Hip & Femur Procedures Except Major Joint W Mcc - costs for treatment in Wisconsin

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Hip & Femur Procedures Except Major Joint W Mcc - costs for treatment in Wisconsin


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Mayo Clinic Hlth System Franciscan Med CtrLa Crosse11$59,348.50$20,537.40$18,955.40
Waukesha Memorial HospitalWaukesha16$55,714.80$16,340.40$15,489.30
Ministry Saint Josephs HospitalMarshfield11$63,955.80$21,949.30$20,948.50
Mayo Clinic Health System Eau Claire HospitalEau Claire26$63,198.80$20,531.20$19,319.90
St Mary's Hospital MadisonMadison25$57,636.60$21,314.70$20,249.40
Gundersen Lutheran Medical CenterLa Crosse20$51,453.60$19,992.20$18,720.70
Meriter HospitalMadison22$57,297.30$21,100.20$19,842.10
Wheaton Franciscan Healthcare All SaintsRacine11$44,606.00$17,702.30$16,794.80
University Of Wisconsin Hospitals & Clinics AuthorityMadison21$72,600.20$33,035.20$24,847.80
Community Memorial HospitalMenomonee Falls14$68,071.50$16,973.00$15,805.00
Aurora St Lukes Medical CenterMilwaukee31$80,001.10$21,120.80$17,972.50
Froedtert Memorial Lutheran HospitalMilwaukee17$94,644.80$29,377.40$25,237.90
Total 12 hospitals225

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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