Thedacare Regional Medical Center - Appleton Inc
Appleton, Wisconsin 54911
CCN: 520160 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
35
DRG Categories
712
Total Discharges
$39,426
Avg Charges
$13,954
Avg Payment
$11,822
Avg Medicare
2.83x
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
Same as 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
$39,426 -39%
State avg: $64,649
Average Payment
$13,954 -20%
State avg: $17,425
Charge-to-Payment Ratio
2.83x Below 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 | 95 | $33,455 | $13,633 | 2.45x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 59 | $22,531 | $8,741 | 2.58x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 32 | $57,708 | $29,675 | 1.94x |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 30 | $42,828 | $13,879 | 3.09x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 28 | $23,496 | $7,479 | 3.14x |
| 683 | RENAL FAILURE WITH CC | 26 | $19,163 | $6,115 | 3.13x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 25 | $24,901 | $9,479 | 2.63x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 24 | $25,176 | $12,886 | 1.95x |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | 24 | $69,299 | $18,496 | 3.75x |
| 682 | RENAL FAILURE WITH MCC | 23 | $26,238 | $9,812 | 2.67x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 20 | $29,682 | $11,552 | 2.57x |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 19 | $69,064 | $15,483 | 4.46x |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 19 | $57,260 | $17,318 | 3.31x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 19 | $51,988 | $15,513 | 3.35x |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 19 | $49,249 | $27,445 | 1.79x |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 16 | $17,422 | $5,475 | 3.18x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 16 | $13,543 | $5,299 | 2.56x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 13 | $23,774 | $7,871 | 3.02x |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | 13 | $73,629 | $25,011 | 2.94x |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 13 | $36,472 | $22,524 | 1.62x |
Showing top 20 of 35 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.