Hospital Costs > In Wisconsin > Sacred Heart Hospital Eau Claire, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 182 | 131 / 5 | $10.851,90 | 83 / 6 | $7.365,66 | 349 / 12 | $6.303,14 | 349 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 154 | 410 / 22 | $41.979,10 | 868 / 31 | $15.005,20 | 1825 / 46 | $12.965,40 | 1784 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 27 | $48.546,50 | 1735 / 53 | $13.545,50 | 2004 / 46 | $12.394,70 | 1967 / 51 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 7 | $31.939,60 | 1166 / 47 | $10.712,70 | 1771 / 49 | $9.305,71 | 1771 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 4 | $27.133,40 | 1277 / 39 | $8.835,23 | 1774 / 45 | $7.370,43 | 1766 / 42 |
| Heart Failure & Shock W Mcc | 60 | 224 / 16 | $33.772,80 | 1328 / 48 | $10.777,40 | 1896 / 46 | $10.029,00 | 1891 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 12 | $20.193,40 | 1415 / 48 | $5.601,60 | 1942 / 44 | $4.667,52 | 1928 / 51 |
| Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 3 | $20.664,50 | 1072 / 32 | $6.817,77 | 1752 / 34 | $5.986,80 | 1745 / 39 |
| Heart Failure & Shock W Cc | 55 | 223 / 16 | $21.446,40 | 1347 / 51 | $7.467,15 | 1740 / 52 | $6.046,67 | 1735 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 16 | $24.412,40 | 1579 / 53 | $7.111,61 | 2011 / 44 | $6.181,18 | 2003 / 49 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 10 | $28.217,30 | 919 / 37 | $8.746,35 | 1553 / 36 | $7.971,30 | 1548 / 42 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 9 | $33.263,40 | 667 / 22 | $7.814,19 | 1122 / 19 | $6.765,05 | 1119 / 24 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 7 | $37.089,80 | 706 / 20 | $11.936,70 | 1204 / 21 | $11.032,90 | 1197 / 22 |
| Renal Failure W Cc | 39 | 182 / 19 | $22.008,00 | 1181 / 42 | $6.933,49 | 1695 / 39 | $6.127,74 | 1686 / 43 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 7 | $43.182,40 | 886 / 27 | $14.321,60 | 1155 / 23 | $12.299,00 | 1141 / 21 |
| Renal Failure W Mcc | 34 | 161 / 9 | $34.546,20 | 1029 / 28 | $10.402,40 | 1249 / 21 | $9.546,29 | 1249 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 12 | $67.786,10 | 634 / 28 | $15.377,30 | 996 / 21 | $12.478,90 | 989 / 25 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 9 | $90.143,60 | 639 / 25 | $27.470,80 | 979 / 16 | $26.242,10 | 974 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 13 | $26.525,00 | 894 / 31 | $7.744,21 | 1456 / 32 | $6.736,29 | 1453 / 38 |
| G.I. Hemorrhage W Cc | 34 | 184 / 22 | $21.214,00 | 861 / 37 | $7.996,53 | 1557 / 54 | $6.060,74 | 1553 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 14 | $18.254,10 | 882 / 30 | $6.214,21 | 1338 / 36 | $4.722,85 | 1333 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 14 | $15.681,10 | 1041 / 27 | $5.309,09 | 1816 / 36 | $4.503,56 | 1811 / 38 |
| Cellulitis W/O Mcc | 32 | 157 / 21 | $17.859,40 | 1228 / 42 | $6.565,34 | 1850 / 48 | $5.243,41 | 1842 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 23 | $17.480,70 | 1286 / 45 | $5.763,72 | 1938 / 43 | $4.890,88 | 1927 / 47 |
| Medical Back Problems W/O Mcc | 28 | 93 / 9 | $17.067,20 | 335 / 8 | $6.202,79 | 924 / 20 | $5.033,43 | 921 / 20 |
| Syncope & Collapse | 28 | 141 / 11 | $19.699,00 | 828 / 20 | $5.482,71 | 1314 / 21 | $4.623,61 | 1307 / 25 |
| Other Vascular Procedures W Cc | 27 | 75 / 6 | $65.452,10 | 452 / 11 | $17.579,90 | 614 / 9 | $15.637,80 | 611 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 11 | $23.198,80 | 537 / 17 | $8.751,26 | 1243 / 27 | $7.744,00 | 1240 / 29 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 15 | $46.845,80 | 925 / 37 | $13.456,40 | 1382 / 39 | $12.307,80 | 1364 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 4 | $23.229,30 | 796 / 19 | $5.661,77 | 1182 / 17 | $4.787,38 | 1178 / 24 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 10 | $9.727,16 | 126 / 7 | $5.222,80 | 501 / 12 | $4.461,28 | 500 / 19 |
| Chest Pain | 25 | 126 / 7 | $19.463,60 | 884 / 18 | $4.680,64 | 1199 / 12 | $3.990,36 | 1192 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 5 | $22.633,90 | 404 / 9 | $7.624,12 | 979 / 10 | $6.622,79 | 977 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 33 | $29.317,70 | 1574 / 56 | $7.464,32 | 1664 / 42 | $6.515,68 | 1657 / 46 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 7 | $30.229,90 | 698 / 22 | $9.644,59 | 1030 / 17 | $8.800,41 | 1025 / 20 |
| G.I. Obstruction W Cc | 21 | 71 / 10 | $24.445,70 | 957 / 29 | $6.311,29 | 1214 / 23 | $5.607,00 | 1210 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 16 | $12.235,20 | 622 / 14 | $4.386,95 | 1415 / 23 | $3.319,43 | 1409 / 27 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 11 | $17.608,70 | 518 / 11 | $5.596,95 | 762 / 16 | $4.179,33 | 759 / 15 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 6 | $23.262,40 | 563 / 22 | $7.148,10 | 921 / 21 | $6.179,85 | 918 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 3 | $113.776,00 | 334 / 4 | $35.158,80 | 593 / 3 | $34.452,20 | 592 / 3 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 12 | $59.262,00 | 615 / 17 | $17.436,70 | 1096 / 14 | $16.538,20 | 1083 / 26 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 4 | $109.837,00 | 289 / 6 | $34.328,90 | 507 / 1 | $33.621,90 | 507 / 5 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 10 | $21.175,90 | 468 / 14 | $7.045,37 | 892 / 11 | $6.105,21 | 888 / 16 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 5 | $80.152,40 | 299 / 8 | $23.174,80 | 481 / 7 | $22.222,50 | 479 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 11 | $148.257,00 | 283 / 14 | $36.025,40 | 347 / 10 | $34.987,90 | 347 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 15 | $101.666,00 | 509 / 14 | $38.662,20 | 1155 / 18 | $37.827,20 | 1147 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 12 | $70.645,40 | 171 / 6 | $26.974,80 | 286 / 15 | $17.801,60 | 284 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 8 | $130.448,00 | 657 / 22 | $39.944,10 | 1055 / 22 | $39.023,40 | 1053 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 17 | $33.758,70 | 477 / 17 | $12.395,20 | 758 / 21 | $10.068,20 | 757 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 11 | $74.342,00 | 306 / 9 | $25.845,60 | 482 / 14 | $20.171,80 | 482 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $14.160,80 | 633 / 12 | $5.339,19 | 1459 / 20 | $4.319,94 | 1451 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 12 | $19.495,90 | 1225 / 24 | $6.359,81 | 1425 / 22 | $4.284,44 | 1414 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 6 | $20.890,60 | 317 / 7 | $8.179,73 | 717 / 7 | $7.398,80 | 715 / 9 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 16 | $49.546,50 | 994 / 23 | $13.254,90 | 1233 / 20 | $12.442,70 | 1225 / 23 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 6 | $46.013,70 | 224 / 6 | $11.598,60 | 220 / 5 | $7.358,33 | 220 / 3 |
| Diabetes W Cc | 14 | 78 / 11 | $18.738,70 | 602 / 9 | $5.888,79 | 973 / 9 | $5.072,29 | 969 / 12 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 5 | $68.405,00 | 255 / 8 | $18.585,30 | 369 / 5 | $17.418,80 | 368 / 8 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 7 | $34.321,70 | 427 / 10 | $6.553,79 | 375 / 3 | $5.714,43 | 375 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 6 | $52.373,30 | 441 / 11 | $12.783,60 | 393 / 4 | $12.136,40 | 392 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 13 | $63.699,20 | 1003 / 19 | $18.162,20 | 1469 / 17 | $17.233,20 | 1455 / 21 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 4 | $51.203,20 | 59 / 1 | $18.899,60 | 246 / 2 | $17.887,10 | 244 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 12 | $44.014,60 | 699 / 16 | $7.544,15 | 651 / 10 | $6.299,00 | 648 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 7 | $15.370,30 | 304 / 6 | $5.299,69 | 573 / 9 | $4.134,38 | 573 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 18 | $15.722,50 | 925 / 19 | $5.172,62 | 1382 / 25 | $4.194,15 | 1371 / 25 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 6 | $44.953,80 | 388 / 6 | $11.354,40 | 540 / 3 | $10.351,70 | 540 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $40.901,30 | 284 / 6 | $11.435,50 | 656 / 5 | $10.676,40 | 654 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 4 | $33.764,20 | 211 / 3 | $8.692,00 | 451 / 3 | $7.842,83 | 450 / 5 |
| Seizures W/O Mcc | 12 | 96 / 13 | $23.093,40 | 702 / 14 | $5.708,00 | 839 / 12 | $4.856,17 | 836 / 13 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 3 | $40.238,90 | 49 / 2 | $13.709,20 | 143 / 3 | $12.535,90 | 143 / 3 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $55.681,20 | 858 / 23 | $16.483,30 | 1140 / 23 | $14.926,00 | 1132 / 25 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 10 | $17.173,10 | 681 / 13 | $4.740,33 | 906 / 10 | $3.687,25 | 903 / 12 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 8 | $148.940,00 | 348 / 13 | $33.764,50 | 505 / 8 | $32.454,80 | 505 / 14 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 9 | $41.466,10 | 338 / 8 | $13.735,10 | 586 / 8 | $12.934,70 | 585 / 9 |
| Pulmonary Embolism W Mcc | 11 | 32 / 7 | $39.062,40 | 306 / 9 | $10.704,20 | 418 / 5 | $9.953,00 | 418 / 7 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $18.059,90 | 722 / 14 | $5.968,00 | 1273 / 19 | $4.944,91 | 1265 / 20 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 8 | $16.217,40 | 233 / 2 | $6.804,55 | 686 / 3 | $5.803,91 | 683 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 11 | $50.737,60 | 334 / 8 | $14.545,90 | 603 / 7 | $13.702,10 | 597 / 9 |
| Extracranial Procedures W Cc | 11 | 35 / 5 | $56.016,50 | 269 / 7 | $11.681,70 | 290 / 6 | $10.630,10 | 290 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 7 | $61.802,00 | 284 / 7 | $12.523,00 | 396 / 3 | $11.381,70 | 394 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 8 | $65.248,10 | 529 / 8 | $15.200,20 | 634 / 2 | $13.958,00 | 631 / 7 | Total 80 procedures | 2.280 | 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.