Hospital Costs > In Wisconsin > Wheaton Franciscan Healthcare St Francis, 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 | 20 | 105 / 14 | $37.119,10 | 709 / 21 | $11.551,90 | 1040 / 18 | $10.446,00 | 1037 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 11 | $11.847,50 | 197 / 9 | $5.267,88 | 465 / 14 | $4.310,00 | 464 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 18 | $19.738,50 | 1038 / 36 | $5.878,08 | 1539 / 33 | $5.069,17 | 1534 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 16 | $33.713,90 | 1117 / 35 | $8.383,39 | 1180 / 23 | $7.553,00 | 1177 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 20 | $11.395,20 | 511 / 8 | $4.611,69 | 1279 / 25 | $3.139,94 | 1274 / 22 |
Cellulitis W/O Mcc | 26 | 163 / 23 | $15.041,10 | 866 / 27 | $6.167,08 | 1787 / 43 | $5.133,23 | 1779 / 46 |
Chest Pain | 15 | 136 / 12 | $16.874,40 | 678 / 12 | $4.760,73 | 1188 / 14 | $3.952,60 | 1181 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 12 | $22.241,90 | 1234 / 39 | $7.096,79 | 1574 / 37 | $5.637,54 | 1568 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 12 | $27.689,90 | 1325 / 41 | $8.650,92 | 1580 / 41 | $6.954,22 | 1572 / 37 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 11 | $13.765,80 | 637 / 7 | $5.542,06 | 1405 / 15 | $4.255,47 | 1394 / 17 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 5 | $36.037,10 | 99 / 2 | $14.297,50 | 592 / 6 | $13.614,30 | 586 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 19 | $26.006,10 | 332 / 11 | $7.742,65 | 1003 / 18 | $6.343,94 | 1000 / 19 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 6 | $22.989,00 | 295 / 5 | $6.637,36 | 523 / 1 | $6.185,00 | 523 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $28.084,60 | 462 / 9 | $7.145,25 | 537 / 7 | $6.297,67 | 537 / 8 |
Depressive Neuroses | 11 | 39 / 7 | $10.294,10 | 53 / 5 | $5.112,36 | 9 / 7 | $2.935,73 | 9 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 13 | $22.074,40 | 298 / 6 | $8.270,67 | 894 / 7 | $7.752,33 | 889 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 15 | $15.221,20 | 787 / 16 | $6.023,00 | 1610 / 49 | $4.233,44 | 1597 / 40 |
Extracranial Procedures W Cc | 13 | 33 / 4 | $40.166,90 | 160 / 4 | $10.671,50 | 243 / 3 | $9.742,62 | 243 / 3 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 11 | $38.128,40 | 598 / 14 | $7.579,36 | 683 / 11 | $6.452,21 | 680 / 13 |
G.I. Hemorrhage W Cc | 29 | 189 / 24 | $19.901,50 | 743 / 27 | $7.044,34 | 1489 / 43 | $5.945,90 | 1485 / 44 |
G.I. Hemorrhage W Mcc | 24 | 97 / 10 | $38.999,60 | 658 / 18 | $12.137,10 | 1077 / 15 | $11.611,80 | 1069 / 18 |
Heart Failure & Shock W Cc | 41 | 237 / 23 | $23.800,70 | 1563 / 55 | $7.249,88 | 1954 / 48 | $6.434,22 | 1949 / 55 |
Heart Failure & Shock W Mcc | 58 | 226 / 18 | $38.430,90 | 1579 / 52 | $11.004,60 | 1931 / 47 | $10.153,40 | 1925 / 51 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 24 | $51.013,40 | 1080 / 41 | $12.699,00 | 1179 / 32 | $11.567,80 | 1165 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 6 | $45.741,30 | 84 / 2 | $15.401,00 | 152 / 2 | $14.176,70 | 152 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 8 | $96.566,60 | 453 / 12 | $35.609,10 | 699 / 14 | $31.497,10 | 693 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 18 | $31.753,30 | 1232 / 43 | $7.572,65 | 1368 / 30 | $6.505,39 | 1365 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 16 | $55.349,90 | 1054 / 29 | $16.339,70 | 1414 / 29 | $14.352,80 | 1407 / 29 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 14 | $18.172,30 | 442 / 12 | $7.848,07 | 1334 / 22 | $7.103,33 | 1330 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 24 | $16.596,20 | 1158 / 36 | $5.758,47 | 1908 / 42 | $4.836,23 | 1897 / 43 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 8 | $53.179,70 | 388 / 14 | $16.075,10 | 430 / 14 | $12.350,40 | 427 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 56 | $47.968,60 | 1191 / 45 | $14.618,60 | 1600 / 44 | $12.329,80 | 1563 / 46 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 5 | $55.412,70 | 175 / 7 | $16.629,70 | 289 / 8 | $15.554,80 | 289 / 8 |
Medical Back Problems W/O Mcc | 17 | 104 / 16 | $20.223,60 | 547 / 18 | $6.508,41 | 879 / 24 | $4.932,76 | 876 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 15 | $22.639,30 | 573 / 16 | $7.758,65 | 1045 / 15 | $7.224,65 | 1042 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 20 | $15.538,00 | 1021 / 26 | $5.353,75 | 1863 / 38 | $4.586,83 | 1857 / 41 |
Multiple Sclerosis & Cerebellar Ataxia W Cc | 18 | 4 / 1 | $25.985,60 | 7 / 1 | $9.237,72 | 2 / 1 | $4.928,22 | 2 / 1 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 14 | $29.850,60 | 215 / 7 | $12.447,30 | 644 / 11 | $11.303,50 | 642 / 13 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 7 | $48.117,20 | 769 / 21 | $12.770,50 | 804 / 20 | $10.875,40 | 801 / 19 |
Other Vascular Procedures W Cc | 19 | 83 / 9 | $60.786,20 | 378 / 10 | $16.810,40 | 651 / 6 | $15.965,30 | 648 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 10 | $72.288,00 | 190 / 8 | $21.802,10 | 606 / 5 | $20.921,60 | 602 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 16 | $58.763,20 | 426 / 18 | $15.139,30 | 1099 / 19 | $13.179,70 | 1092 / 29 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 9 | $48.425,90 | 192 / 7 | $17.043,80 | 522 / 7 | $16.077,80 | 521 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 9 | $32.109,80 | 394 / 10 | $9.824,25 | 586 / 7 | $9.006,42 | 584 / 8 |
Psychoses | 174 | 139 / 6 | $10.748,70 | 80 / 5 | $7.244,54 | 372 / 10 | $6.436,02 | 372 / 15 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 7 | $31.126,10 | 1101 / 43 | $8.820,75 | 1581 / 37 | $8.066,25 | 1576 / 43 |
Renal Failure W Cc | 33 | 188 / 22 | $19.039,90 | 882 / 31 | $6.852,00 | 1745 / 36 | $6.253,12 | 1735 / 47 |
Renal Failure W Mcc | 40 | 155 / 7 | $33.874,80 | 993 / 25 | $10.734,30 | 1408 / 25 | $9.966,95 | 1408 / 26 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 23 | $35.119,80 | 596 / 16 | $12.454,40 | 972 / 18 | $11.619,40 | 962 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 15 | $39.991,00 | 1317 / 47 | $13.061,90 | 1747 / 44 | $11.613,50 | 1714 / 44 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 20 | $19.173,40 | 710 / 21 | $7.506,82 | 1726 / 44 | $6.634,03 | 1719 / 50 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $14.852,30 | 319 / 3 | $5.242,00 | 719 / 13 | $4.087,60 | 716 / 12 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 27 | $19.305,80 | 1064 / 36 | $7.037,00 | 1670 / 42 | $5.687,56 | 1663 / 42 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 24 | $44.708,90 | 1750 / 55 | $12.439,20 | 2163 / 57 | $11.020,30 | 2158 / 57 |
Syncope & Collapse | 30 | 139 / 9 | $24.431,60 | 1189 / 28 | $6.422,40 | 1534 / 27 | $5.261,40 | 1527 / 28 |
Transient Ischemia | 20 | 105 / 6 | $14.691,60 | 278 / 3 | $5.332,40 | 1145 / 15 | $4.362,90 | 1139 / 19 | Total 56 procedures | 1.573 | 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.