Hospital Costs > In Wisconsin > St Nicholas Hospital, 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 | 14 | 175 / 32 | $12.816,50 | 561 / 10 | $4.793,36 | 292 / 7 | $3.682,50 | 289 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 31 | $15.284,80 | 792 / 17 | $4.311,50 | 248 / 6 | $3.177,50 | 248 / 8 |
| G.I. Hemorrhage W Cc | 22 | 196 / 30 | $23.992,00 | 1122 / 52 | $5.795,91 | 570 / 8 | $4.971,18 | 569 / 20 |
| Heart Failure & Shock W Cc | 15 | 263 / 37 | $13.325,20 | 400 / 8 | $5.466,07 | 227 / 6 | $4.580,73 | 227 / 9 |
| Heart Failure & Shock W Mcc | 18 | 266 / 38 | $20.620,30 | 457 / 14 | $8.476,11 | 488 / 11 | $7.672,56 | 488 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $35.320,30 | 422 / 13 | $10.912,90 | 366 / 4 | $9.863,27 | 365 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 26 | $23.496,90 | 688 / 23 | $7.778,08 | 38 / 33 | $4.347,42 | 38 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 46 | $42.627,50 | 905 / 36 | $12.331,90 | 771 / 2 | $10.724,70 | 760 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $11.122,60 | 439 / 8 | $4.163,45 | 453 / 9 | $3.279,09 | 453 / 10 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 19 | $19.061,40 | 349 / 14 | $7.144,64 | 294 / 9 | $6.077,97 | 294 / 15 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 19 | $37.701,70 | 679 / 18 | $10.707,60 | 336 / 3 | $10.101,60 | 336 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 38 | $24.868,30 | 522 / 12 | $10.068,40 | 232 / 5 | $9.018,63 | 232 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 37 | $25.763,60 | 1310 / 50 | $6.056,31 | 244 / 9 | $4.924,31 | 243 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 36 | $14.933,60 | 551 / 11 | $5.680,92 | 397 / 7 | $4.560,92 | 394 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 29 | $24.106,90 | 644 / 19 | $7.973,95 | 283 / 5 | $6.992,62 | 283 / 10 | Total 15 procedures | 351 | 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.