Hospital Costs > In Wisconsin > Aurora Lakeland Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 20 | $18.992,80 | 958 / 33 | $5.157,33 | 295 / 19 | $3.603,33 | 295 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 18 | $26.808,30 | 780 / 26 | $7.318,67 | 485 / 13 | $6.356,53 | 482 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 19 | $14.470,70 | 919 / 24 | $3.581,65 | 604 / 10 | $2.521,88 | 600 / 13 |
| Cellulitis W/O Mcc | 19 | 170 / 28 | $16.708,40 | 1085 / 38 | $4.950,05 | 1136 / 11 | $4.380,79 | 1130 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 17 | $17.825,70 | 785 / 22 | $5.604,95 | 673 / 12 | $4.699,35 | 671 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 22 | $28.702,30 | 1390 / 42 | $7.029,33 | 1101 / 16 | $6.337,52 | 1096 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 15 | $13.843,20 | 645 / 9 | $4.774,85 | 480 / 10 | $3.311,00 | 479 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 16 | $15.327,30 | 797 / 18 | $4.589,95 | 894 / 12 | $3.688,14 | 889 / 24 |
| G.I. Hemorrhage W Cc | 28 | 190 / 25 | $21.650,80 | 908 / 41 | $6.180,86 | 446 / 19 | $4.861,57 | 445 / 15 |
| Heart Failure & Shock W Cc | 20 | 258 / 33 | $17.145,40 | 823 / 27 | $5.671,95 | 554 / 11 | $4.945,55 | 554 / 20 |
| Heart Failure & Shock W Mcc | 24 | 260 / 34 | $26.713,90 | 879 / 38 | $8.900,25 | 710 / 22 | $7.941,58 | 710 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 18 | $15.293,00 | 884 / 17 | $4.196,00 | 676 / 8 | $3.452,62 | 674 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 22 | $42.679,40 | 749 / 29 | $11.197,10 | 489 / 11 | $10.056,40 | 488 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 25 | $28.224,20 | 1028 / 37 | $6.386,93 | 621 / 14 | $5.351,50 | 620 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 32 | $15.020,80 | 940 / 24 | $4.709,06 | 543 / 15 | $3.649,29 | 542 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 52 | $53.426,90 | 1443 / 57 | $12.893,10 | 1154 / 10 | $11.306,00 | 1127 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $16.910,90 | 1192 / 29 | $4.422,36 | 609 / 12 | $3.386,93 | 607 / 14 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 23 | $23.577,10 | 637 / 23 | $7.542,11 | 708 / 20 | $6.601,07 | 708 / 21 |
| Renal Failure W Mcc | 13 | 182 / 22 | $27.640,50 | 624 / 19 | $9.628,08 | 884 / 15 | $8.700,00 | 884 / 15 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 15 | $25.452,40 | 491 / 12 | $7.774,18 | 212 / 7 | $6.788,00 | 211 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 43 | $29.096,90 | 740 / 22 | $9.975,56 | 245 / 3 | $9.054,60 | 245 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 28 | $16.654,30 | 488 / 12 | $6.150,22 | 427 / 12 | $5.125,04 | 425 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 13 | $19.637,00 | 1096 / 38 | $5.936,34 | 826 / 15 | $4.932,87 | 823 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 17 | $34.430,40 | 1312 / 52 | $8.708,93 | 1068 / 18 | $7.948,37 | 1068 / 32 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 9 | $14.372,80 | 656 / 13 | $4.422,38 | 863 / 7 | $3.558,38 | 859 / 14 |
| Syncope & Collapse | 11 | 158 / 22 | $15.589,00 | 446 / 6 | $4.554,00 | 636 / 8 | $3.681,27 | 633 / 9 | Total 26 procedures | 618 | 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.