Hospital Costs > In Wisconsin > Mile Bluff Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 31 | $16.350,70 | 1036 / 36 | $5.901,00 | 1771 / 35 | $5.098,87 | 1763 / 45 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 21 | $21.160,20 | 1130 / 36 | $6.566,50 | 1443 / 28 | $5.432,50 | 1438 / 29 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 24 | $25.009,10 | 1126 / 33 | $8.217,82 | 1771 / 32 | $7.363,24 | 1763 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 34 | $16.911,00 | 984 / 27 | $5.188,00 | 1734 / 31 | $4.380,00 | 1721 / 46 |
| Heart Failure & Shock W Cc | 19 | 259 / 34 | $24.847,10 | 1657 / 56 | $6.964,95 | 1869 / 43 | $6.266,00 | 1864 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 27 | $15.608,60 | 1021 / 30 | $5.409,43 | 1511 / 35 | $4.361,78 | 1500 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 58 | $48.002,90 | 1194 / 46 | $15.057,70 | 2062 / 47 | $13.850,50 | 2020 / 59 |
| Medical Back Problems W/O Mcc | 11 | 110 / 22 | $15.981,90 | 271 / 6 | $5.946,36 | 940 / 17 | $5.064,91 | 937 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 25 | $15.132,10 | 974 / 23 | $4.871,88 | 1267 / 28 | $3.858,24 | 1263 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 40 | $22.219,20 | 991 / 36 | $7.505,27 | 1666 / 43 | $6.516,18 | 1659 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 26 | $18.916,70 | 1018 / 35 | $6.864,21 | 1810 / 40 | $5.862,28 | 1802 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 17 | $22.009,40 | 1307 / 26 | $6.352,18 | 652 / 25 | $3.374,73 | 649 / 8 | Total 12 procedures | 192 | 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.