Hospital Costs > In Wisconsin > Bay Area Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 11 | $21.503,80 | 358 / 7 | $6.375,53 | 518 / 6 | $5.492,33 | 517 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 58 | 67 / 4 | $25.531,70 | 302 / 6 | $10.499,10 | 767 / 9 | $9.644,48 | 766 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 4 | $17.358,60 | 210 / 1 | $4.570,20 | 249 / 1 | $3.689,13 | 248 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 21 | $17.751,40 | 837 / 29 | $4.825,60 | 366 / 10 | $3.693,95 | 366 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 17 | $19.531,20 | 309 / 8 | $7.299,88 | 513 / 9 | $6.391,88 | 510 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 22 | $11.683,50 | 549 / 9 | $3.349,08 | 274 / 5 | $2.229,08 | 272 / 8 |
Cellulitis W Mcc | 11 | 47 / 9 | $20.421,30 | 132 / 2 | $8.804,73 | 295 / 2 | $7.818,55 | 294 / 2 |
Cellulitis W/O Mcc | 19 | 170 / 28 | $11.816,50 | 444 / 8 | $5.066,16 | 779 / 14 | $4.109,53 | 774 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 16 | $12.766,90 | 302 / 4 | $5.653,82 | 634 / 14 | $4.664,73 | 632 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 7 | $27.009,00 | 1271 / 38 | $7.122,35 | 1079 / 18 | $6.317,33 | 1074 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 17 | $30.231,30 | 527 / 17 | $6.568,95 | 517 / 5 | $5.479,35 | 515 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 28 | $12.028,10 | 400 / 6 | $4.483,57 | 553 / 8 | $3.448,90 | 551 / 16 |
G.I. Hemorrhage W Cc | 18 | 200 / 34 | $17.905,40 | 562 / 15 | $6.029,83 | 920 / 14 | $5.292,06 | 918 / 29 |
G.I. Hemorrhage W Mcc | 14 | 107 / 17 | $23.111,50 | 128 / 3 | $10.624,90 | 602 / 6 | $9.934,64 | 603 / 8 |
Heart Failure & Shock W Cc | 54 | 224 / 17 | $16.892,90 | 792 / 26 | $6.149,80 | 858 / 26 | $5.180,94 | 857 / 28 |
Heart Failure & Shock W Mcc | 67 | 217 / 13 | $27.895,10 | 968 / 41 | $9.316,84 | 752 / 31 | $7.993,63 | 752 / 22 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 19 | $12.500,80 | 528 / 5 | $4.073,33 | 457 / 7 | $3.273,33 | 455 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 17 | $39.606,20 | 619 / 23 | $11.907,70 | 902 / 21 | $10.801,00 | 889 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 18 | $50.437,90 | 53 / 1 | $32.068,10 | 658 / 8 | $31.164,10 | 652 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 20 | $17.828,20 | 334 / 7 | $6.516,45 | 694 / 16 | $5.426,85 | 693 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 20 | $21.757,40 | 133 / 3 | $10.507,60 | 521 / 9 | $9.390,08 | 520 / 11 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 8 | $13.430,20 | 167 / 5 | $6.783,92 | 589 / 11 | $5.809,15 | 588 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 31 | $13.575,20 | 729 / 15 | $4.653,11 | 735 / 14 | $3.780,22 | 730 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 54 | 510 / 49 | $46.521,00 | 1112 / 42 | $12.976,60 | 1391 / 12 | $11.796,80 | 1358 / 38 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 15 | $62.145,80 | 685 / 24 | $16.498,80 | 965 / 8 | $15.586,70 | 954 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 19 | $15.136,60 | 156 / 4 | $6.707,83 | 420 / 7 | $5.902,50 | 417 / 9 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 16 | $13.897,90 | 30 / 1 | $9.384,17 | 382 / 6 | $8.682,83 | 381 / 10 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 13 | $26.048,40 | 794 / 30 | $7.402,58 | 718 / 15 | $6.614,47 | 718 / 22 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $14.435,50 | 391 / 3 | $4.834,27 | 589 / 7 | $4.069,18 | 585 / 10 |
Renal Failure W Cc | 23 | 198 / 27 | $12.031,10 | 214 / 6 | $5.836,35 | 593 / 18 | $4.836,00 | 587 / 20 |
Renal Failure W Mcc | 40 | 155 / 7 | $20.412,80 | 240 / 6 | $9.266,00 | 785 / 10 | $8.510,80 | 785 / 12 |
Respiratory Infections & Inflammations W Mcc | 33 | 103 / 8 | $34.536,50 | 572 / 15 | $11.984,90 | 849 / 11 | $11.251,80 | 839 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 171 | 345 / 10 | $28.436,20 | 710 / 19 | $11.302,30 | 1234 / 26 | $10.525,70 | 1213 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 34 | $14.954,80 | 349 / 8 | $6.435,57 | 845 / 22 | $5.518,24 | 843 / 29 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 16 | $27.109,50 | 842 / 34 | $8.792,92 | 958 / 19 | $7.835,30 | 958 / 24 |
Transient Ischemia | 11 | 114 / 15 | $12.559,40 | 147 / 2 | $4.213,27 | 368 / 4 | $3.224,18 | 367 / 5 | Total 36 procedures | 1.053 | 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.