Hospital Costs > In Wisconsin > Oconomowoc Memorial Hospital, 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 | 20 | 169 / 27 | $18.670,60 | 1321 / 45 | $5.916,15 | 25 / 36 | $3.162,10 | 25 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 27 | $21.966,30 | 1623 / 52 | $5.952,73 | 591 / 47 | $3.478,55 | 588 / 17 |
| G.I. Hemorrhage W Cc | 20 | 198 / 32 | $20.062,10 | 754 / 29 | $5.523,55 | 389 / 1 | $4.801,95 | 389 / 12 |
| Heart Failure & Shock W Cc | 16 | 262 / 36 | $17.531,70 | 880 / 31 | $5.542,31 | 462 / 8 | $4.858,31 | 462 / 18 |
| Heart Failure & Shock W Mcc | 33 | 251 / 29 | $23.174,30 | 609 / 24 | $9.275,73 | 1146 / 29 | $8.496,85 | 1143 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 17 | $62.420,60 | 122 / 2 | $24.943,90 | 32 / 1 | $23.906,20 | 32 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 192 | 372 / 17 | $49.309,60 | 1252 / 48 | $14.206,10 | 549 / 34 | $10.392,80 | 544 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 19 | $19.151,20 | 366 / 7 | $6.224,08 | 148 / 2 | $5.418,75 | 147 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 21 | $56.866,60 | 381 / 16 | $14.534,80 | 275 / 15 | $10.063,80 | 275 / 6 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 27 | $19.605,90 | 385 / 17 | $6.970,50 | 282 / 3 | $6.060,05 | 282 / 12 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $16.801,70 | 225 / 9 | $5.351,27 | 193 / 1 | $4.580,36 | 193 / 5 |
| Renal Failure W Cc | 29 | 192 / 25 | $19.549,20 | 937 / 33 | $5.387,45 | 117 / 6 | $4.231,31 | 117 / 3 |
| Renal Failure W Mcc | 18 | 177 / 18 | $25.606,50 | 492 / 12 | $8.215,28 | 208 / 2 | $7.560,17 | 208 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 81 | 435 / 29 | $32.159,80 | 896 / 29 | $10.597,60 | 706 / 12 | $9.803,14 | 705 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 32 | $21.949,50 | 966 / 33 | $5.940,87 | 260 / 5 | $4.941,91 | 259 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 31 | $16.949,80 | 792 / 22 | $5.849,32 | 215 / 14 | $4.348,53 | 215 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 29 | $23.479,60 | 596 / 18 | $8.051,43 | 447 / 7 | $7.246,86 | 447 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $15.283,10 | 762 / 19 | $3.959,00 | 228 / 3 | $2.953,67 | 226 / 5 | Total 18 procedures | 579 | 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.