Hospital Costs > In Wisconsin > Aurora Medical Center Summit, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 32 | $12.685,40 | 549 / 9 | $4.772,36 | 330 / 6 | $3.732,36 | 327 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 25 | $15.812,50 | 593 / 14 | $6.171,64 | 7 / 25 | $3.435,73 | 7 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $16.256,90 | 910 / 22 | $6.022,27 | 5 / 48 | $2.449,27 | 5 / 1 |
| G.I. Hemorrhage W Cc | 17 | 201 / 35 | $17.293,50 | 512 / 11 | $6.816,59 | 44 / 39 | $4.172,24 | 44 / 1 |
| Heart Failure & Shock W Cc | 24 | 254 / 31 | $13.301,60 | 396 / 7 | $5.396,50 | 202 / 4 | $4.541,83 | 202 / 8 |
| Heart Failure & Shock W Mcc | 17 | 267 / 39 | $21.463,90 | 502 / 16 | $7.931,53 | 113 / 1 | $7.007,29 | 113 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 25 | $40.168,90 | 646 / 25 | $11.469,50 | 814 / 17 | $10.635,00 | 805 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 25 | $21.165,10 | 546 / 12 | $6.185,14 | 70 / 10 | $4.480,21 | 70 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 35 | $14.472,90 | 853 / 20 | $4.373,07 | 161 / 6 | $3.248,50 | 161 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 46 | 518 / 51 | $46.221,00 | 1098 / 41 | $13.186,80 | 489 / 21 | $10.296,30 | 486 / 9 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 19 | $48.488,00 | 375 / 8 | $17.681,10 | 722 / 15 | $14.449,20 | 715 / 15 |
| Medical Back Problems W/O Mcc | 11 | 110 / 22 | $18.977,40 | 452 / 12 | $5.738,18 | 139 / 13 | $3.641,91 | 139 / 4 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 31 | $25.052,10 | 734 / 29 | $8.326,75 | 8 / 29 | $5.015,44 | 8 / 1 |
| Renal Failure W Cc | 20 | 201 / 28 | $14.428,80 | 412 / 13 | $5.320,65 | 303 / 4 | $4.538,25 | 301 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 49 | $23.775,60 | 465 / 10 | $11.105,10 | 142 / 21 | $8.778,31 | 142 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 36 | $15.133,90 | 362 / 9 | $5.815,06 | 9 / 3 | $3.992,94 | 9 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 32 | $17.136,00 | 813 / 24 | $5.544,50 | 444 / 4 | $4.604,06 | 441 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 20 | $64.683,50 | 272 / 13 | $29.053,80 | 88 / 20 | $18.839,50 | 87 / 1 | Total 18 procedures | 314 | 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.