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