Major Small & Large Bowel Procedures W/O Cc/Mcc - costs for treatment in Wisconsin

Hospital Costs > Major Small & Large Bowel Procedures W/O Cc/Mcc > Major Small & Large Bowel Procedures W/O Cc/Mcc - costs for treatment in Wisconsin

Major Small & Large Bowel Procedures W/O Cc/Mcc - costs for treatment in Wisconsin


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Community Memorial HospitalMenomonee Falls20$50,959.60$11,550.00$6,652.80
Aspirus Wausau HospitalWausau12$31,742.90$13,784.30$7,188.50
Waukesha Memorial HospitalWaukesha15$45,049.70$9,583.33$8,318.60
The Monroe ClinicMonroe13$42,815.80$10,369.50$9,431.62
Aurora St Lukes Medical CenterMilwaukee16$52,417.80$11,525.90$10,112.10
Sacred Heart Hospital Eau ClaireEau Claire13$44,953.80$11,354.40$10,351.70
St Mary's Hospital MadisonMadison19$35,331.80$11,651.50$10,456.70
Meriter HospitalMadison11$42,772.50$12,327.20$11,362.00
Froedtert Memorial Lutheran HospitalMilwaukee19$53,773.90$14,199.70$12,051.10
University Of Wisconsin Hospitals & Clinics AuthorityMadison28$39,612.80$16,640.10$12,142.80
Total 10 hospitals166

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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