Hospital Costs > In Illinois > Advocate Bromenn Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 293 | 275 / 21 | $40.355,90 | 775 / 13 | $14.099,10 | 900 / 42 | $10.895,70 | 881 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 114 | 402 / 64 | $36.357,10 | 1113 / 26 | $11.800,30 | 789 / 38 | $9.895,83 | 788 / 16 |
Heart Failure & Shock W Cc | 78 | 200 / 40 | $19.915,30 | 1177 / 38 | $6.362,15 | 1043 / 46 | $5.319,81 | 1041 / 43 |
Psychoses | 71 | 213 / 20 | $15.676,90 | 198 / 11 | $7.069,46 | 70 / 16 | $4.923,75 | 70 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 36 | $20.624,50 | 1068 / 34 | $5.927,12 | 1100 / 32 | $5.059,25 | 1096 / 53 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 32 | $26.330,50 | 1366 / 38 | $8.312,90 | 488 / 82 | $5.187,69 | 486 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 39 | $25.110,80 | 1134 / 37 | $7.536,58 | 1375 / 42 | $6.670,90 | 1369 / 62 |
Pulmonary Edema & Respiratory Failure | 49 | 154 / 28 | $21.682,80 | 517 / 11 | $8.826,51 | 485 / 68 | $6.318,73 | 485 / 14 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 46 | 10 / 2 | $16.203,50 | 100 / 11 | $3.340,17 | 13 / 3 | $2.311,33 | 13 / 2 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 44 | 42 / 5 | $35.887,80 | 67 / 5 | $8.013,41 | 20 / 2 | $6.573,89 | 20 / 2 |
Heart Failure & Shock W Mcc | 43 | 241 / 65 | $27.024,30 | 899 / 25 | $9.203,98 | 1007 / 40 | $8.308,51 | 1006 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 48 | $30.289,60 | 1050 / 28 | $10.108,70 | 560 / 69 | $7.394,49 | 560 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 35 | $22.195,40 | 613 / 13 | $6.614,12 | 814 / 29 | $5.566,95 | 812 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 67 | $17.882,80 | 1111 / 29 | $5.481,58 | 818 / 65 | $3.641,84 | 813 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 34 | $15.538,00 | 573 / 10 | $5.422,16 | 576 / 49 | $3.891,51 | 574 / 25 |
Cellulitis W/O Mcc | 37 | 152 / 49 | $17.852,50 | 1226 / 44 | $9.655,49 | 195 / 113 | $3.551,46 | 195 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 24 | $78.668,80 | 509 / 9 | $25.728,50 | 374 / 21 | $21.098,80 | 373 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 22 | $13.833,40 | 708 / 19 | $4.497,68 | 681 / 46 | $3.454,24 | 678 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 59 | $18.295,90 | 1385 / 41 | $4.939,65 | 943 / 36 | $3.917,91 | 936 / 42 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 32 | $26.139,40 | 339 / 7 | $7.915,03 | 460 / 44 | $5.378,85 | 458 / 25 |
G.I. Hemorrhage W Cc | 33 | 185 / 51 | $18.248,60 | 588 / 13 | $7.079,88 | 440 / 66 | $4.852,61 | 439 / 15 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 62 | $22.137,50 | 1364 / 37 | $6.205,26 | 975 / 38 | $5.057,84 | 972 / 40 |
Transient Ischemia | 30 | 95 / 25 | $21.029,40 | 738 / 30 | $4.567,37 | 776 / 31 | $3.673,93 | 772 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 47 | $20.273,80 | 1579 / 67 | $5.042,33 | 333 / 63 | $3.172,13 | 333 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 38 | $56.767,60 | 377 / 9 | $13.657,80 | 619 / 30 | $10.986,20 | 615 / 34 |
Renal Failure W Cc | 29 | 192 / 62 | $23.565,10 | 1313 / 48 | $6.174,00 | 993 / 41 | $5.174,93 | 985 / 45 |
G.I. Obstruction W Cc | 29 | 63 / 22 | $21.149,90 | 735 / 24 | $6.905,41 | 648 / 68 | $4.636,83 | 647 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 28 | $14.797,00 | 965 / 32 | $3.731,85 | 768 / 30 | $2.644,63 | 764 / 47 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 27 | $14.146,20 | 681 / 15 | $4.686,93 | 846 / 34 | $3.609,44 | 841 / 46 |
Renal Failure W Mcc | 26 | 169 / 47 | $33.531,70 | 980 / 39 | $10.065,80 | 733 / 48 | $8.427,23 | 733 / 34 |
Medical Back Problems W/O Mcc | 26 | 95 / 32 | $16.991,40 | 331 / 11 | $5.198,38 | 460 / 19 | $4.180,12 | 460 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 40 | $41.525,60 | 705 / 12 | $11.798,70 | 808 / 35 | $10.629,30 | 799 / 40 |
Syncope & Collapse | 22 | 147 / 41 | $17.800,60 | 656 / 21 | $4.735,82 | 647 / 33 | $3.694,32 | 644 / 38 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 28 | $13.746,00 | 585 / 20 | $4.815,52 | 414 / 43 | $3.156,38 | 412 / 22 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 10 | $35.085,10 | 388 / 15 | $6.924,30 | 328 / 6 | $5.699,25 | 327 / 22 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $22.626,40 | 403 / 10 | $7.423,05 | 341 / 44 | $5.207,20 | 340 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 31 | $35.189,60 | 625 / 22 | $10.194,90 | 594 / 23 | $9.207,53 | 593 / 28 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 22 | $20.662,10 | 417 / 8 | $6.244,39 | 454 / 19 | $5.103,28 | 452 / 29 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $20.886,50 | 546 / 21 | $4.610,76 | 197 / 20 | $3.121,24 | 196 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 29 | $21.093,90 | 659 / 18 | $6.291,76 | 388 / 55 | $3.487,53 | 385 / 23 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 14 | $24.760,80 | 465 / 17 | $5.910,88 | 354 / 11 | $4.900,76 | 353 / 21 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 22 | $20.701,30 | 254 / 12 | $7.431,44 | 89 / 32 | $4.497,06 | 89 / 8 |
Chest Pain | 16 | 135 / 39 | $17.113,50 | 699 / 24 | $3.999,56 | 740 / 15 | $3.192,56 | 735 / 32 |
G.I. Hemorrhage W Mcc | 16 | 105 / 36 | $38.015,20 | 623 / 25 | $15.736,20 | 52 / 73 | $8.216,00 | 52 / 1 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 31 | $69.766,40 | 850 / 31 | $23.902,50 | 217 / 64 | $12.559,00 | 215 / 6 |
Seizures W/O Mcc | 16 | 92 / 28 | $20.020,30 | 558 / 25 | $7.056,44 | 118 / 63 | $3.356,75 | 117 / 7 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 43 | $14.262,10 | 376 / 9 | $5.797,87 | 395 / 63 | $3.860,20 | 394 / 19 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 16 | $42.372,10 | 214 / 3 | $13.318,20 | 385 / 7 | $12.062,70 | 382 / 14 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 31 | $20.534,40 | 436 / 13 | $6.178,36 | 572 / 27 | $5.343,64 | 569 / 40 |
Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 9 | $31.009,20 | 93 / 2 | $13.606,60 | 34 / 12 | $5.251,77 | 34 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 11 | $79.894,10 | 331 / 16 | $23.958,10 | 248 / 14 | $15.282,00 | 247 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 47 | $37.698,10 | 618 / 24 | $12.381,20 | 555 / 55 | $9.475,54 | 554 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 49 | $19.561,50 | 314 / 7 | $7.523,15 | 646 / 34 | $6.584,77 | 643 / 40 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 14 | $40.606,60 | 172 / 2 | $14.791,60 | 43 / 20 | $8.807,23 | 43 / 2 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $17.168,20 | 678 / 26 | $4.084,54 | 577 / 23 | $3.055,38 | 576 / 36 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 45 | $19.021,20 | 511 / 14 | $6.929,00 | 722 / 33 | $5.983,08 | 721 / 34 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 44 | $61.699,20 | 948 / 40 | $14.845,20 | 898 / 38 | $13.734,40 | 890 / 46 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 53 | $26.714,20 | 286 / 4 | $11.227,60 | 514 / 15 | $10.508,80 | 509 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 45 | $100.872,00 | 502 / 23 | $30.047,10 | 430 / 14 | $28.896,80 | 427 / 20 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 17 | $86.929,50 | 129 / 1 | $25.953,50 | 137 / 3 | $25.065,20 | 137 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 44 | $17.941,20 | 302 / 8 | $8.332,73 | 168 / 63 | $5.466,73 | 166 / 6 | Total 61 procedures | 2.007 | 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.