Hospital Costs > In Wisconsin > Howard Young Medical Ctr, 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 | 100 | 464 / 35 | $36.567,60 | 558 / 19 | $15.922,00 | 2161 / 55 | $14.382,00 | 2118 / 61 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 33 | $27.285,40 | 660 / 18 | $14.320,50 | 2139 / 51 | $12.956,50 | 2102 / 56 |
| Heart Failure & Shock W Mcc | 65 | 219 / 14 | $22.074,10 | 537 / 19 | $11.025,90 | 1979 / 48 | $10.300,70 | 1972 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 21 | $17.422,30 | 551 / 16 | $7.852,84 | 1858 / 49 | $6.938,68 | 1850 / 55 |
| G.I. Hemorrhage W Cc | 35 | 183 / 21 | $17.820,10 | 554 / 13 | $7.318,57 | 1645 / 47 | $6.245,20 | 1641 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 22 | $22.008,10 | 510 / 14 | $10.671,30 | 1776 / 48 | $9.325,48 | 1776 / 51 |
| Heart Failure & Shock W Cc | 24 | 254 / 31 | $17.494,10 | 875 / 29 | $7.379,25 | 1925 / 49 | $6.372,58 | 1920 / 54 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 16 | $26.098,60 | 265 / 8 | $14.793,60 | 1430 / 27 | $13.827,20 | 1415 / 29 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 28 | $18.440,10 | 317 / 13 | $9.007,21 | 1536 / 40 | $7.925,95 | 1531 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 15 | $18.433,70 | 264 / 7 | $9.000,95 | 1317 / 30 | $7.982,00 | 1314 / 31 |
| Renal Failure W Cc | 17 | 204 / 30 | $13.599,60 | 349 / 11 | $7.072,18 | 1678 / 43 | $6.074,53 | 1669 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 33 | $18.580,70 | 977 / 34 | $7.360,53 | 2094 / 48 | $6.366,65 | 2086 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 23 | $17.124,00 | 294 / 5 | $7.971,25 | 1535 / 36 | $6.987,25 | 1532 / 41 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 33 | $17.233,20 | 1254 / 42 | $5.639,12 | 1904 / 41 | $4.830,12 | 1893 / 42 |
| Cellulitis W/O Mcc | 16 | 173 / 30 | $13.973,80 | 722 / 20 | $6.115,25 | 1697 / 41 | $4.981,25 | 1690 / 44 |
| Renal Failure W Mcc | 15 | 180 / 21 | $24.181,60 | 416 / 10 | $11.386,70 | 1558 / 30 | $10.499,30 | 1556 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 32 | $17.893,50 | 1113 / 37 | $5.422,60 | 1839 / 41 | $4.535,13 | 1826 / 48 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 16 | $48.730,00 | 388 / 9 | $19.483,40 | 1264 / 29 | $18.365,70 | 1250 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 26 | $10.711,20 | 151 / 3 | $5.740,57 | 1490 / 29 | $4.965,71 | 1485 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 25 | $39.065,80 | 586 / 20 | $14.359,80 | 1598 / 43 | $13.335,80 | 1579 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 13 | $21.734,30 | 288 / 4 | $8.839,83 | 966 / 10 | $8.039,83 | 961 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $16.130,10 | 404 / 12 | $8.671,55 | 1576 / 42 | $6.949,73 | 1568 / 36 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 9 | $29.284,80 | 77 / 1 | $11.538,80 | 230 / 4 | $7.515,73 | 230 / 5 | Total 23 procedures | 613 | 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.