Hospital Costs > In Wisconsin > Beloit Memorial Hospital, 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 | 79 | 485 / 42 | $81.926,00 | 2242 / 65 | $13.073,70 | 1148 / 16 | $11.297,40 | 1121 / 30 |
Heart Failure & Shock W Cc | 52 | 226 / 18 | $29.090,60 | 1912 / 60 | $6.536,17 | 598 / 38 | $4.985,02 | 598 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 8 | $43.996,20 | 1048 / 29 | $6.935,86 | 459 / 10 | $5.374,98 | 457 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 10 | $21.011,00 | 1645 / 46 | $4.446,59 | 699 / 15 | $3.450,44 | 697 / 15 |
Renal Failure W Cc | 39 | 182 / 19 | $30.295,20 | 1706 / 52 | $7.039,33 | 505 / 41 | $4.762,21 | 501 / 16 |
Heart Failure & Shock W Mcc | 36 | 248 / 27 | $49.313,50 | 1971 / 57 | $10.599,20 | 1815 / 44 | $9.760,11 | 1810 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 22 | $22.293,00 | 1780 / 51 | $4.746,45 | 705 / 16 | $3.759,30 | 701 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 15 | $94.185,50 | 1097 / 33 | $14.473,80 | 912 / 14 | $12.121,40 | 905 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 22 | $29.336,10 | 2132 / 58 | $4.919,68 | 1369 / 24 | $4.023,68 | 1358 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 49 | $58.260,70 | 2042 / 58 | $12.446,20 | 1770 / 41 | $11.653,90 | 1735 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 17 | $32.992,10 | 1648 / 49 | $7.089,43 | 980 / 17 | $6.223,14 | 975 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 12 | $18.197,60 | 1280 / 32 | $3.684,56 | 484 / 13 | $2.433,70 | 481 / 11 |
G.I. Hemorrhage W Cc | 26 | 192 / 26 | $27.396,70 | 1395 / 56 | $6.097,00 | 684 / 16 | $5.075,46 | 683 / 23 |
Chest Pain | 26 | 125 / 6 | $18.126,90 | 779 / 15 | $3.864,00 | 313 / 4 | $2.698,46 | 312 / 3 |
Cellulitis W/O Mcc | 26 | 163 / 23 | $23.744,70 | 1798 / 55 | $5.197,85 | 744 / 17 | $4.082,77 | 740 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 6 | $19.818,20 | 1252 / 26 | $4.487,08 | 623 / 5 | $3.424,68 | 622 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 17 | $30.644,20 | 1194 / 42 | $6.297,25 | 566 / 11 | $5.294,58 | 565 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 15 | $25.691,00 | 1484 / 43 | $5.726,35 | 584 / 15 | $4.624,43 | 582 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 33 | $30.357,00 | 1643 / 60 | $6.301,27 | 734 / 20 | $5.422,73 | 732 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 11 | $22.530,90 | 1425 / 30 | $4.222,14 | 686 / 9 | $3.455,59 | 683 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 19 | $62.065,00 | 1401 / 50 | $11.342,10 | 603 / 14 | $10.245,40 | 600 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 8 | $47.760,10 | 1153 / 20 | $6.759,85 | 696 / 9 | $5.852,60 | 694 / 9 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 27 | $36.441,90 | 1362 / 48 | $7.626,05 | 316 / 22 | $6.112,80 | 316 / 17 |
Syncope & Collapse | 19 | 150 / 16 | $23.148,30 | 1116 / 27 | $4.543,26 | 605 / 7 | $3.655,68 | 602 / 8 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 14 | $82.039,60 | 1032 / 34 | $15.698,20 | 784 / 4 | $14.690,20 | 776 / 17 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 10 | $142.515,00 | 850 / 19 | $26.574,20 | 833 / 16 | $25.432,80 | 832 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 23 | $23.810,70 | 1339 / 42 | $4.900,67 | 512 / 13 | $3.826,89 | 510 / 16 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 33 | $34.861,40 | 2179 / 57 | $5.950,59 | 1025 / 16 | $5.097,88 | 1022 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 12 | $33.352,00 | 1198 / 28 | $4.733,88 | 539 / 7 | $3.671,88 | 535 / 7 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $19.084,90 | 607 / 16 | $4.354,93 | 103 / 5 | $2.988,40 | 103 / 4 |
G.I. Obstruction W Cc | 15 | 77 / 14 | $28.850,30 | 1154 / 34 | $5.441,60 | 653 / 10 | $4.639,47 | 652 / 18 |
Renal Failure W Mcc | 15 | 180 / 21 | $56.199,50 | 1691 / 39 | $11.051,50 | 1445 / 28 | $10.082,90 | 1445 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 19 | $47.431,90 | 1486 / 39 | $9.408,64 | 1494 / 32 | $8.631,50 | 1491 / 37 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 1 | $19.519,80 | 46 / 3 | $5.861,64 | 37 / 1 | $4.999,93 | 37 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 36 | $50.522,00 | 1928 / 58 | $8.821,15 | 1021 / 21 | $7.893,23 | 1021 / 28 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 15 | $31.261,10 | 1553 / 26 | $5.073,08 | 471 / 8 | $3.955,54 | 470 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 13 | $61.154,80 | 930 / 17 | $14.634,20 | 916 / 6 | $13.777,00 | 908 / 9 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 13 | $27.897,10 | 605 / 18 | $8.116,38 | 473 / 8 | $7.281,92 | 470 / 12 |
Hypertension W/O Mcc | 13 | 52 / 3 | $19.285,50 | 391 / 7 | $3.957,62 | 323 / 2 | $3.214,23 | 321 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 7 | $26.081,00 | 424 / 9 | $5.555,42 | 129 / 2 | $4.950,08 | 129 / 3 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 6 | $41.686,50 | 746 / 6 | $5.084,25 | 391 / 2 | $3.977,58 | 388 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 19 | $32.289,70 | 1060 / 27 | $6.725,08 | 253 / 9 | $5.618,42 | 251 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 9 | $27.899,40 | 566 / 9 | $5.633,00 | 211 / 2 | $4.523,67 | 211 / 3 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $29.935,00 | 835 / 28 | $6.015,73 | 530 / 8 | $5.247,73 | 528 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 4 | $50.849,40 | 325 / 5 | $8.891,82 | 185 / 1 | $7.792,18 | 185 / 1 |
G.I. Obstruction W Mcc | 11 | 31 / 5 | $38.532,00 | 229 / 7 | $8.588,82 | 27 / 1 | $7.707,36 | 27 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 21 | $65.097,70 | 1395 / 30 | $11.858,20 | 1125 / 20 | $10.764,40 | 1120 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 3 | $46.254,30 | 510 / 5 | $9.573,45 | 297 / 1 | $8.468,00 | 296 / 1 | Total 48 procedures | 1.072 | 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.