Hospital Costs > In Wisconsin > Beaver Dam Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 28 | $22.210,70 | 1220 / 38 | $5.131,00 | 710 / 18 | $4.021,67 | 707 / 19 |
| Cellulitis W/O Mcc | 11 | 178 / 34 | $22.431,30 | 1680 / 53 | $5.462,09 | 1355 / 25 | $4.580,64 | 1349 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 19 | $26.533,90 | 1550 / 44 | $6.530,28 | 1623 / 27 | $5.721,39 | 1616 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 13 | $26.342,80 | 1228 / 36 | $6.863,72 | 769 / 12 | $6.022,83 | 764 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 14 | $16.385,80 | 949 / 19 | $4.533,00 | 607 / 6 | $3.408,43 | 606 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $28.406,40 | 2086 / 57 | $4.827,36 | 1422 / 21 | $4.062,27 | 1411 / 37 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $21.243,90 | 864 / 38 | $6.271,00 | 842 / 24 | $5.209,00 | 840 / 27 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $20.054,40 | 1192 / 46 | $6.126,24 | 975 / 25 | $5.271,65 | 974 / 34 |
| Heart Failure & Shock W Mcc | 17 | 267 / 39 | $26.093,40 | 835 / 34 | $8.699,65 | 695 / 14 | $7.924,12 | 695 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 20 | $16.696,60 | 1033 / 21 | $4.484,09 | 719 / 15 | $3.489,18 | 715 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 30 | $18.838,80 | 1436 / 47 | $5.006,79 | 1247 / 26 | $4.120,84 | 1238 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 78 | 486 / 43 | $53.234,70 | 1433 / 56 | $13.384,80 | 1569 / 25 | $12.243,40 | 1533 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 26 | $19.527,60 | 1512 / 43 | $4.621,53 | 1206 / 21 | $3.815,13 | 1202 / 26 |
| Renal Failure W Cc | 16 | 205 / 31 | $20.650,70 | 1040 / 38 | $5.744,38 | 598 / 13 | $4.838,38 | 592 / 21 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 15 | $25.239,30 | 481 / 11 | $8.137,55 | 386 / 9 | $7.142,64 | 383 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 48 | $34.411,40 | 1023 / 41 | $10.555,90 | 765 / 11 | $9.872,13 | 764 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 35 | $22.346,40 | 1006 / 37 | $6.465,85 | 683 / 24 | $5.377,85 | 681 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 28 | $23.877,10 | 1531 / 51 | $6.115,24 | 1080 / 23 | $5.145,00 | 1077 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 36 | $31.055,80 | 1106 / 46 | $8.574,69 | 952 / 15 | $7.828,92 | 952 / 23 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $19.388,10 | 1150 / 24 | $4.385,25 | 546 / 6 | $3.273,25 | 544 / 7 | Total 20 procedures | 402 | 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.