Mauston, WI, 53948-
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $10,045 | $10,045 | 0.78× | $21,936 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $14,462 | $14,462 | 0.72× | $32,059 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $7,265.74 | $7,265.74 | 0.68× | $16,268 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $4,921.98 | $4,921.98 | 0.65× | $11,004 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $11,238 | $11,238 | 0.73× | $27,151 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $7,966.21 | $7,966.21 | 0.71× | $17,638 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $6,062.58 | $6,062.58 | 0.69× | $13,588 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $4,617.05 | $4,617.05 | 0.66× | $10,272 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $5,795.77 | $5,795.77 | 0.68× | $13,160 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $4,519.96 | $4,519.96 | 0.68× | $10,013 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $11,536 | $11,536 | 0.74× | $25,547 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $6,609.86 | $6,609.86 | 0.68× | $14,613 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $5,200.3 | $5,200.3 | 0.67× | $11,493 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $9,232.67 | $9,232.67 | 0.72× | $20,549 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $6,105.73 | $6,105.73 | 0.68× | $13,709 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $4,070.48 | $4,070.48 | 0.66× | $8,986.97 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $8,658.77 | $8,658.77 | 0.72× | $19,242 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $5,290.91 | $5,290.91 | 0.68× | $11,919 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $4,071.2 | $4,071.2 | 0.66× | $8,850.93 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $7,052.87 | $7,052.87 | 0.70× | $15,746 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $4,533.63 | $4,533.63 | 0.66× | $10,135 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $5,606.63 | $5,606.63 | 0.70× | $12,574 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $11,274 | $11,274 | 0.74× | $26,111 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $8,344.49 | $8,344.49 | 0.72× | $18,797 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $5,821.66 | $5,821.66 | 0.70× | $12,915 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $13,970 | $13,970 | 0.75× | $31,732 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $7,359.24 | $7,359.24 | 0.71× | $16,484 |
| surgery | |||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $33,057 | $33,057 | 0.77× | $72,293 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $17,240 | $17,240 | 0.74× | $37,966 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $12,103 | $12,103 | 0.74× | $26,761 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $12,165 | $12,165 | 0.74× | $26,164 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $9,822.38 | $9,822.38 | 0.73× | $21,018 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $24,503 | $24,503 | 0.76× | $54,925 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $106,152 | $106,152 | 2.1× | $106,152 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $58,546 | $58,546 | 1.7× | $58,546 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $21,814 | $21,814 | 0.74× | $53,294 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $13,872 | $13,872 | 0.73× | $30,117 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $20,944 | $20,944 | 0.75× | $47,198 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $15,063 | $15,063 | 0.74× | $33,209 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $11,730 | $11,730 | 0.73× | $25,423 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $20,765 | $20,765 | 0.76× | $42,431 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $11,509 | $11,509 | 0.71× | $25,964 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $10,848 | $10,848 | 0.72× | $24,285 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $8,922.7 | $8,922.7 | 0.73× | $18,654 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $14,736 | $14,736 | 0.77× | $30,409 |
| Payer | Codes covered | Median rate |
|---|---|---|
| the alliance | 45 | $21,018 |
| american correctional healthcare | 43 | $14,588 |
| Blue Cross Blue Shield | 43 | $12,475 |
| group health cooperative of south central wisconsin | 43 | $15,940 |
| independent care health plan | 43 | $9,232.67 |
| my choice wisconsin | 43 | $9,232.67 |
| quartz health solutions | 43 | $13,160 |
| security health plan | 43 | $9,232.67 |
| UnitedHealthcare | 43 | $9,232.67 |
| allwell | 43 | $9,232.67 |
| va community care network | 43 | $9,232.67 |
