Hospital Costs > In Wisconsin > Wheaton Franciscan Healthcare Franklin, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 30 | $16.314,40 | 1033 / 35 | $4.766,00 | 556 / 5 | $3.936,00 | 553 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 21 | $22.370,50 | 929 / 28 | $7.000,00 | 927 / 15 | $6.178,18 | 922 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 25 | $16.203,60 | 898 / 21 | $4.273,20 | 105 / 5 | $2.950,88 | 105 / 6 |
| G.I. Hemorrhage W Cc | 44 | 174 / 16 | $23.982,10 | 1119 / 51 | $6.057,86 | 343 / 15 | $4.756,57 | 343 / 10 |
| G.I. Obstruction W Cc | 11 | 81 / 18 | $13.237,20 | 179 / 5 | $5.598,73 | 39 / 14 | $3.580,27 | 39 / 1 |
| Heart Failure & Shock W Cc | 16 | 262 / 36 | $15.911,50 | 677 / 19 | $5.015,88 | 68 / 2 | $4.263,88 | 68 / 2 |
| Heart Failure & Shock W Mcc | 34 | 250 / 28 | $22.593,30 | 572 / 22 | $8.499,65 | 606 / 12 | $7.822,94 | 606 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 19 | $98.369,30 | 470 / 13 | $32.680,20 | 745 / 11 | $31.912,20 | 739 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 35 | $12.257,40 | 542 / 8 | $4.231,86 | 187 / 2 | $3.278,71 | 187 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 57 | $47.242,40 | 1148 / 44 | $13.860,90 | 98 / 33 | $9.339,43 | 98 / 1 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 28 | $21.278,20 | 486 / 22 | $6.904,11 | 277 / 2 | $6.046,84 | 277 / 10 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $17.959,50 | 709 / 13 | $4.533,36 | 161 / 3 | $3.547,18 | 161 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 103 | 413 / 23 | $28.472,60 | 711 / 20 | $10.602,10 | 521 / 13 | $9.548,78 | 520 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 21 | $19.236,50 | 715 / 22 | $6.199,89 | 177 / 14 | $4.821,16 | 177 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 33 | $15.582,90 | 631 / 12 | $5.982,59 | 221 / 18 | $4.360,47 | 221 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 32 | $23.207,90 | 581 / 17 | $8.456,94 | 168 / 11 | $6.751,11 | 168 / 4 | Total 16 procedures | 412 | 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.