Hospital Costs > In Wisconsin > Mercy Health System Corp, procedure costs
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 Mcc | 15 | 110 / 17 | $40.171,50 | 810 / 25 | $10.832,50 | 797 / 13 | $9.709,60 | 796 / 11 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 57 | 68 / 3 | $8.303,63 | 82 / 5 | $4.538,00 | 211 / 5 | $3.555,25 | 211 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 16 | $17.058,00 | 754 / 24 | $5.192,46 | 948 / 21 | $4.241,88 | 945 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 13 | $23.939,50 | 584 / 19 | $7.708,43 | 815 / 18 | $6.832,43 | 812 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 21 | $12.051,70 | 591 / 11 | $3.767,20 | 1064 / 15 | $2.875,47 | 1059 / 19 |
Cellulitis W/O Mcc | 37 | 152 / 19 | $15.937,90 | 988 / 34 | $5.455,84 | 1134 / 24 | $4.374,19 | 1128 / 30 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 5 | $17.608,80 | 763 / 21 | $5.941,12 | 944 / 20 | $4.909,52 | 941 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 4 | $20.207,30 | 733 / 18 | $7.436,93 | 1174 / 26 | $6.423,64 | 1168 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 13 | $13.791,20 | 638 / 8 | $4.727,07 | 700 / 8 | $3.490,60 | 698 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 18 | $32.010,60 | 612 / 21 | $6.936,22 | 653 / 11 | $5.665,94 | 651 / 12 |
Diabetes W Cc | 15 | 77 / 10 | $16.581,30 | 452 / 3 | $5.397,93 | 522 / 6 | $4.308,40 | 522 / 6 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 22 | 59 / 4 | $321.391,00 | 104 / 1 | $98.901,30 | 124 / 1 | $96.332,50 | 124 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 21 | $17.785,90 | 1101 / 34 | $5.172,16 | 993 / 29 | $3.760,25 | 985 / 25 |
G.I. Hemorrhage W Cc | 42 | 176 / 17 | $19.234,30 | 681 / 23 | $6.416,81 | 909 / 27 | $5.281,69 | 907 / 28 |
G.I. Obstruction W Cc | 14 | 78 / 15 | $18.258,60 | 532 / 18 | $5.546,07 | 638 / 13 | $4.621,50 | 637 / 16 |
Heart Failure & Shock W Cc | 75 | 203 / 12 | $16.890,50 | 790 / 25 | $6.225,96 | 835 / 30 | $5.162,63 | 834 / 27 |
Heart Failure & Shock W Mcc | 55 | 229 / 20 | $28.553,70 | 1000 / 43 | $9.307,11 | 1069 / 30 | $8.388,22 | 1066 / 31 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 12 | $14.392,00 | 773 / 13 | $4.431,33 | 853 / 14 | $3.603,10 | 849 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 13 | $47.437,00 | 950 / 38 | $12.715,60 | 703 / 33 | $10.431,80 | 698 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 13 | $28.141,60 | 1017 / 36 | $6.626,44 | 722 / 18 | $5.458,15 | 721 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 17 | $35.188,80 | 528 / 19 | $12.139,60 | 497 / 19 | $9.331,61 | 496 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 10 | $25.170,00 | 909 / 22 | $4.954,95 | 553 / 9 | $3.688,00 | 549 / 8 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 17 | $32.348,50 | 1260 / 29 | $7.513,73 | 1192 / 19 | $6.745,00 | 1188 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 15 | $16.600,90 | 1160 / 37 | $5.054,42 | 1393 / 27 | $4.241,15 | 1384 / 32 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $36.218,10 | 97 / 2 | $12.161,00 | 245 / 1 | $10.885,40 | 245 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 124 | 440 / 30 | $57.223,00 | 1591 / 58 | $13.764,00 | 1283 / 30 | $11.552,00 | 1251 / 35 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 11 | $74.942,80 | 940 / 28 | $18.357,20 | 531 / 22 | $13.718,00 | 525 / 12 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 12 | $105.425,00 | 434 / 16 | $28.944,80 | 310 / 7 | $27.570,90 | 308 / 8 |
Medical Back Problems W/O Mcc | 12 | 109 / 21 | $27.086,70 | 918 / 29 | $5.886,67 | 231 / 15 | $3.821,75 | 231 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 24 | $18.008,20 | 1322 / 36 | $4.657,61 | 1028 / 22 | $3.670,00 | 1025 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 11 | $90.794,20 | 387 / 14 | $20.268,10 | 444 / 4 | $19.206,60 | 440 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 4 | $74.798,30 | 771 / 30 | $13.785,40 | 650 / 11 | $11.091,30 | 646 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 12 | $51.155,60 | 225 / 8 | $16.168,50 | 397 / 3 | $15.154,60 | 396 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 8 | $29.198,40 | 326 / 7 | $8.857,00 | 321 / 3 | $7.749,31 | 320 / 3 |
Psychoses | 116 | 178 / 10 | $9.111,41 | 42 / 1 | $6.489,59 | 165 / 4 | $5.374,23 | 165 / 4 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 12 | $20.398,40 | 930 / 19 | $5.913,76 | 706 / 18 | $4.187,71 | 701 / 12 |
Renal Failure W Cc | 66 | 155 / 8 | $23.166,70 | 1286 / 45 | $6.241,97 | 919 / 29 | $5.100,95 | 911 / 25 |
Renal Failure W Mcc | 29 | 166 / 11 | $38.200,80 | 1208 / 30 | $9.841,10 | 1002 / 17 | $8.942,24 | 1002 / 18 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 12 | $25.490,40 | 493 / 13 | $8.294,36 | 266 / 12 | $6.889,29 | 264 / 8 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 17 | $38.115,90 | 705 / 20 | $12.135,90 | 940 / 13 | $11.540,50 | 930 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 6 | $58.285,30 | 874 / 15 | $16.891,90 | 605 / 13 | $12.712,40 | 597 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 34 | $41.120,30 | 1367 / 50 | $11.645,00 | 1224 / 31 | $10.510,30 | 1203 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 28 | $23.127,70 | 1084 / 43 | $6.731,07 | 1211 / 30 | $5.886,52 | 1206 / 37 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $18.131,20 | 549 / 14 | $4.639,19 | 533 / 8 | $3.725,94 | 532 / 10 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 18 | $21.484,50 | 1301 / 44 | $6.325,62 | 1229 / 26 | $5.248,36 | 1225 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 18 | $25.909,40 | 760 / 28 | $8.992,54 | 1074 / 27 | $7.954,88 | 1074 / 33 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $14.469,80 | 670 / 15 | $4.672,53 | 853 / 10 | $3.552,65 | 849 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 19 | $126.341,00 | 975 / 28 | $38.473,60 | 874 / 28 | $24.781,00 | 870 / 21 |
Syncope & Collapse | 11 | 158 / 22 | $17.956,80 | 672 / 16 | $4.783,09 | 867 / 11 | $3.905,82 | 863 / 13 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 2 | $182.527,00 | 109 / 2 | $57.726,70 | 149 / 2 | $55.625,30 | 149 / 1 | Total 50 procedures | 1.607 | 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.