Hospital Costs > In Wisconsin > Mercy Health System Corp, procedure costs

Mercy Health System Corp, procedure costs

1000 Mineral Point Ave, Janesville, WI 53548,

Procedure Costs @ Mercy Health System Corp
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 Mcc15110 / 17$40.171,50810 / 25$10.832,50797 / 13$9.709,60796 / 11
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc5768 / 3$8.303,6382 / 5$4.538,00211 / 5$3.555,25211 / 6
Cardiac Arrhythmia & Conduction Disorders W Cc26135 / 16$17.058,00754 / 24$5.192,46948 / 21$4.241,88945 / 25
Cardiac Arrhythmia & Conduction Disorders W Mcc23100 / 13$23.939,50584 / 19$7.708,43815 / 18$6.832,43812 / 21
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc15135 / 21$12.051,70591 / 11$3.767,201064 / 15$2.875,471059 / 19
Cellulitis W/O Mcc37152 / 19$15.937,90988 / 34$5.455,841134 / 24$4.374,191128 / 30
Chronic Obstructive Pulmonary Disease W Cc42137 / 5$17.608,80763 / 21$5.941,12944 / 20$4.909,52941 / 20
Chronic Obstructive Pulmonary Disease W Mcc61141 / 4$20.207,30733 / 18$7.436,931174 / 26$6.423,641168 / 29
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc15105 / 13$13.791,20638 / 8$4.727,07700 / 8$3.490,60698 / 10
Circulatory Disorders Except Ami, W Card Cath W/O Mcc18170 / 18$32.010,60612 / 21$6.936,22653 / 11$5.665,94651 / 12
Diabetes W Cc1577 / 10$16.581,30452 / 3$5.397,93522 / 6$4.308,40522 / 6
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.2259 / 4$321.391,00104 / 1$98.901,30124 / 1$96.332,50124 / 1
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc32243 / 21$17.785,901101 / 34$5.172,16993 / 29$3.760,25985 / 25
G.I. Hemorrhage W Cc42176 / 17$19.234,30681 / 23$6.416,81909 / 27$5.281,69907 / 28
G.I. Obstruction W Cc1478 / 15$18.258,60532 / 18$5.546,07638 / 13$4.621,50637 / 16
Heart Failure & Shock W Cc75203 / 12$16.890,50790 / 25$6.225,96835 / 30$5.162,63834 / 27
Heart Failure & Shock W Mcc55229 / 20$28.553,701000 / 43$9.307,111069 / 30$8.388,221066 / 31
Heart Failure & Shock W/O Cc/Mcc2189 / 12$14.392,00773 / 13$4.431,33853 / 14$3.603,10849 / 17
Hip & Femur Procedures Except Major Joint W Cc28115 / 13$47.437,00950 / 38$12.715,60703 / 33$10.431,80698 / 22
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs34148 / 13$28.141,601017 / 36$6.626,44722 / 18$5.458,15721 / 19
Intracranial Hemorrhage Or Cerebral Infarction W Mcc18150 / 17$35.188,80528 / 19$12.139,60497 / 19$9.331,61496 / 9
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1983 / 10$25.170,00909 / 22$4.954,95553 / 9$3.688,00549 / 8
Kidney & Urinary Tract Infections W Mcc11133 / 17$32.348,501260 / 29$7.513,731192 / 19$6.745,001188 / 22
Kidney & Urinary Tract Infections W/O Mcc48185 / 15$16.600,901160 / 37$5.054,421393 / 27$4.241,151384 / 32
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1243 / 7$36.218,1097 / 2$12.161,00245 / 1$10.885,40245 / 3
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc124440 / 30$57.223,001591 / 58$13.764,001283 / 30$11.552,001251 / 35
Major Small & Large Bowel Procedures W Cc2286 / 11$74.942,80940 / 28$18.357,20531 / 22$13.718,00525 / 12
Major Small & Large Bowel Procedures W Mcc1471 / 12$105.425,00434 / 16$28.944,80310 / 7$27.570,90308 / 8
Medical Back Problems W/O Mcc12109 / 21$27.086,70918 / 29$5.886,67231 / 15$3.821,75231 / 9
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc18148 / 24$18.008,201322 / 36$4.657,611028 / 22$3.670,001025 / 22
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2080 / 11$90.794,20387 / 14$20.268,10444 / 4$19.206,60440 / 8
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc65131 / 4$74.798,30771 / 30$13.785,40650 / 11$11.091,30646 / 15
Permanent Cardiac Pacemaker Implant W Cc1166 / 12$51.155,60225 / 8$16.168,50397 / 3$15.154,60396 / 4
Poisoning & Toxic Effects Of Drugs W Mcc1359 / 8$29.198,40326 / 7$8.857,00321 / 3$7.749,31320 / 3
Psychoses116178 / 10$9.111,4142 / 1$6.489,59165 / 4$5.374,23165 / 4
Red Blood Cell Disorders W/O Mcc17126 / 12$20.398,40930 / 19$5.913,76706 / 18$4.187,71701 / 12
Renal Failure W Cc66155 / 8$23.166,701286 / 45$6.241,97919 / 29$5.100,95911 / 25
Renal Failure W Mcc29166 / 11$38.200,801208 / 30$9.841,101002 / 17$8.942,241002 / 18
Respiratory Infections & Inflammations W Cc1474 / 12$25.490,40493 / 13$8.294,36266 / 12$6.889,29264 / 8
Respiratory Infections & Inflammations W Mcc19117 / 17$38.115,90705 / 20$12.135,90940 / 13$11.540,50930 / 15
Respiratory System Diagnosis W Ventilator Support <96 Hours29102 / 6$58.285,30874 / 15$16.891,90605 / 13$12.712,40597 / 5
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc71445 / 34$41.120,301367 / 50$11.645,001224 / 31$10.510,301203 / 35
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc27180 / 28$23.127,701084 / 43$6.731,071211 / 30$5.886,521206 / 37
Signs & Symptoms W/O Mcc1675 / 15$18.131,20549 / 14$4.639,19533 / 8$3.725,94532 / 10
Simple Pneumonia & Pleurisy W Cc47156 / 18$21.484,501301 / 44$6.325,621229 / 26$5.248,361225 / 32
Simple Pneumonia & Pleurisy W Mcc41164 / 18$25.909,40760 / 28$8.992,541074 / 27$7.954,881074 / 33
Simple Pneumonia & Pleurisy W/O Cc/Mcc1776 / 11$14.469,80670 / 15$4.672,53853 / 10$3.552,65849 / 13
Spinal Fusion Except Cervical W/O Mcc12182 / 19$126.341,00975 / 28$38.473,60874 / 28$24.781,00870 / 21
Syncope & Collapse11158 / 22$17.956,80672 / 16$4.783,09867 / 11$3.905,82863 / 13
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2143 / 2$182.527,00109 / 2$57.726,70149 / 2$55.625,30149 / 1
Total 50 procedures1.607discharges

DATA

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.