Hospital Costs > In Illinois > Adventist Bolingbrook Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 50 | $39.517,20 | 1297 / 35 | $12.070,00 | 1487 / 49 | $10.999,30 | 1457 / 56 |
Heart Failure & Shock W Mcc | 62 | 222 / 54 | $36.987,90 | 1506 / 57 | $9.851,68 | 1594 / 56 | $9.264,06 | 1589 / 74 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 62 | $20.683,80 | 1472 / 47 | $5.632,93 | 1611 / 72 | $4.237,00 | 1598 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 44 | $22.345,00 | 1005 / 25 | $7.152,92 | 1425 / 51 | $6.137,34 | 1420 / 66 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 49 | $25.024,30 | 1127 / 36 | $7.887,84 | 1461 / 55 | $6.787,43 | 1455 / 66 |
Cellulitis W/O Mcc | 33 | 156 / 52 | $16.976,20 | 1123 / 39 | $6.023,30 | 1685 / 66 | $4.955,33 | 1678 / 80 |
Heart Failure & Shock W Cc | 30 | 248 / 71 | $22.983,40 | 1490 / 54 | $6.693,70 | 1628 / 62 | $5.908,63 | 1623 / 77 |
Renal Failure W Mcc | 30 | 165 / 45 | $37.986,20 | 1201 / 56 | $9.708,70 | 948 / 41 | $8.823,37 | 948 / 47 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 68 | $26.653,50 | 1746 / 66 | $6.761,20 | 1840 / 58 | $5.917,04 | 1832 / 82 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 57 | $23.585,70 | 1353 / 48 | $6.338,08 | 1515 / 51 | $5.531,42 | 1509 / 76 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 52 | $17.786,90 | 1297 / 48 | $5.099,25 | 1607 / 68 | $4.189,92 | 1602 / 72 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 69 | $23.415,10 | 1881 / 79 | $5.441,83 | 1743 / 63 | $4.604,26 | 1732 / 79 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 90 | $69.013,40 | 1963 / 84 | $13.767,30 | 1721 / 34 | $12.618,10 | 1682 / 83 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 64 | $35.812,50 | 1398 / 42 | $9.622,13 | 1585 / 57 | $8.884,74 | 1585 / 77 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 33 | $48.874,00 | 588 / 21 | $14.488,20 | 869 / 29 | $13.592,20 | 861 / 43 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $29.261,30 | 363 / 16 | $10.182,30 | 602 / 33 | $9.551,48 | 600 / 40 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 50 | $37.000,00 | 1386 / 51 | $8.200,10 | 1176 / 47 | $7.199,05 | 1174 / 51 |
Renal Failure W Cc | 21 | 200 / 68 | $23.714,70 | 1328 / 50 | $6.691,81 | 1578 / 66 | $5.885,71 | 1569 / 76 |
G.I. Hemorrhage W Cc | 20 | 198 / 61 | $26.287,40 | 1312 / 52 | $6.981,45 | 1353 / 62 | $5.758,55 | 1350 / 68 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 38 | $19.499,30 | 858 / 36 | $6.976,85 | 1257 / 82 | $4.900,55 | 1249 / 67 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 36 | $14.807,40 | 831 / 26 | $4.884,63 | 1324 / 61 | $4.126,74 | 1313 / 72 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 7 | $20.887,20 | 204 / 2 | $6.257,50 | 298 / 8 | $5.987,28 | 298 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 37 | $24.539,80 | 673 / 27 | $7.526,33 | 956 / 44 | $6.923,67 | 953 / 61 |
Syncope & Collapse | 18 | 151 / 45 | $28.237,40 | 1361 / 73 | $5.238,94 | 1184 / 50 | $4.370,67 | 1177 / 65 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 51 | $19.558,90 | 1020 / 31 | $5.621,94 | 1363 / 54 | $4.750,83 | 1358 / 70 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 27 | $26.681,50 | 508 / 19 | $8.041,59 | 668 / 31 | $7.047,71 | 663 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 54 | $28.514,50 | 1047 / 30 | $6.984,00 | 1149 / 44 | $6.065,41 | 1146 / 63 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 29 | $22.728,40 | 548 / 19 | $6.536,81 | 762 / 38 | $5.702,81 | 758 / 51 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $17.682,60 | 1080 / 39 | $5.096,44 | 1457 / 47 | $4.338,44 | 1446 / 75 |
Diabetes W Cc | 16 | 76 / 24 | $24.017,00 | 944 / 48 | $5.750,25 | 876 / 41 | $4.844,25 | 872 / 54 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 40 | $89.843,20 | 362 / 14 | $28.855,20 | 322 / 7 | $28.156,70 | 322 / 16 |
G.I. Obstruction W Cc | 15 | 77 / 34 | $22.416,80 | 821 / 28 | $6.209,00 | 1175 / 53 | $5.479,40 | 1172 / 70 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 49 | $67.543,70 | 1499 / 77 | $14.709,10 | 965 / 79 | $10.949,70 | 952 / 51 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $39.107,60 | 748 / 22 | $12.025,40 | 734 / 35 | $10.992,30 | 726 / 32 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 35 | $18.736,30 | 1097 / 46 | $5.107,93 | 1194 / 57 | $3.901,07 | 1188 / 73 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 23 | $28.634,10 | 419 / 21 | $8.577,21 | 422 / 42 | $7.199,50 | 420 / 30 |
G.I. Hemorrhage W Mcc | 14 | 107 / 38 | $37.046,30 | 592 / 24 | $11.463,10 | 902 / 43 | $10.859,60 | 897 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 46 | $28.982,90 | 311 / 9 | $10.527,60 | 713 / 22 | $9.926,43 | 712 / 40 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 51 | $74.662,40 | 767 / 33 | $17.754,50 | 631 / 58 | $11.034,40 | 627 / 35 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $17.084,30 | 668 / 25 | $4.534,25 | 838 / 40 | $3.523,58 | 835 / 49 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $29.020,70 | 700 / 23 | $6.867,92 | 700 / 28 | $5.862,58 | 698 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 50 | $23.419,40 | 549 / 21 | $8.025,42 | 927 / 51 | $7.017,42 | 924 / 57 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $34.346,60 | 150 / 4 | $11.817,80 | 223 / 9 | $11.316,40 | 223 / 13 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 46 | $17.894,10 | 420 / 9 | $7.267,27 | 863 / 45 | $6.167,64 | 861 / 47 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 29 | $24.659,80 | 467 / 20 | $7.718,27 | 649 / 34 | $7.168,45 | 647 / 44 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 23 | $38.301,20 | 227 / 5 | $10.817,10 | 527 / 18 | $9.726,18 | 525 / 27 |
Signs & Symptoms W/O Mcc | 11 | 80 / 28 | $20.895,30 | 696 / 27 | $4.948,64 | 854 / 34 | $4.398,82 | 851 / 46 | Total 47 procedures | 1.079 | discharges |
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.