Hospital Costs > In Wisconsin > Columbia St Marys Hospital Milwaukee, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 165 | 351 / 13 | $39.460,90 | 1296 / 46 | $14.412,40 | 2102 / 53 | $12.769,10 | 2065 / 54 |
Heart Failure & Shock W Cc | 80 | 198 / 11 | $21.024,50 | 1297 / 50 | $8.352,09 | 2266 / 58 | $7.191,92 | 2260 / 60 |
Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 7 | $19.089,00 | 1467 / 49 | $6.814,66 | 2259 / 50 | $5.630,99 | 2248 / 51 |
Renal Failure W Cc | 70 | 151 / 7 | $22.059,10 | 1187 / 43 | $8.184,37 | 1904 / 50 | $6.663,03 | 1894 / 50 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 8 | $25.251,30 | 1276 / 49 | $8.669,74 | 2025 / 58 | $7.388,41 | 2017 / 58 |
Heart Failure & Shock W Mcc | 61 | 223 / 15 | $38.119,40 | 1562 / 51 | $12.886,70 | 2107 / 55 | $10.782,80 | 2097 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 11 | $23.085,90 | 1723 / 54 | $6.921,05 | 2265 / 55 | $5.422,32 | 2250 / 56 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 8 | $29.094,50 | 986 / 40 | $9.801,05 | 1656 / 43 | $8.314,86 | 1651 / 45 |
Psychoses | 51 | 228 / 14 | $17.469,60 | 256 / 12 | $8.451,43 | 433 / 16 | $7.119,37 | 433 / 17 |
G.I. Hemorrhage W Cc | 51 | 167 / 15 | $25.199,60 | 1209 / 54 | $8.302,59 | 1925 / 56 | $7.010,90 | 1921 / 54 |
Renal Failure W Mcc | 48 | 147 / 5 | $39.581,30 | 1279 / 34 | $13.015,20 | 1691 / 37 | $11.122,90 | 1689 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 53 | $50.718,30 | 1324 / 51 | $15.974,20 | 2050 / 56 | $13.783,60 | 2008 / 57 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 9 | $17.864,10 | 1306 / 35 | $6.305,24 | 2098 / 45 | $5.177,05 | 2090 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 11 | $22.950,90 | 1280 / 39 | $7.244,42 | 1764 / 41 | $5.679,92 | 1759 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 10 | $23.420,40 | 684 / 22 | $8.682,75 | 1538 / 42 | $6.999,48 | 1535 / 42 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 21 | $19.681,90 | 1100 / 39 | $8.292,70 | 2093 / 54 | $6.365,55 | 2085 / 50 |
Cellulitis W/O Mcc | 39 | 150 / 18 | $20.994,70 | 1577 / 49 | $7.460,46 | 2184 / 55 | $6.055,03 | 2176 / 57 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 10 | $40.136,90 | 703 / 23 | $13.162,00 | 1097 / 23 | $11.543,00 | 1092 / 24 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 8 | $19.952,20 | 993 / 27 | $7.853,12 | 1987 / 42 | $6.642,75 | 1980 / 43 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 5 | $18.061,30 | 723 / 15 | $6.975,07 | 1582 / 21 | $5.789,60 | 1573 / 23 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 24 | $35.105,40 | 1359 / 53 | $11.056,00 | 1887 / 52 | $9.668,72 | 1887 / 53 |
Diabetes W Cc | 29 | 63 / 5 | $21.617,90 | 798 / 15 | $7.216,17 | 1225 / 16 | $5.849,41 | 1220 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 5 | $15.354,40 | 821 / 16 | $6.365,30 | 1738 / 23 | $5.099,22 | 1727 / 25 |
Chest Pain | 27 | 124 / 5 | $18.435,40 | 798 / 16 | $5.971,33 | 1342 / 18 | $4.406,74 | 1334 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 9 | $26.774,00 | 804 / 23 | $9.428,15 | 1333 / 25 | $8.301,73 | 1330 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 18 | $22.206,40 | 919 / 27 | $8.959,00 | 1896 / 46 | $7.677,88 | 1888 / 46 |
Signs & Symptoms W/O Mcc | 24 | 67 / 9 | $18.420,60 | 566 / 15 | $6.207,29 | 1053 / 21 | $5.140,62 | 1050 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 18 | $63.451,80 | 530 / 22 | $16.284,20 | 940 / 27 | $12.204,20 | 933 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 7 | $57.962,80 | 866 / 14 | $17.843,60 | 1404 / 15 | $16.529,10 | 1390 / 19 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 5 | $36.147,90 | 375 / 13 | $14.136,40 | 903 / 15 | $12.740,20 | 897 / 16 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 8 | $27.751,80 | 783 / 22 | $8.724,96 | 1103 / 20 | $6.901,48 | 1099 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 18 | $46.728,10 | 920 / 36 | $14.497,70 | 1499 / 45 | $12.790,50 | 1481 / 45 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 10 | $23.126,70 | 796 / 21 | $8.695,81 | 1489 / 24 | $7.577,71 | 1485 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 8 | $19.115,00 | 515 / 8 | $6.636,81 | 1357 / 25 | $5.506,90 | 1353 / 27 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 13 | $20.829,10 | 506 / 19 | $7.308,95 | 600 / 24 | $4.956,29 | 599 / 22 |
G.I. Hemorrhage W Mcc | 21 | 100 / 12 | $53.642,60 | 1079 / 25 | $16.628,00 | 1505 / 24 | $15.235,70 | 1495 / 26 |
Medical Back Problems W/O Mcc | 20 | 101 / 14 | $25.533,10 | 849 / 28 | $7.549,70 | 1128 / 27 | $5.715,50 | 1124 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 14 | $52.502,20 | 1192 / 28 | $13.967,70 | 1421 / 26 | $12.214,10 | 1409 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 13 | $17.917,20 | 1142 / 25 | $6.188,75 | 1720 / 28 | $5.151,15 | 1707 / 29 |
Seizures W/O Mcc | 19 | 89 / 10 | $19.752,50 | 544 / 8 | $6.614,79 | 979 / 14 | $5.463,00 | 977 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 11 | $33.974,10 | 495 / 14 | $11.898,40 | 637 / 16 | $9.727,32 | 635 / 14 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 10 | $31.836,00 | 747 / 24 | $10.970,90 | 1042 / 24 | $8.836,67 | 1037 / 21 |
Syncope & Collapse | 18 | 151 / 17 | $24.654,30 | 1200 / 29 | $6.766,78 | 1465 / 28 | $5.049,06 | 1458 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 16 | $31.196,00 | 1019 / 33 | $9.959,11 | 1402 / 36 | $8.327,06 | 1399 / 34 |
G.I. Obstruction W Cc | 17 | 75 / 12 | $21.585,20 | 762 / 24 | $7.670,35 | 1381 / 31 | $6.164,71 | 1376 / 32 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 16 | $126.029,00 | 792 / 19 | $51.178,50 | 1168 / 25 | $38.343,40 | 1160 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 19 | $38.282,20 | 887 / 27 | $8.695,06 | 1278 / 25 | $7.367,06 | 1275 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $15.729,40 | 807 / 20 | $6.317,82 | 1661 / 24 | $4.924,41 | 1653 / 26 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 20 | $14.207,40 | 892 / 23 | $5.307,25 | 1710 / 30 | $4.134,50 | 1704 / 31 |
Transient Ischemia | 16 | 109 / 10 | $18.364,80 | 539 / 9 | $6.244,94 | 1332 / 19 | $4.962,44 | 1325 / 21 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 8 | $23.337,30 | 568 / 24 | $8.139,67 | 1051 / 26 | $6.848,20 | 1048 / 27 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 4 | $37.894,50 | 160 / 2 | $11.781,90 | 305 / 4 | $10.405,60 | 304 / 4 |
Signs & Symptoms W Mcc | 14 | 27 / 5 | $24.258,70 | 96 / 5 | $8.626,93 | 166 / 6 | $7.810,36 | 166 / 7 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 8 | $19.379,70 | 792 / 17 | $5.938,64 | 1151 / 16 | $4.582,93 | 1148 / 18 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 12 | $28.188,60 | 663 / 16 | $8.439,86 | 1101 / 15 | $7.114,14 | 1099 / 17 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 16 | $71.989,80 | 892 / 27 | $21.829,90 | 1208 / 31 | $17.561,40 | 1194 / 31 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 3 | $16.420,50 | 439 / 7 | $5.814,85 | 683 / 6 | $4.385,00 | 681 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 12 | $28.461,60 | 581 / 12 | $10.063,20 | 884 / 15 | $7.698,38 | 879 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 4 | $16.870,60 | 112 / 2 | $6.502,92 | 289 / 3 | $5.340,77 | 289 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 8 | $23.329,60 | 337 / 6 | $8.229,00 | 623 / 9 | $6.859,46 | 623 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 8 | $68.842,20 | 253 / 4 | $14.409,20 | 412 / 3 | $13.258,80 | 408 / 7 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 6 | $146.732,00 | 502 / 4 | $47.620,70 | 842 / 3 | $44.747,80 | 841 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 6 | $102.142,00 | 197 / 4 | $33.238,50 | 247 / 4 | $28.073,70 | 247 / 2 |
Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 2 | $29.084,40 | 54 / 2 | $6.497,73 | 62 / 2 | $5.106,45 | 62 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 8 | $31.362,00 | 548 / 11 | $8.362,00 | 640 / 8 | $7.271,82 | 640 / 9 |
Other Vascular Procedures W Mcc | 11 | 86 / 11 | $127.254,00 | 775 / 12 | $45.165,40 | 923 / 12 | $30.137,30 | 920 / 12 |
Transurethral Procedures W Cc | 11 | 30 / 4 | $37.476,00 | 202 / 5 | $11.031,90 | 294 / 4 | $8.508,55 | 294 / 4 |
Other Vascular Procedures W Cc | 11 | 91 / 14 | $89.194,50 | 744 / 18 | $22.632,30 | 1004 / 16 | $20.966,80 | 999 / 18 |
Hypertension W/O Mcc | 11 | 54 / 4 | $14.360,90 | 193 / 3 | $6.020,00 | 436 / 7 | $3.538,18 | 434 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 6 | $15.245,00 | 347 / 4 | $7.014,27 | 695 / 6 | $4.376,18 | 691 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $21.416,10 | 334 / 9 | $9.109,36 | 856 / 13 | $8.132,27 | 854 / 14 | Total 71 procedures | 2.023 | 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.