Hospital Costs > In Wisconsin > Gundersen Lutheran Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 7 | $19.403,00 | 266 / 4 | $7.990,52 | 1051 / 13 | $6.893,19 | 1049 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 8 | $28.115,20 | 373 / 10 | $12.825,30 | 1183 / 23 | $10.957,10 | 1177 / 21 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 5 | $18.743,60 | 258 / 3 | $5.987,62 | 622 / 4 | $4.829,00 | 618 / 5 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 8 | $18.465,40 | 455 / 18 | $5.868,48 | 515 / 19 | $4.504,41 | 514 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 17 | $12.587,00 | 282 / 6 | $6.200,88 | 1719 / 35 | $5.518,48 | 1714 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 17 | $21.954,00 | 458 / 14 | $9.273,69 | 1397 / 31 | $8.296,56 | 1394 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 23 | $10.872,00 | 439 / 6 | $4.634,58 | 1461 / 26 | $3.428,75 | 1455 / 28 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 7 | $102.089,00 | 82 / 6 | $35.785,40 | 322 / 9 | $34.367,20 | 322 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 17 | 99 / 7 | $142.307,00 | 53 / 2 | $51.867,50 | 223 / 4 | $50.451,60 | 223 / 3 |
| Cellulitis W/O Mcc | 27 | 162 / 22 | $14.944,60 | 852 / 26 | $6.567,74 | 1961 / 49 | $5.473,52 | 1953 / 51 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 5 | $38.524,40 | 245 / 7 | $8.441,71 | 185 / 6 | $7.431,86 | 185 / 8 |
| Chest Pain | 17 | 134 / 10 | $12.529,00 | 274 / 3 | $4.954,47 | 1175 / 15 | $3.917,18 | 1168 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 29 | $12.328,90 | 140 / 3 | $8.712,75 | 1845 / 43 | $7.549,92 | 1837 / 44 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 14 | $25.958,50 | 329 / 10 | $8.370,93 | 1139 / 24 | $6.812,50 | 1136 / 25 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 3 | $95.419,60 | 95 / 2 | $32.451,20 | 466 / 6 | $30.913,20 | 466 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 23 | 65 / 5 | $72.026,10 | 82 / 3 | $26.871,50 | 377 / 7 | $23.072,90 | 376 / 7 |
| Depressive Neuroses | 13 | 37 / 6 | $15.799,50 | 100 / 8 | $5.551,00 | 97 / 9 | $4.447,31 | 97 / 9 |
| Diabetes W Cc | 11 | 81 / 14 | $25.762,40 | 1028 / 18 | $7.312,18 | 1244 / 17 | $5.926,73 | 1239 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 5 | $15.974,30 | 105 / 3 | $7.317,33 | 302 / 2 | $6.011,17 | 302 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 4 | $22.243,20 | 36 / 1 | $13.058,20 | 293 / 1 | $12.118,00 | 293 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 5 | $22.621,90 | 396 / 4 | $7.409,00 | 666 / 7 | $5.917,94 | 663 / 8 |
| Disorders Of The Biliary Tract W Cc | 21 | 33 / 4 | $22.838,60 | 104 / 1 | $8.008,81 | 276 / 4 | $6.708,33 | 276 / 5 |
| Endocrine Disorders W Cc | 13 | 25 / 3 | $17.313,10 | 40 / 1 | $7.680,85 | 169 / 2 | $6.516,38 | 169 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 5 | $23.789,20 | 381 / 7 | $8.922,53 | 882 / 11 | $7.695,53 | 877 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 18 | $17.771,10 | 1098 / 33 | $6.104,25 | 1987 / 50 | $4.764,02 | 1973 / 52 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $11.136,50 | 119 / 3 | $5.323,00 | 548 / 10 | $4.047,55 | 548 / 10 |
| G.I. Hemorrhage W Cc | 57 | 161 / 13 | $21.397,90 | 889 / 40 | $7.794,95 | 1810 / 50 | $6.670,96 | 1806 / 52 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 11 | $25.861,90 | 198 / 4 | $12.162,30 | 970 / 16 | $11.122,10 | 964 / 16 |
| G.I. Obstruction W Cc | 36 | 56 / 4 | $19.223,60 | 597 / 20 | $6.887,94 | 1270 / 29 | $5.763,50 | 1266 / 30 |
| G.I. Obstruction W Mcc | 11 | 31 / 5 | $27.590,80 | 100 / 2 | $11.502,10 | 323 / 4 | $10.454,60 | 323 / 5 |
| Heart Failure & Shock W Cc | 42 | 236 / 22 | $16.160,70 | 701 / 21 | $7.541,95 | 2004 / 54 | $6.540,48 | 1999 / 56 |
| Heart Failure & Shock W Mcc | 74 | 210 / 11 | $27.044,40 | 901 / 39 | $11.112,60 | 1894 / 49 | $10.023,80 | 1889 / 49 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 3 | $37.705,20 | 527 / 16 | $13.917,20 | 1443 / 41 | $12.530,20 | 1425 / 43 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 6 | $51.453,60 | 194 / 2 | $19.992,20 | 540 / 4 | $18.720,70 | 537 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 3 | $33.096,90 | 269 / 3 | $11.760,40 | 681 / 4 | $10.517,50 | 678 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 6 | $30.339,00 | 23 / 1 | $14.224,20 | 99 / 1 | $13.188,40 | 99 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 7 | $89.610,80 | 359 / 10 | $34.819,30 | 869 / 12 | $33.470,30 | 863 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 10 | $20.738,00 | 518 / 10 | $7.818,77 | 1350 / 34 | $6.462,38 | 1347 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 12 | $28.400,30 | 297 / 11 | $12.147,90 | 945 / 20 | $10.839,00 | 941 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 11 | $11.371,80 | 78 / 1 | $5.753,29 | 1076 / 19 | $4.495,06 | 1072 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 31 | $12.655,70 | 601 / 10 | $6.091,89 | 1921 / 46 | $4.855,11 | 1910 / 45 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 5 | $38.021,80 | 221 / 3 | $11.915,50 | 642 / 7 | $10.555,80 | 640 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 5 | $61.339,10 | 376 / 9 | $15.012,80 | 478 / 6 | $13.488,20 | 474 / 8 |
| Major Cardiovasc Procedures W Mcc | 27 | 41 / 4 | $78.640,40 | 46 / 1 | $37.723,90 | 409 / 3 | $36.349,70 | 408 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 6 | $56.275,50 | 99 / 3 | $23.668,70 | 563 / 8 | $20.921,20 | 563 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 5 | $16.024,50 | 147 / 2 | $8.513,50 | 718 / 9 | $7.403,88 | 716 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 6 | $25.034,10 | 77 / 1 | $13.431,90 | 430 / 5 | $12.508,90 | 429 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 3 | $46.193,10 | 93 / 3 | $20.654,00 | 497 / 7 | $19.285,40 | 494 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 207 | 357 / 15 | $32.064,00 | 317 / 13 | $15.256,80 | 1950 / 52 | $13.429,50 | 1908 / 53 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 28 | 41 / 2 | $46.698,90 | 105 / 4 | $18.326,60 | 352 / 10 | $16.924,70 | 352 / 12 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 7 | $32.511,70 | 108 / 2 | $9.430,85 | 261 / 2 | $8.138,54 | 261 / 7 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 8 | $61.301,70 | 666 / 21 | $18.353,70 | 1153 / 21 | $17.063,00 | 1140 / 29 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 11 | $105.220,00 | 429 / 15 | $37.942,10 | 938 / 20 | $36.260,90 | 936 / 19 |
| Medical Back Problems W/O Mcc | 24 | 97 / 12 | $14.437,30 | 193 / 2 | $6.351,58 | 962 / 21 | $5.136,75 | 959 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 16 | $22.191,70 | 537 / 14 | $8.373,75 | 1099 / 21 | $7.341,62 | 1096 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 21 | $13.716,70 | 788 / 16 | $5.576,64 | 1844 / 40 | $4.551,73 | 1838 / 40 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 3 | $19.947,10 | 131 / 2 | $7.640,00 | 343 / 4 | $6.600,33 | 343 / 4 |
| Nonspecific Cerebrovascular Disorders W Mcc | 19 | 32 / 1 | $28.695,50 | 103 / 4 | $11.586,40 | 182 / 4 | $10.009,20 | 182 / 4 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 4 | $38.065,90 | 162 / 3 | $11.339,10 | 283 / 3 | $9.975,36 | 283 / 3 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 3 | $22.307,80 | 222 / 2 | $8.023,92 | 293 / 5 | $6.248,58 | 293 / 4 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 7 | $35.872,30 | 362 / 12 | $14.279,70 | 933 / 17 | $12.944,90 | 926 / 17 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 6 | $18.759,40 | 336 / 5 | $7.428,46 | 912 / 17 | $6.181,89 | 908 / 17 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 8 | $25.749,10 | 104 / 3 | $13.579,40 | 311 / 7 | $10.170,60 | 310 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 4 | $13.196,30 | 58 / 1 | $5.442,93 | 231 / 4 | $4.165,21 | 231 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 15 | $35.040,90 | 524 / 15 | $12.330,00 | 827 / 18 | $11.092,80 | 824 / 20 |
| Other Vascular Procedures W Cc | 17 | 85 / 10 | $48.388,30 | 182 / 2 | $17.705,40 | 706 / 10 | $16.473,10 | 702 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 14 | $77.536,50 | 247 / 9 | $26.329,70 | 698 / 14 | $21.994,80 | 694 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 14 | $41.342,40 | 77 / 4 | $14.352,40 | 1091 / 13 | $13.137,90 | 1084 / 28 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 7 | $37.102,80 | 37 / 2 | $12.994,80 | 420 / 5 | $11.691,50 | 418 / 8 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 4 | $70.227,20 | 173 / 4 | $17.508,10 | 211 / 2 | $16.016,90 | 211 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 4 | $34.479,20 | 78 / 2 | $15.136,30 | 507 / 4 | $13.870,50 | 506 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 6 | $30.126,80 | 351 / 8 | $10.923,70 | 679 / 11 | $9.682,06 | 677 / 12 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 6 | $18.427,80 | 460 / 11 | $5.487,62 | 550 / 10 | $4.035,31 | 549 / 9 |
| Psychoses | 212 | 112 / 3 | $23.477,90 | 388 / 15 | $8.444,47 | 410 / 15 | $6.874,53 | 410 / 16 |
| Pulmonary Edema & Respiratory Failure | 141 | 64 / 2 | $19.586,90 | 383 / 16 | $9.186,21 | 1538 / 41 | $7.931,23 | 1533 / 41 |
| Pulmonary Embolism W Mcc | 11 | 32 / 7 | $19.734,40 | 44 / 1 | $10.870,80 | 421 / 6 | $9.977,36 | 421 / 8 |
| Renal Failure W Cc | 53 | 168 / 12 | $18.135,00 | 788 / 25 | $7.328,42 | 1744 / 46 | $6.252,00 | 1734 / 46 |
| Renal Failure W Mcc | 48 | 147 / 5 | $25.702,80 | 497 / 13 | $10.896,80 | 1354 / 26 | $9.796,31 | 1354 / 25 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 15 | $28.464,20 | 340 / 10 | $14.346,50 | 1367 / 24 | $13.373,50 | 1352 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 5 | $35.221,50 | 214 / 1 | $16.169,60 | 1079 / 12 | $14.474,00 | 1069 / 13 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 5 | $55.693,80 | 114 / 3 | $22.845,30 | 453 / 6 | $21.680,10 | 451 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 205 | 311 / 7 | $30.854,50 | 819 / 25 | $14.129,70 | 2011 / 49 | $12.407,60 | 1974 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 17 | $16.974,70 | 513 / 13 | $7.978,22 | 1789 / 52 | $6.777,07 | 1781 / 53 |
| Signs & Symptoms W Mcc | 19 | 22 / 4 | $21.859,30 | 71 / 2 | $8.283,89 | 134 / 5 | $7.230,26 | 134 / 4 |
| Signs & Symptoms W/O Mcc | 27 | 64 / 8 | $13.342,70 | 234 / 1 | $5.563,30 | 922 / 15 | $4.624,93 | 919 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 27 | $11.582,30 | 218 / 5 | $7.216,15 | 1955 / 47 | $6.086,07 | 1947 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 13 | $21.486,80 | 472 / 10 | $10.502,20 | 1476 / 47 | $8.632,68 | 1476 / 39 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 11 | $76.809,20 | 478 / 21 | $27.823,00 | 895 / 18 | $24.972,20 | 890 / 22 |
| Syncope & Collapse | 14 | 155 / 20 | $16.533,60 | 533 / 9 | $5.804,86 | 1308 / 23 | $4.609,43 | 1301 / 24 | Total 89 procedures | 2.739 | 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.