Hospital Costs > In Wisconsin > Lakeview Medical Center, 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 | 141 | 423 / 26 | $33.551,00 | 376 / 15 | $13.839,00 | 1404 / 32 | $11.808,70 | 1371 / 39 |
| Heart Failure & Shock W Cc | 34 | 244 / 27 | $10.797,20 | 174 / 4 | $6.220,21 | 1010 / 29 | $5.299,74 | 1008 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 15 | $6.575,33 | 9 / 1 | $5.099,90 | 871 / 17 | $4.170,83 | 868 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 25 | $11.012,20 | 177 / 4 | $6.068,30 | 1206 / 20 | $5.228,83 | 1202 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 29 | $12.107,80 | 157 / 3 | $7.061,35 | 633 / 39 | $5.342,19 | 631 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 16 | $26.678,60 | 118 / 4 | $12.347,30 | 1091 / 29 | $11.283,60 | 1077 / 32 |
| Cellulitis W/O Mcc | 22 | 167 / 26 | $9.528,00 | 206 / 3 | $5.401,27 | 664 / 23 | $4.019,86 | 660 / 19 |
| Renal Failure W Cc | 19 | 202 / 29 | $9.925,16 | 91 / 3 | $6.053,32 | 1047 / 24 | $5.233,11 | 1039 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 52 | $11.541,50 | 16 / 1 | $11.334,50 | 1236 / 27 | $10.527,40 | 1215 / 38 |
| G.I. Hemorrhage W Cc | 17 | 201 / 35 | $10.654,80 | 72 / 2 | $6.246,88 | 1164 / 21 | $5.537,24 | 1162 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 16 | $8.061,00 | 116 / 1 | $4.412,94 | 564 / 13 | $3.356,94 | 562 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 21 | $9.528,44 | 73 / 2 | $5.850,00 | 977 / 18 | $4.938,00 | 974 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 21 | $4.245,60 | 6 / 1 | $3.664,60 | 619 / 12 | $2.533,93 | 615 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 19 | $10.888,10 | 26 / 1 | $7.558,79 | 546 / 15 | $6.434,21 | 543 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $9.936,71 | 306 / 4 | $4.554,57 | 931 / 20 | $3.603,71 | 928 / 21 |
| Heart Failure & Shock W Mcc | 13 | 271 / 41 | $16.770,10 | 232 / 5 | $10.000,70 | 1546 / 39 | $9.158,85 | 1542 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 36 | $9.965,31 | 293 / 3 | $4.915,46 | 908 / 24 | $3.893,92 | 901 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 34 | $10.168,10 | 225 / 3 | $4.798,42 | 1144 / 19 | $3.854,33 | 1136 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $13.571,70 | 226 / 7 | $7.238,55 | 1304 / 21 | $6.578,18 | 1298 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 38 | $12.842,70 | 54 / 2 | $9.370,36 | 1558 / 34 | $8.817,73 | 1558 / 40 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 11 | $36.685,60 | 126 / 5 | $13.985,80 | 497 / 9 | $12.778,50 | 494 / 15 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 7 | $29.992,10 | 13 / 1 | $17.316,00 | 316 / 3 | $16.326,90 | 315 / 6 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $10.392,50 | 36 / 2 | $6.171,36 | 386 / 10 | $4.961,18 | 386 / 11 | Total 23 procedures | 530 | 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.