Hospital Costs > In Wisconsin > St Mary's Janesville Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 8 | $24.315,40 | 1935 / 52 | $4.007,22 | 100 / 1 | $3.114,26 | 100 / 1 |
| Heart Failure & Shock W Cc | 68 | 210 / 13 | $29.388,60 | 1924 / 61 | $4.958,21 | 47 / 1 | $4.194,88 | 47 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 7 | $32.816,80 | 2098 / 56 | $5.097,20 | 100 / 1 | $4.144,45 | 100 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 54 | 510 / 49 | $42.574,90 | 901 / 34 | $10.760,80 | 185 / 1 | $9.673,96 | 185 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 13 | $24.009,80 | 1804 / 55 | $4.129,11 | 29 / 1 | $2.761,51 | 29 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 3 | $26.991,60 | 1531 / 28 | $3.712,44 | 67 / 1 | $2.622,07 | 67 / 1 |
| Cellulitis W/O Mcc | 35 | 154 / 20 | $26.951,80 | 1988 / 58 | $4.193,26 | 82 / 1 | $3.362,17 | 82 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 14 | $42.823,90 | 2013 / 51 | $6.327,44 | 212 / 2 | $5.437,06 | 211 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 4 | $25.791,30 | 1571 / 27 | $3.767,81 | 224 / 1 | $3.047,81 | 224 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 16 | $21.627,20 | 1693 / 47 | $3.484,50 | 15 / 1 | $2.518,10 | 15 / 1 |
| Syncope & Collapse | 29 | 140 / 10 | $25.935,90 | 1265 / 30 | $3.614,14 | 10 / 1 | $2.700,48 | 10 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 11 | $20.503,10 | 1422 / 33 | $2.777,71 | 29 / 1 | $1.788,00 | 29 / 1 |
| Signs & Symptoms W/O Mcc | 27 | 64 / 8 | $21.589,40 | 737 / 20 | $3.438,41 | 12 / 1 | $2.586,26 | 12 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 28 | $28.776,20 | 1542 / 53 | $5.507,07 | 163 / 1 | $4.791,22 | 163 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 50 | $58.656,90 | 2052 / 59 | $10.657,30 | 933 / 15 | $10.099,70 | 929 / 25 |
| G.I. Hemorrhage W Cc | 25 | 193 / 27 | $32.269,90 | 1672 / 59 | $6.723,52 | 64 / 37 | $4.240,56 | 64 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 16 | $30.739,80 | 1755 / 45 | $5.015,59 | 142 / 1 | $4.081,73 | 142 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 21 | $27.780,70 | 1533 / 44 | $3.985,65 | 41 / 1 | $3.144,10 | 41 / 1 |
| Heart Failure & Shock W Mcc | 20 | 264 / 36 | $49.736,30 | 1979 / 58 | $8.569,90 | 573 / 13 | $7.782,65 | 573 / 17 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 14 | $79.941,20 | 1004 / 33 | $18.844,70 | 1231 / 25 | $17.906,10 | 1217 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 15 | $24.116,90 | 1512 / 31 | $3.334,17 | 50 / 1 | $2.663,94 | 50 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 5 | $16.834,60 | 375 / 11 | $3.286,65 | 5 / 1 | $2.432,06 | 5 / 1 |
| Renal Failure W Cc | 17 | 204 / 30 | $31.693,50 | 1778 / 53 | $4.992,47 | 228 / 1 | $4.429,71 | 227 / 8 |
| Medical Back Problems W/O Mcc | 16 | 105 / 17 | $23.493,60 | 753 / 25 | $4.414,81 | 3 / 1 | $2.957,81 | 3 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 13 | $26.951,80 | 983 / 24 | $3.757,93 | 13 / 1 | $2.623,00 | 13 / 1 |
| Transient Ischemia | 14 | 111 / 12 | $25.330,40 | 976 / 21 | $4.177,29 | 2 / 3 | $2.211,29 | 2 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 36 | $50.100,20 | 1920 / 57 | $7.188,85 | 21 / 1 | $6.141,46 | 21 / 1 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 13 | $38.010,80 | 923 / 26 | $6.850,23 | 11 / 2 | $5.831,08 | 11 / 2 |
| Diabetes W Cc | 12 | 80 / 13 | $29.577,10 | 1157 / 21 | $6.473,17 | 320 / 14 | $4.042,25 | 320 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 21 | $45.931,70 | 1458 / 38 | $6.484,17 | 120 / 2 | $5.678,83 | 120 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 14 | $112.502,00 | 499 / 17 | $30.887,60 | 560 / 9 | $30.183,80 | 558 / 13 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $27.774,50 | 1396 / 24 | $4.008,64 | 75 / 1 | $3.345,36 | 75 / 2 | Total 32 procedures | 893 | 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.