Hospital Costs > In Wisconsin > Mercy Medical Center Of Oshkosh, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 9 | $6.764,35 | 53 / 3 | $4.460,96 | 277 / 4 | $3.719,69 | 277 / 8 |
| Cellulitis W/O Mcc | 13 | 176 / 33 | $10.536,80 | 305 / 4 | $5.201,38 | 865 / 18 | $4.174,92 | 859 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 24 | $14.712,40 | 486 / 9 | $5.819,92 | 945 / 17 | $4.910,58 | 942 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $11.730,80 | 114 / 2 | $7.173,64 | 684 / 20 | $5.963,45 | 680 / 16 |
| Depressive Neuroses | 18 | 32 / 4 | $4.162,78 | 2 / 1 | $4.219,00 | 14 / 2 | $3.011,78 | 14 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 32 | $10.853,00 | 276 / 4 | $4.799,53 | 1239 / 20 | $3.918,47 | 1228 / 30 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $13.452,10 | 190 / 5 | $6.179,12 | 711 / 18 | $5.100,06 | 710 / 25 |
| Heart Failure & Shock W Cc | 16 | 262 / 36 | $12.588,90 | 328 / 5 | $6.188,88 | 342 / 27 | $4.719,12 | 342 / 11 |
| Heart Failure & Shock W Mcc | 14 | 270 / 40 | $17.316,70 | 267 / 6 | $8.958,29 | 1048 / 23 | $8.354,86 | 1046 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 25 | $16.701,40 | 254 / 4 | $6.435,93 | 668 / 15 | $5.400,50 | 667 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 153 | 411 / 23 | $28.838,30 | 184 / 7 | $13.610,90 | 432 / 27 | $10.227,10 | 430 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $8.735,00 | 206 / 3 | $4.538,00 | 494 / 19 | $3.304,92 | 492 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 23 | $44.149,90 | 117 / 6 | $12.032,90 | 622 / 2 | $10.995,10 | 618 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 6 | $10.673,20 | 127 / 1 | $4.214,08 | 354 / 2 | $3.475,62 | 353 / 3 |
| Psychoses | 68 | 216 / 13 | $9.894,79 | 56 / 3 | $6.371,65 | 75 / 3 | $4.984,22 | 75 / 3 |
| Renal Failure W Cc | 13 | 208 / 34 | $14.495,80 | 420 / 14 | $6.066,00 | 379 / 26 | $4.632,15 | 376 / 13 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 14 | $20.044,80 | 105 / 4 | $10.978,50 | 455 / 5 | $10.401,10 | 452 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 51 | $18.700,70 | 215 / 4 | $10.209,80 | 393 / 6 | $9.340,72 | 393 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 38 | $17.427,00 | 553 / 17 | $8.206,79 | 448 / 53 | $5.143,14 | 446 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 35 | $11.649,70 | 226 / 6 | $6.117,40 | 1308 / 24 | $5.308,87 | 1303 / 34 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 37 | $18.600,20 | 300 / 8 | $8.562,08 | 221 / 14 | $6.869,00 | 221 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 13 | $57.473,00 | 180 / 8 | $23.113,50 | 534 / 5 | $22.018,20 | 531 / 14 | Total 22 procedures | 540 | 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.