Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Wisconsin

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Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Wisconsin


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Clares Hospital Of WestonWeston17$74,690.20$27,240.30$26,176.80
Appleton Medical CenterAppleton19$79,117.90$33,857.90$28,198.70
Aspirus Wausau HospitalWausau48$90,502.60$29,621.80$28,425.30
St Elizabeth Hospital AppletonAppleton21$99,809.90$35,629.60$34,366.60
Bellin Memorial HospitalGreen Bay20$101,298.00$31,143.50$30,293.90
Gundersen Lutheran Medical CenterLa Crosse23$102,089.00$35,785.40$34,367.20
Aurora Medical Center GraftonGrafton17$102,950.00$29,547.40$28,338.90
Ministry Saint Josephs HospitalMarshfield35$105,404.00$37,292.70$36,009.90
St Mary's Hospital MadisonMadison70$123,865.00$36,847.20$35,578.40
Mayo Clinic Health System Eau Claire HospitalEau Claire36$128,363.00$35,768.10$34,563.60
University Of Wisconsin Hospitals & Clinics AuthorityMadison81$130,484.00$50,475.40$39,385.20
St Vincent Hospital Green BayGreen Bay19$137,597.00$37,798.50$29,964.00
Aurora St Lukes Medical CenterMilwaukee190$144,941.00$36,450.90$32,188.30
Sacred Heart Hospital Eau ClaireEau Claire19$148,257.00$36,025.40$34,987.90
Froedtert Memorial Lutheran HospitalMilwaukee22$153,009.00$51,335.90$36,824.00
Community Memorial HospitalMenomonee Falls17$153,215.00$34,204.80$33,135.50
Meriter HospitalMadison16$157,143.00$37,301.90$36,192.10
Waukesha Memorial HospitalWaukesha12$174,120.00$51,324.10$36,027.50
Total 18 hospitals682

DATA

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.





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