Hospital Costs > In Wisconsin > Waukesha Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 11 | $41.438,30 | 872 / 27 | $9.931,18 | 488 / 6 | $8.975,50 | 487 / 5 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 13 | $13.790,00 | 285 / 11 | $4.018,43 | 53 / 2 | $2.987,33 | 53 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 3 | $41.541,30 | 489 / 13 | $10.214,20 | 296 / 10 | $5.584,93 | 295 / 4 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 18 | 45 / 2 | $79.300,30 | 126 / 2 | $23.301,90 | 83 / 1 | $18.161,70 | 83 / 2 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 3 | $15.035,50 | 104 / 2 | $4.244,54 | 19 / 1 | $3.068,77 | 19 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 3 | $19.816,00 | 1045 / 37 | $4.711,92 | 390 / 9 | $3.723,02 | 390 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 9 | $36.030,50 | 1194 / 36 | $8.316,47 | 762 / 21 | $6.745,89 | 759 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 73 | 77 / 2 | $15.118,30 | 1005 / 27 | $3.693,58 | 180 / 14 | $2.091,01 | 179 / 6 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 14 | $174.120,00 | 357 / 18 | $51.324,10 | 376 / 17 | $36.027,50 | 376 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 11 | $272.075,00 | 359 / 14 | $69.554,20 | 425 / 11 | $68.362,70 | 425 / 14 |
| Cellulitis W Mcc | 17 | 41 / 4 | $32.237,10 | 429 / 7 | $9.938,24 | 462 / 6 | $8.562,59 | 460 / 6 |
| Cellulitis W/O Mcc | 66 | 123 / 8 | $20.828,60 | 1561 / 48 | $5.477,61 | 337 / 26 | $3.739,91 | 334 / 11 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 4 | $82.872,20 | 237 / 4 | $19.826,20 | 222 / 2 | $17.910,20 | 221 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 4 | $55.082,40 | 407 / 6 | $15.760,40 | 181 / 5 | $10.978,10 | 181 / 3 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 4 | $48.620,10 | 311 / 9 | $6.492,29 | 61 / 2 | $6.245,06 | 61 / 3 |
| Chest Pain | 13 | 138 / 13 | $25.924,20 | 1250 / 21 | $3.970,08 | 749 / 5 | $3.207,38 | 744 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 6 | $21.669,50 | 1181 / 38 | $5.470,55 | 417 / 10 | $4.445,61 | 416 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 11 | $21.558,20 | 864 / 23 | $6.723,29 | 477 / 10 | $5.762,26 | 476 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 10 | $17.016,10 | 1016 / 21 | $4.213,11 | 309 / 4 | $3.149,83 | 309 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 5 | $54.691,60 | 397 / 10 | $13.565,40 | 130 / 5 | $10.665,50 | 127 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 9 | $36.177,00 | 806 / 25 | $7.843,14 | 312 / 20 | $5.157,93 | 312 / 5 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 4 | $38.920,50 | 109 / 2 | $10.582,60 | 63 / 1 | $9.528,18 | 63 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 8 | $152.788,00 | 368 / 14 | $42.855,30 | 430 / 14 | $29.870,80 | 430 / 8 |
| Diabetes W Cc | 18 | 74 / 9 | $19.683,50 | 673 / 11 | $4.973,33 | 283 / 3 | $3.960,06 | 283 / 3 |
| Diabetes W Mcc | 13 | 44 / 4 | $37.773,80 | 427 / 4 | $10.483,20 | 501 / 2 | $9.476,08 | 501 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 4 | $15.578,40 | 96 / 2 | $5.872,50 | 31 / 1 | $4.232,93 | 31 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 8 | $26.333,00 | 521 / 7 | $5.404,00 | 204 / 1 | $4.500,15 | 204 / 2 |
| Dysequilibrium | 13 | 52 / 5 | $20.953,30 | 265 / 5 | $3.663,15 | 57 / 1 | $2.489,54 | 57 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 7 | $29.535,40 | 621 / 14 | $7.004,92 | 209 / 4 | $6.018,42 | 208 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 6 | $19.469,80 | 1323 / 43 | $5.583,45 | 347 / 43 | $3.284,50 | 346 / 10 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 3 | $56.457,90 | 101 / 2 | $16.271,50 | 107 / 1 | $15.202,00 | 106 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 13 | $38.223,20 | 600 / 15 | $9.615,55 | 71 / 16 | $4.543,82 | 71 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $18.009,50 | 434 / 14 | $5.537,73 | 48 / 11 | $2.769,91 | 48 / 2 |
| G.I. Hemorrhage W Cc | 100 | 118 / 3 | $23.828,70 | 1108 / 50 | $6.201,49 | 512 / 20 | $4.919,96 | 511 / 19 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 5 | $32.198,70 | 398 / 10 | $9.936,69 | 279 / 3 | $9.100,67 | 279 / 4 |
| G.I. Obstruction W Cc | 30 | 62 / 6 | $21.333,20 | 748 / 23 | $5.454,13 | 132 / 12 | $3.896,90 | 131 / 3 |
| G.I. Obstruction W Mcc | 11 | 31 / 5 | $33.064,30 | 171 / 4 | $8.958,18 | 1 / 2 | $6.772,64 | 1 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 4 | $18.483,70 | 750 / 16 | $3.585,00 | 162 / 4 | $2.457,78 | 162 / 4 |
| Heart Failure & Shock W Cc | 89 | 189 / 9 | $21.758,50 | 1371 / 52 | $5.691,42 | 414 / 14 | $4.808,19 | 414 / 15 |
| Heart Failure & Shock W Mcc | 140 | 144 / 2 | $27.597,70 | 949 / 40 | $8.724,64 | 529 / 16 | $7.716,90 | 529 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 9 | $17.508,70 | 1110 / 23 | $3.928,84 | 271 / 5 | $3.059,88 | 269 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 8 | $47.570,20 | 956 / 39 | $11.410,20 | 629 / 16 | $10.299,80 | 626 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 8 | $55.714,80 | 248 / 3 | $16.340,40 | 146 / 1 | $15.489,30 | 146 / 1 |
| Hypertension W/O Mcc | 13 | 52 / 3 | $19.066,80 | 382 / 6 | $3.656,15 | 111 / 1 | $2.678,46 | 111 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 11 | $103.322,00 | 530 / 16 | $31.475,20 | 611 / 7 | $30.484,60 | 605 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 7 | $27.933,70 | 1001 / 35 | $6.350,53 | 338 / 13 | $5.021,71 | 337 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 11 | $33.758,20 | 476 / 16 | $11.039,00 | 117 / 15 | $8.157,09 | 116 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 11 | $22.865,90 | 776 / 18 | $4.347,24 | 138 / 4 | $3.098,59 | 136 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 59 | 85 / 2 | $22.900,70 | 786 / 20 | $6.323,81 | 251 / 4 | $5.349,32 | 251 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 9 | $15.551,50 | 1018 / 28 | $4.547,09 | 257 / 12 | $3.374,64 | 257 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 4 | $47.038,50 | 76 / 1 | $14.523,70 | 113 / 1 | $13.340,80 | 113 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $47.409,90 | 229 / 6 | $15.754,30 | 54 / 7 | $9.514,00 | 54 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 10 | $114.972,00 | 713 / 18 | $26.460,60 | 740 / 15 | $23.261,40 | 739 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 7 | $20.549,80 | 301 / 6 | $6.703,08 | 294 / 1 | $6.125,17 | 293 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 4 | $31.972,80 | 164 / 3 | $10.887,60 | 23 / 1 | $8.980,88 | 23 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 2 | $70.335,80 | 592 / 20 | $16.070,20 | 199 / 13 | $11.036,90 | 197 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 5 | $63.605,10 | 298 / 8 | $17.696,70 | 172 / 3 | $16.516,40 | 172 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 211 | 353 / 14 | $50.308,00 | 1301 / 50 | $14.330,30 | 845 / 36 | $10.828,00 | 831 / 22 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $68.696,00 | 268 / 11 | $15.420,70 | 189 / 4 | $14.176,30 | 189 / 4 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 11 | $79.088,70 | 991 / 31 | $25.284,20 | 316 / 34 | $12.949,00 | 314 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 5 | $134.750,00 | 700 / 25 | $34.530,30 | 778 / 16 | $33.311,50 | 776 / 16 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 5 | $45.049,70 | 391 / 7 | $9.583,33 | 245 / 1 | $8.318,60 | 245 / 3 |
| Medical Back Problems W Mcc | 17 | 22 / 3 | $34.464,10 | 100 / 1 | $9.108,65 | 52 / 1 | $8.219,24 | 52 / 1 |
| Medical Back Problems W/O Mcc | 27 | 94 / 10 | $22.092,10 | 681 / 24 | $5.412,37 | 172 / 8 | $3.698,56 | 172 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 5 | $25.480,60 | 737 / 20 | $6.461,46 | 292 / 4 | $5.696,19 | 289 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 11 | $18.672,80 | 1414 / 40 | $4.727,92 | 248 / 23 | $3.070,00 | 248 / 7 |
| Nonspecific Cerebrovascular Disorders W Mcc | 17 | 34 / 2 | $26.483,70 | 78 / 3 | $9.168,65 | 23 / 1 | $7.740,00 | 23 / 1 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 3 | $24.182,60 | 265 / 5 | $5.956,08 | 73 / 1 | $4.950,17 | 73 / 1 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 9 | $41.867,40 | 533 / 16 | $11.452,90 | 501 / 6 | $10.783,80 | 499 / 10 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 9 | $22.697,40 | 546 / 17 | $5.673,20 | 279 / 1 | $4.829,50 | 276 / 4 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 6 | $32.277,10 | 197 / 5 | $9.719,83 | 118 / 1 | $8.951,28 | 118 / 1 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 6 | $22.392,90 | 220 / 4 | $5.844,00 | 47 / 2 | $4.025,50 | 47 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 5 | $18.846,00 | 211 / 3 | $6.551,86 | 65 / 5 | $4.687,09 | 65 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 40 | 61 / 4 | $29.838,50 | 380 / 12 | $8.953,83 | 226 / 4 | $8.088,90 | 226 / 5 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 4 | $110.008,00 | 389 / 5 | $27.343,90 | 446 / 4 | $26.386,90 | 445 / 5 |
| Other Vascular Procedures W Cc | 16 | 86 / 11 | $89.182,40 | 743 / 17 | $19.551,50 | 901 / 12 | $18.729,80 | 896 / 15 |
| Other Vascular Procedures W Mcc | 13 | 84 / 10 | $104.954,00 | 635 / 9 | $23.857,10 | 646 / 6 | $22.776,10 | 643 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 4 | $60.793,50 | 385 / 7 | $11.318,40 | 322 / 5 | $10.172,40 | 321 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 13 | $101.305,00 | 505 / 17 | $22.101,90 | 612 / 6 | $20.955,00 | 608 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 6 | $66.180,40 | 600 / 26 | $19.455,10 | 251 / 32 | $9.983,57 | 251 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 23 | 72 / 4 | $82.604,20 | 354 / 8 | $14.387,80 | 426 / 2 | $13.509,00 | 422 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 12 | $57.180,50 | 304 / 11 | $16.491,80 | 425 / 5 | $15.345,10 | 424 / 6 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 6 | $56.087,50 | 358 / 8 | $14.241,50 | 453 / 3 | $13.196,10 | 452 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 4 | $21.792,30 | 145 / 2 | $9.304,90 | 51 / 6 | $6.528,75 | 51 / 1 |
| Pulmonary Edema & Respiratory Failure | 55 | 148 / 9 | $20.479,70 | 434 / 20 | $7.494,15 | 264 / 18 | $6.037,47 | 264 / 9 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 8 | $21.937,00 | 491 / 19 | $5.666,73 | 221 / 3 | $4.643,93 | 221 / 6 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 15 | $17.764,50 | 696 / 11 | $4.710,08 | 110 / 5 | $3.450,62 | 110 / 3 |
| Renal Failure W Cc | 95 | 126 / 3 | $19.212,30 | 898 / 32 | $5.750,37 | 308 / 14 | $4.545,08 | 306 / 12 |
| Renal Failure W Mcc | 89 | 106 / 2 | $28.048,00 | 650 / 20 | $8.705,04 | 386 / 6 | $7.893,53 | 386 / 4 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 4 | $10.603,20 | 141 / 3 | $3.670,67 | 41 / 1 | $2.444,58 | 41 / 1 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 15 | $44.723,70 | 925 / 29 | $11.642,20 | 715 / 9 | $10.959,40 | 707 / 11 |
| Respiratory Neoplasms W Cc | 12 | 35 / 5 | $38.934,40 | 303 / 6 | $12.670,90 | 42 / 7 | $5.641,50 | 41 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 11 | $55.886,90 | 798 / 12 | $13.686,40 | 443 / 4 | $12.297,60 | 438 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 5 | $71.290,50 | 230 / 5 | $22.555,70 | 228 / 4 | $18.390,30 | 228 / 4 |
| Seizures W Mcc | 13 | 53 / 6 | $58.786,80 | 558 / 9 | $17.575,40 | 577 / 8 | $11.744,70 | 577 / 8 |
| Seizures W/O Mcc | 16 | 92 / 12 | $28.304,30 | 899 / 16 | $4.983,44 | 421 / 2 | $3.932,88 | 419 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 7 | $164.239,00 | 605 / 7 | $52.999,60 | 557 / 6 | $37.821,40 | 556 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 310 | 208 / 3 | $39.200,00 | 1285 / 45 | $11.692,30 | 902 / 32 | $10.057,80 | 899 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 98 | 109 / 3 | $22.365,00 | 1009 / 38 | $6.444,94 | 284 / 23 | $4.969,82 | 283 / 12 |
| Signs & Symptoms W Mcc | 23 | 18 / 2 | $23.693,90 | 93 / 4 | $6.659,26 | 27 / 1 | $5.694,91 | 27 / 1 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 9 | $18.121,80 | 548 / 13 | $4.083,79 | 216 / 3 | $3.259,04 | 215 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 11 | $21.268,60 | 1276 / 43 | $5.834,58 | 411 / 12 | $4.573,67 | 408 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 9 | $28.988,90 | 977 / 36 | $8.835,08 | 786 / 24 | $7.635,35 | 786 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 10 | $12.992,80 | 509 / 6 | $4.130,00 | 191 / 4 | $2.882,94 | 189 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 6 | $124.003,00 | 959 / 27 | $35.503,10 | 935 / 27 | $25.588,40 | 930 / 25 |
| Syncope & Collapse | 45 | 124 / 4 | $20.090,40 | 864 / 23 | $4.266,60 | 298 / 5 | $3.327,02 | 296 / 6 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 4 | $16.293,30 | 86 / 2 | $5.324,71 | 18 / 1 | $3.381,36 | 18 / 1 |
| Transient Ischemia | 18 | 107 / 8 | $23.874,20 | 908 / 17 | $4.097,83 | 182 / 2 | $2.977,83 | 182 / 3 | Total 108 procedures | 3.588 | 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.