Ssm Health St Mary's Hospital - Madison
Madison, Wisconsin 53715
CCN: 520083 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
159
DRG Categories
5,381
Total Discharges
$70,788
Avg Charges
$17,012
Avg Payment
$14,960
Avg Medicare
4.16x
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
Below 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
$70,788 +9%
State avg: $64,649
Average Payment
$17,012 -2%
State avg: $17,425
Charge-to-Payment Ratio
4.16x 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 | 416 | $67,441 | $15,692 | 4.3x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 276 | $41,028 | $10,250 | 4x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 133 | $51,008 | $14,045 | 3.63x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 127 | $66,501 | $16,618 | 4x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 111 | $44,776 | $7,986 | 5.61x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 105 | $52,190 | $12,463 | 4.19x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 101 | $68,649 | $15,395 | 4.46x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 100 | $36,388 | $8,270 | 4.4x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 89 | $34,764 | $7,645 | 4.55x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 86 | $140,877 | $38,452 | 3.66x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 77 | $114,501 | $25,901 | 4.42x |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 76 | $95,645 | $24,502 | 3.9x |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 75 | $142,228 | $31,492 | 4.52x |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 75 | $147,981 | $38,162 | 3.88x |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 66 | $70,037 | $15,076 | 4.65x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 66 | $30,129 | $6,246 | 4.82x |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 63 | $36,987 | $8,317 | 4.45x |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 56 | $87,590 | $30,183 | 2.9x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 56 | $62,117 | $16,841 | 3.69x |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 55 | $45,049 | $9,000 | 5.01x |
Showing top 20 of 159 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.