Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in Wisconsin
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Appleton Medical Center | Appleton | 29 | $8,621.83 | $5,578.28 | $4,561.59 |
| Theda Clark Medical Center | Neenah | 12 | $9,549.33 | $6,610.75 | $4,303.75 |
| Riverview Hospital Assoc | Wisconsin Rapid | 15 | $10,915.80 | $6,104.47 | $5,059.13 |
| Lakeview Medical Center | Rice Lake | 30 | $11,012.20 | $6,068.30 | $5,228.83 |
| Gundersen Lutheran Medical Center | La Crosse | 27 | $11,582.30 | $7,216.15 | $6,086.07 |
| Mercy Medical Center Of Oshkosh | Oshkosh | 15 | $11,649.70 | $6,117.40 | $5,308.87 |
| St Elizabeth Hospital Appleton | Appleton | 16 | $12,447.10 | $7,416.62 | $6,637.88 |
| Aurora Medical Ctr Manitowoc County | Two Rivers | 11 | $12,507.60 | $6,968.18 | $5,758.00 |
| Holy Family Memorial | Manitowoc | 19 | $14,437.30 | $5,785.26 | $4,519.58 |
| Fort Memorial Hospital | Fort Atkinson | 16 | $14,783.10 | $5,846.50 | $4,934.50 |
| St Nicholas Hospital | Sheboygan | 13 | $14,933.60 | $5,680.92 | $4,560.92 |
| Wheaton Franciscan Healthcare Franklin | Franklin | 17 | $15,582.90 | $5,982.59 | $4,360.47 |
| Community Memorial Hospital | Menomonee Falls | 51 | $16,084.70 | $6,504.45 | $4,037.14 |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan | 47 | $16,242.40 | $6,499.23 | $4,887.77 |
| Wheaton Franciscan Healthcare All Saints | Racine | 42 | $16,342.30 | $6,802.45 | $5,647.95 |
| St Agnes Hospital | Fond Du Lac | 29 | $16,384.70 | $5,977.21 | $5,019.41 |
| Divine Savior Healthcare | Portage | 13 | $16,569.00 | $6,559.62 | $5,540.54 |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 62 | $16,643.60 | $6,359.37 | $5,311.60 |
| Sauk Prairie Hospital | Prairie Du Sac | 11 | $16,677.50 | $6,308.91 | $5,223.82 |
| Aspirus Wausau Hospital | Wausau | 47 | $16,806.60 | $6,026.11 | $4,950.62 |
| Uw Health Partners Watertown Regional Med Ctr | Watertown | 21 | $16,909.70 | $6,428.62 | $4,260.43 |
| Oconomowoc Memorial Hospital | Oconomowoc | 19 | $16,949.80 | $5,849.32 | $4,348.53 |
| Mayo Clinic Hlth System Franciscan Med Ctr | La Crosse | 57 | $17,008.50 | $6,765.33 | $5,675.21 |
| Aurora Medical Center Summit | Summit | 18 | $17,136.00 | $5,544.50 | $4,604.06 |
| Aurora Medical Ctr Oshkosh | Oshkosh | 31 | $17,205.50 | $5,757.74 | $4,743.03 |
| Wheaton Franciscan St Joseph | Milwaukee | 62 | $17,430.80 | $8,630.95 | $7,196.02 |
| St Josephs Hospital Chippewa Falls | Chippewa Falls | 21 | $17,529.60 | $7,092.29 | $6,112.48 |
| Bellin Memorial Hospital | Green Bay | 37 | $17,587.60 | $6,096.32 | $4,525.65 |
| Aurora Memorial Hospital Burlington | Burlington | 48 | $17,858.00 | $5,348.40 | $4,468.40 |
| St Vincent Hospital Green Bay | Green Bay | 22 | $17,897.20 | $6,510.41 | $5,579.50 |
| Ministry Saint Josephs Hospital | Marshfield | 48 | $18,092.20 | $7,115.06 | $5,575.65 |
| Columbia St Marys Hospital Ozaukee | Mequon | 50 | $18,175.90 | $5,401.88 | $4,376.90 |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 83 | $18,223.30 | $8,915.29 | $6,791.83 |
| Howard Young Medical Ctr | Woodruff | 17 | $18,580.70 | $7,360.53 | $6,366.65 |
| Mile Bluff Medical Center | Mauston | 29 | $18,916.70 | $6,864.21 | $5,862.28 |
| Wheaton Franciscan Healthcare St Francis | Milwaukee | 27 | $19,305.80 | $7,037.00 | $5,687.56 |
| Aurora Baycare Medical Ctr | Green Bay | 18 | $19,441.70 | $7,675.11 | $5,118.94 |
| Aurora Lakeland Medical Center | Elkhorn | 53 | $19,637.00 | $5,936.34 | $4,932.87 |
| Columbia St Marys Hospital Milwaukee | Milwaukee | 40 | $19,681.90 | $8,292.70 | $6,365.55 |
| United Hospital System | Kenosha | 89 | $19,913.20 | $6,532.61 | $5,290.37 |
| St Josephs Community Hospital Of West Bend | West Bend | 34 | $20,546.50 | $5,682.74 | $4,406.94 |
| Aurora Medical Ctr Kenosha | Kenosha | 69 | $21,188.90 | $6,512.13 | $5,233.97 |
| Waukesha Memorial Hospital | Waukesha | 60 | $21,268.60 | $5,834.58 | $4,573.67 |
| Mercy Health System Corp | Janesville | 47 | $21,484.50 | $6,325.62 | $5,248.36 |
| St Clare Hospital Baraboo | Baraboo | 60 | $21,889.20 | $7,769.00 | $6,592.80 |
| St Mary's Hospital Madison | Madison | 129 | $22,037.30 | $7,191.77 | $5,934.88 |
| Aurora Medical Center Grafton | Grafton | 42 | $22,163.60 | $5,617.33 | $4,425.76 |
| University Of Wisconsin Hospitals & Clinics Authority | Madison | 61 | $22,620.30 | $10,758.60 | $7,088.89 |
| Aurora Medical Ctr Washington County | Hartford | 30 | $22,651.20 | $5,750.23 | $4,396.20 |
| The Monroe Clinic | Monroe | 63 | $23,705.00 | $6,364.81 | $5,246.17 |
| Beaver Dam Community Hospital | Beaver Dam | 25 | $23,877.10 | $6,115.24 | $5,145.00 |
| Meriter Hospital | Madison | 44 | $24,357.10 | $7,639.30 | $6,604.34 |
| Sacred Heart Hospital Eau Claire | Eau Claire | 49 | $24,412.40 | $7,111.61 | $6,181.18 |
| Aurora West Allis Medical Center | West Allis | 68 | $25,704.90 | $6,482.28 | $5,439.51 |
| Aurora St Lukes Medical Center | Milwaukee | 196 | $27,105.70 | $7,810.30 | $5,999.52 |
| St Mary's Janesville Hospital | Janesville | 66 | $32,816.80 | $5,097.20 | $4,144.45 |
| Beloit Memorial Hospital | Beloit | 17 | $34,861.40 | $5,950.59 | $5,097.88 | Total 57 hospitals | 2.372 |
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.