Hospital Costs > In Wisconsin > Columbia St Marys Hospital Ozaukee, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 144 | 156 / 8 | $18.487,10 | 288 / 13 | $5.729,55 | 23 / 1 | $4.529,38 | 23 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 90 | 426 / 25 | $37.793,00 | 1202 / 43 | $10.489,70 | 550 / 10 | $9.595,41 | 549 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 44 | $48.333,80 | 1214 / 47 | $12.606,00 | 725 / 6 | $10.662,00 | 715 / 19 |
G.I. Hemorrhage W Cc | 67 | 151 / 8 | $23.087,90 | 1037 / 47 | $5.618,63 | 336 / 2 | $4.750,33 | 336 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 11 | $16.749,20 | 1186 / 40 | $4.440,04 | 112 / 8 | $3.153,96 | 112 / 2 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 15 | $18.175,90 | 937 / 32 | $5.401,88 | 231 / 3 | $4.376,90 | 231 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 16 | $24.315,30 | 1190 / 47 | $6.273,46 | 688 / 18 | $5.379,54 | 686 / 25 |
Cellulitis W/O Mcc | 44 | 145 / 15 | $13.447,70 | 655 / 15 | $4.666,11 | 313 / 4 | $3.706,84 | 310 / 9 |
Heart Failure & Shock W Cc | 44 | 234 / 21 | $17.309,60 | 848 / 28 | $5.543,52 | 124 / 9 | $4.405,32 | 124 / 5 |
Renal Failure W Cc | 42 | 179 / 17 | $23.737,40 | 1330 / 48 | $5.380,40 | 262 / 5 | $4.490,50 | 260 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 8 | $44.836,60 | 834 / 33 | $11.368,00 | 227 / 15 | $9.555,25 | 226 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 13 | $15.685,20 | 592 / 14 | $4.516,71 | 89 / 5 | $3.251,31 | 89 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 13 | $15.529,90 | 1019 / 25 | $4.128,56 | 135 / 8 | $2.897,09 | 135 / 4 |
Heart Failure & Shock W Mcc | 33 | 251 / 29 | $34.931,30 | 1390 / 49 | $8.823,97 | 805 / 19 | $8.055,03 | 805 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 14 | $21.581,30 | 573 / 15 | $5.773,94 | 183 / 1 | $4.792,94 | 183 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 28 | 96 / 7 | $16.757,60 | 406 / 16 | $3.894,96 | 33 / 1 | $2.815,07 | 33 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 24 | $16.956,10 | 994 / 28 | $4.498,67 | 56 / 9 | $2.834,56 | 56 / 5 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 24 | $28.736,00 | 958 / 39 | $6.993,65 | 286 / 4 | $6.065,65 | 286 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 14 | $12.029,20 | 585 / 10 | $3.113,72 | 245 / 2 | $2.198,52 | 243 / 7 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 7 | $20.752,30 | 453 / 11 | $5.929,88 | 61 / 4 | $4.254,28 | 61 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 17 | $60.203,30 | 454 / 19 | $14.602,60 | 82 / 16 | $9.280,92 | 82 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 10 | $12.342,70 | 512 / 4 | $3.754,30 | 157 / 3 | $2.913,96 | 155 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 6 | $17.818,10 | 419 / 7 | $4.310,04 | 76 / 3 | $2.924,96 | 75 / 2 |
G.I. Obstruction W Cc | 23 | 69 / 9 | $15.769,00 | 346 / 11 | $4.992,52 | 147 / 1 | $3.944,87 | 146 / 4 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 7 | $24.971,60 | 468 / 9 | $7.692,55 | 257 / 4 | $6.869,27 | 255 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 7 | $25.822,60 | 562 / 14 | $6.077,81 | 303 / 3 | $5.154,38 | 303 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 14 | $26.361,60 | 747 / 24 | $8.701,57 | 72 / 26 | $5.522,05 | 72 / 4 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 6 | $23.751,80 | 592 / 26 | $5.889,25 | 46 / 5 | $4.110,20 | 46 / 2 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 13 | $48.854,20 | 390 / 10 | $14.369,40 | 448 / 1 | $13.405,60 | 444 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 19 | $20.856,80 | 1091 / 33 | $5.223,89 | 272 / 4 | $4.281,67 | 271 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 33 | $32.509,60 | 1195 / 48 | $8.017,88 | 259 / 6 | $6.954,35 | 259 / 9 |
Transient Ischemia | 17 | 108 / 9 | $15.503,60 | 324 / 5 | $4.887,71 | 40 / 9 | $2.628,00 | 40 / 2 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $26.906,40 | 957 / 24 | $4.756,62 | 148 / 10 | $3.107,12 | 148 / 5 |
Syncope & Collapse | 16 | 153 / 18 | $17.741,60 | 649 / 15 | $4.077,00 | 196 / 3 | $3.175,00 | 195 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $15.005,40 | 736 / 17 | $4.443,62 | 139 / 9 | $2.794,06 | 138 / 2 |
Chest Pain | 16 | 135 / 11 | $14.201,60 | 423 / 6 | $3.384,50 | 121 / 1 | $2.400,50 | 121 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 16 | $32.916,60 | 546 / 13 | $9.445,50 | 231 / 3 | $8.387,50 | 231 / 2 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 13 | $17.148,90 | 636 / 7 | $4.501,60 | 191 / 2 | $3.614,13 | 191 / 6 |
Medical Back Problems W/O Mcc | 15 | 106 / 18 | $17.537,60 | 360 / 10 | $4.775,60 | 187 / 3 | $3.728,13 | 187 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 19 | $33.027,60 | 440 / 15 | $10.034,90 | 342 / 5 | $8.912,64 | 341 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 7 | $28.198,30 | 465 / 11 | $6.757,21 | 26 / 4 | $4.117,07 | 26 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 28 | $31.824,00 | 1583 / 46 | $6.656,15 | 276 / 9 | $5.541,08 | 275 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 6 | $16.369,00 | 360 / 8 | $3.744,00 | 30 / 1 | $2.548,00 | 30 / 1 |
Renal Failure W Mcc | 13 | 182 / 22 | $44.338,20 | 1425 / 37 | $10.646,10 | 1322 / 23 | $9.718,15 | 1322 / 24 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 15 | $29.432,60 | 1150 / 27 | $6.329,69 | 298 / 5 | $5.425,08 | 297 / 5 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 12 | $33.508,50 | 303 / 9 | $11.271,80 | 127 / 4 | $9.270,77 | 127 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 4 | $13.079,30 | 226 / 2 | $3.917,69 | 57 / 1 | $2.810,00 | 57 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 7 | $14.847,10 | 185 / 1 | $4.143,46 | 65 / 1 | $3.121,92 | 65 / 1 |
Diabetes W Cc | 13 | 79 / 12 | $16.866,90 | 472 / 4 | $4.533,69 | 100 / 1 | $3.608,15 | 100 / 1 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 10 | $12.730,20 | 345 / 3 | $3.417,67 | 93 / 1 | $2.311,00 | 93 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 7 | $22.143,70 | 311 / 5 | $5.501,75 | 85 / 1 | $4.797,75 | 85 / 2 |
Depressive Neuroses | 11 | 39 / 7 | $8.426,82 | 37 / 4 | $3.695,64 | 3 / 1 | $2.590,18 | 3 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 20 | $26.923,70 | 812 / 24 | $6.664,64 | 411 / 6 | $5.896,64 | 408 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 22 | $34.797,60 | 751 / 23 | $6.123,82 | 229 / 1 | $5.021,27 | 229 / 3 | Total 54 procedures | 1.497 | 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.