Hospital Costs > In Wisconsin > Ministry Saint Marys Hospital, 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 | 15 | 109 / 19 | $18.272,70 | 449 / 17 | $4.853,93 | 439 / 9 | $4.211,80 | 438 / 13 |
| Cellulitis W/O Mcc | 23 | 166 / 25 | $15.260,60 | 890 / 28 | $5.978,70 | 1788 / 37 | $5.135,57 | 1780 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 24 | $14.123,80 | 431 / 7 | $6.633,92 | 1628 / 31 | $5.724,58 | 1621 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 26 | $17.840,60 | 1102 / 35 | $5.291,83 | 1705 / 38 | $4.348,52 | 1692 / 44 |
| G.I. Hemorrhage W Cc | 42 | 176 / 17 | $21.660,00 | 909 / 42 | $7.326,86 | 1470 / 48 | $5.927,95 | 1466 / 42 |
| G.I. Obstruction W Cc | 17 | 75 / 12 | $15.703,90 | 342 / 9 | $6.348,59 | 1224 / 25 | $5.640,82 | 1220 / 28 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $19.156,80 | 1064 / 42 | $7.045,59 | 1821 / 45 | $6.192,88 | 1816 / 50 |
| Heart Failure & Shock W Mcc | 38 | 246 / 25 | $23.603,30 | 637 / 26 | $10.648,90 | 1805 / 45 | $9.727,63 | 1800 / 45 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 18 | $31.836,40 | 286 / 7 | $14.665,30 | 1411 / 46 | $12.425,50 | 1393 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 121 | 443 / 32 | $27.827,40 | 152 / 6 | $15.354,80 | 2039 / 53 | $13.750,00 | 1997 / 56 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $41.271,20 | 218 / 3 | $18.117,40 | 1194 / 17 | $17.413,40 | 1180 / 30 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 8 | $73.514,40 | 152 / 6 | $37.320,40 | 958 / 19 | $36.652,00 | 956 / 21 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 25 | $19.702,40 | 389 / 18 | $9.813,17 | 1325 / 44 | $7.449,35 | 1321 / 35 |
| Renal Failure W Cc | 15 | 206 / 32 | $15.527,20 | 509 / 16 | $6.871,53 | 1635 / 37 | $5.990,47 | 1626 / 40 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 14 | $26.462,80 | 540 / 15 | $10.016,80 | 1110 / 18 | $9.110,17 | 1105 / 23 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 22 | $40.738,90 | 811 / 24 | $14.950,10 | 1447 / 28 | $13.921,20 | 1432 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 26 | $32.902,60 | 935 / 33 | $13.415,10 | 2002 / 45 | $12.381,20 | 1965 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 27 | $19.773,10 | 763 / 25 | $7.607,38 | 1707 / 46 | $6.585,76 | 1700 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 28 | $24.423,80 | 664 / 21 | $10.336,50 | 1645 / 46 | $9.002,39 | 1645 / 43 | Total 19 procedures | 562 | 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.