Hospital Costs > In Wisconsin > Aurora Medical Ctr Washington County, 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 | 61 | 503 / 47 | $61.520,70 | 1748 / 59 | $13.061,40 | 303 / 15 | $9.972,61 | 303 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 25 | $22.651,20 | 1411 / 49 | $5.750,23 | 246 / 9 | $4.396,20 | 246 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 51 | $32.555,30 | 916 / 32 | $9.954,20 | 238 / 2 | $9.033,88 | 238 / 6 |
| Heart Failure & Shock W Cc | 24 | 254 / 31 | $16.511,00 | 745 / 23 | $5.821,12 | 152 / 18 | $4.453,21 | 152 / 6 |
| G.I. Hemorrhage W Cc | 22 | 196 / 30 | $20.555,50 | 797 / 30 | $5.845,91 | 151 / 10 | $4.472,27 | 151 / 4 |
| Cellulitis W/O Mcc | 20 | 169 / 27 | $26.714,30 | 1975 / 57 | $5.021,20 | 157 / 13 | $3.498,40 | 157 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 36 | $20.628,20 | 838 / 29 | $5.982,82 | 208 / 6 | $4.861,71 | 207 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 26 | $18.830,20 | 1435 / 41 | $3.967,20 | 194 / 5 | $2.998,67 | 194 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 35 | $26.585,70 | 809 / 32 | $7.688,87 | 121 / 2 | $6.641,40 | 121 / 3 |
| Heart Failure & Shock W Mcc | 14 | 270 / 40 | $26.361,90 | 856 / 36 | $8.191,36 | 160 / 5 | $7.153,64 | 160 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 22 | $20.639,80 | 1069 / 31 | $5.296,00 | 257 / 6 | $4.267,43 | 257 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 25 | $56.128,80 | 1243 / 46 | $11.028,00 | 568 / 6 | $10.191,10 | 566 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 27 | $17.038,00 | 749 / 23 | $4.458,62 | 307 / 4 | $3.616,77 | 307 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 37 | $14.726,60 | 896 / 21 | $4.313,58 | 416 / 4 | $3.558,92 | 416 / 11 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 14 | $25.196,40 | 478 / 10 | $6.668,67 | 32 / 1 | $6.060,67 | 32 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $17.125,30 | 1016 / 29 | $4.880,45 | 31 / 22 | $2.769,36 | 31 / 4 |
| G.I. Obstruction W Cc | 11 | 81 / 18 | $23.069,70 | 871 / 27 | $5.166,91 | 291 / 4 | $4.183,64 | 290 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $30.426,60 | 1502 / 45 | $6.573,36 | 323 / 6 | $5.587,18 | 322 / 9 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 35 | $24.835,50 | 720 / 27 | $7.519,27 | 114 / 19 | $5.718,36 | 114 / 2 | Total 19 procedures | 351 | 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.