Hospital Costs > In Illinois > Adventist La Grange Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $32.377,00 | 825 / 28 | $6.716,91 | 546 / 25 | $5.558,45 | 545 / 24 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 16 | $21.897,90 | 458 / 20 | $5.537,96 | 313 / 13 | $4.355,38 | 309 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 39 | $27.194,70 | 1499 / 67 | $5.089,97 | 752 / 29 | $4.070,29 | 749 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 24 | $32.657,50 | 1075 / 52 | $9.231,62 | 376 / 76 | $6.169,12 | 374 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 20 | $17.804,40 | 1256 / 56 | $4.351,79 | 239 / 61 | $2.186,47 | 237 / 14 |
| Cellulitis W Mcc | 39 | 19 / 3 | $31.445,80 | 410 / 18 | $11.226,10 | 171 / 44 | $7.321,90 | 170 / 8 |
| Cellulitis W/O Mcc | 101 | 88 / 15 | $20.087,80 | 1493 / 68 | $5.779,01 | 569 / 53 | $3.947,12 | 566 / 23 |
| Chest Pain | 18 | 133 / 37 | $20.486,00 | 956 / 44 | $4.784,78 | 267 / 45 | $2.642,28 | 266 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 39 | $26.328,50 | 1539 / 65 | $5.987,83 | 509 / 37 | $4.552,74 | 507 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 38 | $33.945,50 | 1687 / 69 | $8.022,25 | 1491 / 60 | $6.824,78 | 1484 / 69 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 24 | $17.675,50 | 1077 / 38 | $4.914,57 | 462 / 43 | $3.289,27 | 461 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 19 | $50.605,80 | 331 / 18 | $13.033,50 | 319 / 18 | $11.634,40 | 314 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 38 | $40.616,40 | 964 / 39 | $7.088,39 | 385 / 25 | $5.289,93 | 383 / 18 |
| Diabetes W Cc | 17 | 75 / 23 | $24.485,80 | 973 / 50 | $5.329,41 | 487 / 29 | $4.264,24 | 487 / 26 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $29.521,10 | 204 / 10 | $6.890,73 | 35 / 8 | $4.947,45 | 35 / 3 |
| Endocrine Disorders W Cc | 14 | 24 / 8 | $20.464,30 | 77 / 1 | $7.339,43 | 26 / 11 | $4.903,29 | 26 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 22 | $35.634,50 | 828 / 40 | $9.025,48 | 654 / 48 | $6.999,70 | 649 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 28 | $23.362,60 | 1749 / 68 | $6.067,03 | 453 / 86 | $3.362,88 | 451 / 17 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 16 | $118.830,00 | 336 / 15 | $32.323,20 | 391 / 20 | $30.612,00 | 391 / 20 |
| Extracranial Procedures W Cc | 16 | 30 / 7 | $58.678,80 | 282 / 13 | $10.205,60 | 165 / 10 | $8.801,62 | 165 / 7 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 19 | $18.634,20 | 335 / 9 | $4.857,31 | 127 / 14 | $3.406,38 | 127 / 11 |
| G.I. Hemorrhage W Cc | 81 | 137 / 23 | $25.016,60 | 1199 / 42 | $6.479,11 | 828 / 41 | $5.197,90 | 826 / 38 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 20 | $48.275,10 | 956 / 37 | $12.092,80 | 941 / 54 | $10.991,80 | 935 / 58 |
| G.I. Obstruction W Cc | 32 | 60 / 21 | $26.007,00 | 1040 / 46 | $5.700,06 | 472 / 35 | $4.433,19 | 471 / 23 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $14.037,90 | 455 / 14 | $3.895,36 | 466 / 14 | $2.921,07 | 465 / 28 |
| Heart Failure & Shock W Cc | 79 | 199 / 39 | $24.028,80 | 1590 / 62 | $6.256,33 | 713 / 41 | $5.075,41 | 712 / 23 |
| Heart Failure & Shock W Mcc | 100 | 184 / 36 | $38.670,30 | 1589 / 62 | $9.942,42 | 1067 / 59 | $8.379,32 | 1064 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 30 | $18.214,40 | 1170 / 53 | $4.355,08 | 433 / 33 | $3.242,20 | 431 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 20 | $56.676,30 | 1267 / 53 | $12.467,20 | 1029 / 50 | $11.097,00 | 1016 / 55 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 21 | $113.198,00 | 764 / 43 | $22.692,90 | 690 / 40 | $20.357,50 | 687 / 39 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 34 | $86.237,40 | 314 / 10 | $30.094,70 | 431 / 17 | $28.906,20 | 428 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 36 | $29.913,80 | 1152 / 41 | $6.471,17 | 550 / 18 | $5.273,40 | 549 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 34 | $42.865,30 | 776 / 31 | $10.976,90 | 583 / 33 | $9.549,04 | 582 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $25.565,20 | 934 / 37 | $8.738,39 | 34 / 72 | $2.779,56 | 34 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 22 | $25.376,40 | 940 / 35 | $6.914,49 | 669 / 32 | $5.898,98 | 668 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 100 | 133 / 20 | $19.417,40 | 1509 / 46 | $4.964,22 | 761 / 39 | $3.800,26 | 756 / 33 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 19 | $46.076,40 | 391 / 12 | $10.393,90 | 399 / 9 | $9.051,07 | 399 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 9 | $65.913,20 | 215 / 9 | $15.642,50 | 173 / 7 | $14.010,30 | 172 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 17 | $64.090,20 | 393 / 19 | $12.372,60 | 258 / 7 | $10.964,70 | 258 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 23 | $131.203,00 | 796 / 38 | $23.935,80 | 694 / 27 | $22.537,80 | 693 / 38 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 18 | $24.184,60 | 449 / 17 | $7.308,91 | 318 / 24 | $6.195,36 | 317 / 20 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 14 | $49.324,50 | 411 / 27 | $12.053,80 | 268 / 21 | $11.072,20 | 267 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 14 | $93.304,60 | 600 / 29 | $22.500,70 | 622 / 30 | $20.911,40 | 619 / 36 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 167 | 397 / 43 | $68.057,00 | 1943 / 82 | $15.989,50 | 1196 / 76 | $11.379,10 | 1168 / 48 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 29 | $70.892,20 | 872 / 34 | $17.398,10 | 460 / 35 | $13.455,50 | 456 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $172.387,00 | 929 / 50 | $56.858,50 | 704 / 64 | $32.353,90 | 702 / 34 |
| Medical Back Problems W/O Mcc | 30 | 91 / 30 | $24.181,40 | 782 / 37 | $5.429,47 | 100 / 27 | $3.528,97 | 100 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 42 | $34.601,60 | 1151 / 66 | $7.203,08 | 386 / 34 | $5.853,08 | 383 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 37 | $20.056,60 | 1562 / 64 | $4.458,00 | 487 / 27 | $3.300,76 | 486 / 22 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 10 | $64.050,00 | 183 / 6 | $15.374,00 | 56 / 2 | $14.125,60 | 56 / 1 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 25 | $22.693,60 | 545 / 18 | $6.193,25 | 372 / 28 | $4.995,15 | 369 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 20 | $24.989,60 | 391 / 20 | $6.016,80 | 88 / 14 | $4.802,40 | 88 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 18 | $38.360,80 | 598 / 32 | $11.549,20 | 512 / 44 | $9.155,70 | 510 / 33 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 9 | $64.305,00 | 137 / 9 | $12.395,80 | 89 / 6 | $11.122,50 | 89 / 6 |
| Other Vascular Procedures W Cc | 23 | 79 / 20 | $78.889,00 | 645 / 23 | $15.781,10 | 407 / 12 | $14.441,40 | 405 / 13 |
| Other Vascular Procedures W Mcc | 20 | 77 / 18 | $105.177,00 | 637 / 35 | $22.752,30 | 568 / 26 | $21.560,30 | 565 / 31 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 49 | $76.655,90 | 808 / 35 | $12.980,50 | 815 / 16 | $11.718,30 | 810 / 47 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 19 | 26 / 4 | $80.057,20 | 100 / 1 | $18.384,10 | 87 / 2 | $17.030,50 | 87 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 13 | $62.752,70 | 289 / 9 | $15.633,70 | 207 / 23 | $9.781,20 | 207 / 9 |
| Peripheral Vascular Disorders W Cc | 24 | 60 / 21 | $18.118,80 | 321 / 9 | $5.907,08 | 291 / 20 | $4.844,54 | 290 / 20 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 16 | $29.050,60 | 180 / 6 | $8.224,46 | 27 / 3 | $6.304,38 | 27 / 2 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $17.737,20 | 184 / 10 | $4.306,62 | 67 / 4 | $3.064,77 | 67 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 22 | $73.047,80 | 537 / 25 | $16.604,80 | 390 / 19 | $15.107,30 | 389 / 21 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 41 | $36.365,70 | 1356 / 49 | $7.755,00 | 814 / 33 | $6.727,48 | 814 / 28 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 12 | $23.410,80 | 573 / 17 | $6.092,79 | 426 / 14 | $5.043,54 | 425 / 27 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 23 | $31.604,40 | 498 / 24 | $8.505,93 | 483 / 41 | $7.426,71 | 481 / 38 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 26 | $16.898,10 | 616 / 19 | $5.100,59 | 342 / 31 | $3.806,44 | 341 / 17 |
| Renal Failure W Cc | 79 | 142 / 31 | $21.848,10 | 1164 / 38 | $6.477,20 | 508 / 53 | $4.765,54 | 504 / 21 |
| Renal Failure W Mcc | 64 | 131 / 23 | $36.398,50 | 1119 / 48 | $9.499,41 | 659 / 33 | $8.306,84 | 659 / 28 |
| Respiratory Infections & Inflammations W Cc | 33 | 55 / 12 | $28.464,00 | 625 / 16 | $8.546,30 | 488 / 29 | $7.316,36 | 485 / 26 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 38 | $40.855,40 | 815 / 26 | $11.997,40 | 648 / 33 | $10.807,60 | 640 / 22 |
| Respiratory Neoplasms W Cc | 11 | 36 / 16 | $32.651,40 | 233 / 14 | $7.456,45 | 167 / 10 | $6.499,27 | 166 / 13 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 17 | $38.575,50 | 246 / 11 | $10.712,20 | 129 / 14 | $9.069,31 | 129 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 39 | $44.196,90 | 446 / 14 | $14.266,80 | 821 / 27 | $13.387,60 | 813 / 41 |
| Seizures W/O Mcc | 15 | 93 / 29 | $22.133,30 | 655 / 34 | $4.813,40 | 451 / 18 | $3.980,47 | 449 / 37 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $104.575,00 | 211 / 10 | $35.774,80 | 343 / 17 | $33.822,80 | 342 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 261 | 255 / 21 | $44.378,40 | 1541 / 47 | $11.631,50 | 1196 / 33 | $10.474,10 | 1177 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 115 | 92 / 9 | $27.596,00 | 1472 / 44 | $8.652,46 | 587 / 86 | $5.300,89 | 585 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 28 | $27.702,50 | 1825 / 72 | $6.826,00 | 878 / 60 | $4.974,82 | 875 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 38 | $40.977,50 | 1593 / 57 | $9.529,26 | 863 / 51 | $7.729,30 | 863 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 18 | $17.917,90 | 1015 / 38 | $4.980,69 | 269 / 49 | $3.015,41 | 267 / 13 |
| Syncope & Collapse | 25 | 144 / 38 | $21.834,20 | 1020 / 42 | $5.493,08 | 261 / 63 | $3.280,80 | 259 / 13 |
| Transient Ischemia | 23 | 102 / 31 | $25.378,30 | 979 / 46 | $4.507,91 | 240 / 25 | $3.070,48 | 240 / 14 |
| Transurethral Procedures W Cc | 16 | 25 / 7 | $34.163,10 | 165 / 7 | $8.966,75 | 49 / 16 | $6.148,75 | 49 / 6 | Total 84 procedures | 2.992 | 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.