Hospital Costs > In Wisconsin > Ministry Saint Josephs 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 | 136 | 428 / 28 | $51.003,00 | 1335 / 52 | $16.957,10 | 1890 / 61 | $13.191,20 | 1848 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 135 | 381 / 18 | $48.642,20 | 1741 / 54 | $14.672,70 | 2275 / 56 | $13.532,50 | 2235 / 59 |
Heart Failure & Shock W Cc | 87 | 191 / 10 | $18.041,10 | 935 / 34 | $7.155,08 | 1771 / 46 | $6.085,24 | 1766 / 47 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 6 | $16.132,50 | 886 / 20 | $5.552,94 | 1600 / 42 | $4.219,31 | 1587 / 39 |
Chest Pain | 84 | 67 / 2 | $11.865,40 | 245 / 2 | $4.606,96 | 809 / 10 | $3.267,92 | 804 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 73 | 115 / 4 | $29.542,60 | 493 / 15 | $8.280,42 | 1007 / 22 | $6.353,49 | 1004 / 20 |
Renal Failure W Cc | 65 | 156 / 9 | $20.174,80 | 996 / 36 | $7.048,11 | 1516 / 42 | $5.772,72 | 1507 / 37 |
G.I. Hemorrhage W Cc | 61 | 157 / 11 | $20.869,20 | 823 / 32 | $7.878,71 | 1624 / 51 | $6.197,18 | 1620 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 57 | 111 / 5 | $57.004,00 | 1087 / 31 | $16.205,60 | 1434 / 28 | $14.586,10 | 1427 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 4 | $16.262,00 | 662 / 18 | $5.863,48 | 1469 / 31 | $4.925,98 | 1464 / 35 |
Heart Failure & Shock W Mcc | 54 | 230 / 21 | $37.646,60 | 1539 / 50 | $11.550,00 | 2022 / 53 | $10.473,00 | 2013 / 53 |
Medical Back Problems W/O Mcc | 53 | 68 / 4 | $20.009,40 | 525 / 17 | $6.190,55 | 661 / 19 | $4.503,17 | 659 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 13 | $15.409,30 | 997 / 26 | $5.577,53 | 1561 / 38 | $4.406,71 | 1550 / 35 |
Cellulitis W/O Mcc | 50 | 139 / 12 | $14.294,60 | 768 / 23 | $5.992,44 | 1626 / 38 | $4.873,78 | 1619 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 14 | $29.560,80 | 1592 / 58 | $8.395,78 | 1853 / 55 | $6.916,47 | 1845 / 54 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 15 | $29.322,00 | 993 / 37 | $10.866,20 | 1773 / 50 | $9.309,38 | 1773 / 50 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 9 | $65.991,00 | 596 / 25 | $15.471,80 | 1113 / 22 | $13.272,40 | 1106 / 30 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 17 | $18.092,20 | 925 / 31 | $7.115,06 | 1559 / 45 | $5.575,65 | 1553 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 6 | $39.614,60 | 794 / 24 | $14.467,90 | 1391 / 27 | $11.991,30 | 1380 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 7 | $25.093,40 | 802 / 26 | $8.548,53 | 1405 / 40 | $6.577,76 | 1402 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 10 | $24.784,00 | 1111 / 31 | $8.449,98 | 1772 / 35 | $7.365,77 | 1764 / 41 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 4 | $15.929,30 | 602 / 15 | $6.947,28 | 1546 / 36 | $5.593,16 | 1540 / 31 |
Syncope & Collapse | 42 | 127 / 5 | $15.364,80 | 425 / 4 | $5.220,17 | 1069 / 18 | $4.172,62 | 1062 / 19 |
Coronary Bypass W Cardiac Cath W/O Mcc | 42 | 34 / 2 | $110.033,00 | 174 / 5 | $39.656,10 | 475 / 13 | $31.106,60 | 475 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 5 | $23.761,50 | 570 / 18 | $8.753,26 | 1215 / 28 | $7.641,00 | 1212 / 28 |
G.I. Hemorrhage W Mcc | 40 | 81 / 4 | $37.768,60 | 615 / 17 | $12.830,10 | 1136 / 17 | $11.852,00 | 1128 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 7 | $10.092,90 | 359 / 5 | $4.262,62 | 1080 / 20 | $2.892,03 | 1075 / 20 |
Renal Failure W Mcc | 38 | 157 / 8 | $39.224,00 | 1253 / 31 | $12.143,80 | 1637 / 34 | $10.818,10 | 1635 / 34 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 35 | 83 / 6 | $105.404,00 | 93 / 8 | $37.292,70 | 374 / 13 | $36.009,90 | 374 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 4 | $42.281,70 | 1006 / 20 | $11.097,20 | 1278 / 19 | $10.064,70 | 1273 / 21 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 5 | $48.315,50 | 369 / 7 | $19.290,00 | 1079 / 27 | $16.408,10 | 1066 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 10 | $53.932,10 | 1172 / 44 | $15.212,60 | 1663 / 48 | $13.771,70 | 1644 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 7 | $14.664,30 | 810 / 15 | $4.955,94 | 1250 / 21 | $4.028,81 | 1240 / 23 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 5 | $19.888,90 | 405 / 8 | $7.082,65 | 789 / 12 | $5.758,10 | 785 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 15 | $15.052,30 | 960 / 22 | $5.077,10 | 1703 / 32 | $4.322,45 | 1698 / 37 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 4 | $25.528,20 | 546 / 13 | $7.624,43 | 892 / 11 | $6.335,17 | 890 / 12 |
Other Vascular Procedures W Cc | 30 | 72 / 5 | $51.854,80 | 233 / 4 | $19.764,40 | 677 / 13 | $16.222,60 | 674 / 9 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 22 | $27.046,20 | 859 / 32 | $8.927,86 | 1451 / 39 | $7.731,21 | 1446 / 38 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 4 | $57.934,20 | 452 / 16 | $16.324,80 | 604 / 15 | $13.874,00 | 600 / 19 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 10 | $138.585,00 | 909 / 23 | $50.098,50 | 1429 / 23 | $46.536,90 | 1419 / 25 |
Other Vascular Procedures W Mcc | 26 | 71 / 4 | $73.163,40 | 299 / 3 | $26.820,70 | 791 / 9 | $25.510,50 | 788 / 9 |
Transient Ischemia | 26 | 99 / 4 | $10.400,40 | 73 / 1 | $4.984,54 | 938 / 11 | $3.923,00 | 933 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 10 | $90.800,10 | 644 / 26 | $31.145,80 | 981 / 25 | $26.245,00 | 976 / 29 |
Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 7 | $103.020,00 | 608 / 16 | $28.414,50 | 883 / 17 | $27.073,00 | 882 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 10 | $17.826,20 | 299 / 5 | $7.931,16 | 1031 / 18 | $7.181,20 | 1028 / 18 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 13 | $50.654,60 | 1087 / 30 | $15.712,20 | 1522 / 29 | $14.395,10 | 1506 / 33 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 4 | $46.041,80 | 253 / 7 | $15.105,80 | 618 / 9 | $13.872,30 | 612 / 11 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 4 | $72.816,80 | 241 / 6 | $26.130,10 | 478 / 9 | $22.126,30 | 476 / 10 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 23 | 46 / 3 | $60.624,50 | 210 / 9 | $22.511,70 | 307 / 14 | $15.842,90 | 307 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 8 | $64.393,30 | 1020 / 20 | $18.557,20 | 1483 / 19 | $17.359,40 | 1469 / 22 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 9 | $28.284,00 | 1108 / 26 | $8.767,74 | 1396 / 26 | $7.297,48 | 1392 / 25 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 6 | $44.108,70 | 607 / 18 | $14.984,50 | 1066 / 20 | $14.101,50 | 1059 / 23 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 8 | $26.708,50 | 553 / 16 | $10.035,10 | 868 / 20 | $8.204,24 | 863 / 17 |
Diabetes W Cc | 20 | 72 / 8 | $20.746,80 | 743 / 13 | $6.014,80 | 961 / 11 | $5.048,10 | 957 / 11 |
Major Cardiovasc Procedures W Mcc | 20 | 48 / 5 | $122.267,00 | 224 / 4 | $42.330,60 | 509 / 6 | $40.899,90 | 508 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 9 | $16.766,40 | 351 / 4 | $5.652,50 | 853 / 15 | $4.065,90 | 849 / 16 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 20 | 46 / 4 | $32.302,30 | 73 / 2 | $13.727,70 | 381 / 4 | $12.341,70 | 378 / 6 |
Disorders Of The Biliary Tract W Cc | 19 | 35 / 5 | $25.934,30 | 146 / 3 | $7.630,42 | 235 / 2 | $6.386,32 | 235 / 2 |
Signs & Symptoms W/O Mcc | 19 | 72 / 13 | $19.735,00 | 641 / 18 | $5.092,79 | 724 / 12 | $4.096,11 | 721 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 4 | $103.585,00 | 245 / 5 | $38.547,20 | 586 / 6 | $36.665,00 | 586 / 7 |
Other Circulatory System O.R. Procedures | 19 | 36 / 2 | $39.117,90 | 49 / 1 | $19.563,10 | 248 / 1 | $18.205,40 | 248 / 2 |
Seizures W/O Mcc | 19 | 89 / 10 | $15.129,80 | 267 / 2 | $5.460,00 | 656 / 9 | $4.410,32 | 653 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 5 | $46.556,50 | 221 / 5 | $14.248,10 | 441 / 3 | $12.815,20 | 437 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 3 | $61.971,70 | 286 / 8 | $15.310,60 | 397 / 10 | $11.394,90 | 395 / 6 |
Atherosclerosis W/O Mcc | 17 | 41 / 1 | $12.639,20 | 107 / 1 | $4.493,12 | / | $3.670,12 | / |
Respiratory Neoplasms W Cc | 17 | 30 / 2 | $31.526,90 | 217 / 5 | $8.515,53 | 301 / 1 | $7.551,00 | 300 / 2 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 5 | $17.803,40 | 298 / 8 | $6.249,00 | 602 / 3 | $5.080,06 | 598 / 7 |
Major Chest Procedures W Cc | 17 | 57 / 6 | $42.740,20 | 59 / 1 | $18.575,60 | 344 / 4 | $17.154,60 | 342 / 6 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 2 | $21.573,90 | 72 / 2 | $9.762,24 | 307 / 2 | $8.478,53 | 307 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 17 | 36 / 4 | $69.859,90 | 452 / 5 | $17.577,80 | 481 / 5 | $16.484,40 | 481 / 5 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 5 | $19.060,50 | 361 / 4 | $7.000,00 | 734 / 4 | $5.967,88 | 731 / 4 |
Respiratory Signs & Symptoms | 16 | 30 / 3 | $14.975,20 | 50 / 1 | $4.930,06 | 127 / 1 | $3.897,44 | 127 / 1 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $88.472,50 | 283 / 10 | $38.185,50 | 977 / 21 | $37.112,10 | 975 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $12.708,00 | 479 / 5 | $5.067,31 | 1383 / 16 | $4.174,69 | 1375 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 12 | $14.860,60 | 761 / 15 | $6.206,19 | 756 / 21 | $3.541,06 | 753 / 11 |
Seizures W Mcc | 16 | 50 / 4 | $25.896,10 | 114 / 1 | $10.843,90 | 427 / 2 | $9.767,31 | 427 / 4 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 7 | $14.510,10 | 134 / 4 | $7.070,62 | 873 / 18 | $6.014,06 | 870 / 21 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 10 | $23.559,50 | 242 / 3 | $7.435,31 | 671 / 9 | $6.403,94 | 668 / 12 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 7 | $24.410,80 | 90 / 1 | $11.799,10 | 368 / 3 | $10.590,80 | 367 / 5 |
Respiratory Neoplasms W Mcc | 16 | 36 / 2 | $40.256,10 | 268 / 3 | $12.315,80 | 392 / 1 | $11.064,60 | 391 / 1 |
Cellulitis W Mcc | 15 | 43 / 6 | $39.543,70 | 583 / 11 | $11.537,90 | 741 / 10 | $10.334,20 | 739 / 11 |
O.R. Procedures For Obesity W Cc | 15 | 19 / 2 | $37.359,90 | 22 / 1 | $14.880,30 | 58 / 1 | $11.610,50 | 58 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 6 | $37.323,30 | 755 / 13 | $8.552,33 | 783 / 10 | $6.705,13 | 780 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 6 | $27.474,80 | 569 / 15 | $8.571,27 | 696 / 10 | $7.319,73 | 694 / 8 |
G.I. Obstruction W Cc | 15 | 77 / 14 | $18.838,10 | 572 / 19 | $6.454,33 | 1139 / 26 | $5.386,20 | 1136 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 14 | $91.901,20 | 399 / 16 | $23.082,50 | 683 / 10 | $21.817,30 | 679 / 16 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 4 | $21.139,40 | 221 / 1 | $7.588,57 | 274 / 1 | $5.431,64 | 273 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 9 | $77.881,40 | 120 / 4 | $38.329,40 | 224 / 10 | $20.387,90 | 223 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 9 | $55.813,80 | 292 / 10 | $20.048,00 | 765 / 12 | $18.873,40 | 762 / 12 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 6 | $34.945,40 | 212 / 6 | $8.073,92 | 180 / 5 | $7.381,85 | 180 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 8 | $20.573,10 | 99 / 1 | $9.077,85 | 404 / 8 | $6.015,85 | 403 / 8 |
Hypertension W/O Mcc | 13 | 52 / 3 | $10.616,20 | 73 / 1 | $4.586,62 | 375 / 4 | $3.352,23 | 373 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 5 | $112.845,00 | 245 / 6 | $34.912,40 | 377 / 5 | $33.220,60 | 377 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 8 | $30.941,90 | 369 / 9 | $10.345,90 | 622 / 10 | $9.256,00 | 620 / 10 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 3 | $58.581,40 | 39 / 1 | $22.089,40 | 100 / 2 | $20.726,10 | 100 / 2 |
Complications Of Treatment W Mcc | 12 | 39 / 4 | $45.111,40 | 146 / 3 | $13.690,00 | 197 / 2 | $12.737,90 | 197 / 3 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 5 | $36.267,30 | 607 / 8 | $10.225,30 | 842 / 7 | $9.340,92 | 838 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 10 | $158.661,00 | 115 / 5 | $58.249,80 | 324 / 7 | $57.119,40 | 324 / 7 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 7 | $25.763,20 | 414 / 8 | $7.165,75 | 429 / 6 | $5.968,75 | 429 / 6 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 5 | $30.541,80 | 145 / 4 | $8.474,42 | 155 / 3 | $7.172,00 | 155 / 3 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 2 | $28.050,60 | 30 / 1 | $12.002,20 | 93 / 1 | $10.891,20 | 93 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 8 | $85.132,40 | 241 / 8 | $29.023,50 | 486 / 9 | $27.218,90 | 486 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 4 | $53.782,20 | 26 / 1 | $21.153,80 | 116 / 2 | $20.130,20 | 116 / 3 |
Diabetes W Mcc | 12 | 45 / 5 | $39.249,30 | 443 / 6 | $10.096,80 | 295 / 1 | $8.094,67 | 295 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 10 | $68.774,00 | 364 / 10 | $25.476,10 | 786 / 12 | $24.008,80 | 783 / 13 |
Nervous System Neoplasms W Mcc | 11 | 37 / 5 | $44.235,60 | 186 / 4 | $10.494,70 | 188 / 2 | $9.219,09 | 188 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 5 | $58.091,10 | 199 / 5 | $14.563,30 | 192 / 3 | $13.003,30 | 192 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 21 | $21.081,80 | 514 / 21 | $5.088,00 | 477 / 10 | $4.378,18 | 476 / 17 |
Signs & Symptoms W Mcc | 11 | 30 / 7 | $18.380,80 | 43 / 1 | $8.090,91 | 144 / 4 | $7.352,27 | 144 / 6 |
G.I. Obstruction W Mcc | 11 | 31 / 5 | $37.718,00 | 218 / 6 | $11.673,90 | 358 / 5 | $10.952,20 | 358 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 10 | $63.955,80 | 348 / 8 | $21.949,30 | 728 / 10 | $20.948,50 | 725 / 10 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 3 | $40.766,60 | 108 / 4 | $11.579,70 | 95 / 2 | $10.123,50 | 95 / 3 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 5 | $40.508,30 | 17 / 1 | $21.140,50 | 86 / 3 | $15.985,50 | 86 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 3 | $130.685,00 | 195 / 3 | $32.137,40 | 200 / 3 | $27.245,40 | 199 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $16.600,50 | 361 / 10 | $5.243,82 | 289 / 8 | $3.433,09 | 290 / 6 |
Skin Debridement W Cc | 11 | 7 / 1 | $39.311,10 | 10 / 1 | $10.768,50 | 14 / 1 | $9.849,27 | 14 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 4 | $14.871,90 | 83 / 1 | $6.600,91 | 116 / 4 | $3.851,45 | 116 / 1 |
Medical Back Problems W Mcc | 11 | 28 / 5 | $41.740,80 | 153 / 2 | $12.502,50 | 222 / 5 | $10.960,40 | 222 / 4 | Total 118 procedures | 3.293 | 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.