Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Wisconsin
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Mary's Janesville Hospital | Janesville | 41 | $26,991.60 | $3,712.44 | $2,622.07 |
| Columbia St Marys Hospital Ozaukee | Mequon | 16 | $15,005.40 | $4,443.62 | $2,794.06 |
| Community Memorial Hospital | Menomonee Falls | 15 | $13,990.20 | $3,953.00 | $2,830.87 |
| Waukesha Memorial Hospital | Waukesha | 18 | $12,992.80 | $4,130.00 | $2,882.94 |
| Oconomowoc Memorial Hospital | Oconomowoc | 12 | $15,283.10 | $3,959.00 | $2,953.67 |
| Aurora Medical Ctr Oshkosh | Oshkosh | 13 | $12,512.90 | $4,294.31 | $3,088.15 |
| Beaver Dam Community Hospital | Beaver Dam | 12 | $19,388.10 | $4,385.25 | $3,273.25 |
| Mile Bluff Medical Center | Mauston | 11 | $22,009.40 | $6,352.18 | $3,374.73 |
| The Monroe Clinic | Monroe | 14 | $17,038.30 | $4,443.00 | $3,387.93 |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 22 | $14,459.80 | $5,241.50 | $3,394.77 |
| Aurora West Allis Medical Center | West Allis | 27 | $20,156.70 | $4,942.63 | $3,508.89 |
| Aurora Medical Ctr Kenosha | Kenosha | 36 | $14,729.60 | $4,742.06 | $3,537.44 |
| Mercy Health System Corp | Janesville | 17 | $14,469.80 | $4,672.53 | $3,552.65 |
| Aurora Lakeland Medical Center | Elkhorn | 21 | $14,372.80 | $4,422.38 | $3,558.38 |
| United Hospital System | Kenosha | 37 | $15,735.70 | $4,713.43 | $3,674.73 |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan | 13 | $15,239.50 | $4,779.00 | $3,755.00 |
| Mayo Clinic Hlth System Franciscan Med Ctr | La Crosse | 15 | $13,454.20 | $5,077.53 | $3,846.80 |
| Wheaton Franciscan Healthcare All Saints | Racine | 25 | $12,158.20 | $5,127.48 | $4,003.52 |
| St Vincent Hospital Green Bay | Green Bay | 11 | $10,834.40 | $4,996.18 | $4,123.45 |
| Ministry Saint Josephs Hospital | Marshfield | 16 | $12,708.00 | $5,067.31 | $4,174.69 |
| St Mary's Hospital Madison | Madison | 56 | $16,435.80 | $5,377.75 | $4,211.82 |
| Aurora St Lukes Medical Center | Milwaukee | 49 | $23,759.70 | $5,888.00 | $4,221.82 |
| Sacred Heart Hospital Eau Claire | Eau Claire | 16 | $14,160.80 | $5,339.19 | $4,319.94 |
| St Clare Hospital Baraboo | Baraboo | 14 | $13,417.00 | $5,695.21 | $4,691.21 |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 16 | $13,213.20 | $6,729.75 | $4,785.12 |
| Columbia St Marys Hospital Milwaukee | Milwaukee | 17 | $15,729.40 | $6,317.82 | $4,924.41 |
| Wheaton Franciscan St Joseph | Milwaukee | 16 | $11,474.60 | $6,869.69 | $5,104.88 |
| University Of Wisconsin Hospitals & Clinics Authority | Madison | 18 | $13,408.90 | $7,824.67 | $5,335.17 | Total 28 hospitals | 594 |
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.