Hospital Costs > In Wisconsin > St Clares Hospital Of Weston, 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 | 167 | 349 / 12 | $22.952,40 | 415 / 8 | $10.030,00 | 256 / 4 | $9.069,10 | 256 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 121 | 443 / 32 | $37.730,30 | 625 / 21 | $12.699,30 | 501 / 7 | $10.321,20 | 498 / 11 |
| Heart Failure & Shock W Mcc | 74 | 210 / 11 | $15.915,70 | 187 / 2 | $8.321,20 | 422 / 8 | $7.584,34 | 422 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 4 | $52.376,60 | 267 / 11 | $14.218,90 | 387 / 12 | $10.366,10 | 387 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 7 | $19.339,60 | 94 / 3 | $6.252,50 | 348 / 2 | $5.219,83 | 347 / 7 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 13 | $13.218,70 | 78 / 1 | $7.047,14 | 248 / 5 | $6.015,28 | 248 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 35 | 58 / 2 | $31.007,30 | 56 / 1 | $12.173,10 | 99 / 1 | $10.448,40 | 97 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 19 | $11.923,30 | 380 / 5 | $4.587,54 | 348 / 11 | $3.284,74 | 347 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 24 | $14.893,40 | 342 / 7 | $6.188,94 | 169 / 13 | $4.800,44 | 169 / 5 |
| Renal Failure W Mcc | 31 | 164 / 10 | $16.697,40 | 120 / 4 | $8.652,94 | 393 / 5 | $7.900,94 | 393 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 30 | 70 / 4 | $79.627,50 | 274 / 10 | $22.102,60 | 637 / 7 | $21.135,20 | 633 / 14 |
| Heart Failure & Shock W Cc | 26 | 252 / 30 | $10.281,70 | 139 / 3 | $5.716,88 | 401 / 16 | $4.788,88 | 401 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 12 | $66.195,30 | 307 / 14 | $21.984,20 | 339 / 1 | $20.833,50 | 338 / 6 |
| Renal Failure W Cc | 23 | 198 / 27 | $13.131,30 | 293 / 8 | $5.514,83 | 226 / 9 | $4.426,91 | 225 / 7 |
| Cellulitis W/O Mcc | 23 | 166 / 25 | $14.541,90 | 795 / 24 | $4.840,26 | 500 / 8 | $3.881,30 | 497 / 13 |
| G.I. Hemorrhage W Cc | 21 | 197 / 31 | $14.114,20 | 232 / 7 | $5.778,00 | 630 / 7 | $5.031,33 | 629 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 13 | $63.594,10 | 132 / 3 | $30.943,40 | 574 / 6 | $30.138,80 | 569 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 29 | $24.618,00 | 678 / 22 | $10.002,40 | 1722 / 41 | $9.197,86 | 1722 / 47 |
| Chest Pain | 19 | 132 / 9 | $9.766,16 | 140 / 1 | $3.650,00 | 520 / 3 | $2.951,05 | 516 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 11 | $14.088,50 | 195 / 6 | $6.385,72 | 412 / 7 | $5.582,17 | 411 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 1 | $21.823,80 | 19 / 1 | $9.523,22 | 115 / 1 | $8.584,56 | 114 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 12 | $74.690,20 | 20 / 1 | $27.240,30 | 32 / 1 | $26.176,80 | 32 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 7 | $54.133,50 | 28 / 1 | $18.129,40 | 18 / 1 | $16.992,40 | 18 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 33 | $11.735,80 | 481 / 7 | $4.525,94 | 613 / 11 | $3.697,94 | 611 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 24 | $10.812,20 | 158 / 4 | $4.652,50 | 418 / 8 | $3.748,50 | 418 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 4 | $42.308,90 | 76 / 3 | $14.421,00 | 55 / 7 | $8.636,38 | 55 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 2 | $54.042,40 | 20 / 2 | $18.086,50 | 63 / 1 | $17.478,50 | 63 / 1 |
| Syncope & Collapse | 15 | 154 / 19 | $13.932,10 | 322 / 2 | $4.308,53 | 536 / 6 | $3.585,33 | 534 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 24 | $16.054,90 | 217 / 3 | $6.038,93 | 371 / 7 | $5.070,40 | 370 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 12 | $36.008,80 | 231 / 2 | $12.639,40 | 290 / 1 | $11.864,60 | 287 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 20 | $18.099,80 | 245 / 6 | $6.898,69 | 310 / 6 | $6.059,31 | 309 / 10 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 7 | $36.735,50 | 7 / 1 | $18.943,60 | 34 / 1 | $18.200,20 | 34 / 1 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 22 | $17.688,80 | 52 / 1 | $10.406,60 | 265 / 1 | $9.941,38 | 265 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 20 | $20.386,60 | 159 / 4 | $9.343,08 | 393 / 2 | $8.743,08 | 393 / 4 |
| Pulmonary Embolism W Mcc | 11 | 32 / 7 | $21.619,10 | 59 / 2 | $8.551,73 | 83 / 1 | $7.565,55 | 83 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $50.731,40 | 136 / 6 | $15.486,60 | 199 / 5 | $14.282,30 | 199 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 13 | $18.225,50 | 100 / 1 | $6.033,91 | 187 / 3 | $4.931,36 | 187 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $21.049,00 | 146 / 4 | $8.813,36 | 189 / 3 | $7.937,73 | 189 / 3 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 4 | $20.598,50 | 25 / 1 | $9.231,09 | 81 / 2 | $8.678,36 | 81 / 3 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 14 | $16.600,50 | 21 / 1 | $10.377,20 | 233 / 1 | $9.716,82 | 233 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 24 | $8.623,82 | 204 / 3 | $3.402,64 | 340 / 7 | $2.305,91 | 338 / 10 | Total 41 procedures | 1.167 | 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.