Hospital Costs > In Wisconsin > Aurora Medical Ctr Kenosha, 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 | 155 | 409 / 21 | $63.622,00 | 1823 / 60 | $14.330,80 | 1408 / 37 | $11.826,00 | 1375 / 40 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 5 | $21.188,90 | 1266 / 42 | $6.512,13 | 1213 / 34 | $5.233,97 | 1209 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 10 | $30.809,40 | 1092 / 45 | $9.170,43 | 909 / 30 | $7.765,48 | 909 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 41 | $34.047,50 | 1003 / 40 | $12.447,70 | 475 / 42 | $9.467,74 | 475 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 14 | $17.856,10 | 1106 / 36 | $5.094,39 | 1380 / 28 | $4.029,84 | 1369 / 36 |
Cellulitis W/O Mcc | 42 | 147 / 16 | $18.739,10 | 1331 / 46 | $5.527,45 | 1291 / 29 | $4.521,74 | 1285 / 33 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 20 | $18.397,20 | 1396 / 46 | $5.102,66 | 1591 / 29 | $4.434,87 | 1580 / 36 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 5 | $14.729,60 | 702 / 16 | $4.742,06 | 833 / 12 | $3.537,44 | 829 / 12 |
Heart Failure & Shock W Cc | 34 | 244 / 27 | $19.341,80 | 1096 / 43 | $6.509,91 | 958 / 36 | $5.262,53 | 957 / 33 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 19 | $27.482,70 | 888 / 35 | $8.112,61 | 848 / 27 | $6.767,09 | 848 / 27 |
Heart Failure & Shock W Mcc | 32 | 252 / 30 | $25.719,70 | 800 / 33 | $10.443,80 | 701 / 42 | $7.931,50 | 701 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 15 | $23.502,90 | 1024 / 30 | $8.235,56 | 1163 / 33 | $6.411,53 | 1157 / 28 |
Renal Failure W Cc | 31 | 190 / 24 | $21.250,90 | 1095 / 41 | $6.256,10 | 1211 / 30 | $5.401,39 | 1203 / 34 |
Seizures W/O Mcc | 31 | 77 / 4 | $16.339,00 | 328 / 4 | $5.083,81 | 465 / 6 | $3.996,71 | 463 / 6 |
Signs & Symptoms W/O Mcc | 29 | 62 / 7 | $19.966,70 | 655 / 19 | $4.809,17 | 516 / 11 | $3.696,31 | 515 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 11 | $21.157,30 | 1128 / 35 | $6.027,83 | 984 / 21 | $4.944,24 | 981 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 19 | $18.595,00 | 1396 / 39 | $5.305,37 | 1441 / 35 | $4.013,37 | 1436 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 16 | $29.024,40 | 1088 / 39 | $6.722,15 | 992 / 19 | $5.827,33 | 989 / 25 |
Syncope & Collapse | 24 | 145 / 13 | $20.776,80 | 927 / 26 | $4.849,71 | 694 / 13 | $3.740,38 | 691 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 18 | $51.682,60 | 1109 / 42 | $12.041,00 | 962 / 24 | $10.943,30 | 949 / 29 |
G.I. Hemorrhage W Cc | 23 | 195 / 29 | $22.781,50 | 1009 / 46 | $6.887,96 | 974 / 40 | $5.341,22 | 972 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 19 | $15.259,70 | 546 / 11 | $5.222,50 | 1203 / 22 | $4.511,23 | 1199 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 34 | $22.861,00 | 1054 / 42 | $6.899,19 | 1354 / 33 | $6.048,14 | 1349 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 16 | $45.215,30 | 835 / 25 | $12.482,10 | 694 / 22 | $9.874,50 | 693 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 17 | $15.449,50 | 1045 / 28 | $4.601,05 | 617 / 24 | $2.531,85 | 613 / 14 |
Transient Ischemia | 19 | 106 / 7 | $25.302,80 | 974 / 20 | $4.658,53 | 845 / 6 | $3.770,95 | 841 / 12 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 12 | $26.246,30 | 991 / 23 | $7.241,24 | 1079 / 15 | $6.531,59 | 1075 / 19 |
G.I. Hemorrhage W Mcc | 17 | 104 / 14 | $39.335,50 | 672 / 19 | $10.891,50 | 661 / 8 | $10.094,20 | 662 / 10 |
Renal Failure W Mcc | 16 | 179 / 20 | $27.030,40 | 580 / 17 | $9.454,94 | 966 / 14 | $8.850,94 | 966 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 13 | $28.078,10 | 1022 / 25 | $5.836,27 | 520 / 20 | $3.660,53 | 516 / 6 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 7 | $60.416,10 | 482 / 18 | $13.834,90 | 476 / 8 | $12.627,50 | 473 / 14 |
G.I. Obstruction W Cc | 15 | 77 / 14 | $16.328,40 | 392 / 13 | $6.146,47 | 273 / 21 | $4.155,87 | 272 / 7 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 20 | $32.094,90 | 471 / 13 | $11.847,00 | 799 / 10 | $11.128,10 | 789 / 12 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 14 | $17.757,50 | 695 / 10 | $5.906,57 | 652 / 17 | $4.144,71 | 648 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 14 | $14.391,30 | 711 / 10 | $6.621,14 | 311 / 24 | $3.151,21 | 311 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 19 | $26.416,60 | 753 / 25 | $7.736,71 | 996 / 19 | $7.133,29 | 993 / 24 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 6 | $73.418,60 | 245 / 7 | $28.061,20 | 96 / 11 | $16.873,70 | 96 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $71.582,30 | 287 / 13 | $16.387,50 | 273 / 7 | $15.270,00 | 273 / 7 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 14 | $25.142,50 | 688 / 18 | $7.412,08 | 311 / 16 | $4.879,69 | 308 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 18 | $19.536,50 | 379 / 10 | $7.062,62 | 709 / 12 | $6.410,31 | 706 / 14 |
Chest Pain | 12 | 139 / 14 | $21.036,20 | 989 / 19 | $4.537,58 | 716 / 9 | $3.156,58 | 711 / 6 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $64.715,20 | 742 / 25 | $16.667,90 | 973 / 9 | $15.657,20 | 962 / 22 |
Signs & Symptoms W Mcc | 12 | 29 / 6 | $22.972,80 | 82 / 3 | $7.283,42 | 87 / 3 | $6.574,08 | 87 / 3 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $86.282,40 | 255 / 9 | $27.925,90 | 250 / 4 | $26.936,80 | 248 / 6 | Total 44 procedures | 1.232 | 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.