Hospital Costs > In Wisconsin > Aurora Medical Ctr Manitowoc County, 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 | 18 | 171 / 29 | $11.622,10 | 420 / 7 | $6.288,94 | 1427 / 45 | $4.650,56 | 1420 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 25 | $13.571,10 | 378 / 6 | $6.664,00 | 1597 / 32 | $5.674,91 | 1590 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 23 | $16.422,80 | 428 / 13 | $8.628,05 | 1575 / 40 | $6.948,74 | 1567 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $13.326,30 | 548 / 7 | $5.221,55 | 1353 / 33 | $4.011,36 | 1342 / 34 |
| G.I. Hemorrhage W Cc | 19 | 199 / 33 | $17.906,80 | 563 / 16 | $7.067,68 | 1469 / 45 | $5.922,42 | 1465 / 41 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $18.344,10 | 969 / 37 | $7.207,06 | 1798 / 47 | $6.137,94 | 1793 / 49 |
| Heart Failure & Shock W Mcc | 19 | 265 / 37 | $22.394,70 | 559 / 21 | $10.576,30 | 1848 / 43 | $9.875,68 | 1843 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 26 | $21.675,10 | 580 / 16 | $7.606,25 | 1361 / 31 | $6.496,92 | 1358 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 38 | $11.010,50 | 385 / 5 | $5.411,45 | 1343 / 36 | $4.198,36 | 1334 / 30 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 55 | $41.256,60 | 831 / 29 | $15.132,10 | 2094 / 49 | $14.031,90 | 2052 / 60 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 34 | $17.906,90 | 281 / 12 | $8.610,00 | 1487 / 35 | $7.802,00 | 1482 / 39 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $13.524,80 | 106 / 3 | $6.980,00 | 864 / 16 | $5.993,82 | 861 / 20 |
| Renal Failure W Cc | 11 | 210 / 35 | $17.249,10 | 697 / 22 | $6.882,00 | 1582 / 38 | $5.895,82 | 1573 / 38 |
| Renal Failure W Mcc | 12 | 183 / 23 | $23.165,80 | 371 / 9 | $10.720,70 | 1230 / 24 | $9.507,33 | 1230 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 40 | $23.808,00 | 467 / 11 | $12.846,30 | 1854 / 43 | $11.897,80 | 1819 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 32 | $17.407,60 | 549 / 15 | $7.558,35 | 1784 / 45 | $6.769,48 | 1776 / 52 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 38 | $12.507,60 | 303 / 8 | $6.968,18 | 1730 / 41 | $5.758,00 | 1722 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 33 | $24.342,10 | 658 / 20 | $10.281,80 | 1729 / 44 | $9.212,59 | 1729 / 48 | Total 18 procedures | 326 | 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.