Hospital Costs > In Wisconsin > Aspirus Wausau Hospital, 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 | 217 | 347 / 13 | $42.500,20 | 897 / 33 | $13.671,60 | 670 / 29 | $10.580,50 | 661 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 158 | 358 / 14 | $34.043,30 | 1002 / 39 | $11.518,80 | 964 / 29 | $10.141,20 | 956 / 27 |
| Heart Failure & Shock W Cc | 116 | 162 / 6 | $19.113,30 | 1059 / 41 | $6.069,70 | 899 / 23 | $5.210,02 | 898 / 30 |
| Heart Failure & Shock W Mcc | 86 | 198 / 8 | $23.345,30 | 619 / 25 | $8.870,65 | 803 / 21 | $8.053,15 | 803 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 75 | 113 / 3 | $22.148,40 | 159 / 5 | $6.896,07 | 356 / 9 | $5.238,35 | 355 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 73 | 132 / 3 | $25.369,60 | 729 / 24 | $9.311,16 | 606 / 32 | $7.442,99 | 606 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 7 | $18.851,40 | 671 / 20 | $6.677,12 | 783 / 28 | $5.462,75 | 781 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 3 | $20.859,70 | 801 / 22 | $7.248,10 | 424 / 22 | $5.721,28 | 423 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 62 | 134 / 5 | $45.007,20 | 134 / 7 | $12.518,30 | 494 / 4 | $10.635,00 | 492 / 10 |
| G.I. Hemorrhage W Cc | 60 | 158 / 12 | $18.270,90 | 590 / 18 | $6.499,23 | 690 / 30 | $5.082,77 | 689 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 10 | $13.508,40 | 712 / 12 | $4.882,48 | 553 / 23 | $3.657,83 | 552 / 15 |
| Renal Failure W Cc | 50 | 171 / 14 | $17.958,60 | 770 / 24 | $5.985,72 | 930 / 23 | $5.112,66 | 922 / 26 |
| Cellulitis W/O Mcc | 49 | 140 / 13 | $13.993,30 | 730 / 22 | $5.358,43 | 613 / 22 | $3.985,12 | 610 / 18 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 48 | 70 / 4 | $90.502,60 | 42 / 3 | $29.621,80 | 101 / 3 | $28.425,30 | 101 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 18 | $16.806,60 | 770 / 20 | $6.026,11 | 849 / 19 | $4.950,62 | 846 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 5 | $35.711,30 | 436 / 14 | $11.157,80 | 378 / 10 | $9.882,56 | 377 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 7 | $21.300,00 | 554 / 13 | $6.936,93 | 342 / 26 | $5.026,64 | 341 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 17 | $13.886,50 | 610 / 8 | $4.966,84 | 403 / 26 | $3.329,05 | 401 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 42 | 59 / 5 | $66.015,50 | 199 / 6 | $21.232,90 | 266 / 4 | $18.324,80 | 266 / 4 |
| Renal Failure W Mcc | 40 | 155 / 7 | $34.443,80 | 1023 / 27 | $11.338,20 | 1471 / 29 | $10.195,50 | 1470 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 6 | $19.549,80 | 312 / 9 | $7.312,08 | 555 / 12 | $6.450,35 | 552 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 11 | $13.542,00 | 764 / 15 | $4.452,42 | 850 / 16 | $3.547,35 | 847 / 18 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 16 | $24.488,60 | 693 / 25 | $7.483,84 | 577 / 17 | $6.424,37 | 577 / 19 |
| Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 7 | $67.346,20 | 323 / 15 | $25.780,70 | 208 / 13 | $19.931,80 | 207 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 10 | $26.432,80 | 242 / 7 | $10.158,00 | 358 / 7 | $8.984,64 | 357 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 10 | $13.501,40 | 373 / 5 | $5.790,10 | 851 / 16 | $4.843,03 | 848 / 17 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 3 | $77.385,20 | 36 / 1 | $27.124,50 | 107 / 1 | $23.397,40 | 107 / 2 |
| Syncope & Collapse | 27 | 142 / 12 | $15.639,90 | 452 / 7 | $4.581,96 | 667 / 9 | $3.711,00 | 664 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 5 | $24.956,20 | 282 / 4 | $6.599,67 | 229 / 4 | $5.043,59 | 229 / 6 |
| Major Cardiovasc Procedures W Mcc | 27 | 41 / 4 | $98.834,20 | 113 / 2 | $36.729,10 | 288 / 2 | $32.596,00 | 288 / 2 |
| Other Vascular Procedures W Cc | 26 | 76 / 7 | $56.735,60 | 305 / 8 | $15.886,80 | 227 / 3 | $13.524,70 | 227 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 8 | $17.562,20 | 401 / 10 | $6.630,96 | 423 / 10 | $5.593,69 | 422 / 8 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 8 | $59.287,50 | 616 / 18 | $16.847,40 | 559 / 11 | $13.813,20 | 553 / 13 |
| Permanent Cardiac Pacemaker Implant W Cc | 26 | 51 / 4 | $43.082,00 | 118 / 4 | $15.573,20 | 295 / 2 | $14.588,00 | 294 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 17 | $13.584,10 | 381 / 7 | $5.161,36 | 446 / 20 | $3.763,80 | 446 / 15 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 25 | 63 / 4 | $55.104,30 | 31 / 2 | $20.944,70 | 170 / 2 | $19.784,00 | 169 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 10 | $19.158,80 | 367 / 8 | $6.651,72 | 367 / 5 | $5.817,88 | 364 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 15 | $9.037,29 | 237 / 4 | $3.628,83 | 523 / 11 | $2.465,75 | 519 / 12 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 10 | $31.199,30 | 361 / 9 | $10.386,20 | 461 / 5 | $9.556,83 | 462 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 12 | $71.859,00 | 186 / 4 | $28.192,30 | 238 / 3 | $27.292,70 | 238 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 21 | 31 / 3 | $45.372,90 | 22 / 2 | $21.066,90 | 143 / 2 | $20.021,20 | 143 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 5 | $54.994,20 | 140 / 2 | $12.734,80 | 100 / 1 | $10.025,40 | 99 / 1 |
| Chest Pain | 20 | 131 / 8 | $13.310,40 | 336 / 4 | $4.377,55 | 341 / 7 | $2.739,85 | 340 / 4 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 6 | $14.621,90 | 138 / 5 | $6.545,20 | 230 / 15 | $4.664,65 | 230 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 10 | $42.068,30 | 386 / 4 | $14.824,50 | 1030 / 8 | $14.244,80 | 1020 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 14 | $13.959,30 | 719 / 11 | $4.536,58 | 678 / 16 | $3.452,79 | 675 / 13 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 4 | $12.930,30 | 194 / 5 | $4.398,94 | 257 / 3 | $3.362,00 | 258 / 5 |
| G.I. Obstruction W Cc | 18 | 74 / 11 | $15.969,40 | 362 / 12 | $5.407,28 | 464 / 9 | $4.418,33 | 463 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 11 | $10.935,80 | 349 / 3 | $4.537,94 | 678 / 7 | $3.468,29 | 676 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 13 | $50.626,90 | 36 / 3 | $18.220,50 | 195 / 1 | $17.131,40 | 194 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 7 | $47.537,50 | 103 / 4 | $18.812,90 | 288 / 5 | $17.533,40 | 286 / 5 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $16.372,70 | 432 / 6 | $4.423,50 | 380 / 6 | $3.500,00 | 379 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 5 | $12.720,80 | 66 / 1 | $6.899,00 | 326 / 2 | $6.208,06 | 325 / 2 |
| Transient Ischemia | 16 | 109 / 10 | $15.035,60 | 298 / 4 | $4.735,50 | 395 / 8 | $3.259,62 | 394 / 6 |
| Other Vascular Procedures W Mcc | 16 | 81 / 8 | $82.124,80 | 407 / 5 | $23.439,60 | 315 / 5 | $18.888,20 | 314 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 4 | $128.396,00 | 60 / 1 | $43.212,50 | 193 / 1 | $42.075,20 | 193 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 3 | $39.988,50 | 193 / 5 | $11.667,40 | 231 / 5 | $10.576,90 | 231 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 5 | $26.032,00 | 46 / 1 | $10.217,10 | 127 / 2 | $7.983,67 | 127 / 1 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 11 | $35.214,70 | 350 / 10 | $13.831,30 | 329 / 13 | $10.091,90 | 328 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 8 | $114.721,00 | 26 / 1 | $45.923,10 | 12 / 1 | $38.979,40 | 12 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 12 | $21.980,70 | 377 / 8 | $6.463,64 | 311 / 8 | $5.164,36 | 310 / 4 |
| Cellulitis W Mcc | 14 | 44 / 7 | $23.797,60 | 205 / 3 | $8.692,79 | 225 / 1 | $7.541,43 | 224 / 1 |
| Pulmonary Embolism W Mcc | 14 | 29 / 5 | $25.060,40 | 99 / 4 | $9.980,71 | 62 / 3 | $7.436,93 | 62 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 18 | $33.773,60 | 569 / 14 | $10.137,00 | 541 / 8 | $9.095,07 | 540 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 7 | $28.686,90 | 268 / 8 | $7.487,50 | 78 / 4 | $4.669,86 | 78 / 3 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 12 | $18.137,40 | 197 / 2 | $8.156,64 | 523 / 10 | $7.396,50 | 520 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 12 | $78.572,00 | 187 / 8 | $32.016,90 | 96 / 11 | $24.905,60 | 96 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 7 | $20.903,40 | 330 / 3 | $5.927,64 | 73 / 3 | $4.034,21 | 73 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 9 | $44.417,10 | 239 / 8 | $14.277,20 | 198 / 10 | $11.024,10 | 196 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 3 | $50.754,10 | 105 / 3 | $16.634,60 | 260 / 3 | $15.340,00 | 259 / 4 |
| Diabetes W Cc | 13 | 79 / 12 | $17.724,30 | 535 / 8 | $5.192,08 | 475 / 4 | $4.251,46 | 475 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 5 | $49.610,90 | 113 / 5 | $19.128,50 | 2 / 5 | $10.160,90 | 2 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 4 | $27.667,10 | 34 / 1 | $12.227,50 | 169 / 1 | $11.147,60 | 168 / 1 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 22 | $41.493,30 | 840 / 25 | $12.516,20 | 998 / 19 | $11.677,60 | 985 / 19 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 3 | $53.556,40 | 323 / 6 | $10.133,40 | 180 / 3 | $9.014,54 | 179 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 7 | $31.742,90 | 161 / 1 | $13.784,30 | 51 / 8 | $7.188,50 | 51 / 2 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 16 | $16.497,80 | 583 / 5 | $5.596,92 | 267 / 14 | $3.718,58 | 267 / 8 |
| Major Chest Procedures W Mcc | 12 | 37 / 5 | $83.671,60 | 53 / 2 | $32.870,50 | 2 / 2 | $18.759,90 | 2 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 10 | $41.601,00 | 181 / 5 | $12.784,20 | 300 / 2 | $11.525,50 | 295 / 3 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 3 | $22.391,20 | 17 / 1 | $8.938,91 | 15 / 1 | $8.051,45 | 15 / 1 |
| Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent | 11 | 15 / 1 | $42.421,50 | 5 / 1 | $19.363,10 | 3 / 1 | $17.752,70 | 3 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 10 | $25.887,70 | 613 / 14 | $7.289,09 | 867 / 11 | $6.273,73 | 863 / 12 |
| Hypertension W/O Mcc | 11 | 54 / 4 | $18.921,30 | 375 / 5 | $4.048,27 | 125 / 3 | $2.731,82 | 125 / 2 |
| Medical Back Problems W/O Mcc | 11 | 110 / 22 | $15.181,20 | 233 / 3 | $5.648,73 | 109 / 11 | $3.553,64 | 109 / 2 |
| Seizures W/O Mcc | 11 | 97 / 14 | $20.787,50 | 586 / 10 | $4.842,64 | 354 / 1 | $3.852,18 | 352 / 3 | Total 85 procedures | 2.689 | 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.