Hospital Costs > In Wisconsin > Appleton Medical Center, procedure costs
| 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 Mcc | 182 | 382 / 19 | $27.018,70 | 126 / 3 | $12.818,10 | 675 / 9 | $10.589,40 | 666 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 129 | 387 / 19 | $16.801,60 | 128 / 2 | $10.456,10 | 274 / 8 | $9.103,05 | 274 / 9 |
| Heart Failure & Shock W Mcc | 57 | 227 / 19 | $12.580,50 | 63 / 1 | $8.200,07 | 184 / 6 | $7.208,74 | 184 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 14 | $9.045,80 | 38 / 1 | $6.087,06 | 286 / 10 | $4.971,86 | 285 / 13 |
| Heart Failure & Shock W Cc | 45 | 233 / 20 | $9.275,67 | 87 / 2 | $5.439,47 | 172 / 5 | $4.486,38 | 172 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 11 | $28.451,10 | 27 / 1 | $11.953,00 | 384 / 1 | $10.359,80 | 384 / 7 |
| Renal Failure W Cc | 38 | 183 / 20 | $9.159,50 | 54 / 2 | $5.946,18 | 208 / 22 | $4.396,39 | 207 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 20 | $17.085,20 | 222 / 6 | $8.343,76 | 336 / 9 | $7.091,58 | 336 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 14 | $6.964,15 | 17 / 2 | $4.527,61 | 292 / 6 | $3.596,58 | 292 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 26 | $8.621,83 | 48 / 1 | $5.578,28 | 399 / 5 | $4.561,59 | 396 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 23 | $9.857,28 | 197 / 2 | $4.256,97 | 381 / 4 | $3.312,00 | 379 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 14 | $21.008,60 | 43 / 1 | $10.964,50 | 364 / 5 | $9.857,67 | 363 / 9 |
| Renal Failure W Mcc | 27 | 168 / 13 | $16.335,20 | 103 / 1 | $9.103,63 | 804 / 9 | $8.552,96 | 804 / 13 |
| G.I. Obstruction W Cc | 25 | 67 / 7 | $8.101,24 | 21 / 1 | $5.142,08 | 207 / 3 | $4.062,40 | 206 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 14 | $4.443,72 | 9 / 2 | $3.206,36 | 294 / 3 | $2.254,52 | 292 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 8 | $50.314,50 | 55 / 2 | $20.162,00 | 362 / 2 | $19.054,00 | 362 / 5 |
| G.I. Hemorrhage W Cc | 22 | 196 / 30 | $9.430,18 | 37 / 1 | $5.800,95 | 346 / 9 | $4.757,68 | 346 / 11 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 7 | $16.921,50 | 22 / 2 | $11.223,90 | 274 / 3 | $9.884,10 | 274 / 6 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 12 | $28.182,40 | 41 / 1 | $14.840,50 | 250 / 3 | $12.647,00 | 248 / 3 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 27 | $13.878,90 | 96 / 2 | $7.068,35 | 292 / 6 | $6.072,75 | 292 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 23 | $9.393,05 | 24 / 1 | $6.178,00 | 99 / 1 | $5.160,32 | 99 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 7 | $42.344,30 | 16 / 1 | $28.738,10 | 101 / 5 | $25.063,90 | 101 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 11 | $79.117,90 | 26 / 2 | $33.857,90 | 94 / 5 | $28.198,70 | 94 / 2 |
| Other Vascular Procedures W Cc | 19 | 83 / 9 | $30.404,70 | 39 / 1 | $14.474,90 | 237 / 1 | $13.565,90 | 237 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 16 | $11.086,80 | 29 / 2 | $7.304,67 | 116 / 10 | $5.660,72 | 116 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 19 | $8.611,67 | 40 / 1 | $5.375,56 | 405 / 8 | $4.436,00 | 404 / 9 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 18 | 98 / 6 | $144.565,00 | 56 / 3 | $61.315,40 | 362 / 9 | $59.905,20 | 362 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 13 | $44.591,90 | 21 / 2 | $23.441,80 | 17 / 11 | $14.774,50 | 17 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 32 | $7.481,47 | 72 / 1 | $4.390,71 | 422 / 7 | $3.560,59 | 422 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 20 | $13.665,10 | 25 / 1 | $6.546,69 | 261 / 4 | $5.080,31 | 261 / 4 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 19 | $19.665,30 | 94 / 2 | $12.548,40 | 185 / 20 | $9.693,50 | 185 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 25 | $12.078,60 | 59 / 1 | $6.042,00 | 417 / 8 | $5.124,57 | 416 / 12 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 18 | $12.866,80 | 10 / 1 | $10.002,00 | 503 / 4 | $9.662,92 | 504 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $6.913,08 | 70 / 2 | $3.888,77 | 93 / 3 | $2.810,00 | 93 / 2 |
| Cellulitis W/O Mcc | 13 | 176 / 33 | $8.121,46 | 102 / 1 | $4.876,31 | 398 / 9 | $3.795,38 | 395 / 12 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 3 | $27.915,40 | 48 / 2 | $9.788,23 | 154 / 2 | $8.889,46 | 153 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 12 | $10.076,20 | 18 / 1 | $6.878,46 | 140 / 3 | $5.799,38 | 140 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 7 | $45.693,20 | 51 / 1 | $19.383,50 | 221 / 1 | $18.301,10 | 221 / 3 |
| Other Vascular Procedures W Mcc | 13 | 84 / 10 | $36.826,50 | 35 / 1 | $18.115,80 | 116 / 1 | $17.164,40 | 116 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 21 | $14.727,50 | 26 / 1 | $9.729,67 | 326 / 4 | $8.862,00 | 325 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 16 | $6.872,50 | 4 / 1 | $5.384,58 | 35 / 1 | $4.737,92 | 35 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 18 | $71.928,20 | 188 / 5 | $36.365,00 | 964 / 15 | $34.989,90 | 958 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 13 | $10.495,20 | 40 / 2 | $6.106,08 | 197 / 4 | $4.933,42 | 197 / 2 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $7.213,36 | 8 / 1 | $5.716,55 | 287 / 4 | $4.777,64 | 287 / 8 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $9.751,36 | 96 / 1 | $4.625,64 | 181 / 4 | $3.591,09 | 181 / 5 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 7 | $20.581,30 | 76 / 1 | $6.388,64 | 19 / 1 | $5.555,91 | 19 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 20 | $12.990,00 | 92 / 2 | $6.435,91 | 172 / 3 | $5.478,82 | 170 / 3 | Total 47 procedures | 1.273 | 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.