Hospital Costs > In Wisconsin > Riverview Hospital Assoc, 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 | 14 | 175 / 32 | $10.822,40 | 339 / 5 | $5.651,50 | 672 / 33 | $4.024,64 | 668 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 22 | $11.624,90 | 202 / 3 | $5.629,71 | 553 / 13 | $4.598,86 | 551 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 18 | $12.698,70 | 160 / 5 | $6.928,54 | 1095 / 14 | $6.327,92 | 1090 / 23 |
| G.I. Hemorrhage W Cc | 24 | 194 / 28 | $13.705,40 | 201 / 6 | $5.980,54 | 733 / 13 | $5.121,88 | 732 / 26 |
| G.I. Obstruction W Cc | 17 | 75 / 12 | $10.467,80 | 70 / 2 | $5.258,35 | 448 / 7 | $4.405,65 | 447 / 11 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $14.644,10 | 538 / 13 | $5.688,94 | 774 / 13 | $5.122,35 | 773 / 25 |
| Heart Failure & Shock W Mcc | 22 | 262 / 35 | $17.835,20 | 300 / 7 | $8.440,23 | 405 / 10 | $7.563,14 | 405 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $25.907,30 | 96 / 3 | $11.238,50 | 473 / 12 | $10.028,90 | 472 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 16 | $12.243,50 | 117 / 2 | $6.564,25 | 633 / 9 | $5.857,58 | 632 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 30 | $10.354,30 | 327 / 4 | $4.766,05 | 883 / 17 | $3.878,47 | 876 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 34 | $25.678,30 | 95 / 2 | $12.981,80 | 1054 / 14 | $11.153,30 | 1031 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 24 | $10.223,80 | 332 / 5 | $4.504,72 | 814 / 18 | $3.524,94 | 811 / 17 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 32 | $16.973,30 | 233 / 9 | $7.132,73 | 561 / 7 | $6.407,40 | 561 / 18 |
| Renal Failure W Cc | 15 | 206 / 32 | $10.504,40 | 125 / 4 | $5.606,20 | 107 / 10 | $4.208,33 | 107 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 78 | 438 / 31 | $18.601,40 | 206 / 3 | $10.801,10 | 427 / 17 | $9.390,63 | 427 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 25 | $13.972,70 | 273 / 6 | $6.140,59 | 591 / 11 | $5.309,59 | 589 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 35 | $10.915,80 | 168 / 3 | $6.104,47 | 978 / 22 | $5.059,13 | 975 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 30 | $21.724,30 | 487 / 13 | $9.692,75 | 1062 / 38 | $7.940,00 | 1062 / 31 | Total 18 procedures | 477 | 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.