Hospital Costs > In Illinois > Anderson Hospital, 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 | 156 | 408 / 46 | $36.191,70 | 533 / 6 | $13.260,90 | 279 / 20 | $9.917,62 | 279 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 127 | 389 / 58 | $28.481,10 | 712 / 15 | $10.477,30 | 489 / 8 | $9.492,39 | 489 / 9 |
Heart Failure & Shock W Mcc | 86 | 198 / 42 | $25.354,30 | 770 / 22 | $8.923,48 | 793 / 31 | $8.039,53 | 793 / 27 |
Heart Failure & Shock W Cc | 78 | 200 / 40 | $19.694,80 | 1146 / 35 | $5.947,36 | 765 / 24 | $5.115,92 | 764 / 27 |
Renal Failure W Cc | 67 | 154 / 37 | $16.854,10 | 656 / 15 | $5.832,13 | 431 / 23 | $4.680,33 | 428 / 18 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 24 | $28.282,60 | 923 / 26 | $8.309,78 | 581 / 50 | $6.426,78 | 581 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 46 | $13.951,30 | 791 / 15 | $4.905,00 | 828 / 33 | $3.843,08 | 823 / 36 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 49 | $18.260,80 | 945 / 17 | $5.897,23 | 776 / 18 | $4.882,81 | 773 / 29 |
G.I. Hemorrhage W Cc | 44 | 174 / 42 | $17.621,20 | 538 / 12 | $6.564,89 | 282 / 49 | $4.682,66 | 282 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 65 | $18.983,50 | 1276 / 33 | $4.644,15 | 781 / 22 | $3.612,54 | 776 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 46 | $17.488,90 | 752 / 20 | $5.809,86 | 440 / 25 | $4.474,59 | 439 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 45 | $16.521,70 | 479 / 8 | $6.669,03 | 489 / 33 | $5.189,22 | 487 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 53 | $23.443,70 | 595 / 14 | $8.490,61 | 471 / 15 | $7.289,03 | 471 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 36 | $18.768,40 | 930 / 27 | $4.879,29 | 613 / 17 | $3.925,60 | 610 / 28 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 53 | $19.706,50 | 690 / 16 | $6.787,56 | 482 / 14 | $5.766,53 | 481 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 43 | $21.886,40 | 592 / 11 | $7.081,03 | 176 / 47 | $4.775,03 | 176 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 21 | $24.808,60 | 288 / 10 | $10.047,10 | 211 / 19 | $8.333,31 | 211 / 7 |
Cellulitis W/O Mcc | 29 | 160 / 55 | $12.294,40 | 510 / 11 | $5.159,59 | 642 / 21 | $4.007,86 | 639 / 26 |
Renal Failure W Mcc | 26 | 169 / 47 | $24.127,50 | 413 / 13 | $8.826,88 | 476 / 13 | $8.031,00 | 476 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 30 | $13.527,50 | 674 / 16 | $4.202,48 | 645 / 24 | $3.426,84 | 643 / 39 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 38 | $32.918,60 | 331 / 3 | $11.052,80 | 534 / 8 | $10.129,80 | 533 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 41 | $54.717,40 | 330 / 6 | $13.253,00 | 331 / 21 | $10.232,60 | 331 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 52 | $14.904,80 | 946 / 31 | $4.376,08 | 647 / 25 | $3.415,46 | 645 / 29 |
Diabetes W Cc | 24 | 68 / 18 | $13.307,10 | 221 / 6 | $5.062,08 | 315 / 20 | $4.039,12 | 315 / 20 |
G.I. Obstruction W Cc | 22 | 70 / 27 | $14.699,80 | 270 / 5 | $5.403,00 | 494 / 22 | $4.470,41 | 493 / 24 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 19 | $20.638,50 | 416 / 7 | $7.675,10 | 102 / 46 | $4.344,14 | 102 / 5 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 16 | $24.371,60 | 493 / 14 | $9.369,38 | 164 / 57 | $4.860,48 | 164 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $22.873,00 | 185 / 7 | $8.869,00 | 260 / 10 | $8.231,90 | 260 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 35 | $12.420,20 | 649 / 15 | $3.611,85 | 769 / 21 | $2.646,50 | 765 / 48 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 39 | $19.482,00 | 540 / 16 | $6.633,79 | 577 / 20 | $5.800,53 | 576 / 26 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 30 | $13.121,30 | 518 / 16 | $4.427,26 | 623 / 21 | $3.341,16 | 620 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 46 | $31.710,00 | 596 / 23 | $6.544,63 | 470 / 8 | $5.399,84 | 468 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 43 | $21.122,80 | 397 / 13 | $7.175,21 | 245 / 20 | $5.957,58 | 245 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 43 | $27.864,00 | 281 / 6 | $9.063,82 | 112 / 1 | $8.137,24 | 111 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $23.763,10 | 379 / 9 | $7.103,62 | 407 / 12 | $6.442,44 | 405 / 24 |
Syncope & Collapse | 16 | 153 / 46 | $17.776,10 | 652 / 20 | $4.467,62 | 530 / 17 | $3.581,31 | 528 / 27 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 41 | $51.234,20 | 655 / 24 | $13.052,70 | 151 / 8 | $11.403,90 | 151 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 40 | $19.059,30 | 359 / 10 | $6.671,00 | 438 / 22 | $5.942,07 | 435 / 26 |
G.I. Hemorrhage W Mcc | 14 | 107 / 38 | $36.847,00 | 583 / 23 | $10.233,60 | 556 / 18 | $9.799,93 | 557 / 27 |
Transient Ischemia | 14 | 111 / 40 | $17.206,30 | 429 / 9 | $4.397,86 | 482 / 20 | $3.357,86 | 481 / 31 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $32.401,90 | 480 / 10 | $11.181,40 | 553 / 11 | $10.572,10 | 546 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 33 | $17.368,60 | 388 / 11 | $4.477,46 | 506 / 9 | $3.641,08 | 502 / 31 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 44 | $63.491,00 | 130 / 2 | $27.518,60 | 173 / 4 | $26.604,50 | 173 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $85.504,20 | 147 / 8 | $27.845,30 | 132 / 2 | $26.930,40 | 132 / 4 |
Chest Pain | 12 | 139 / 43 | $15.162,80 | 509 / 16 | $3.875,00 | 436 / 12 | $2.867,42 | 434 / 19 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 34 | $19.930,90 | 409 / 11 | $5.873,36 | 505 / 16 | $5.208,09 | 502 / 32 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 47 | $17.037,50 | 628 / 20 | $4.960,91 | 705 / 22 | $4.187,36 | 700 / 38 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $35.039,00 | 110 / 1 | $12.937,00 | 46 / 1 | $11.437,10 | 46 / 1 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $74.473,30 | 158 / 1 | $29.940,70 | 38 / 12 | $23.419,00 | 38 / 1 | Total 49 procedures | 1.561 | 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.