Hospital Costs > In Illinois > Advocate South Suburban Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 159 | 125 / 12 | $37.035,80 | 1508 / 58 | $10.155,10 | 887 / 64 | $8.145,48 | 887 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 155 | 361 / 47 | $50.651,20 | 1812 / 64 | $11.748,00 | 1019 / 36 | $10.212,10 | 1009 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 124 | 440 / 54 | $54.193,40 | 1473 / 50 | $16.540,90 | 776 / 82 | $10.727,70 | 764 / 23 |
| Renal Failure W Mcc | 99 | 96 / 14 | $37.846,30 | 1195 / 54 | $9.848,14 | 753 / 45 | $8.452,27 | 753 / 37 |
| Renal Failure W Cc | 76 | 145 / 32 | $26.174,80 | 1500 / 67 | $6.276,57 | 719 / 47 | $4.929,84 | 712 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 43 | $24.602,00 | 1854 / 77 | $4.882,93 | 1065 / 38 | $3.796,53 | 1057 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 33 | $41.491,40 | 1614 / 60 | $9.597,10 | 754 / 55 | $7.610,98 | 754 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 14 | $26.212,80 | 990 / 42 | $7.790,90 | 533 / 68 | $5.750,22 | 532 / 22 |
| Heart Failure & Shock W Cc | 58 | 220 / 52 | $25.852,60 | 1738 / 69 | $6.277,79 | 1289 / 42 | $5.542,81 | 1285 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 44 | $30.008,50 | 1947 / 81 | $7.057,74 | 1034 / 78 | $5.104,09 | 1031 / 45 |
| Other Circulatory System Diagnoses W Mcc | 53 | 63 / 9 | $50.458,00 | 751 / 37 | $12.097,20 | 475 / 29 | $10.663,80 | 474 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 37 | $24.738,60 | 1431 / 55 | $6.007,78 | 737 / 39 | $4.751,51 | 735 / 29 |
| G.I. Hemorrhage W Cc | 51 | 167 / 36 | $29.379,00 | 1524 / 62 | $6.831,71 | 846 / 56 | $5.213,16 | 844 / 39 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 28 | $30.886,50 | 1092 / 34 | $8.634,47 | 610 / 62 | $6.464,41 | 610 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 40 | $30.982,10 | 1535 / 57 | $8.532,65 | 707 / 77 | $5.976,69 | 702 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 52 | $22.205,50 | 1772 / 68 | $5.212,64 | 993 / 55 | $3.954,95 | 985 / 46 |
| Major Small & Large Bowel Procedures W Cc | 43 | 65 / 12 | $73.259,10 | 905 / 36 | $19.869,60 | 336 / 50 | $12.996,70 | 333 / 13 |
| Cellulitis W/O Mcc | 43 | 146 / 44 | $26.260,00 | 1945 / 97 | $6.304,02 | 715 / 76 | $4.057,12 | 711 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 17 | $73.013,80 | 1200 / 61 | $14.562,20 | 759 / 33 | $13.163,20 | 751 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 28 | $31.490,10 | 582 / 19 | $8.005,77 | 475 / 46 | $5.407,44 | 473 / 28 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 30 | $48.777,90 | 1040 / 38 | $14.228,20 | 602 / 70 | $10.673,70 | 594 / 21 |
| Red Blood Cell Disorders W/O Mcc | 38 | 105 / 22 | $24.701,50 | 1234 / 64 | $5.757,61 | 878 / 60 | $4.383,79 | 873 / 52 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $48.050,20 | 1086 / 47 | $11.387,60 | 686 / 51 | $9.402,81 | 685 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 39 | $35.655,10 | 1379 / 60 | $8.449,25 | 562 / 74 | $5.289,50 | 561 / 27 |
| Medical Back Problems W/O Mcc | 35 | 86 / 26 | $23.340,30 | 745 / 33 | $5.741,80 | 430 / 34 | $4.134,17 | 430 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 29 | $31.397,50 | 1025 / 50 | $7.816,03 | 971 / 43 | $7.088,68 | 968 / 62 |
| Syncope & Collapse | 31 | 138 / 34 | $24.585,80 | 1196 / 55 | $5.013,00 | 624 / 43 | $3.674,90 | 621 / 35 |
| Other Vascular Procedures W Mcc | 31 | 66 / 10 | $82.512,10 | 412 / 11 | $21.421,90 | 313 / 20 | $18.882,60 | 312 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 24 | $24.191,80 | 1506 / 74 | $5.131,87 | 811 / 49 | $3.585,33 | 807 / 45 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 28 | $112.541,00 | 647 / 31 | $33.329,90 | 418 / 35 | $28.797,60 | 416 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 28 | 28 / 8 | $47.296,00 | 390 / 24 | $13.412,00 | 100 / 30 | $9.830,04 | 100 / 6 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 28 | 63 / 7 | $13.707,90 | 28 / 4 | $7.797,93 | 41 / 11 | $6.003,43 | 41 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 43 | $22.043,70 | 1210 / 42 | $5.115,67 | 784 / 32 | $4.099,85 | 781 / 38 |
| Red Blood Cell Disorders W Mcc | 27 | 44 / 11 | $32.795,70 | 528 / 30 | $7.708,22 | 439 / 18 | $7.283,22 | 437 / 34 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 27 | $58.919,20 | 1174 / 63 | $11.501,70 | 881 / 45 | $10.790,70 | 876 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 51 | $19.313,90 | 1489 / 59 | $4.773,04 | 620 / 50 | $3.391,28 | 618 / 28 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 15 | $42.765,00 | 871 / 53 | $7.692,32 | 453 / 33 | $6.540,56 | 452 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $46.834,60 | 878 / 43 | $10.888,20 | 445 / 30 | $9.204,84 | 444 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 32 | $28.274,80 | 873 / 42 | $6.804,08 | 612 / 25 | $6.212,38 | 609 / 39 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 21 | $35.317,50 | 813 / 38 | $7.590,67 | 564 / 23 | $6.766,38 | 559 / 34 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 22 | $29.665,40 | 850 / 41 | $6.934,62 | 394 / 49 | $5.041,92 | 391 / 24 |
| Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 16 | $25.029,80 | 389 / 18 | $6.242,54 | 258 / 16 | $5.169,12 | 258 / 19 |
| Other Vascular Procedures W Cc | 21 | 81 / 22 | $93.268,40 | 776 / 37 | $18.265,90 | 486 / 32 | $14.857,50 | 483 / 21 |
| Chest Pain | 21 | 130 / 35 | $27.010,20 | 1294 / 66 | $5.928,52 | 677 / 63 | $3.109,90 | 673 / 31 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 42 | $61.636,80 | 1391 / 69 | $15.689,70 | 346 / 85 | $9.818,52 | 345 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 33 | $112.473,00 | 861 / 34 | $30.959,40 | 432 / 41 | $21.429,10 | 429 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 45 | $61.217,10 | 481 / 15 | $16.584,20 | 367 / 55 | $10.320,20 | 367 / 13 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 19 | $23.790,90 | 845 / 44 | $4.546,25 | 504 / 22 | $3.678,30 | 503 / 26 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 26 | $27.819,70 | 737 / 46 | $6.134,58 | 432 / 25 | $5.159,16 | 430 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $24.196,80 | 858 / 33 | $6.131,72 | 331 / 53 | $3.413,17 | 328 / 20 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 10 | $26.853,20 | 342 / 12 | $5.972,22 | 252 / 7 | $5.349,44 | 251 / 15 |
| Diabetes W Cc | 18 | 74 / 22 | $23.080,10 | 892 / 46 | $5.622,61 | 505 / 39 | $4.289,06 | 505 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 38 | $17.428,10 | 1234 / 52 | $3.728,94 | 865 / 29 | $2.722,00 | 861 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 59 | $37.580,00 | 1952 / 78 | $8.443,00 | 1029 / 84 | $5.690,65 | 1026 / 41 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 18 | $31.457,10 | 549 / 35 | $6.161,24 | 256 / 18 | $5.361,35 | 256 / 19 |
| Transient Ischemia | 16 | 109 / 38 | $21.879,70 | 796 / 34 | $5.278,56 | 435 / 55 | $3.300,12 | 434 / 24 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 15 | $27.154,80 | 544 / 21 | $6.741,31 | 239 / 27 | $4.592,50 | 239 / 14 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 13 | $26.803,40 | 143 / 4 | $8.568,00 | 41 / 10 | $6.461,12 | 41 / 5 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 7 | $50.851,50 | 250 / 12 | $9.331,00 | 150 / 3 | $6.493,93 | 150 / 9 |
| Degenerative Nervous System Disorders W Mcc | 15 | 23 / 6 | $28.656,70 | 54 / 1 | $8.945,53 | 8 / 1 | $8.034,13 | 8 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $100.525,00 | 584 / 22 | $23.477,20 | 524 / 25 | $20.550,10 | 524 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $32.107,00 | 821 / 27 | $6.547,43 | 645 / 20 | $5.749,07 | 643 / 30 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $173.830,00 | 937 / 52 | $59.985,70 | 529 / 65 | $29.909,30 | 527 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 34 | $44.065,10 | 703 / 40 | $9.563,86 | 421 / 23 | $8.823,29 | 420 / 26 |
| Pulmonary Embolism W Mcc | 13 | 30 / 13 | $37.593,20 | 285 / 10 | $9.400,85 | 222 / 14 | $8.444,31 | 222 / 15 |
| Cellulitis W Mcc | 13 | 45 / 20 | $33.175,40 | 441 / 22 | $7.891,15 | 108 / 2 | $7.030,85 | 108 / 5 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 10 | $64.716,70 | 190 / 7 | $16.447,50 | 143 / 4 | $15.853,70 | 143 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 20 | $87.945,90 | 603 / 27 | $20.289,10 | 611 / 28 | $19.416,80 | 608 / 36 |
| G.I. Obstruction W Cc | 13 | 79 / 36 | $29.495,50 | 1184 / 62 | $5.642,46 | 516 / 33 | $4.497,46 | 515 / 25 |
| Cranial & Peripheral Nerve Disorders W Mcc | 12 | 24 / 5 | $41.463,80 | 98 / 4 | $8.138,50 | 45 / 1 | $7.713,33 | 45 / 2 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 11 | $18.516,80 | 127 / 3 | $4.644,25 | 82 / 9 | $3.626,42 | 82 / 7 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 18 | $23.807,90 | 320 / 12 | $5.658,00 | 176 / 8 | $4.540,67 | 176 / 11 |
| Seizures W Mcc | 12 | 54 / 20 | $43.332,70 | 402 / 17 | $12.195,80 | 162 / 28 | $8.166,92 | 162 / 6 |
| G.I. Obstruction W Mcc | 12 | 30 / 12 | $37.793,70 | 219 / 6 | $9.028,83 | 70 / 2 | $8.197,33 | 70 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 25 | $105.453,00 | 549 / 22 | $27.850,40 | 483 / 43 | $19.510,20 | 479 / 25 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 27 | $26.832,70 | 634 / 32 | $5.592,00 | 454 / 15 | $4.676,08 | 450 / 31 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 5 | $37.315,50 | 169 / 5 | $9.646,33 | 120 / 3 | $9.118,00 | 120 / 4 |
| Medical Back Problems W Mcc | 12 | 27 / 11 | $33.595,40 | 96 / 4 | $9.287,92 | 59 / 5 | $8.267,75 | 59 / 5 |
| Seizures W/O Mcc | 11 | 97 / 33 | $26.003,40 | 815 / 50 | $4.934,91 | 640 / 22 | $4.374,09 | 637 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 23 | $47.463,00 | 412 / 14 | $12.100,00 | 170 / 29 | $8.172,82 | 170 / 8 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 6 | $69.282,90 | 39 / 1 | $23.070,90 | 35 / 1 | $22.700,40 | 35 / 1 |
| Skin Debridement W Mcc | 11 | 6 / 2 | $51.130,00 | 7 / 1 | $13.121,50 | 6 / 2 | $12.432,00 | 6 / 2 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $138.742,00 | 309 / 8 | $51.324,60 | 71 / 24 | $27.186,00 | 71 / 1 |
| Major Male Pelvic Procedures W Cc/Mcc | 11 | 19 / 4 | $67.859,50 | 47 / 4 | $20.411,20 | 12 / 4 | $9.096,45 | 12 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $124.872,00 | 409 / 21 | $32.464,50 | 182 / 17 | $27.746,70 | 182 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 38 | $23.614,10 | 1395 / 67 | $5.444,91 | 446 / 68 | $3.188,91 | 444 / 26 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $21.945,30 | 611 / 27 | $4.143,55 | 371 / 12 | $3.246,64 | 370 / 16 |
| Pleural Effusion W Mcc | 11 | 19 / 5 | $43.243,20 | 101 / 4 | $9.592,36 | 62 / 3 | $8.708,82 | 62 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 26 | $38.379,10 | 133 / 3 | $12.235,10 | 237 / 9 | $11.227,10 | 232 / 11 | Total 89 procedures | 2.700 | 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.