Prohealth Waukesha Memorial Hospital
Waukesha, Wisconsin 53188
CCN: 520008 Acute Care Hospitals Emergency Services
5/5
CMS Star Rating
Excellent
67
DRG Categories
2,159
Total Discharges
$55,068
Avg Charges
$11,376
Avg Payment
$9,396
Avg Medicare
4.84x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Above Average Patient Experience
Reported Wisconsin Average Rating
3.77 / 5 This hospital is above average
13 five-star hospitals of rated in Wisconsin
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to Wisconsin Average
How this hospital compares to the average of 65 hospitals in Wisconsin
Average Charges
$55,068 -15%
State avg: $64,649
Average Payment
$11,376 -35%
State avg: $17,425
Charge-to-Payment Ratio
4.84x Above avg
State avg: 3.79x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 251 | $55,014 | $13,068 | 4.21x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 218 | $35,168 | $8,710 | 4.04x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 89 | $23,254 | $5,489 | 4.24x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 78 | $31,634 | $7,372 | 4.29x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 67 | $49,509 | $13,205 | 3.75x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 67 | $28,379 | $5,471 | 5.19x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 51 | $29,007 | $7,391 | 3.92x |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | 48 | $30,415 | $5,707 | 5.33x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 48 | $103,874 | $22,830 | 4.55x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 47 | $49,624 | $9,201 | 5.39x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 47 | $33,417 | $6,729 | 4.97x |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 46 | $25,298 | $5,137 | 4.93x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 37 | $31,580 | $6,613 | 4.78x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 37 | $31,624 | $7,049 | 4.49x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 34 | $73,705 | $13,509 | 5.46x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 34 | $46,573 | $10,120 | 4.6x |
| 603 | CELLULITIS WITHOUT MCC | 32 | $21,658 | $6,038 | 3.59x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 32 | $21,558 | $5,362 | 4.02x |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 29 | $32,467 | $7,702 | 4.22x |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 29 | $33,109 | $8,668 | 3.82x |
Showing top 20 of 67 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.