Hospital Costs > In Wisconsin > Midwest Orthopedic Specialty 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 | 338 | 237 / 4 | $42.752,50 | 914 / 37 | $13.357,70 | 655 / 23 | $10.558,30 | 647 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 2 | $46.449,20 | 273 / 11 | $13.078,60 | 353 / 5 | $11.902,40 | 350 / 10 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 6 | $50.605,70 | 135 / 5 | $15.245,80 | 184 / 3 | $14.038,90 | 184 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 18 | $67.543,80 | 325 / 17 | $22.973,80 | 526 / 4 | $21.949,90 | 523 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 6 | $55.447,10 | 413 / 7 | $17.090,50 | 21 / 7 | $9.295,08 | 21 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 6 | $32.071,20 | 68 / 1 | $11.038,20 | 161 / 1 | $9.935,64 | 161 / 1 | Total 6 procedures | 422 | 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.