Hospital Costs > In Wisconsin > Holy Family Memorial, 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 | 109 | 407 / 22 | $25.637,90 | 566 / 14 | $10.876,30 | 665 / 18 | $9.746,66 | 664 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 92 | 472 / 38 | $38.274,20 | 660 / 23 | $12.899,30 | 1102 / 11 | $11.222,90 | 1078 / 29 |
| Heart Failure & Shock W Mcc | 39 | 245 / 24 | $18.917,30 | 366 / 9 | $8.786,82 | 451 / 17 | $7.617,38 | 451 / 14 |
| Heart Failure & Shock W Cc | 34 | 244 / 27 | $13.869,90 | 451 / 11 | $5.775,41 | 699 / 17 | $5.064,82 | 698 / 22 |
| G.I. Hemorrhage W Cc | 22 | 196 / 30 | $14.704,60 | 279 / 10 | $5.910,23 | 510 / 11 | $4.919,68 | 509 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 29 | $14.982,40 | 755 / 14 | $4.364,40 | 721 / 7 | $3.580,40 | 717 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 31 | $14.437,30 | 496 / 9 | $5.785,26 | 356 / 11 | $4.519,58 | 354 / 12 |
| Renal Failure W Mcc | 18 | 177 / 18 | $21.821,60 | 310 / 7 | $8.813,72 | 598 / 8 | $8.209,28 | 598 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 36 | $17.648,90 | 576 / 18 | $6.263,29 | 628 / 17 | $5.337,18 | 626 / 21 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 32 | $15.007,60 | 146 / 3 | $7.859,27 | 191 / 25 | $5.892,07 | 191 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 18 | $17.364,70 | 211 / 5 | $7.066,33 | 238 / 7 | $5.939,93 | 238 / 9 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 7 | $53.315,20 | 89 / 2 | $21.708,10 | 144 / 2 | $17.413,30 | 144 / 2 |
| Renal Failure W Cc | 13 | 208 / 34 | $13.279,30 | 316 / 10 | $5.740,69 | 137 / 12 | $4.263,38 | 137 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 24 | $65.659,20 | 584 / 24 | $15.686,70 | 432 / 23 | $10.481,20 | 431 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 27 | $40.540,10 | 657 / 26 | $15.331,40 | 8 / 49 | $8.357,82 | 8 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 25 | $15.007,20 | 514 / 12 | $5.426,55 | 758 / 9 | $4.766,18 | 756 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 17 | $13.175,50 | 156 / 4 | $6.508,55 | 626 / 8 | $5.848,18 | 625 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $14.241,50 | 262 / 8 | $6.752,82 | 484 / 11 | $5.769,55 | 483 / 14 |
| G.I. Obstruction W Cc | 11 | 81 / 18 | $11.204,60 | 85 / 3 | $5.202,27 | 311 / 5 | $4.216,09 | 310 / 9 | Total 19 procedures | 493 | 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.