Hospital Costs > In Illinois > Adventist Glenoaks, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 70 | $18.769,20 | 1334 / 55 | $6.863,00 | 2059 / 87 | $5.705,18 | 2051 / 97 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 71 | $29.237,10 | 1420 / 51 | $8.893,58 | 2045 / 83 | $8.090,92 | 2037 / 95 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 77 | $19.689,10 | 1346 / 41 | $6.332,30 | 2096 / 89 | $4.985,30 | 2082 / 90 |
| G.I. Hemorrhage W Cc | 15 | 203 / 66 | $22.749,90 | 1008 / 29 | $7.621,27 | 1869 / 88 | $6.814,87 | 1865 / 93 |
| G.I. Obstruction W Cc | 15 | 77 / 34 | $32.218,00 | 1270 / 67 | $7.908,53 | 1173 / 75 | $5.478,87 | 1170 / 69 |
| Heart Failure & Shock W Cc | 12 | 266 / 84 | $30.758,60 | 1997 / 92 | $7.802,67 | 2195 / 94 | $6.994,67 | 2189 / 98 |
| Heart Failure & Shock W Mcc | 41 | 243 / 67 | $36.712,20 | 1490 / 56 | $10.578,30 | 1870 / 77 | $9.954,42 | 1865 / 86 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 43 | $115.086,00 | 686 / 33 | $33.593,20 | 804 / 36 | $32.761,20 | 798 / 49 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 43 | $22.721,70 | 769 / 28 | $8.471,07 | 1492 / 75 | $7.585,73 | 1488 / 77 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 71 | $20.605,40 | 1638 / 54 | $7.067,55 | 2130 / 97 | $5.268,65 | 2119 / 91 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 94 | $64.967,40 | 1858 / 77 | $17.890,80 | 1839 / 94 | $12.993,10 | 1798 / 86 |
| Psychoses | 567 | 16 / 3 | $18.307,50 | 284 / 18 | $7.952,52 | 419 / 21 | $6.986,38 | 419 / 22 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 57 | $39.979,80 | 1501 / 60 | $18.515,10 | 1589 / 98 | $8.092,36 | 1584 / 78 |
| Renal Failure W Mcc | 16 | 179 / 56 | $37.864,50 | 1197 / 55 | $10.863,90 | 1477 / 68 | $10.202,90 | 1476 / 74 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $28.493,20 | 627 / 17 | $9.992,07 | 1098 / 49 | $9.048,07 | 1093 / 56 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $46.005,00 | 970 / 31 | $13.767,40 | 1340 / 68 | $13.164,00 | 1325 / 72 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 44 | $59.897,80 | 903 / 39 | $15.066,70 | 1054 / 44 | $14.365,30 | 1044 / 59 |
| Seizures W/O Mcc | 11 | 97 / 33 | $19.333,00 | 513 / 20 | $6.344,18 | 977 / 55 | $5.462,73 | 975 / 65 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 78 | 438 / 76 | $42.122,50 | 1421 / 42 | $12.817,50 | 1846 / 70 | $11.870,20 | 1811 / 81 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 61 | $34.798,00 | 1851 / 71 | $8.236,73 | 1966 / 80 | $7.197,80 | 1958 / 88 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 79 | $22.966,30 | 1448 / 43 | $7.586,00 | 2238 / 89 | $6.710,36 | 2230 / 97 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 68 | $38.493,10 | 1505 / 49 | $10.701,40 | 1955 / 82 | $9.938,47 | 1955 / 93 |
| Syncope & Collapse | 12 | 157 / 50 | $18.352,80 | 712 / 24 | $8.852,92 | 1190 / 97 | $4.382,25 | 1183 / 66 |
| Transient Ischemia | 15 | 110 / 39 | $26.999,80 | 1051 / 52 | $6.972,07 | 1279 / 75 | $4.761,47 | 1273 / 74 | Total 24 procedures | 991 | 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.