Hospital Costs > In Wisconsin > St Josephs Hospital Chippewa Falls, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 30 | 51 / 1 | $10.750,80 | 17 / 1 | $8.498,33 | 49 / 1 | $7.894,60 | 49 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 102 | 37 / 1 | $6.629,26 | 48 / 2 | $6.420,22 | 483 / 21 | $4.392,56 | 482 / 18 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 15 | 34 / 1 | $2.733,60 | 7 / 1 | $4.069,73 | 42 / 1 | $3.180,13 | 41 / 1 |
| Cellulitis W/O Mcc | 18 | 171 / 29 | $13.233,00 | 620 / 12 | $6.393,28 | 2014 / 46 | $5.589,72 | 2006 / 54 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 22 | $17.588,20 | 759 / 20 | $7.444,93 | 1374 / 39 | $5.341,57 | 1369 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 28 | $18.572,70 | 610 / 15 | $8.289,46 | 1727 / 34 | $7.267,92 | 1719 / 39 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $14.531,30 | 732 / 12 | $5.626,82 | 1667 / 16 | $4.858,82 | 1656 / 21 |
| Heart Failure & Shock W Cc | 13 | 265 / 38 | $15.947,10 | 683 / 20 | $6.797,23 | 1675 / 41 | $5.957,85 | 1670 / 45 |
| Heart Failure & Shock W Mcc | 19 | 265 / 37 | $25.286,50 | 762 / 31 | $9.763,79 | 1477 / 36 | $8.995,79 | 1473 / 41 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 32 | $13.694,00 | 752 / 17 | $5.939,59 | 1932 / 45 | $4.879,82 | 1921 / 46 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 54 | $52.152,50 | 1384 / 54 | $16.816,10 | 1504 / 60 | $12.063,80 | 1470 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 23 | $14.788,60 | 929 / 20 | $5.599,58 | 1922 / 41 | $4.706,95 | 1915 / 42 |
| Renal Failure W Cc | 11 | 210 / 35 | $17.178,20 | 690 / 21 | $7.138,27 | 1703 / 44 | $6.149,18 | 1693 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 53 | $29.901,80 | 777 / 24 | $12.253,50 | 1653 / 40 | $11.325,50 | 1621 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 39 | $23.488,20 | 1115 / 44 | $7.749,00 | 1683 / 48 | $6.540,38 | 1676 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 30 | $17.529,60 | 853 / 27 | $7.092,29 | 1971 / 43 | $6.112,48 | 1963 / 48 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 30 | $25.442,20 | 734 / 27 | $9.707,45 | 1580 / 39 | $8.862,65 | 1580 / 41 | Total 17 procedures | 394 | 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.