Hospital Costs > In Wisconsin > Ministry St Michaels Hospital Of Stevens Point, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 125 | 391 / 20 | $22.072,60 | 366 / 7 | $9.679,14 | 131 / 1 | $8.739,35 | 131 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 40 | $27.249,90 | 137 / 4 | $12.398,80 | 327 / 4 | $10.022,70 | 326 / 6 |
Psychoses | 83 | 205 / 12 | $10.947,70 | 86 / 7 | $5.939,46 | 52 / 2 | $4.803,94 | 52 / 2 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 11 | $16.506,20 | 213 / 7 | $6.887,51 | 280 / 1 | $6.052,67 | 280 / 11 |
Heart Failure & Shock W Mcc | 39 | 245 / 24 | $19.436,60 | 398 / 10 | $8.137,15 | 332 / 4 | $7.459,41 | 332 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 22 | $13.094,90 | 220 / 4 | $5.876,47 | 214 / 4 | $4.868,47 | 213 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 21 | $14.079,20 | 631 / 9 | $4.911,88 | 361 / 23 | $3.295,66 | 360 / 12 |
G.I. Hemorrhage W Cc | 31 | 187 / 23 | $14.653,90 | 272 / 9 | $5.735,97 | 228 / 6 | $4.607,26 | 228 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 10 | $11.496,40 | 181 / 8 | $4.064,44 | 107 / 3 | $3.243,96 | 107 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 27 | $15.663,30 | 148 / 4 | $7.769,25 | 192 / 3 | $6.818,58 | 192 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 7 | $15.731,50 | 52 / 2 | $8.361,79 | 124 / 1 | $7.661,79 | 124 / 1 |
Heart Failure & Shock W Cc | 23 | 255 / 32 | $13.710,50 | 432 / 9 | $5.665,09 | 539 / 10 | $4.929,09 | 539 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 20 | $19.169,20 | 423 / 8 | $6.019,90 | 269 / 5 | $4.931,90 | 269 / 6 |
Renal Failure W Cc | 19 | 202 / 29 | $11.777,60 | 190 / 5 | $5.389,74 | 269 / 7 | $4.500,47 | 267 / 10 |
Cellulitis W/O Mcc | 18 | 171 / 29 | $10.914,70 | 351 / 6 | $5.080,94 | 202 / 15 | $3.558,56 | 201 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 31 | $12.615,90 | 593 / 9 | $4.472,44 | 326 / 10 | $3.466,22 | 326 / 10 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 18 | $19.867,40 | 98 / 3 | $10.550,60 | 125 / 2 | $9.480,33 | 125 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 20 | $14.522,20 | 467 / 8 | $5.330,82 | 938 / 7 | $4.907,29 | 935 / 18 |
Renal Failure W Mcc | 17 | 178 / 19 | $16.401,10 | 107 / 2 | $8.101,24 | 67 / 1 | $7.101,71 | 67 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 24 | $12.665,90 | 159 / 4 | $6.601,59 | 52 / 7 | $4.983,59 | 52 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $27.469,60 | 142 / 5 | $10.802,80 | 274 / 2 | $9.678,53 | 273 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 18 | $20.556,60 | 102 / 2 | $9.587,87 | 244 / 3 | $8.619,33 | 243 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 10 | $13.485,10 | 57 / 2 | $6.641,87 | 157 / 2 | $5.837,60 | 156 / 3 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 7 | $10.978,10 | 201 / 2 | $3.521,00 | 127 / 3 | $2.390,33 | 127 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 17 | $8.298,67 | 136 / 2 | $3.925,87 | 193 / 4 | $2.959,47 | 191 / 5 |
G.I. Hemorrhage W Mcc | 14 | 107 / 17 | $16.057,80 | 31 / 2 | $8.782,29 | 28 / 1 | $8.092,00 | 28 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 19 | $16.614,90 | 82 / 1 | $7.936,15 | 28 / 1 | $7.195,23 | 28 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $10.583,80 | 385 / 7 | $4.125,62 | 278 / 7 | $3.104,08 | 278 / 8 |
G.I. Obstruction W Cc | 12 | 80 / 17 | $12.151,80 | 124 / 4 | $5.226,42 | 318 / 6 | $4.226,42 | 317 / 10 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 14 | $56.559,50 | 56 / 2 | $25.892,80 | 93 / 2 | $24.887,50 | 93 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 21 | $15.956,20 | 153 / 4 | $6.068,00 | 61 / 1 | $5.462,67 | 61 / 3 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 17 | $12.252,50 | 119 / 3 | $6.341,36 | 401 / 6 | $5.573,36 | 400 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 14 | $10.128,20 | 36 / 1 | $5.094,82 | 55 / 1 | $4.545,00 | 55 / 1 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 10 | $13.211,40 | 132 / 2 | $5.138,18 | 219 / 1 | $4.149,09 | 216 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 10 | $20.213,90 | 116 / 1 | $7.795,18 | 145 / 1 | $7.024,27 | 145 / 2 | Total 35 procedures | 913 | 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.