Hospital Costs > In Wisconsin > Fort 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 | 122 | 442 / 31 | $35.928,10 | 518 / 18 | $13.315,70 | 1328 / 22 | $11.655,50 | 1296 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 59 | 457 / 39 | $23.030,60 | 422 / 9 | $10.692,30 | 399 / 16 | $9.351,05 | 399 / 12 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 17 | $15.428,60 | 168 / 4 | $7.589,95 | 770 / 21 | $6.675,78 | 770 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 27 | $17.004,50 | 515 / 14 | $6.493,97 | 863 / 25 | $5.535,07 | 861 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 26 | $18.617,30 | 302 / 9 | $8.469,28 | 569 / 12 | $7.403,04 | 569 / 15 |
| Renal Failure W Cc | 20 | 201 / 28 | $13.724,20 | 360 / 12 | $5.807,20 | 684 / 16 | $4.904,80 | 677 / 23 |
| Heart Failure & Shock W Cc | 20 | 258 / 33 | $20.930,00 | 1281 / 48 | $6.195,85 | 702 / 28 | $5.065,55 | 701 / 23 |
| Heart Failure & Shock W Mcc | 20 | 264 / 36 | $20.446,10 | 448 / 13 | $8.057,00 | 250 / 3 | $7.332,20 | 250 / 7 |
| G.I. Hemorrhage W Cc | 18 | 200 / 34 | $14.329,30 | 251 / 8 | $6.270,22 | 576 / 23 | $4.977,61 | 575 / 21 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 18 | $24.277,20 | 206 / 5 | $11.021,10 | 379 / 6 | $10.212,20 | 378 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 22 | $33.461,60 | 355 / 10 | $11.705,10 | 772 / 20 | $10.564,40 | 764 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 16 | $13.105,60 | 620 / 8 | $4.297,00 | 605 / 11 | $3.391,00 | 603 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 34 | $14.783,10 | 531 / 10 | $5.846,50 | 828 / 13 | $4.934,50 | 825 / 21 |
| Cellulitis W/O Mcc | 16 | 173 / 30 | $13.900,60 | 713 / 18 | $5.480,88 | 811 / 27 | $4.134,06 | 806 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 25 | $18.359,10 | 888 / 31 | $5.021,00 | 580 / 16 | $3.894,60 | 578 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 19 | $21.772,10 | 438 / 12 | $7.310,43 | 483 / 11 | $6.355,00 | 480 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 35 | $11.679,30 | 476 / 6 | $4.851,57 | 1045 / 21 | $3.987,57 | 1037 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 29 | $11.278,10 | 463 / 9 | $4.486,08 | 739 / 17 | $3.480,75 | 737 / 16 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 15 | $15.959,50 | 128 / 1 | $7.703,82 | 177 / 5 | $6.714,73 | 176 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 17 | $15.273,10 | 272 / 3 | $4.774,91 | 730 / 8 | $3.899,27 | 726 / 12 | Total 20 procedures | 510 | 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.