Hospital Costs > In Wisconsin > Aurora Medical Ctr Oshkosh, 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 | 80 | 484 / 41 | $39.546,00 | 731 / 26 | $13.108,30 | 791 / 18 | $10.743,80 | 778 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 42 | $41.819,40 | 1400 / 51 | $15.332,00 | 1154 / 57 | $10.407,60 | 1137 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 24 | $17.205,50 | 820 / 25 | $5.757,74 | 596 / 10 | $4.743,03 | 593 / 18 |
| Heart Failure & Shock W Cc | 27 | 251 / 29 | $18.858,50 | 1033 / 40 | $5.703,19 | 460 / 15 | $4.856,96 | 460 / 17 |
| Heart Failure & Shock W Mcc | 24 | 260 / 34 | $26.669,80 | 872 / 37 | $8.710,38 | 353 / 15 | $7.489,17 | 353 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 18 | $17.113,20 | 711 / 18 | $5.602,47 | 533 / 11 | $4.581,84 | 531 / 11 |
| G.I. Hemorrhage W Cc | 17 | 201 / 35 | $21.345,90 | 879 / 39 | $5.979,47 | 473 / 12 | $4.882,59 | 472 / 17 |
| Cellulitis W/O Mcc | 16 | 173 / 30 | $21.129,80 | 1586 / 51 | $6.008,56 | 611 / 40 | $3.984,50 | 608 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 37 | $22.775,10 | 1050 / 41 | $6.216,94 | 520 / 15 | $5.228,94 | 518 / 19 |
| Renal Failure W Cc | 16 | 205 / 31 | $20.711,80 | 1047 / 39 | $5.788,44 | 560 / 15 | $4.812,44 | 556 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 25 | $20.441,60 | 760 / 20 | $8.588,19 | 210 / 38 | $5.431,31 | 209 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 35 | $29.404,70 | 998 / 38 | $8.886,67 | 1044 / 26 | $7.920,27 | 1044 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 32 | $17.478,50 | 1061 / 30 | $4.595,33 | 1282 / 13 | $3.953,20 | 1271 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 35 | $17.370,50 | 1271 / 44 | $4.618,00 | 453 / 13 | $3.582,57 | 453 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 24 | $39.337,10 | 604 / 21 | $11.670,40 | 819 / 19 | $10.641,90 | 809 / 26 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 33 | $24.982,40 | 729 / 28 | $7.245,86 | 617 / 11 | $6.468,71 | 617 / 20 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 12 | $32.754,80 | 280 / 8 | $13.171,90 | 79 / 12 | $9.000,15 | 79 / 3 |
| Renal Failure W Mcc | 13 | 182 / 22 | $41.786,30 | 1338 / 35 | $12.888,80 | 1826 / 36 | $12.049,50 | 1822 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $12.512,90 | 460 / 4 | $4.294,31 | 343 / 5 | $3.088,15 | 341 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 16 | $28.435,50 | 1042 / 26 | $4.700,67 | 554 / 6 | $3.690,00 | 550 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 28 | $16.544,20 | 690 / 20 | $4.860,00 | 745 / 12 | $4.060,00 | 742 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 8 | $42.910,40 | 339 / 7 | $13.893,50 | 489 / 7 | $13.346,50 | 488 / 10 | Total 22 procedures | 459 | 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.