Hospital Costs > In Wisconsin > Divine Savior Healthcare, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 12 | $22.316,90 | 529 / 16 | $9.331,93 | 1423 / 33 | $8.546,15 | 1423 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 54 | $42.479,60 | 894 / 32 | $14.603,50 | 1957 / 43 | $13.455,40 | 1915 / 55 |
| Heart Failure & Shock W Mcc | 37 | 247 / 26 | $20.727,00 | 462 / 15 | $8.984,62 | 876 / 24 | $8.132,73 | 876 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 17 | $17.295,40 | 501 / 14 | $7.347,25 | 1182 / 24 | $6.440,96 | 1176 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 7 | $21.398,50 | 667 / 19 | $7.500,93 | 809 / 18 | $6.108,32 | 808 / 13 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $18.019,30 | 931 / 33 | $6.459,12 | 882 / 35 | $5.193,76 | 881 / 29 |
| G.I. Hemorrhage W Cc | 15 | 203 / 37 | $19.662,50 | 720 / 26 | $6.673,80 | 1308 / 36 | $5.705,27 | 1305 / 36 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 33 | $15.851,10 | 187 / 5 | $8.110,36 | 1306 / 26 | $7.420,07 | 1302 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $11.594,20 | 497 / 10 | $4.419,69 | 904 / 11 | $3.577,85 | 901 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 36 | $16.569,00 | 742 / 17 | $6.559,62 | 1526 / 36 | $5.540,54 | 1520 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 36 | $13.555,10 | 725 / 14 | $4.942,92 | 665 / 25 | $3.731,85 | 661 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $16.635,60 | 956 / 26 | $4.948,18 | 1910 / 25 | $4.616,55 | 1896 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 20 | $14.085,40 | 734 / 12 | $4.677,36 | 953 / 20 | $3.691,18 | 945 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 27 | $39.362,80 | 608 / 22 | $13.414,80 | 1446 / 37 | $12.542,10 | 1428 / 44 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $11.540,10 | 142 / 4 | $4.697,36 | 407 / 4 | $3.714,09 | 407 / 7 | Total 15 procedures | 317 | 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.