Hospital Costs > In Wisconsin > St Josephs Community Hospital Of West Bend, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 25 | $16.617,30 | 705 / 21 | $4.336,20 | 305 / 2 | $3.613,00 | 305 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 14 | $20.649,30 | 369 / 10 | $6.784,38 | 20 / 4 | $5.237,05 | 20 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 24 | $12.820,00 | 692 / 15 | $3.553,55 | 105 / 9 | $1.940,36 | 105 / 2 |
| Cellulitis W/O Mcc | 16 | 173 / 30 | $18.424,10 | 1292 / 44 | $4.562,19 | 584 / 3 | $3.956,19 | 581 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 17 | $20.926,60 | 1097 / 34 | $6.624,50 | 75 / 30 | $3.943,20 | 75 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 20 | $26.037,20 | 1203 / 35 | $6.506,70 | 200 / 5 | $5.424,26 | 199 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 20 | $17.636,50 | 1079 / 32 | $4.153,64 | 243 / 3 | $3.165,52 | 243 / 7 |
| G.I. Hemorrhage W Cc | 14 | 204 / 38 | $25.055,10 | 1200 / 53 | $6.463,07 | 84 / 29 | $4.327,29 | 84 / 3 |
| Heart Failure & Shock W Cc | 24 | 254 / 31 | $14.555,40 | 527 / 12 | $5.527,92 | 350 / 7 | $4.726,58 | 350 / 12 |
| Heart Failure & Shock W Mcc | 38 | 246 / 25 | $31.257,70 | 1168 / 46 | $9.024,34 | 997 / 25 | $8.292,55 | 996 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 20 | $16.786,20 | 1039 / 22 | $3.694,91 | 169 / 2 | $2.926,91 | 167 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 24 | $48.667,60 | 1003 / 40 | $12.468,00 | 69 / 30 | $9.065,43 | 69 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 21 | $17.521,20 | 318 / 6 | $5.953,58 | 273 / 3 | $4.934,63 | 273 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 14 | $23.524,00 | 820 / 22 | $6.140,47 | 455 / 2 | $5.656,20 | 454 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 21 | $14.995,50 | 931 / 23 | $4.451,79 | 138 / 9 | $3.207,91 | 138 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 40 | $52.904,30 | 1414 / 55 | $13.377,40 | 538 / 24 | $10.378,40 | 534 / 13 |
| Medical Back Problems W/O Mcc | 13 | 108 / 20 | $19.876,20 | 508 / 15 | $4.754,00 | 189 / 2 | $3.730,00 | 189 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $20.585,40 | 1612 / 45 | $3.826,91 | 101 / 2 | $2.837,82 | 101 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 15 | $38.643,80 | 608 / 19 | $9.497,46 | 351 / 8 | $8.567,08 | 351 / 8 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 19 | $32.432,80 | 1163 / 45 | $8.499,82 | 315 / 32 | $6.112,52 | 315 / 16 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 10 | $15.061,50 | 155 / 6 | $5.469,46 | 134 / 2 | $4.447,92 | 134 / 4 |
| Renal Failure W Cc | 26 | 195 / 26 | $25.094,60 | 1429 / 49 | $5.500,69 | 412 / 8 | $4.663,77 | 409 / 15 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 9 | $29.294,30 | 660 / 20 | $7.709,45 | 398 / 6 | $7.165,45 | 395 / 10 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 11 | $40.015,30 | 788 / 22 | $11.395,10 | 615 / 8 | $10.707,10 | 607 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 30 | $33.038,50 | 943 / 34 | $11.937,90 | 416 / 36 | $9.373,25 | 416 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 34 | $28.874,40 | 1550 / 55 | $7.138,05 | 125 / 40 | $4.698,76 | 125 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 23 | $20.546,50 | 1187 / 41 | $5.682,74 | 249 / 8 | $4.406,94 | 249 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 23 | $27.745,80 | 887 / 35 | $8.825,17 | 419 / 22 | $7.206,43 | 419 / 12 |
| Syncope & Collapse | 14 | 155 / 20 | $15.802,90 | 466 / 8 | $4.011,50 | 140 / 2 | $3.062,93 | 140 / 3 | Total 29 procedures | 730 | 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.