Hospital Costs > In Wisconsin > Mayo Clinic Health System Eau Claire 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 | 257 | 308 / 10 | $37.208,90 | 598 / 20 | $15.073,50 | 1384 / 48 | $11.774,20 | 1351 / 37 |
| Psychoses | 232 | 97 / 2 | $13.364,20 | 147 / 9 | $6.953,68 | 210 / 9 | $5.544,62 | 210 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 183 | 333 / 9 | $47.401,60 | 1681 / 52 | $13.837,30 | 1988 / 48 | $12.332,70 | 1951 / 48 |
| Heart Failure & Shock W Cc | 125 | 153 / 5 | $17.497,50 | 876 / 30 | $6.590,29 | 1246 / 39 | $5.495,95 | 1242 / 38 |
| Heart Failure & Shock W Mcc | 90 | 194 / 7 | $25.165,50 | 749 / 30 | $9.671,09 | 1106 / 35 | $8.437,84 | 1103 / 32 |
| Respiratory Infections & Inflammations W Mcc | 70 | 66 / 2 | $32.254,80 | 476 / 14 | $12.285,40 | 640 / 15 | $10.777,10 | 632 / 10 |
| Pulmonary Edema & Respiratory Failure | 67 | 136 / 4 | $27.440,40 | 883 / 34 | $8.579,15 | 1436 / 34 | $7.685,69 | 1431 / 37 |
| G.I. Hemorrhage W Cc | 65 | 153 / 9 | $20.041,40 | 751 / 28 | $6.614,29 | 1109 / 33 | $5.477,14 | 1107 / 32 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 3 | $35.102,00 | 413 / 12 | $12.050,10 | 955 / 25 | $10.923,60 | 942 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 9 | $16.643,60 | 753 / 18 | $6.359,37 | 1311 / 27 | $5.311,60 | 1306 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 8 | $29.793,30 | 1019 / 39 | $9.419,51 | 972 / 36 | $7.844,77 | 972 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 6 | $56.752,30 | 376 / 15 | $12.783,00 | 778 / 5 | $11.521,10 | 773 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 10 | $24.248,50 | 1184 / 46 | $6.923,88 | 1089 / 34 | $5.750,33 | 1086 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 5 | $21.866,80 | 890 / 24 | $7.562,77 | 1189 / 27 | $6.449,40 | 1183 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 6 | $22.894,60 | 656 / 20 | $6.908,29 | 937 / 25 | $5.736,67 | 934 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 6 | $17.221,50 | 779 / 25 | $6.406,79 | 538 / 38 | $3.848,83 | 536 / 17 |
| Cellulitis W/O Mcc | 51 | 138 / 11 | $16.524,50 | 1056 / 37 | $6.131,78 | 797 / 42 | $4.124,02 | 792 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 3 | $24.414,90 | 622 / 20 | $7.888,26 | 793 / 20 | $6.804,40 | 790 / 20 |
| Respiratory Infections & Inflammations W Cc | 49 | 39 / 2 | $22.846,30 | 383 / 7 | $9.237,80 | 745 / 16 | $7.840,14 | 740 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 5 | $13.800,60 | 841 / 22 | $3.873,17 | 767 / 16 | $2.644,41 | 763 / 16 |
| Renal Failure W Cc | 45 | 176 / 16 | $18.359,40 | 809 / 27 | $6.307,38 | 1024 / 32 | $5.209,38 | 1016 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 4 | $14.887,60 | 840 / 16 | $4.578,77 | 901 / 18 | $3.643,58 | 894 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 17 | $19.451,20 | 1320 / 42 | $5.252,40 | 1074 / 36 | $3.805,65 | 1066 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 5 | $140.059,00 | 928 / 24 | $50.983,00 | 1359 / 24 | $44.094,10 | 1349 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 18 | $16.118,80 | 1092 / 32 | $5.633,33 | 955 / 40 | $3.928,60 | 948 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 9 | $30.126,00 | 343 / 14 | $10.956,90 | 520 / 13 | $9.384,95 | 519 / 10 |
| Renal Failure W Mcc | 38 | 157 / 8 | $39.402,50 | 1265 / 32 | $11.900,50 | 1664 / 32 | $10.951,70 | 1662 / 35 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 36 | 82 / 5 | $128.363,00 | 198 / 10 | $35.768,10 | 330 / 8 | $34.563,60 | 330 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 12 | $28.806,40 | 458 / 13 | $7.480,24 | 659 / 14 | $5.675,09 | 657 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 8 | $16.064,40 | 614 / 16 | $6.127,12 | 1002 / 23 | $4.957,56 | 999 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 15 | $13.870,90 | 816 / 17 | $4.729,74 | 1269 / 24 | $3.860,97 | 1265 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 7 | $21.549,30 | 493 / 12 | $7.658,16 | 928 / 14 | $6.837,03 | 925 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 10 | $35.003,60 | 614 / 16 | $11.392,80 | 1013 / 17 | $10.351,30 | 1011 / 16 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 29 | 95 / 6 | $11.960,50 | 200 / 10 | $5.269,93 | 225 / 15 | $3.586,83 | 225 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 26 | 36 / 2 | $63.198,80 | 340 / 7 | $20.531,20 | 602 / 5 | $19.319,90 | 599 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 10 | $89.985,50 | 636 / 24 | $30.173,70 | 794 / 23 | $24.020,90 | 790 / 17 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 9 | $44.522,90 | 853 / 22 | $11.745,20 | 815 / 14 | $10.576,30 | 812 / 13 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 9 | $46.253,50 | 316 / 6 | $16.042,60 | 853 / 6 | $14.990,80 | 845 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 5 | $42.213,70 | 107 / 3 | $16.305,30 | 407 / 4 | $15.200,40 | 406 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 7 | $63.072,20 | 980 / 18 | $22.240,50 | 1231 / 23 | $15.251,00 | 1218 / 16 |
| G.I. Obstruction W Cc | 24 | 68 / 8 | $19.281,50 | 602 / 21 | $5.833,04 | 900 / 18 | $4.953,38 | 898 / 21 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 8 | $20.101,00 | 415 / 9 | $6.718,83 | 411 / 8 | $5.056,13 | 408 / 7 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 4 | $114.232,00 | 193 / 6 | $32.691,90 | 326 / 7 | $26.989,20 | 326 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 8 | $14.459,80 | 668 / 14 | $5.241,50 | 674 / 19 | $3.394,77 | 671 / 10 |
| Depressive Neuroses | 21 | 29 / 3 | $11.695,10 | 73 / 7 | $4.925,10 | 15 / 5 | $3.020,90 | 15 / 4 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 5 | $22.258,90 | 508 / 20 | $6.505,71 | 641 / 14 | $5.437,71 | 638 / 16 |
| Coronary Bypass W Cardiac Cath W Mcc | 20 | 36 / 2 | $160.965,00 | 132 / 3 | $50.405,10 | 299 / 3 | $48.910,20 | 299 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 10 | $27.115,70 | 305 / 11 | $9.771,30 | 437 / 10 | $8.887,00 | 436 / 11 |
| Other Disorders Of Nervous System W Cc | 20 | 36 / 4 | $24.547,20 | 266 / 5 | $7.174,40 | 191 / 7 | $4.815,15 | 191 / 4 |
| Syncope & Collapse | 20 | 149 / 15 | $16.585,70 | 538 / 10 | $4.871,10 | 870 / 14 | $3.908,95 | 866 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 10 | $75.612,40 | 319 / 10 | $22.369,20 | 583 / 6 | $21.134,90 | 583 / 10 |
| Medical Back Problems W/O Mcc | 18 | 103 / 15 | $19.968,30 | 518 / 16 | $5.935,17 | 439 / 16 | $4.141,72 | 439 / 12 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 4 | $149.503,00 | 519 / 5 | $47.133,50 | 876 / 2 | $45.946,40 | 875 / 9 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 4 | $25.871,70 | 177 / 2 | $7.200,82 | 194 / 2 | $6.155,06 | 194 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 11 | $14.718,90 | 747 / 14 | $4.829,59 | 907 / 11 | $3.659,88 | 899 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 9 | $28.773,10 | 689 / 17 | $8.731,71 | 757 / 17 | $6.017,76 | 755 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 11 | $22.004,60 | 719 / 16 | $5.088,82 | 636 / 11 | $3.781,71 | 632 / 11 |
| Cellulitis W Mcc | 16 | 42 / 5 | $18.704,30 | 105 / 1 | $9.289,06 | 382 / 3 | $8.251,62 | 380 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 13 | $18.200,90 | 446 / 14 | $7.270,50 | 851 / 16 | $6.157,00 | 849 / 15 |
| Major Chest Procedures W Mcc | 16 | 33 / 3 | $122.894,00 | 157 / 4 | $37.552,10 | 242 / 5 | $36.368,80 | 241 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 5 | $17.551,70 | 199 / 3 | $7.593,25 | 365 / 5 | $6.303,06 | 364 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 5 | $66.168,30 | 118 / 6 | $24.172,00 | 328 / 5 | $23.108,50 | 328 / 5 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 4 | $87.349,10 | 130 / 2 | $29.518,90 | 259 / 2 | $28.331,10 | 259 / 4 |
| Pulmonary Embolism W Mcc | 16 | 27 / 4 | $30.643,30 | 173 / 5 | $9.775,75 | 264 / 2 | $8.667,94 | 264 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 14 | $91.751,10 | 397 / 15 | $27.509,70 | 700 / 17 | $22.000,50 | 696 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 6 | $17.998,10 | 159 / 2 | $6.547,00 | 322 / 2 | $5.367,13 | 322 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 3 | $47.345,50 | 98 / 4 | $15.694,30 | 158 / 3 | $14.384,90 | 158 / 4 |
| Other Vascular Procedures W Cc | 15 | 87 / 12 | $52.554,90 | 241 / 5 | $16.484,30 | 567 / 5 | $15.324,50 | 564 / 6 |
| Major Chest Procedures W Cc | 14 | 60 / 7 | $62.714,10 | 216 / 6 | $17.169,30 | 289 / 2 | $15.996,60 | 287 / 4 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 14 | $18.662,90 | 771 / 18 | $5.341,79 | 862 / 10 | $4.370,36 | 857 / 13 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 5 | $20.983,80 | 80 / 2 | $7.501,71 | 58 / 4 | $6.195,00 | 58 / 2 |
| Other Vascular Procedures W Mcc | 14 | 83 / 9 | $82.326,50 | 409 / 6 | $24.841,80 | 704 / 7 | $23.711,00 | 701 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 8 | $15.591,20 | 563 / 9 | $4.180,36 | 442 / 6 | $2.888,21 | 441 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 11 | $30.962,30 | 678 / 18 | $7.884,79 | 591 / 6 | $6.841,93 | 586 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 2 | $49.968,90 | 99 / 2 | $16.539,90 | 80 / 2 | $12.890,60 | 80 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 8 | $23.140,50 | 511 / 13 | $6.408,79 | 390 / 5 | $4.535,36 | 386 / 3 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 4 | $29.226,80 | 68 / 1 | $9.924,14 | 92 / 1 | $8.926,57 | 92 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 9 | $50.589,10 | 132 / 5 | $18.242,50 | 242 / 4 | $17.122,10 | 240 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 11 | $28.240,80 | 385 / 6 | $6.749,36 | 474 / 6 | $5.661,00 | 473 / 7 |
| Diabetes W Cc | 13 | 79 / 12 | $27.401,90 | 1090 / 20 | $6.466,38 | 1173 / 13 | $5.653,38 | 1168 / 16 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 9 | $201.884,00 | 229 / 7 | $77.179,30 | 381 / 12 | $61.734,20 | 381 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 8 | $24.939,30 | 193 / 4 | $7.046,54 | 339 / 2 | $5.749,38 | 338 / 6 |
| Extracranial Procedures W Cc | 13 | 33 / 4 | $35.460,30 | 124 / 3 | $10.050,50 | 177 / 2 | $8.928,00 | 177 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 3 | $17.338,20 | 186 / 3 | $4.333,85 | 150 / 1 | $3.150,23 | 150 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 13 | $104.574,00 | 424 / 14 | $31.244,10 | 541 / 10 | $30.017,20 | 539 / 12 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 5 | $35.393,20 | 88 / 3 | $13.361,50 | 344 / 2 | $12.284,20 | 343 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 10 | $45.693,50 | 247 / 6 | $12.969,20 | 334 / 4 | $11.730,60 | 329 / 4 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 8 | $35.840,40 | 148 / 5 | $13.292,00 | 76 / 8 | $5.798,83 | 76 / 2 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $52.166,60 | 793 / 22 | $14.711,00 | 1051 / 18 | $13.953,20 | 1044 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 10 | $49.557,20 | 334 / 12 | $13.796,80 | 472 / 7 | $12.596,80 | 469 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $39.267,60 | 244 / 4 | $10.174,20 | 427 / 1 | $9.164,08 | 427 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 6 | $64.693,00 | 227 / 7 | $21.072,80 | 355 / 9 | $17.027,20 | 354 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 7 | $45.387,00 | 274 / 5 | $13.857,30 | 491 / 1 | $12.691,60 | 488 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $9.096,08 | 58 / 1 | $4.867,83 | 223 / 6 | $3.287,83 | 224 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 6 | $19.186,50 | 200 / 2 | $7.058,55 | 124 / 3 | $4.307,27 | 124 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 6 | $35.084,30 | 111 / 4 | $12.570,50 | 172 / 2 | $10.024,70 | 171 / 2 | Total 96 procedures | 3.295 | 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.