 / 20 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 12 | $15.828,40 | 181 / 1 | $5.823,41 | 405 / 3 | $5.047,88 | 402 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 15 | $25.736,80 | 263 / 8 | $8.978,69 | 290 / 5 | $8.336,23 | 290 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 16 | $62.214,10 | 500 / 21 | $18.739,00 | 41 / 31 | $8.999,67 | 41 / 1 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 14 | $17.106,50 | 236 / 10 | $7.268,51 | 255 / 12 | $6.028,71 | 255 / 8 |
| Renal Failure W Cc | 20 | 201 / 28 | $17.170,80 | 687 / 20 | $5.654,45 | 555 / 11 | $4.808,05 | 551 / 18 |
| Renal Failure W Mcc | 19 | 176 / 17 | $25.902,80 | 511 / 14 | $9.364,32 | 741 / 12 | $8.440,53 | 741 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 67 | 449 / 37 | $32.143,30 | 893 / 28 | $11.210,70 | 973 / 23 | $10.148,40 | 965 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 23 | $19.724,40 | 756 / 24 | $6.245,23 | 691 / 16 | $5.381,23 | 689 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 37 | $29.943,80 | 1031 / 41 | $8.261,75 | 531 / 8 | $7.357,75 | 531 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 14 | $70.455,00 | 381 / 18 | $22.705,70 | 470 / 2 | $21.619,30 | 467 / 9 | Total 23 procedures | 593 | 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.