Hospital Costs > In Wisconsin > Wheaton Franciscan St Joseph, 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 | 272 | 295 / 7 | $45.401,90 | 1050 / 40 | $17.467,00 | 1810 / 63 | $12.921,80 | 1769 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 170 | 346 / 11 | $32.118,10 | 892 / 27 | $14.445,50 | 2119 / 54 | $12.854,00 | 2082 / 55 |
| Heart Failure & Shock W Cc | 131 | 147 / 4 | $18.471,50 | 982 / 38 | $8.634,21 | 2363 / 60 | $7.615,65 | 2357 / 61 |
| Heart Failure & Shock W Mcc | 92 | 192 / 6 | $24.903,50 | 731 / 27 | $12.070,50 | 2095 / 54 | $10.755,20 | 2086 / 54 |
| Renal Failure W Cc | 87 | 134 / 6 | $19.575,30 | 942 / 34 | $8.540,24 | 2084 / 51 | $7.408,68 | 2074 / 53 |
| G.I. Hemorrhage W Cc | 87 | 131 / 4 | $20.564,60 | 798 / 31 | $8.597,78 | 2037 / 57 | $7.438,60 | 2033 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 8 | $14.522,70 | 691 / 10 | $6.987,76 | 2350 / 56 | $5.708,83 | 2335 / 57 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 3 | $20.266,90 | 744 / 19 | $9.872,60 | 2139 / 49 | $8.490,16 | 2131 / 51 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 9 | $17.430,80 | 843 / 26 | $8.630,95 | 2391 / 55 | $7.196,02 | 2382 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 9 | $21.863,50 | 957 / 31 | $9.405,13 | 2072 / 59 | $7.540,16 | 2064 / 60 |
| Pulmonary Edema & Respiratory Failure | 59 | 144 / 7 | $26.659,20 | 836 / 31 | $10.656,50 | 1949 / 47 | $9.681,30 | 1943 / 49 |
| Cellulitis W/O Mcc | 56 | 133 / 10 | $13.702,70 | 688 / 17 | $7.629,50 | 2199 / 56 | $6.103,98 | 2191 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 11 | $25.430,40 | 733 / 26 | $11.578,20 | 2066 / 55 | $10.456,90 | 2064 / 56 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 5 | $15.755,70 | 597 / 15 | $7.333,85 | 1879 / 42 | $6.180,09 | 1874 / 44 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 14 | $16.670,00 | 1174 / 38 | $7.175,08 | 2367 / 51 | $6.011,30 | 2356 / 53 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 8 | $52.743,80 | 276 / 12 | $16.864,20 | 1039 / 29 | $12.794,00 | 1032 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 4 | $29.817,90 | 943 / 31 | $10.606,90 | 1650 / 37 | $9.572,87 | 1647 / 38 |
| Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 5 | $13.552,40 | 675 / 10 | $6.700,02 | 1793 / 30 | $5.534,69 | 1780 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 6 | $11.180,30 | 482 / 7 | $5.844,74 | 1752 / 31 | $4.301,79 | 1746 / 33 |
| Renal Failure W Mcc | 40 | 155 / 7 | $27.585,70 | 619 / 18 | $12.390,90 | 1714 / 35 | $11.237,30 | 1712 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 10 | $21.560,00 | 570 / 14 | $8.650,80 | 1353 / 41 | $6.470,12 | 1350 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 7 | $15.014,50 | 515 / 13 | $8.085,32 | 2067 / 43 | $6.969,16 | 2060 / 44 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 4 | $54.656,00 | 755 / 10 | $18.921,20 | 1292 / 21 | $15.668,20 | 1279 / 18 |
| Syncope & Collapse | 37 | 132 / 7 | $17.422,00 | 614 / 13 | $7.014,00 | 1556 / 30 | $5.333,78 | 1549 / 29 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 7 | $41.961,50 | 724 / 28 | $14.967,40 | 1559 / 47 | $13.096,20 | 1540 / 46 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 11 | $30.340,70 | 534 / 19 | $9.472,69 | 1421 / 28 | $8.342,83 | 1418 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 6 | $21.570,30 | 497 / 13 | $9.431,82 | 1353 / 26 | $8.392,32 | 1350 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 10 | $36.436,20 | 563 / 21 | $13.614,20 | 1225 / 26 | $12.298,30 | 1219 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 14 | $15.438,50 | 1005 / 24 | $6.738,72 | 2213 / 46 | $5.602,44 | 2205 / 48 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 7 | $37.545,70 | 606 / 16 | $13.463,50 | 1210 / 22 | $12.283,00 | 1202 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 9 | $26.657,50 | 327 / 7 | $13.649,40 | 1279 / 25 | $11.421,00 | 1269 / 24 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 10 | $30.813,60 | 407 / 11 | $14.478,60 | 1338 / 26 | $13.157,80 | 1323 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 9 | $88.142,00 | 336 / 9 | $37.505,50 | 817 / 17 | $32.965,00 | 811 / 14 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 7 | $13.347,00 | 298 / 2 | $7.392,86 | 1737 / 22 | $6.531,25 | 1728 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 7 | $18.196,20 | 444 / 13 | $9.385,64 | 1658 / 27 | $8.417,61 | 1654 / 29 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 6 | $27.057,70 | 302 / 10 | $12.012,30 | 714 / 17 | $10.291,90 | 712 / 16 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 7 | $60.005,30 | 636 / 19 | $19.582,10 | 1068 / 30 | $16.296,90 | 1055 / 24 |
| Seizures W/O Mcc | 24 | 84 / 7 | $17.293,80 | 386 / 6 | $7.122,67 | 1029 / 15 | $5.718,75 | 1027 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 8 | $80.344,90 | 280 / 11 | $26.193,80 | 671 / 13 | $21.580,50 | 667 / 15 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 6 | $19.929,10 | 256 / 4 | $11.084,50 | 1236 / 25 | $9.982,30 | 1231 / 26 |
| Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 4 | $90.432,70 | 382 / 9 | $27.952,80 | 338 / 10 | $19.933,30 | 337 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 8 | $29.461,00 | 615 / 13 | $10.278,80 | 1202 / 16 | $9.346,61 | 1197 / 20 |
| Diabetes W Cc | 22 | 70 / 7 | $17.417,50 | 506 / 6 | $7.611,73 | 1342 / 19 | $6.464,55 | 1337 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 7 | $20.759,50 | 632 / 13 | $7.064,32 | 1373 / 26 | $5.617,36 | 1369 / 28 |
| Chest Pain | 20 | 131 / 8 | $14.343,70 | 441 / 8 | $6.033,90 | 1476 / 19 | $5.106,25 | 1467 / 21 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 8 | $28.197,10 | 179 / 5 | $14.247,50 | 946 / 16 | $13.077,00 | 939 / 18 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 12 | $17.535,20 | 515 / 10 | $6.649,90 | 1125 / 22 | $5.628,55 | 1122 / 24 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 5 | $26.355,90 | 111 / 4 | $13.041,90 | 512 / 6 | $12.000,00 | 511 / 7 |
| Medical Back Problems W/O Mcc | 18 | 103 / 15 | $20.901,10 | 592 / 20 | $7.797,06 | 1224 / 28 | $6.122,50 | 1220 / 29 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 2 | $52.417,20 | 280 / 7 | $12.860,60 | 308 / 5 | $10.506,80 | 307 / 6 |
| Other Vascular Procedures W Mcc | 17 | 80 / 7 | $77.650,60 | 349 / 4 | $25.124,80 | 573 / 8 | $21.631,90 | 570 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 9 | $93.096,80 | 324 / 11 | $32.321,50 | 612 / 13 | $30.879,00 | 610 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 7 | $66.584,90 | 554 / 11 | $20.916,10 | 816 / 12 | $18.325,60 | 808 / 12 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 5 | $100.721,00 | 216 / 3 | $37.269,40 | 403 / 5 | $30.779,20 | 403 / 2 |
| Transient Ischemia | 17 | 108 / 9 | $21.071,20 | 741 / 14 | $6.742,82 | 1463 / 21 | $5.569,71 | 1455 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 6 | $37.172,30 | 518 / 11 | $12.159,70 | 681 / 13 | $9.696,53 | 679 / 13 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 7 | $17.640,40 | 264 / 10 | $8.574,69 | 1137 / 27 | $7.476,69 | 1134 / 29 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 8 | $45.431,50 | 149 / 5 | $19.869,40 | 646 / 11 | $17.190,40 | 645 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 10 | $15.391,40 | 125 / 3 | $9.015,94 | 1245 / 18 | $8.097,69 | 1243 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 4 | $81.836,90 | 126 / 2 | $36.605,80 | 626 / 4 | $35.359,40 | 625 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $11.474,60 | 369 / 2 | $6.869,69 | 1691 / 27 | $5.104,88 | 1683 / 27 |
| Respiratory Neoplasms W Cc | 16 | 31 / 3 | $28.578,60 | 172 / 2 | $10.350,80 | 401 / 4 | $9.068,50 | 400 / 7 |
| G.I. Obstruction W Cc | 16 | 76 / 13 | $16.616,80 | 411 / 14 | $8.162,19 | 1490 / 33 | $6.705,50 | 1485 / 34 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 7 | $14.900,70 | 188 / 4 | $7.880,20 | 922 / 12 | $6.782,87 | 918 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 5 | $20.168,00 | 517 / 12 | $6.344,40 | 736 / 11 | $5.015,80 | 735 / 13 |
| Seizures W Mcc | 14 | 52 / 5 | $30.419,30 | 180 / 2 | $12.103,60 | 535 / 4 | $10.995,90 | 535 / 6 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 13 | $18.168,60 | 290 / 4 | $8.791,00 | 1159 / 21 | $7.183,14 | 1155 / 22 |
| G.I. Obstruction W Mcc | 14 | 28 / 4 | $26.551,30 | 89 / 1 | $12.189,90 | 359 / 7 | $10.967,40 | 359 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 12 | $78.551,30 | 360 / 11 | $25.325,10 | 579 / 13 | $21.082,40 | 579 / 9 |
| Diabetes W Mcc | 14 | 43 / 3 | $31.678,50 | 309 / 3 | $11.709,30 | 513 / 5 | $9.584,64 | 513 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 7 | $46.019,10 | 389 / 9 | $12.997,70 | 762 / 10 | $11.910,40 | 758 / 11 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 3 | $9.680,23 | 105 / 1 | $6.259,85 | 733 / 7 | $4.801,54 | 731 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 8 | $26.555,60 | 229 / 6 | $9.314,23 | 603 / 9 | $7.290,08 | 602 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 9 | $14.044,70 | 457 / 5 | $6.252,92 | 1173 / 17 | $4.687,69 | 1170 / 19 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 4 | $26.534,20 | 138 / 3 | $11.188,10 | 442 / 4 | $10.168,80 | 442 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 6 | $133.724,00 | 409 / 1 | $48.865,10 | 644 / 4 | $39.641,60 | 643 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 5 | $19.184,10 | 199 / 1 | $7.929,58 | 600 / 5 | $6.919,75 | 600 / 6 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 7 | $15.079,80 | 183 / 1 | $8.492,08 | 902 / 6 | $6.660,50 | 899 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 7 | $18.952,10 | 244 / 5 | $9.586,75 | 937 / 14 | $8.817,08 | 935 / 16 |
| Other Vascular Procedures W Cc | 12 | 90 / 13 | $59.003,00 | 344 / 9 | $19.823,90 | 896 / 14 | $18.639,20 | 891 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 16 | $13.744,60 | 635 / 6 | $6.839,33 | 1827 / 25 | $5.466,50 | 1816 / 27 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 5 | $38.963,40 | 135 / 4 | $16.189,10 | 578 / 8 | $14.932,20 | 577 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 10 | $69.739,30 | 375 / 11 | $22.843,10 | 658 / 9 | $21.478,40 | 655 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 19 | $77.498,60 | 493 / 22 | $30.271,60 | 854 / 24 | $24.633,50 | 850 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 5 | $13.090,20 | 54 / 1 | $7.898,75 | 431 / 3 | $7.418,83 | 431 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 13 | $35.088,70 | 553 / 12 | $9.298,91 | 743 / 15 | $6.923,55 | 740 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 11 | $204.243,00 | 235 / 8 | $59.975,40 | 352 / 8 | $58.776,50 | 352 / 9 |
| Endocrine Disorders W Cc | 11 | 27 / 4 | $21.977,60 | 94 / 3 | $8.953,91 | 218 / 4 | $7.665,36 | 218 / 5 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 6 | $28.122,70 | 77 / 2 | $13.825,70 | 358 / 3 | $13.149,70 | 358 / 3 |
| Complications Of Treatment W Mcc | 11 | 40 / 5 | $35.444,30 | 79 / 1 | $13.448,40 | 185 / 1 | $12.408,20 | 185 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 10 | $25.423,70 | 401 / 8 | $8.816,45 | 679 / 10 | $7.544,55 | 679 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 8 | $12.527,00 | 60 / 1 | $8.430,36 | 656 / 9 | $7.406,73 | 656 / 10 | Total 92 procedures | 3.002 | 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.