Hospital Costs > In Wisconsin > Wheaton Franciscan Healthcare All Saints, 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 | 11 | 114 / 21 | $23.766,30 | 255 / 5 | $10.866,80 | 928 / 14 | $10.079,50 | 927 / 15 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 4 | $9.326,40 | 109 / 6 | $5.171,74 | 350 / 11 | $3.942,00 | 350 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 2 | $13.883,00 | 154 / 3 | $6.505,04 | 468 / 6 | $4.720,96 | 464 / 5 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 2 | $9.410,64 | 44 / 1 | $4.767,91 | 230 / 2 | $3.877,82 | 230 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 10 | $14.598,50 | 480 / 8 | $5.872,24 | 1188 / 32 | $4.491,71 | 1184 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 11 | $21.927,90 | 454 / 13 | $8.468,11 | 1125 / 24 | $7.427,74 | 1122 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 9 | $12.108,50 | 602 / 12 | $4.275,34 | 1293 / 21 | $3.159,44 | 1288 / 23 |
| Cellulitis W Mcc | 17 | 41 / 4 | $26.683,70 | 295 / 4 | $9.399,24 | 438 / 4 | $8.455,35 | 436 / 5 |
| Cellulitis W/O Mcc | 63 | 126 / 9 | $13.971,80 | 721 / 19 | $6.209,81 | 1183 / 44 | $4.415,84 | 1177 / 32 |
| Cholecystectomy Except By Laparoscope W/O C.D.E. W Mcc | 12 | 3 / 1 | $41.048,70 | 3 / 1 | $20.341,20 | 4 / 1 | $19.413,50 | 4 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 9 | $14.996,30 | 512 / 11 | $6.779,90 | 1490 / 33 | $5.502,74 | 1484 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 13 | $16.049,10 | 394 / 11 | $7.982,97 | 1093 / 30 | $6.327,00 | 1088 / 22 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 7 | $9.983,95 | 241 / 1 | $5.244,38 | 1238 / 13 | $3.998,38 | 1229 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 9 | $25.886,40 | 324 / 9 | $7.596,55 | 904 / 16 | $6.135,02 | 901 / 18 |
| Depressive Neuroses | 28 | 22 / 2 | $6.154,50 | 13 / 2 | $4.862,50 | 71 / 4 | $3.836,18 | 71 / 7 |
| Diabetes W Cc | 18 | 74 / 9 | $10.948,20 | 117 / 1 | $5.924,78 | 753 / 10 | $4.614,56 | 751 / 8 |
| Diabetes W Mcc | 12 | 45 / 5 | $28.643,80 | 256 / 2 | $13.492,00 | 448 / 6 | $9.009,50 | 448 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 9 | $18.999,60 | 267 / 2 | $6.386,75 | 524 / 5 | $5.363,17 | 522 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 1 | $14.507,40 | 118 / 1 | $5.731,93 | 197 / 3 | $3.338,50 | 197 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 6 | $28.104,50 | 569 / 11 | $8.974,15 | 941 / 12 | $7.942,85 | 936 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 9 | $14.981,00 | 754 / 13 | $5.355,42 | 1724 / 40 | $4.365,87 | 1711 / 45 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 7 | $85.016,90 | 126 / 1 | $34.675,70 | 349 / 2 | $29.683,00 | 349 / 1 |
| Female Reproductive System Reconstructive Procedures | 13 | 12 / 1 | $22.049,50 | 14 / 1 | $7.471,08 | 11 / 1 | $5.270,15 | 11 / 1 |
| G.I. Hemorrhage W Cc | 84 | 134 / 5 | $18.160,40 | 583 / 17 | $7.052,68 | 1380 / 44 | $5.790,73 | 1377 / 39 |
| G.I. Hemorrhage W Mcc | 44 | 77 / 2 | $26.246,80 | 204 / 5 | $11.317,50 | 872 / 12 | $10.748,10 | 867 / 14 |
| G.I. Obstruction W Cc | 24 | 68 / 8 | $15.726,60 | 343 / 10 | $6.205,75 | 1096 / 22 | $5.288,00 | 1093 / 23 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 5 | $10.369,30 | 163 / 1 | $4.915,76 | 647 / 12 | $3.157,59 | 645 / 6 |
| Heart Failure & Shock W Cc | 68 | 210 / 13 | $13.809,10 | 444 / 10 | $6.854,15 | 1572 / 42 | $5.845,46 | 1567 / 43 |
| Heart Failure & Shock W Mcc | 71 | 213 / 12 | $19.701,90 | 415 / 11 | $9.873,62 | 1442 / 37 | $8.943,31 | 1438 / 39 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 8 | $10.675,20 | 338 / 3 | $4.963,07 | 1238 / 22 | $4.017,41 | 1228 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 6 | $33.444,30 | 354 / 9 | $12.314,80 | 1060 / 27 | $11.175,00 | 1046 / 31 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 10 | $44.606,00 | 86 / 1 | $17.702,30 | 332 / 3 | $16.794,80 | 329 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 6 | $85.892,20 | 308 / 8 | $34.846,60 | 548 / 13 | $29.935,40 | 544 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 5 | $23.593,20 | 696 / 24 | $7.275,05 | 1016 / 28 | $5.853,74 | 1013 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 6 | $34.966,80 | 519 / 18 | $11.482,40 | 897 / 17 | $10.618,80 | 895 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 10 | $20.086,20 | 576 / 10 | $6.074,74 | 742 / 23 | $3.919,26 | 738 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 6 | $15.393,90 | 276 / 8 | $7.515,10 | 1130 / 20 | $6.624,38 | 1126 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 16 | $13.832,20 | 772 / 19 | $5.435,91 | 1734 / 37 | $4.595,64 | 1723 / 40 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 13 | $34.484,50 | 14 / 1 | $23.058,20 | 256 / 7 | $18.256,20 | 256 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 7 | $20.926,20 | 318 / 8 | $7.479,08 | 609 / 4 | $7.010,00 | 607 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 7 | $32.726,10 | 179 / 4 | $12.541,20 | 384 / 3 | $12.047,50 | 383 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 7 | $38.435,40 | 29 / 1 | $17.397,60 | 136 / 1 | $16.247,40 | 136 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 150 | 414 / 24 | $31.105,90 | 270 / 11 | $14.530,80 | 1208 / 41 | $11.407,70 | 1179 / 33 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 15 | $41.833,10 | 235 / 5 | $18.182,90 | 424 / 18 | $13.309,80 | 421 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 11 | $76.667,50 | 174 / 7 | $32.471,70 | 441 / 14 | $29.009,50 | 439 / 10 |
| Medical Back Problems W/O Mcc | 17 | 104 / 16 | $16.500,60 | 303 / 7 | $5.980,47 | 944 / 18 | $5.075,76 | 941 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 4 | $19.184,90 | 368 / 9 | $7.824,26 | 876 / 17 | $6.742,59 | 873 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 8 | $10.440,60 | 365 / 6 | $5.140,00 | 1525 / 33 | $4.098,79 | 1520 / 32 |
| Nonspecific Cerebrovascular Disorders W Cc | 22 | 34 / 1 | $19.092,80 | 114 / 1 | $6.669,50 | 242 / 1 | $5.723,36 | 242 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 3 | $21.503,50 | 35 / 2 | $9.637,87 | 38 / 3 | $8.076,33 | 38 / 2 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 10 | $23.554,60 | 93 / 3 | $11.724,10 | 592 / 8 | $11.103,20 | 590 / 12 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 10 | $16.047,30 | 191 / 2 | $7.285,58 | 531 / 14 | $5.254,89 | 528 / 8 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 6 | $19.474,80 | 168 / 3 | $6.668,31 | 154 / 4 | $4.641,44 | 154 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 8 | $15.441,60 | 111 / 2 | $6.436,55 | 287 / 4 | $5.430,73 | 287 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 8 | $26.050,90 | 275 / 9 | $10.516,20 | 570 / 13 | $9.433,77 | 568 / 13 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 3 | $35.432,10 | 27 / 1 | $12.404,80 | 104 / 1 | $11.483,00 | 104 / 1 |
| Other Vascular Procedures W Cc | 27 | 75 / 6 | $53.483,10 | 262 / 6 | $16.183,20 | 545 / 4 | $15.230,30 | 542 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 9 | $66.518,10 | 132 / 5 | $25.414,50 | 306 / 12 | $17.958,20 | 304 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 11 | $48.960,20 | 206 / 9 | $14.741,10 | 723 / 18 | $11.310,80 | 719 / 16 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 3 | $15.898,30 | 30 / 1 | $9.196,38 | 188 / 1 | $7.583,00 | 188 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 10 | $39.078,00 | 74 / 2 | $17.541,30 | 86 / 8 | $13.231,40 | 86 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 6 | $64.169,60 | 105 / 5 | $23.211,60 | 276 / 4 | $22.232,90 | 276 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 3 | $22.094,10 | 153 / 3 | $9.203,67 | 521 / 5 | $8.606,52 | 519 / 7 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 6 | $13.663,80 | 248 / 3 | $4.759,00 | 416 / 5 | $3.628,69 | 415 / 4 |
| Psychoses | 384 | 43 / 1 | $11.364,80 | 96 / 8 | $6.949,63 | 280 / 8 | $5.863,88 | 280 / 9 |
| Pulmonary Edema & Respiratory Failure | 84 | 119 / 3 | $16.817,30 | 225 / 8 | $8.453,39 | 1145 / 31 | $7.163,31 | 1143 / 30 |
| Pulmonary Embolism W Mcc | 19 | 24 / 3 | $24.508,10 | 92 / 3 | $10.217,20 | 348 / 4 | $9.280,63 | 348 / 5 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 5 | $15.796,10 | 180 / 7 | $7.075,95 | 814 / 19 | $5.846,10 | 811 / 18 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 5 | $21.785,80 | 203 / 2 | $9.068,42 | 362 / 2 | $7.007,00 | 360 / 2 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 8 | $17.593,50 | 682 / 9 | $5.699,12 | 1215 / 15 | $4.836,40 | 1207 / 16 |
| Renal Failure W Cc | 56 | 165 / 11 | $13.167,70 | 296 / 9 | $6.661,21 | 1320 / 34 | $5.528,02 | 1312 / 35 |
| Renal Failure W Mcc | 57 | 138 / 3 | $20.381,20 | 239 / 5 | $9.886,49 | 934 / 19 | $8.792,56 | 934 / 16 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 3 | $9.821,23 | 108 / 2 | $5.078,54 | 328 / 4 | $3.189,23 | 327 / 2 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 13 | $18.465,80 | 206 / 3 | $9.017,69 | 936 / 15 | $8.439,54 | 931 / 19 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 6 | $27.753,20 | 322 / 9 | $12.333,20 | 1006 / 17 | $11.712,80 | 993 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 6 | $103.674,00 | 273 / 3 | $33.720,20 | 511 / 2 | $32.750,60 | 510 / 2 |
| Seizures W Mcc | 23 | 43 / 2 | $36.479,10 | 292 / 4 | $12.032,50 | 437 / 3 | $9.911,17 | 437 / 5 |
| Seizures W/O Mcc | 26 | 82 / 6 | $16.192,20 | 312 / 3 | $5.643,15 | 544 / 10 | $4.141,38 | 541 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 4 | $137.542,00 | 436 / 2 | $49.683,90 | 775 / 5 | $42.631,10 | 774 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 201 | 315 / 8 | $25.200,90 | 546 / 13 | $11.827,00 | 1210 / 34 | $10.495,20 | 1191 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 6 | $18.514,00 | 635 / 19 | $7.650,93 | 1662 / 47 | $6.514,07 | 1655 / 45 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 20 | $16.342,30 | 722 / 15 | $6.802,45 | 1629 / 39 | $5.647,95 | 1622 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 6 | $18.582,30 | 297 / 7 | $9.397,05 | 1160 / 35 | $8.070,03 | 1160 / 35 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 7 | $12.158,20 | 428 / 3 | $5.127,48 | 1273 / 18 | $4.003,52 | 1266 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 19 | $33.752,10 | 21 / 1 | $24.826,50 | 413 / 9 | $21.329,80 | 411 / 7 |
| Syncope & Collapse | 23 | 146 / 14 | $15.438,20 | 437 / 5 | $5.383,48 | 1138 / 20 | $4.284,83 | 1131 / 20 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 4 | $150.902,00 | 59 / 1 | $57.510,80 | 165 / 1 | $56.534,50 | 165 / 2 |
| Transient Ischemia | 17 | 108 / 9 | $20.588,80 | 701 / 12 | $5.092,41 | 1025 / 12 | $4.089,47 | 1020 / 15 | Total 88 procedures | 3.152 | 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.