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United Hospital System, procedure costs

6308 Eighth Ave, Kenosha, WI 53143,

Procedure Costs @ United Hospital System
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc181383 / 20$41.550,90851 / 30$13.820,101447 / 31$11.905,801414 / 42
Heart Failure & Shock W Cc106172 / 7$16.806,90776 / 24$6.420,921473 / 34$5.733,751468 / 42
Simple Pneumonia & Pleurisy W Cc89114 / 3$19.913,201125 / 40$6.532,611287 / 35$5.290,371283 / 33
Cellulitis W/O Mcc88101 / 3$18.110,501256 / 43$5.538,031349 / 30$4.576,941343 / 36
Kidney & Urinary Tract Infections W/O Mcc82151 / 5$15.595,101020 / 29$5.094,851376 / 28$4.226,171367 / 31
Heart Failure & Shock W Mcc79205 / 10$24.955,80737 / 28$9.429,871344 / 33$8.780,571341 / 36
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc77439 / 32$36.745,301135 / 42$12.051,301482 / 38$10.989,601452 / 41
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc75200 / 8$19.541,601329 / 45$5.184,271270 / 30$3.942,731259 / 32
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc64102 / 4$14.842,90943 / 21$4.872,421153 / 29$3.774,161150 / 24
G.I. Hemorrhage W Cc64154 / 10$23.807,201105 / 49$6.619,861330 / 34$5.730,891327 / 38
Chronic Obstructive Pulmonary Disease W Cc56123 / 3$20.279,101028 / 28$6.242,041397 / 26$5.376,891392 / 28
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc5595 / 4$13.148,90736 / 17$3.919,40845 / 17$2.702,51841 / 17
Cardiac Arrhythmia & Conduction Disorders W Cc51110 / 7$15.933,00613 / 16$5.235,371040 / 23$4.335,611036 / 26
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc50157 / 13$22.565,401022 / 40$7.039,941066 / 37$5.724,841063 / 32
Renal Failure W Cc48173 / 15$18.546,80830 / 28$6.187,291372 / 27$5.579,621363 / 36
Chronic Obstructive Pulmonary Disease W Mcc48154 / 8$23.139,20988 / 29$7.641,461462 / 28$6.787,461456 / 33
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4773 / 2$14.624,40743 / 13$4.761,081087 / 9$3.816,061078 / 14
Heart Failure & Shock W/O Cc/Mcc4466 / 3$13.256,40633 / 9$4.568,30847 / 17$3.595,34843 / 16
Pulmonary Edema & Respiratory Failure44159 / 12$21.070,50471 / 21$7.851,661022 / 24$6.989,001021 / 28
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs41141 / 9$23.336,00679 / 21$7.411,221154 / 29$6.074,461151 / 30
Simple Pneumonia & Pleurisy W Mcc39166 / 19$25.910,10761 / 29$9.110,951310 / 28$8.333,921310 / 37
Spinal Fusion Except Cervical W/O Mcc38156 / 7$59.200,80208 / 9$27.735,60499 / 17$21.782,20496 / 11
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3765 / 2$17.478,80394 / 5$5.056,22794 / 10$3.983,78790 / 14
Syncope & Collapse37132 / 7$17.635,70638 / 14$4.848,65978 / 12$4.034,81972 / 17
Simple Pneumonia & Pleurisy W/O Cc/Mcc3756 / 4$15.735,70808 / 21$4.713,43995 / 11$3.674,73990 / 15
Cardiac Arrhythmia & Conduction Disorders W Mcc3489 / 10$27.330,00808 / 28$8.336,241179 / 22$7.552,241176 / 26
Diabetes W Cc3359 / 4$20.109,00702 / 12$5.384,42602 / 5$4.394,33601 / 7
Red Blood Cell Disorders W/O Mcc33110 / 4$18.130,40728 / 16$5.303,451062 / 9$4.599,941055 / 15
Hip & Femur Procedures Except Major Joint W Cc31112 / 11$38.417,80560 / 17$12.319,401099 / 28$11.307,801085 / 34
Circulatory Disorders Except Ami, W Card Cath W/O Mcc30158 / 13$23.886,70242 / 6$7.368,50691 / 13$5.723,03689 / 14
Chest Pain30121 / 4$13.480,50352 / 5$4.109,40733 / 6$3.183,53728 / 7
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2927 / 2$39.923,70259 / 5$10.543,90484 / 4$9.498,90482 / 4
Medical Back Problems W/O Mcc2695 / 11$15.715,00261 / 5$5.565,69573 / 9$4.353,38571 / 14
G.I. Obstruction W/O Cc/Mcc2546 / 3$18.164,90734 / 15$4.139,84764 / 5$3.365,44761 / 7
G.I. Obstruction W Cc2369 / 9$27.588,801111 / 33$5.791,04740 / 17$4.746,00738 / 20
Extracranial Procedures W/O Cc/Mcc2375 / 6$32.700,90494 / 10$6.787,52569 / 7$5.995,87568 / 9
Respiratory System Diagnosis W Ventilator Support <96 Hours23108 / 8$46.051,30513 / 7$15.992,30771 / 11$13.202,70763 / 7
Seizures W/O Mcc2385 / 8$17.846,20416 / 7$5.058,96502 / 3$4.061,39499 / 7
Major Small & Large Bowel Procedures W Cc2385 / 10$95.820,501182 / 35$23.511,101452 / 32$22.510,701438 / 35
Coronary Bypass W Cardiac Cath W/O Mcc2353 / 4$117.431,00214 / 7$31.810,60461 / 3$30.815,80461 / 10
Transient Ischemia22103 / 5$16.970,00415 / 6$4.686,91739 / 7$3.642,55735 / 10
Pulmonary Embolism W/O Mcc2054 / 6$18.564,10317 / 14$6.398,05579 / 12$5.310,05576 / 14
Poisoning & Toxic Effects Of Drugs W/O Mcc2041 / 3$12.316,60186 / 2$4.742,10175 / 4$3.080,85174 / 2
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc20106 / 12$24.851,40690 / 19$7.992,201067 / 19$7.269,001064 / 20
Respiratory Infections & Inflammations W Cc2068 / 9$24.233,70440 / 8$8.832,90451 / 14$7.242,05448 / 11
Signs & Symptoms W/O Mcc1873 / 14$15.559,90374 / 4$4.599,28493 / 7$3.664,17492 / 8
Kidney & Urinary Tract Infections W Mcc18126 / 11$21.186,40648 / 18$7.219,72933 / 14$6.281,06930 / 17
G.I. Hemorrhage W/O Cc/Mcc1751 / 2$16.706,50414 / 6$4.673,47558 / 2$3.896,06554 / 3
Other Digestive System Diagnoses W Cc1780 / 12$21.804,80502 / 15$6.307,71668 / 5$5.504,88664 / 9
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc16108 / 18$14.232,10303 / 13$6.029,94151 / 20$3.398,88151 / 4
Other Digestive System Diagnoses W/O Cc/Mcc1627 / 2$19.755,80165 / 3$4.655,81155 / 1$3.599,81155 / 1
Poisoning & Toxic Effects Of Drugs W Mcc1557 / 7$27.300,20283 / 5$8.910,93410 / 4$8.189,87409 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc15181 / 22$66.748,90612 / 27$15.205,40643 / 20$11.075,90639 / 14
Major Small & Large Bowel Procedures W Mcc1570 / 11$156.713,00845 / 26$48.485,301190 / 26$45.261,101187 / 27
Intracranial Hemorrhage Or Cerebral Infarction W Mcc15153 / 18$26.885,30257 / 9$10.998,30774 / 14$10.108,70773 / 19
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 1$33.829,30212 / 4$7.858,60324 / 1$6.815,40323 / 2
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1541 / 2$30.369,30194 / 1$10.226,30482 / 2$9.181,00480 / 2
Major Cardiovasc Procedures W/O Mcc1487 / 12$69.623,10252 / 7$20.811,30470 / 3$20.041,00470 / 6
Acute Myocardial Infarction, Discharged Alive W Mcc14111 / 18$36.710,60691 / 19$10.593,60810 / 11$9.736,50809 / 12
G.I. Hemorrhage W Mcc14107 / 17$33.269,40433 / 11$11.332,00912 / 13$10.897,70907 / 15
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1441 / 6$33.639,1072 / 1$12.569,60250 / 2$10.920,10250 / 4
Bronchitis & Asthma W Cc/Mcc1363 / 9$17.278,90284 / 6$7.248,00202 / 10$4.096,85199 / 1
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1334 / 3$29.969,30109 / 2$9.565,85271 / 2$8.450,77271 / 2
Peripheral Vascular Disorders W Cc1371 / 6$17.606,00296 / 3$6.036,69488 / 1$5.300,69486 / 1
Tendonitis, Myositis & Bursitis W/O Mcc1329 / 5$11.784,4041 / 1$5.512,85179 / 2$4.769,46179 / 3
Disorders Of Pancreas Except Malignancy W Cc1249 / 9$29.846,90624 / 10$7.458,42719 / 8$6.287,33716 / 10
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1158 / 7$61.005,40274 / 6$12.145,10383 / 2$11.266,60381 / 4
Renal Failure W Mcc11184 / 24$32.572,30921 / 22$9.881,551090 / 18$9.110,641090 / 19
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1158 / 7$50.496,10110 / 3$18.182,50167 / 4$14.447,70167 / 3
Total 69 procedures2.433discharges

DATA

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.