Hospital Costs > In Wisconsin > United Hospital System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 181 | 383 / 20 | $41.550,90 | 851 / 30 | $13.820,10 | 1447 / 31 | $11.905,80 | 1414 / 42 |
| Heart Failure & Shock W Cc | 106 | 172 / 7 | $16.806,90 | 776 / 24 | $6.420,92 | 1473 / 34 | $5.733,75 | 1468 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 3 | $19.913,20 | 1125 / 40 | $6.532,61 | 1287 / 35 | $5.290,37 | 1283 / 33 |
| Cellulitis W/O Mcc | 88 | 101 / 3 | $18.110,50 | 1256 / 43 | $5.538,03 | 1349 / 30 | $4.576,94 | 1343 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 5 | $15.595,10 | 1020 / 29 | $5.094,85 | 1376 / 28 | $4.226,17 | 1367 / 31 |
| Heart Failure & Shock W Mcc | 79 | 205 / 10 | $24.955,80 | 737 / 28 | $9.429,87 | 1344 / 33 | $8.780,57 | 1341 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 77 | 439 / 32 | $36.745,30 | 1135 / 42 | $12.051,30 | 1482 / 38 | $10.989,60 | 1452 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 8 | $19.541,60 | 1329 / 45 | $5.184,27 | 1270 / 30 | $3.942,73 | 1259 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 4 | $14.842,90 | 943 / 21 | $4.872,42 | 1153 / 29 | $3.774,16 | 1150 / 24 |
| G.I. Hemorrhage W Cc | 64 | 154 / 10 | $23.807,20 | 1105 / 49 | $6.619,86 | 1330 / 34 | $5.730,89 | 1327 / 38 |
| Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 3 | $20.279,10 | 1028 / 28 | $6.242,04 | 1397 / 26 | $5.376,89 | 1392 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 4 | $13.148,90 | 736 / 17 | $3.919,40 | 845 / 17 | $2.702,51 | 841 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 7 | $15.933,00 | 613 / 16 | $5.235,37 | 1040 / 23 | $4.335,61 | 1036 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 13 | $22.565,40 | 1022 / 40 | $7.039,94 | 1066 / 37 | $5.724,84 | 1063 / 32 |
| Renal Failure W Cc | 48 | 173 / 15 | $18.546,80 | 830 / 28 | $6.187,29 | 1372 / 27 | $5.579,62 | 1363 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 8 | $23.139,20 | 988 / 29 | $7.641,46 | 1462 / 28 | $6.787,46 | 1456 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 2 | $14.624,40 | 743 / 13 | $4.761,08 | 1087 / 9 | $3.816,06 | 1078 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 3 | $13.256,40 | 633 / 9 | $4.568,30 | 847 / 17 | $3.595,34 | 843 / 16 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 12 | $21.070,50 | 471 / 21 | $7.851,66 | 1022 / 24 | $6.989,00 | 1021 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 9 | $23.336,00 | 679 / 21 | $7.411,22 | 1154 / 29 | $6.074,46 | 1151 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 19 | $25.910,10 | 761 / 29 | $9.110,95 | 1310 / 28 | $8.333,92 | 1310 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 7 | $59.200,80 | 208 / 9 | $27.735,60 | 499 / 17 | $21.782,20 | 496 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 2 | $17.478,80 | 394 / 5 | $5.056,22 | 794 / 10 | $3.983,78 | 790 / 14 |
| Syncope & Collapse | 37 | 132 / 7 | $17.635,70 | 638 / 14 | $4.848,65 | 978 / 12 | $4.034,81 | 972 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 4 | $15.735,70 | 808 / 21 | $4.713,43 | 995 / 11 | $3.674,73 | 990 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 10 | $27.330,00 | 808 / 28 | $8.336,24 | 1179 / 22 | $7.552,24 | 1176 / 26 |
| Diabetes W Cc | 33 | 59 / 4 | $20.109,00 | 702 / 12 | $5.384,42 | 602 / 5 | $4.394,33 | 601 / 7 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 4 | $18.130,40 | 728 / 16 | $5.303,45 | 1062 / 9 | $4.599,94 | 1055 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 11 | $38.417,80 | 560 / 17 | $12.319,40 | 1099 / 28 | $11.307,80 | 1085 / 34 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 13 | $23.886,70 | 242 / 6 | $7.368,50 | 691 / 13 | $5.723,03 | 689 / 14 |
| Chest Pain | 30 | 121 / 4 | $13.480,50 | 352 / 5 | $4.109,40 | 733 / 6 | $3.183,53 | 728 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 29 | 27 / 2 | $39.923,70 | 259 / 5 | $10.543,90 | 484 / 4 | $9.498,90 | 482 / 4 |
| Medical Back Problems W/O Mcc | 26 | 95 / 11 | $15.715,00 | 261 / 5 | $5.565,69 | 573 / 9 | $4.353,38 | 571 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 3 | $18.164,90 | 734 / 15 | $4.139,84 | 764 / 5 | $3.365,44 | 761 / 7 |
| G.I. Obstruction W Cc | 23 | 69 / 9 | $27.588,80 | 1111 / 33 | $5.791,04 | 740 / 17 | $4.746,00 | 738 / 20 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 6 | $32.700,90 | 494 / 10 | $6.787,52 | 569 / 7 | $5.995,87 | 568 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 8 | $46.051,30 | 513 / 7 | $15.992,30 | 771 / 11 | $13.202,70 | 763 / 7 |
| Seizures W/O Mcc | 23 | 85 / 8 | $17.846,20 | 416 / 7 | $5.058,96 | 502 / 3 | $4.061,39 | 499 / 7 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 10 | $95.820,50 | 1182 / 35 | $23.511,10 | 1452 / 32 | $22.510,70 | 1438 / 35 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 4 | $117.431,00 | 214 / 7 | $31.810,60 | 461 / 3 | $30.815,80 | 461 / 10 |
| Transient Ischemia | 22 | 103 / 5 | $16.970,00 | 415 / 6 | $4.686,91 | 739 / 7 | $3.642,55 | 735 / 10 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 6 | $18.564,10 | 317 / 14 | $6.398,05 | 579 / 12 | $5.310,05 | 576 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 3 | $12.316,60 | 186 / 2 | $4.742,10 | 175 / 4 | $3.080,85 | 174 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 12 | $24.851,40 | 690 / 19 | $7.992,20 | 1067 / 19 | $7.269,00 | 1064 / 20 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 9 | $24.233,70 | 440 / 8 | $8.832,90 | 451 / 14 | $7.242,05 | 448 / 11 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 14 | $15.559,90 | 374 / 4 | $4.599,28 | 493 / 7 | $3.664,17 | 492 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 11 | $21.186,40 | 648 / 18 | $7.219,72 | 933 / 14 | $6.281,06 | 930 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 2 | $16.706,50 | 414 / 6 | $4.673,47 | 558 / 2 | $3.896,06 | 554 / 3 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 12 | $21.804,80 | 502 / 15 | $6.307,71 | 668 / 5 | $5.504,88 | 664 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 18 | $14.232,10 | 303 / 13 | $6.029,94 | 151 / 20 | $3.398,88 | 151 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 2 | $19.755,80 | 165 / 3 | $4.655,81 | 155 / 1 | $3.599,81 | 155 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 7 | $27.300,20 | 283 / 5 | $8.910,93 | 410 / 4 | $8.189,87 | 409 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 22 | $66.748,90 | 612 / 27 | $15.205,40 | 643 / 20 | $11.075,90 | 639 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 11 | $156.713,00 | 845 / 26 | $48.485,30 | 1190 / 26 | $45.261,10 | 1187 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 18 | $26.885,30 | 257 / 9 | $10.998,30 | 774 / 14 | $10.108,70 | 773 / 19 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 1 | $33.829,30 | 212 / 4 | $7.858,60 | 324 / 1 | $6.815,40 | 323 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 2 | $30.369,30 | 194 / 1 | $10.226,30 | 482 / 2 | $9.181,00 | 480 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 12 | $69.623,10 | 252 / 7 | $20.811,30 | 470 / 3 | $20.041,00 | 470 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 18 | $36.710,60 | 691 / 19 | $10.593,60 | 810 / 11 | $9.736,50 | 809 / 12 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 17 | $33.269,40 | 433 / 11 | $11.332,00 | 912 / 13 | $10.897,70 | 907 / 15 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 6 | $33.639,10 | 72 / 1 | $12.569,60 | 250 / 2 | $10.920,10 | 250 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 9 | $17.278,90 | 284 / 6 | $7.248,00 | 202 / 10 | $4.096,85 | 199 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 3 | $29.969,30 | 109 / 2 | $9.565,85 | 271 / 2 | $8.450,77 | 271 / 2 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 6 | $17.606,00 | 296 / 3 | $6.036,69 | 488 / 1 | $5.300,69 | 486 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 5 | $11.784,40 | 41 / 1 | $5.512,85 | 179 / 2 | $4.769,46 | 179 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 9 | $29.846,90 | 624 / 10 | $7.458,42 | 719 / 8 | $6.287,33 | 716 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 7 | $61.005,40 | 274 / 6 | $12.145,10 | 383 / 2 | $11.266,60 | 381 / 4 |
| Renal Failure W Mcc | 11 | 184 / 24 | $32.572,30 | 921 / 22 | $9.881,55 | 1090 / 18 | $9.110,64 | 1090 / 19 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 7 | $50.496,10 | 110 / 3 | $18.182,50 | 167 / 4 | $14.447,70 | 167 / 3 | Total 69 procedures | 2.433 | 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.