Hospital Costs > In Wisconsin > Aurora Medical Center Grafton, 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 | 240 | 324 / 12 | $65.777,00 | 1886 / 61 | $17.397,90 | 233 / 62 | $9.801,67 | 233 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 43 | $33.572,00 | 976 / 36 | $11.211,10 | 140 / 24 | $8.772,72 | 140 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 20 | $22.163,60 | 1367 / 47 | $5.617,33 | 269 / 6 | $4.425,76 | 269 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 19 | $17.359,70 | 1267 / 43 | $4.766,36 | 195 / 18 | $3.295,77 | 195 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 11 | $26.140,40 | 868 / 30 | $6.017,38 | 247 / 4 | $4.905,59 | 247 / 5 |
| Heart Failure & Shock W Cc | 36 | 242 / 25 | $21.870,20 | 1387 / 53 | $6.679,83 | 88 / 40 | $4.318,25 | 88 / 4 |
| Cellulitis W/O Mcc | 35 | 154 / 20 | $16.932,60 | 1115 / 40 | $5.326,14 | 211 / 21 | $3.574,71 | 210 / 7 |
| G.I. Hemorrhage W Cc | 35 | 183 / 21 | $22.592,30 | 991 / 45 | $6.968,31 | 224 / 42 | $4.601,17 | 224 / 6 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 18 | $27.903,50 | 905 / 36 | $7.320,60 | 150 / 14 | $5.805,46 | 150 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 13 | $61.289,20 | 484 / 20 | $16.075,50 | 133 / 26 | $9.589,36 | 133 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 20 | $19.711,30 | 1348 / 46 | $6.658,52 | 22 / 54 | $2.735,73 | 22 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 18 | $18.021,50 | 1324 / 37 | $3.998,96 | 149 / 6 | $2.926,00 | 149 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 18 | $20.645,70 | 773 / 21 | $7.153,46 | 285 / 19 | $5.552,46 | 284 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 5 | $58.662,70 | 462 / 17 | $12.622,70 | 269 / 3 | $11.413,10 | 266 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 30 | $20.132,50 | 795 / 26 | $6.372,68 | 159 / 21 | $4.782,44 | 159 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 15 | $13.532,50 | 802 / 20 | $3.362,62 | 129 / 6 | $1.996,58 | 129 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 15 | $20.422,60 | 1043 / 29 | $5.266,13 | 254 / 5 | $4.265,78 | 254 / 5 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 10 | $16.979,50 | 471 / 8 | $3.876,70 | 82 / 2 | $2.929,22 | 82 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 16 | $35.665,70 | 788 / 24 | $6.656,05 | 181 / 8 | $4.926,77 | 181 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 30 | $30.288,00 | 1049 / 42 | $8.706,45 | 73 / 17 | $6.498,60 | 73 / 2 |
| Medical Back Problems W/O Mcc | 20 | 101 / 14 | $19.584,90 | 489 / 13 | $5.158,60 | 149 / 4 | $3.656,25 | 149 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 5 | $25.545,20 | 204 / 5 | $8.318,79 | 36 / 6 | $4.446,63 | 36 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 22 | $16.181,20 | 648 / 17 | $5.646,21 | 79 / 28 | $3.234,11 | 79 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 21 | $58.709,00 | 1316 / 48 | $11.112,40 | 480 / 8 | $10.044,00 | 479 / 15 |
| Transient Ischemia | 18 | 107 / 8 | $25.132,60 | 963 / 19 | $3.945,61 | 196 / 1 | $3.006,94 | 196 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 7 | $73.310,70 | 542 / 13 | $16.536,50 | 479 / 6 | $15.729,30 | 478 / 7 |
| Chest Pain | 17 | 134 / 10 | $16.345,60 | 618 / 10 | $3.407,24 | 95 / 2 | $2.338,06 | 95 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 5 | $34.726,50 | 135 / 4 | $12.287,90 | 8 / 6 | $4.682,41 | 8 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 12 | $102.950,00 | 85 / 7 | $29.547,40 | 99 / 2 | $28.338,90 | 99 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 16 | $34.525,20 | 602 / 15 | $9.770,50 | 578 / 4 | $9.170,50 | 577 / 7 |
| Renal Failure W Cc | 16 | 205 / 31 | $22.971,80 | 1269 / 44 | $6.061,31 | 60 / 25 | $4.073,88 | 60 / 1 |
| Syncope & Collapse | 15 | 154 / 19 | $18.801,00 | 750 / 17 | $4.906,40 | 30 / 15 | $2.781,47 | 30 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 10 | $30.433,20 | 646 / 15 | $11.003,90 | 7 / 18 | $4.878,87 | 7 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 14 | $27.008,40 | 1040 / 24 | $9.455,53 | 36 / 28 | $4.742,13 | 36 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 5 | $75.263,60 | 298 / 10 | $18.757,60 | 139 / 6 | $14.140,90 | 139 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 12 | $27.917,40 | 646 / 15 | $5.958,14 | 323 / 2 | $5.185,57 | 322 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 6 | $91.468,10 | 394 / 10 | $21.815,30 | 404 / 3 | $20.864,40 | 403 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 13 | $132.697,00 | 679 / 23 | $36.297,50 | 905 / 17 | $35.551,70 | 903 / 18 |
| Soft Tissue Procedures W/O Cc/Mcc | 13 | 10 / 1 | $35.372,30 | 8 / 1 | $10.192,20 | 1 / 1 | $4.039,38 | 1 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $59.103,70 | 196 / 8 | $14.655,80 | 148 / 1 | $13.634,30 | 148 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $41.768,10 | 233 / 4 | $19.211,50 | 2 / 26 | $9.731,23 | 2 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $17.829,90 | 155 / 1 | $5.142,50 | 40 / 1 | $4.233,17 | 40 / 2 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 15 | $26.488,00 | 739 / 21 | $7.162,25 | 48 / 13 | $4.207,83 | 48 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 21 | $24.927,60 | 652 / 21 | $9.857,00 | 28 / 35 | $5.296,33 | 28 / 2 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $29.362,30 | 204 / 6 | $10.717,80 | 38 / 2 | $8.686,92 | 38 / 2 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 20 | $33.870,40 | 462 / 12 | $18.509,50 | 1 / 26 | $5.229,00 | 1 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 17 | $20.775,00 | 634 / 14 | $4.296,91 | 192 / 2 | $3.191,45 | 190 / 5 |
| Seizures W/O Mcc | 11 | 97 / 14 | $20.855,30 | 594 / 11 | $5.078,45 | 23 / 4 | $2.935,09 | 23 / 1 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $17.961,90 | 287 / 11 | $5.978,73 | 64 / 7 | $4.207,36 | 64 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $15.919,60 | 894 / 18 | $4.040,55 | 333 / 3 | $3.167,82 | 333 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 9 | $109.389,00 | 169 / 4 | $34.458,70 | 99 / 9 | $23.284,80 | 99 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 9 | $78.103,00 | 317 / 7 | $25.274,00 | 188 / 9 | $10.823,80 | 186 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 8 | $44.247,20 | 261 / 4 | $18.164,60 | 109 / 9 | $10.463,10 | 109 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 20 | $24.389,90 | 664 / 18 | $7.556,18 | 38 / 13 | $4.951,82 | 38 / 1 |
| Diabetes W Cc | 11 | 81 / 14 | $17.170,60 | 486 / 5 | $4.680,55 | 189 / 2 | $3.807,82 | 189 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 22 | $27.618,90 | 275 / 10 | $8.944,09 | 123 / 1 | $8.179,00 | 122 / 2 | Total 56 procedures | 1.336 | 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.