Hospital Costs > In Wisconsin > Aurora West Allis Medical Center, 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 | 204 | 360 / 16 | $69.965,60 | 1993 / 63 | $14.502,80 | 1262 / 40 | $11.500,00 | 1231 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 16 | $40.286,00 | 1333 / 48 | $11.628,60 | 1170 / 30 | $10.433,60 | 1152 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 129 | 104 / 2 | $20.569,50 | 1632 / 50 | $5.172,05 | 1513 / 30 | $4.363,12 | 1502 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 5 | $20.735,30 | 1480 / 49 | $5.258,33 | 1269 / 37 | $3.942,46 | 1258 / 31 |
| Cellulitis W/O Mcc | 84 | 105 / 5 | $21.008,70 | 1578 / 50 | $5.619,18 | 1416 / 32 | $4.640,81 | 1409 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 6 | $25.704,90 | 1676 / 54 | $6.482,28 | 1421 / 30 | $5.439,51 | 1415 / 36 |
| Syncope & Collapse | 66 | 103 / 2 | $20.310,90 | 881 / 24 | $4.924,30 | 968 / 16 | $4.024,91 | 962 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 6 | $36.533,30 | 1434 / 54 | $9.497,71 | 1030 / 37 | $7.906,75 | 1030 / 29 |
| Medical Back Problems W/O Mcc | 61 | 60 / 3 | $22.015,30 | 676 / 23 | $5.630,57 | 787 / 10 | $4.720,93 | 784 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 11 | $24.843,10 | 1237 / 48 | $6.926,42 | 1288 / 35 | $5.967,46 | 1283 / 39 |
| G.I. Hemorrhage W Cc | 56 | 162 / 14 | $27.237,50 | 1384 / 55 | $6.548,86 | 1326 / 32 | $5.724,14 | 1323 / 37 |
| Signs & Symptoms W/O Mcc | 52 | 39 / 4 | $17.914,80 | 530 / 12 | $4.743,96 | 555 / 9 | $3.770,73 | 554 / 11 |
| Renal Failure W Cc | 52 | 169 / 13 | $25.221,00 | 1442 / 50 | $6.485,85 | 949 / 33 | $5.133,71 | 941 / 27 |
| Heart Failure & Shock W Mcc | 51 | 233 / 22 | $40.332,90 | 1677 / 53 | $14.307,40 | 1350 / 57 | $8.789,10 | 1347 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 7 | $19.553,50 | 1516 / 44 | $5.188,31 | 1195 / 34 | $3.808,45 | 1191 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 8 | $28.702,40 | 1391 / 43 | $7.934,56 | 1137 / 29 | $6.380,65 | 1132 / 26 |
| Heart Failure & Shock W Cc | 47 | 231 / 19 | $26.901,40 | 1801 / 58 | $7.494,02 | 918 / 53 | $5.227,55 | 917 / 31 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 12 | $44.980,10 | 1648 / 50 | $13.470,60 | 768 / 49 | $6.675,27 | 768 / 25 |
| Transient Ischemia | 39 | 86 / 3 | $23.429,10 | 880 / 15 | $5.256,62 | 598 / 14 | $3.473,54 | 594 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 12 | $23.174,00 | 1296 / 40 | $5.409,05 | 918 / 26 | $4.211,50 | 915 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 6 | $21.576,40 | 1170 / 37 | $6.164,66 | 1190 / 24 | $5.149,82 | 1186 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 3 | $29.780,20 | 1159 / 28 | $7.380,46 | 974 / 17 | $6.333,92 | 971 / 18 |
| Renal Failure W Mcc | 34 | 161 / 9 | $34.615,50 | 1032 / 29 | $9.732,97 | 723 / 16 | $8.414,68 | 723 / 9 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 31 | 31 / 3 | $18.649,70 | 336 / 5 | $5.021,19 | 323 / 2 | $3.971,39 | 323 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 15 | $26.821,10 | 912 / 32 | $6.815,53 | 1013 / 23 | $5.850,20 | 1010 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 12 | $52.477,40 | 1131 / 43 | $12.497,80 | 749 / 31 | $10.520,10 | 742 / 23 |
| Dysequilibrium | 29 | 36 / 2 | $16.731,70 | 168 / 1 | $4.428,86 | 205 / 2 | $3.182,28 | 205 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 4 | $26.830,90 | 554 / 14 | $7.460,21 | 586 / 3 | $6.940,21 | 584 / 4 |
| Chest Pain | 27 | 124 / 5 | $19.230,70 | 865 / 17 | $4.753,33 | 734 / 13 | $3.184,04 | 729 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 6 | $20.156,70 | 1210 / 25 | $4.942,63 | 807 / 14 | $3.508,89 | 803 / 11 |
| Diabetes W Cc | 26 | 66 / 6 | $22.615,10 | 858 / 16 | $5.460,35 | 811 / 7 | $4.718,19 | 807 / 9 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 8 | $50.908,20 | 1028 / 24 | $11.166,00 | 656 / 10 | $10.084,80 | 657 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 14 | $36.598,80 | 566 / 22 | $10.544,20 | 636 / 10 | $9.709,54 | 635 / 14 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 8 | $25.726,70 | 711 / 20 | $6.337,78 | 696 / 6 | $5.546,13 | 692 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 13 | $29.127,40 | 912 / 30 | $7.693,65 | 688 / 17 | $6.644,61 | 685 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 6 | $20.756,50 | 318 / 6 | $6.109,17 | 452 / 5 | $5.401,00 | 451 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 12 | $95.653,20 | 439 / 11 | $29.570,80 | 274 / 4 | $27.653,70 | 274 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 13 | $29.026,20 | 406 / 11 | $9.898,05 | 311 / 5 | $8.566,23 | 311 / 3 |
| Seizures W/O Mcc | 22 | 86 / 9 | $21.726,50 | 638 / 12 | $5.458,14 | 360 / 8 | $3.856,05 | 358 / 4 |
| G.I. Obstruction W Cc | 21 | 71 / 10 | $24.070,70 | 934 / 28 | $6.324,38 | 683 / 24 | $4.676,62 | 682 / 19 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 4 | $20.411,80 | 431 / 5 | $6.303,57 | 524 / 2 | $5.383,19 | 522 / 2 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 5 | $23.704,00 | 586 / 25 | $7.129,38 | 473 / 20 | $5.151,76 | 471 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 6 | $22.504,60 | 319 / 6 | $6.349,40 | 319 / 3 | $5.563,80 | 319 / 5 |
| Organic Disturbances & Mental Retardation | 19 | 40 / 2 | $20.326,80 | 182 / 1 | $6.424,63 | 157 / 2 | $5.412,42 | 157 / 2 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 19 | 21 / 2 | $46.631,40 | 70 / 3 | $12.435,00 | 113 / 2 | $11.654,40 | 113 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 4 | $21.886,90 | 457 / 10 | $6.237,47 | 400 / 2 | $4.561,21 | 396 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 9 | $17.638,30 | 1072 / 22 | $4.873,11 | 1062 / 12 | $3.795,21 | 1053 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 18 | $16.144,30 | 1115 / 29 | $3.938,37 | 1112 / 18 | $2.919,42 | 1107 / 21 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 10 | $27.296,80 | 1376 / 23 | $5.372,53 | 1006 / 11 | $4.526,21 | 1000 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 5 | $28.994,90 | 478 / 12 | $6.557,47 | 373 / 3 | $5.540,16 | 373 / 4 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 18 | 24 / 2 | $22.257,40 | 170 / 4 | $6.651,94 | 105 / 4 | $4.267,83 | 105 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 4 | $15.799,90 | 321 / 8 | $4.774,39 | 424 / 5 | $3.764,61 | 424 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 17 | $24.350,00 | 601 / 24 | $4.698,00 | 338 / 7 | $3.913,06 | 338 / 9 |
| Psychoses | 16 | 259 / 15 | $26.914,40 | 440 / 16 | $6.568,19 | 298 / 5 | $5.966,19 | 298 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 16 | $19.627,00 | 1271 / 27 | $4.639,56 | 912 / 19 | $3.655,56 | 905 / 19 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 4 | $37.288,80 | 634 / 9 | $9.566,25 | 291 / 3 | $6.806,06 | 291 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 3 | $18.601,10 | 130 / 2 | $6.427,75 | 118 / 3 | $3.854,44 | 118 / 2 |
| Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 2 | $20.153,30 | 168 / 3 | $4.904,62 | 86 / 2 | $3.846,62 | 86 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 13 | $36.413,20 | 552 / 16 | $9.988,31 | 141 / 12 | $7.749,12 | 141 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 10 | $31.659,10 | 701 / 19 | $7.642,93 | 586 / 5 | $6.838,67 | 581 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 8 | $79.798,80 | 486 / 13 | $19.586,50 | 428 / 6 | $18.536,90 | 426 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 7 | $27.388,10 | 286 / 6 | $8.834,27 | 421 / 2 | $8.230,53 | 420 / 5 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 21 | $40.290,90 | 798 / 23 | $12.022,80 | 873 / 12 | $11.332,60 | 863 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 14 | $26.362,00 | 964 / 23 | $5.127,57 | 924 / 12 | $4.174,43 | 920 / 18 |
| Cellulitis W Mcc | 14 | 44 / 7 | $33.908,70 | 464 / 8 | $9.917,36 | 322 / 5 | $7.949,36 | 321 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 8 | $24.440,30 | 991 / 19 | $4.243,57 | 810 / 7 | $3.468,71 | 807 / 8 |
| Signs & Symptoms W Mcc | 14 | 27 / 5 | $25.086,40 | 106 / 6 | $7.152,57 | 71 / 2 | $6.373,14 | 71 / 2 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 14 | 18 / 1 | $53.180,80 | 46 / 1 | $13.504,40 | 57 / 1 | $12.468,90 | 57 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 6 | $46.491,40 | 401 / 10 | $10.350,00 | 419 / 3 | $9.140,86 | 419 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 6 | $15.752,50 | 332 / 5 | $4.403,85 | 440 / 3 | $3.681,38 | 439 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $68.732,80 | 269 / 12 | $16.116,40 | 257 / 6 | $15.087,50 | 257 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 14 | $59.195,80 | 889 / 16 | $13.599,80 | 588 / 3 | $12.665,10 | 580 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 9 | $24.372,40 | 451 / 5 | $6.053,50 | 515 / 4 | $5.344,17 | 513 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 19 | $152.777,00 | 1127 / 30 | $40.948,10 | 509 / 30 | $21.843,60 | 506 / 12 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $43.802,70 | 600 / 17 | $11.737,30 | 411 / 9 | $10.425,30 | 410 / 8 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 19 | $65.862,40 | 767 / 26 | $17.360,90 | 425 / 13 | $13.312,50 | 422 / 7 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 2 | $14.384,50 | 119 / 2 | $4.452,82 | 146 / 1 | $3.245,55 | 146 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 4 | $24.875,00 | 234 / 3 | $5.680,18 | 65 / 3 | $3.001,09 | 65 / 1 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 7 | $33.944,50 | 259 / 6 | $6.818,00 | 131 / 1 | $5.721,27 | 131 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $122.099,00 | 581 / 19 | $34.303,10 | 284 / 15 | $27.257,50 | 282 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 8 | $41.612,80 | 322 / 6 | $11.048,80 | 196 / 2 | $10.526,60 | 196 / 2 |
| G.I. Obstruction W Mcc | 11 | 31 / 5 | $30.717,50 | 139 / 3 | $10.660,50 | 62 / 3 | $8.122,00 | 62 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $44.871,40 | 206 / 4 | $14.500,00 | 137 / 5 | $10.116,40 | 137 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 20 | $25.825,50 | 756 / 21 | $6.957,09 | 430 / 10 | $5.920,00 | 427 / 10 | Total 84 procedures | 2.663 | 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.