Hospital Costs > In Wisconsin > Bellin Memorial Hospital, 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 | 14 | 77 / 12 | $20.325,70 | 294 / 5 | $6.399,64 | 434 / 7 | $5.364,21 | 433 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 16 | $18.757,40 | 124 / 2 | $10.002,20 | 650 / 7 | $9.320,19 | 649 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 24 | $12.015,60 | 236 / 5 | $4.929,75 | 718 / 14 | $4.029,75 | 715 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 18 | $27.053,20 | 791 / 27 | $7.647,13 | 817 / 16 | $6.836,47 | 814 / 22 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 20 | 26 / 2 | $113.703,00 | 19 / 1 | $38.668,60 | 25 / 1 | $34.014,60 | 25 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 19 | 50 / 3 | $171.688,00 | 39 / 1 | $66.961,90 | 50 / 1 | $52.340,90 | 50 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 10 | $101.298,00 | 78 / 5 | $31.143,50 | 182 / 4 | $30.293,90 | 182 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 35 | 81 / 3 | $151.119,00 | 81 / 4 | $50.785,30 | 218 / 2 | $50.198,40 | 218 / 2 |
Cellulitis W/O Mcc | 18 | 171 / 29 | $15.506,70 | 918 / 32 | $5.493,61 | 803 / 28 | $4.126,83 | 798 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 26 | $22.062,70 | 906 / 26 | $6.879,33 | 561 / 13 | $5.829,73 | 560 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 15 | $15.949,80 | 39 / 2 | $6.593,46 | 625 / 6 | $5.619,92 | 623 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 7 | $99.739,50 | 121 / 3 | $30.221,60 | 254 / 2 | $25.978,40 | 254 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 8 | $77.912,40 | 121 / 5 | $25.906,60 | 72 / 4 | $18.240,90 | 72 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 29 | $19.266,10 | 1309 / 41 | $4.729,10 | 829 / 17 | $3.651,55 | 824 / 23 |
Extracranial Procedures W Cc | 11 | 35 / 5 | $26.442,10 | 52 / 2 | $9.419,55 | 114 / 1 | $8.325,73 | 114 / 1 |
Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 6 | $26.872,00 | 333 / 5 | $6.622,57 | 207 / 5 | $4.985,83 | 207 / 5 |
G.I. Hemorrhage W Cc | 34 | 184 / 22 | $18.586,60 | 620 / 20 | $6.374,59 | 394 / 26 | $4.805,74 | 394 / 13 |
G.I. Obstruction W Cc | 12 | 80 / 17 | $18.087,10 | 518 / 17 | $5.764,75 | 246 / 16 | $4.116,58 | 245 / 6 |
Heart Failure & Shock W Cc | 66 | 212 / 14 | $15.360,20 | 617 / 16 | $6.053,70 | 780 / 22 | $5.129,35 | 779 / 26 |
Heart Failure & Shock W Mcc | 24 | 260 / 34 | $23.086,10 | 604 / 23 | $8.855,25 | 845 / 20 | $8.100,58 | 845 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 18 | $12.834,60 | 579 / 6 | $4.299,00 | 374 / 12 | $3.186,38 | 372 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 9 | $32.095,10 | 299 / 8 | $10.639,60 | 295 / 1 | $9.719,15 | 294 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 15 | $22.231,60 | 616 / 17 | $6.053,93 | 525 / 9 | $5.246,47 | 524 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 21 | $26.463,60 | 244 / 8 | $10.107,30 | 408 / 6 | $9.099,33 | 407 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 26 | $16.084,90 | 1083 / 31 | $4.808,33 | 1066 / 19 | $4.003,00 | 1058 / 27 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 11 | $83.985,10 | 420 / 13 | $24.981,30 | 778 / 11 | $24.128,60 | 777 / 15 |
Major Chest Procedures W Cc | 20 | 54 / 5 | $58.585,80 | 185 / 4 | $15.937,00 | 230 / 1 | $14.908,20 | 229 / 1 |
Major Chest Procedures W Mcc | 11 | 38 / 6 | $64.387,50 | 20 / 1 | $26.193,80 | 27 / 1 | $24.339,50 | 27 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 1 | $31.304,60 | 47 / 1 | $13.305,90 | 263 / 6 | $11.386,50 | 260 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 459 | 150 / 2 | $29.331,30 | 196 / 8 | $12.789,30 | 925 / 8 | $10.928,20 | 906 / 24 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 6 | $60.429,70 | 648 / 20 | $15.782,10 | 515 / 5 | $13.651,00 | 509 / 11 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 6 | $101.697,00 | 399 / 13 | $32.036,90 | 621 / 12 | $31.067,30 | 619 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 25 | $14.784,90 | 928 / 19 | $4.438,29 | 1108 / 13 | $3.728,65 | 1105 / 23 |
Other Vascular Procedures W Cc | 15 | 87 / 12 | $102.280,00 | 860 / 19 | $24.243,20 | 1076 / 18 | $23.355,70 | 1071 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 7 | $44.216,60 | 19 / 1 | $18.588,10 | 127 / 2 | $16.554,60 | 127 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 10 | $32.352,00 | 34 / 2 | $12.962,30 | 257 / 8 | $10.012,40 | 257 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 17 | 28 / 2 | $43.218,40 | 8 / 1 | $16.915,40 | 50 / 1 | $15.957,20 | 50 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 23 | 46 / 2 | $30.184,70 | 16 / 1 | $11.162,50 | 166 / 1 | $9.383,61 | 166 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 11 | $28.772,20 | 20 / 1 | $15.381,80 | 260 / 1 | $14.376,50 | 259 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 8 | $49.869,40 | 34 / 3 | $21.363,20 | 182 / 3 | $20.565,80 | 182 / 3 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 31 | $23.644,40 | 645 / 24 | $7.317,31 | 731 / 13 | $6.635,31 | 731 / 23 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 9 | $16.019,50 | 189 / 8 | $6.116,86 | 330 / 9 | $4.860,14 | 330 / 9 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 13 | $15.159,10 | 465 / 4 | $5.397,13 | 248 / 12 | $3.696,00 | 248 / 7 |
Renal Failure W Cc | 31 | 190 / 24 | $20.761,70 | 1055 / 40 | $5.823,39 | 554 / 17 | $4.807,65 | 550 / 17 |
Renal Failure W Mcc | 12 | 183 / 23 | $26.565,90 | 548 / 16 | $8.583,25 | 514 / 4 | $8.081,92 | 514 / 6 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 15 | $22.466,50 | 370 / 6 | $7.257,73 | 75 / 3 | $6.385,00 | 75 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 11 | $54.830,80 | 761 / 11 | $14.746,00 | 972 / 7 | $14.022,90 | 963 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 47 | $33.476,90 | 971 / 35 | $11.397,40 | 433 / 28 | $9.394,59 | 433 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 26 | $19.640,90 | 751 / 23 | $6.274,33 | 642 / 19 | $5.348,47 | 640 / 23 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 22 | $17.587,60 | 859 / 28 | $6.096,32 | 363 / 21 | $4.525,65 | 361 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 27 | $24.819,90 | 691 / 23 | $8.486,96 | 925 / 13 | $7.785,62 | 925 / 22 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 14 | $47.120,20 | 90 / 4 | $22.832,30 | 492 / 3 | $21.741,20 | 489 / 10 | Total 52 procedures | 1.560 | 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.