Hospital Costs > In Wisconsin > St Agnes Hospital, 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 | 114 | 402 / 21 | $26.494,60 | 616 / 16 | $11.292,30 | 1229 / 25 | $10.522,10 | 1208 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 7 | $22.113,60 | 518 / 15 | $8.829,32 | 1008 / 23 | $7.881,65 | 1008 / 27 |
Heart Failure & Shock W Mcc | 59 | 225 / 17 | $20.406,70 | 445 / 12 | $9.114,49 | 1000 / 26 | $8.295,51 | 999 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 48 | $41.205,90 | 826 / 28 | $13.086,50 | 1443 / 17 | $11.899,20 | 1410 / 41 |
Renal Failure W Cc | 40 | 181 / 18 | $16.779,40 | 647 / 19 | $5.916,23 | 771 / 19 | $4.979,42 | 764 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 11 | $45.193,20 | 135 / 8 | $12.497,80 | 746 / 3 | $11.378,70 | 742 / 17 |
Respiratory Infections & Inflammations W Mcc | 33 | 103 / 8 | $35.812,90 | 622 / 17 | $12.291,10 | 960 / 16 | $11.593,80 | 950 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 13 | $28.946,50 | 309 / 12 | $10.549,00 | 563 / 11 | $9.505,14 | 562 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 27 | $22.027,10 | 977 / 35 | $6.510,45 | 1097 / 26 | $5.760,10 | 1094 / 34 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 26 | $16.384,70 | 725 / 16 | $5.977,21 | 921 / 17 | $5.019,41 | 918 / 23 |
Renal Failure W Mcc | 25 | 170 / 14 | $23.043,70 | 366 / 8 | $9.329,40 | 810 / 11 | $8.567,16 | 810 / 14 |
G.I. Hemorrhage W Cc | 25 | 193 / 27 | $21.195,50 | 860 / 36 | $6.136,92 | 734 / 17 | $5.121,88 | 732 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 7 | $59.125,80 | 72 / 4 | $19.390,10 | 357 / 3 | $18.373,80 | 355 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 12 | $27.982,80 | 366 / 9 | $10.510,40 | 718 / 10 | $9.496,64 | 717 / 9 |
Heart Failure & Shock W Cc | 24 | 254 / 31 | $15.786,30 | 660 / 18 | $6.041,08 | 928 / 21 | $5.234,42 | 927 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 17 | $26.114,50 | 865 / 29 | $6.550,00 | 835 / 17 | $5.592,67 | 833 / 21 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 25 | $19.242,70 | 359 / 15 | $7.430,78 | 740 / 16 | $6.643,30 | 740 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 26 | $17.491,20 | 1063 / 31 | $4.692,78 | 813 / 16 | $3.639,57 | 808 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 28 | $16.516,40 | 1146 / 35 | $4.814,52 | 732 / 20 | $3.776,81 | 727 / 20 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 8 | $25.374,00 | 123 / 4 | $11.463,00 | 528 / 7 | $10.855,00 | 526 / 11 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 13 | $15.149,30 | 255 / 7 | $6.840,19 | 855 / 12 | $6.162,19 | 853 / 16 |
Cellulitis W/O Mcc | 15 | 174 / 31 | $21.780,30 | 1643 / 52 | $5.218,60 | 753 / 19 | $4.087,93 | 749 / 22 |
Syncope & Collapse | 14 | 155 / 20 | $20.046,00 | 855 / 22 | $4.603,43 | 779 / 10 | $3.828,57 | 776 / 12 |
Medical Back Problems W/O Mcc | 14 | 107 / 19 | $17.647,90 | 367 / 11 | $5.252,79 | 550 / 6 | $4.301,93 | 548 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 17 | $12.828,40 | 84 / 1 | $6.718,71 | 436 / 8 | $5.939,29 | 433 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 8 | $21.704,30 | 120 / 2 | $6.652,31 | 303 / 1 | $5.633,23 | 302 / 5 |
Transient Ischemia | 12 | 113 / 14 | $20.755,20 | 716 / 13 | $4.455,50 | 476 / 5 | $3.351,50 | 475 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 26 | $38.512,40 | 562 / 18 | $12.000,10 | 984 / 23 | $10.992,10 | 971 / 30 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 21 | $30.263,80 | 529 / 18 | $6.633,33 | 697 / 7 | $5.726,67 | 695 / 15 |
G.I. Hemorrhage W Mcc | 12 | 109 / 19 | $34.477,00 | 484 / 13 | $11.191,10 | 749 / 11 | $10.391,20 | 747 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $13.090,00 | 696 / 13 | $4.444,91 | 551 / 14 | $3.342,36 | 549 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 29 | $16.376,20 | 675 / 19 | $4.954,82 | 761 / 15 | $4.076,27 | 758 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 22 | $15.819,10 | 146 / 3 | $7.375,91 | 506 / 14 | $6.383,91 | 503 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 15 | $41.677,30 | 371 / 3 | $13.928,50 | 819 / 5 | $13.378,60 | 811 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $18.844,90 | 98 / 3 | $9.495,00 | 361 / 7 | $8.613,55 | 361 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 19 | $80.639,50 | 256 / 7 | $32.563,70 | 708 / 9 | $31.574,60 | 702 / 11 | Total 36 procedures | 929 | 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.