Revision Of Hip Or Knee Replacement W Cc - costs for treatment in Wisconsin

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Revision Of Hip Or Knee Replacement W Cc - costs for treatment in Wisconsin


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Aurora Medical Ctr KenoshaKenosha14$73,418.60$28,061.20$16,873.70
Holy Family MemorialManitowoc13$53,315.20$21,708.10$17,413.30
Appleton Medical CenterAppleton13$45,693.20$19,383.50$18,301.10
Waukesha Memorial HospitalWaukesha19$71,290.50$22,555.70$18,390.30
Wheaton Franciscan St JosephMilwaukee23$90,432.70$27,952.80$19,933.30
Aurora Medical Center GraftonGrafton14$91,468.10$21,815.30$20,864.40
Aurora St Lukes Medical CenterMilwaukee51$102,832.00$24,388.40$20,990.80
St Mary's Hospital MadisonMadison52$58,643.20$22,692.10$21,623.80
Gundersen Lutheran Medical CenterLa Crosse19$55,693.80$22,845.30$21,680.10
Ministry Saint Josephs HospitalMarshfield23$72,816.80$26,130.10$22,126.30
Sacred Heart Hospital Eau ClaireEau Claire19$80,152.40$23,174.80$22,222.50
Froedtert Memorial Lutheran HospitalMilwaukee38$93,708.20$29,158.30$23,861.70
Total 12 hospitals298

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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