Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Wisconsin

Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Wisconsin

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Wisconsin


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Mary's Janesville HospitalJanesville41$26,991.60$3,712.44$2,622.07
Columbia St Marys Hospital OzaukeeMequon16$15,005.40$4,443.62$2,794.06
Community Memorial HospitalMenomonee Falls15$13,990.20$3,953.00$2,830.87
Waukesha Memorial HospitalWaukesha18$12,992.80$4,130.00$2,882.94
Oconomowoc Memorial HospitalOconomowoc12$15,283.10$3,959.00$2,953.67
Aurora Medical Ctr OshkoshOshkosh13$12,512.90$4,294.31$3,088.15
Beaver Dam Community HospitalBeaver Dam12$19,388.10$4,385.25$3,273.25
Mile Bluff Medical CenterMauston11$22,009.40$6,352.18$3,374.73
The Monroe ClinicMonroe14$17,038.30$4,443.00$3,387.93
Mayo Clinic Health System Eau Claire HospitalEau Claire22$14,459.80$5,241.50$3,394.77
Aurora West Allis Medical CenterWest Allis27$20,156.70$4,942.63$3,508.89
Aurora Medical Ctr KenoshaKenosha36$14,729.60$4,742.06$3,537.44
Mercy Health System CorpJanesville17$14,469.80$4,672.53$3,552.65
Aurora Lakeland Medical CenterElkhorn21$14,372.80$4,422.38$3,558.38
United Hospital SystemKenosha37$15,735.70$4,713.43$3,674.73
Aurora Sheboygan Memorial Medical CtrSheboygan13$15,239.50$4,779.00$3,755.00
Mayo Clinic Hlth System Franciscan Med CtrLa Crosse15$13,454.20$5,077.53$3,846.80
Wheaton Franciscan Healthcare All SaintsRacine25$12,158.20$5,127.48$4,003.52
St Vincent Hospital Green BayGreen Bay11$10,834.40$4,996.18$4,123.45
Ministry Saint Josephs HospitalMarshfield16$12,708.00$5,067.31$4,174.69
St Mary's Hospital MadisonMadison56$16,435.80$5,377.75$4,211.82
Aurora St Lukes Medical CenterMilwaukee49$23,759.70$5,888.00$4,221.82
Sacred Heart Hospital Eau ClaireEau Claire16$14,160.80$5,339.19$4,319.94
St Clare Hospital BarabooBaraboo14$13,417.00$5,695.21$4,691.21
Froedtert Memorial Lutheran HospitalMilwaukee16$13,213.20$6,729.75$4,785.12
Columbia St Marys Hospital MilwaukeeMilwaukee17$15,729.40$6,317.82$4,924.41
Wheaton Franciscan St JosephMilwaukee16$11,474.60$6,869.69$5,104.88
University Of Wisconsin Hospitals & Clinics AuthorityMadison18$13,408.90$7,824.67$5,335.17
Total 28 hospitals594

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.





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