Hospital Costs > In Wisconsin > Aurora Sheboygan Memorial Medical Ctr, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 173 | 140 / 7 | $16.727,90 | 238 / 11 | $6.616,16 | 268 / 6 | $5.792,63 | 268 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 137 | 427 / 27 | $46.993,30 | 1138 / 43 | $14.580,40 | 1017 / 42 | $11.078,90 | 997 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 18 | $16.242,40 | 711 / 14 | $6.499,23 | 780 / 31 | $4.887,77 | 777 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 45 | $27.065,70 | 651 / 17 | $10.974,00 | 946 / 19 | $10.117,00 | 941 / 26 |
| Heart Failure & Shock W Cc | 34 | 244 / 27 | $15.068,10 | 586 / 15 | $6.329,76 | 1057 / 33 | $5.334,00 | 1055 / 36 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 33 | 30 / 1 | $68.080,80 | 92 / 1 | $25.058,20 | 63 / 2 | $17.695,80 | 63 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 28 | $21.572,70 | 478 / 11 | $9.128,78 | 629 / 29 | $7.466,43 | 629 / 17 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 12 | $14.771,50 | 327 / 15 | $4.674,00 | 392 / 6 | $4.070,36 | 392 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 34 | $16.003,50 | 435 / 10 | $6.626,86 | 1051 / 27 | $5.706,48 | 1048 / 31 |
| Heart Failure & Shock W Mcc | 20 | 264 / 36 | $21.922,40 | 528 / 18 | $9.184,60 | 206 / 27 | $7.249,25 | 206 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 30 | $13.714,20 | 757 / 18 | $5.174,16 | 1116 / 31 | $4.032,26 | 1108 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 20 | $43.168,00 | 768 / 31 | $13.429,40 | 383 / 38 | $9.891,47 | 382 / 13 |
| Cellulitis W/O Mcc | 18 | 171 / 29 | $13.270,20 | 627 / 13 | $5.570,50 | 1335 / 31 | $4.564,28 | 1329 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 22 | $20.810,20 | 520 / 11 | $6.757,00 | 952 / 20 | $5.763,12 | 949 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 24 | $15.739,50 | 371 / 10 | $7.303,12 | 1141 / 23 | $6.382,65 | 1136 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 30 | $16.377,10 | 923 / 23 | $5.222,88 | 1148 / 34 | $3.856,59 | 1140 / 29 |
| Renal Failure W Cc | 16 | 205 / 31 | $15.666,00 | 528 / 17 | $5.919,19 | 1130 / 20 | $5.313,19 | 1122 / 30 |
| G.I. Hemorrhage W Cc | 15 | 203 / 37 | $18.849,90 | 646 / 22 | $6.455,53 | 1045 / 28 | $5.408,07 | 1043 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $14.039,50 | 838 / 18 | $4.775,31 | 1246 / 26 | $3.839,92 | 1242 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $15.239,50 | 759 / 18 | $4.779,00 | 1076 / 13 | $3.755,00 | 1070 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 18 | $60.761,10 | 225 / 10 | $23.513,00 | 592 / 8 | $22.397,90 | 588 / 16 |
| G.I. Obstruction W Cc | 12 | 80 / 17 | $13.719,10 | 209 / 6 | $5.453,67 | 571 / 11 | $4.547,00 | 570 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 24 | $14.749,80 | 489 / 10 | $6.099,67 | 1225 / 22 | $5.190,33 | 1220 / 26 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 9 | $18.170,20 | 236 / 1 | $10.011,20 | 283 / 12 | $4.697,00 | 282 / 4 | Total 24 procedures | 764 | 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.