Hospital Costs > In Wisconsin > Theda Clark Medical Center, 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/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 19 | $5.655,33 | 33 / 1 | $4.752,33 | 207 / 8 | $3.549,47 | 207 / 5 |
| Depressive Neuroses | 11 | 39 / 7 | $7.244,09 | 22 / 3 | $4.753,73 | 49 / 3 | $3.516,91 | 49 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 25 | $8.697,64 | 136 / 1 | $5.060,76 | 1654 / 27 | $4.285,08 | 1641 / 42 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $11.368,40 | 97 / 3 | $6.507,00 | 1286 / 31 | $5.677,00 | 1283 / 35 |
| Heart Failure & Shock W Cc | 20 | 258 / 33 | $7.688,90 | 26 / 1 | $6.282,85 | 1303 / 31 | $5.553,25 | 1299 / 41 |
| Heart Failure & Shock W Mcc | 37 | 247 / 26 | $15.994,40 | 195 / 3 | $9.467,16 | 1395 / 34 | $8.857,87 | 1391 / 38 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $21.061,40 | 44 / 2 | $11.942,90 | 149 / 22 | $9.352,60 | 148 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 8 | $15.374,20 | 172 / 2 | $6.860,58 | 1018 / 24 | $5.854,44 | 1015 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 7 | $24.739,10 | 197 / 4 | $11.112,80 | 762 / 16 | $10.074,60 | 761 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 8 | $13.826,20 | 178 / 2 | $5.844,95 | 568 / 21 | $3.703,19 | 564 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 29 | $9.122,80 | 208 / 2 | $5.191,40 | 663 / 32 | $3.731,50 | 659 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 45 | $24.310,10 | 65 / 1 | $12.976,70 | 1155 / 13 | $11.306,00 | 1127 / 31 |
| Medical Back Problems W/O Mcc | 12 | 109 / 21 | $11.137,10 | 78 / 1 | $5.708,17 | 305 / 12 | $3.959,58 | 305 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $5.818,36 | 25 / 1 | $4.737,27 | 1404 / 25 | $3.975,09 | 1399 / 30 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 4 | $17.353,30 | 15 / 1 | $9.663,43 | 167 / 1 | $8.463,43 | 167 / 1 |
| Psychoses | 105 | 187 / 11 | $10.425,20 | 69 / 4 | $6.823,16 | 179 / 7 | $5.414,14 | 179 / 5 |
| Renal Failure W Cc | 19 | 202 / 29 | $8.644,00 | 33 / 1 | $6.196,32 | 1195 / 28 | $5.377,68 | 1187 / 32 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 7 | $58.876,20 | 50 / 1 | $26.912,80 | 71 / 1 | $25.882,60 | 71 / 1 |
| Seizures W/O Mcc | 12 | 96 / 13 | $8.980,75 | 51 / 1 | $5.078,92 | 251 / 5 | $3.661,50 | 250 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 46 | $19.871,30 | 262 / 5 | $11.165,00 | 913 / 22 | $10.076,50 | 910 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 39 | $11.710,90 | 129 / 2 | $6.740,31 | 1116 / 31 | $5.770,46 | 1112 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 37 | $9.549,33 | 85 / 2 | $6.610,75 | 189 / 37 | $4.303,75 | 189 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 30 | $12.335,90 | 40 / 1 | $8.659,30 | 705 / 16 | $7.567,15 | 705 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 6 | $38.885,80 | 40 / 2 | $23.434,40 | 425 / 7 | $21.399,80 | 422 / 8 | Total 24 procedures | 640 | 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.