Hospital Costs > In Illinois > Blessing Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 274 | 244 / 20 | $43.373,00 | 1497 / 45 | $13.460,90 | 1528 / 83 | $11.062,50 | 1497 / 60 |
| Pulmonary Edema & Respiratory Failure | 143 | 62 / 2 | $26.095,10 | 800 / 21 | $8.255,71 | 853 / 49 | $6.768,95 | 853 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 21 | $18.350,20 | 1186 / 31 | $5.194,56 | 1206 / 51 | $3.894,33 | 1195 / 58 |
| Heart Failure & Shock W Cc | 119 | 159 / 23 | $22.086,70 | 1406 / 49 | $6.786,06 | 1242 / 66 | $5.492,08 | 1238 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 119 | 86 / 8 | $30.518,90 | 1069 / 30 | $9.757,93 | 1293 / 59 | $8.300,87 | 1293 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 119 | 88 / 7 | $23.226,90 | 1093 / 30 | $7.199,71 | 1146 / 54 | $5.806,85 | 1142 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 57 | $56.259,30 | 1556 / 57 | $15.494,00 | 1459 / 65 | $11.941,70 | 1426 / 65 |
| Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 11 | $24.963,90 | 1122 / 35 | $7.832,75 | 1201 / 52 | $6.463,96 | 1195 / 52 |
| Heart Failure & Shock W Mcc | 109 | 175 / 30 | $36.206,40 | 1462 / 50 | $11.529,90 | 1523 / 86 | $9.109,01 | 1519 / 69 |
| Simple Pneumonia & Pleurisy W Cc | 104 | 99 / 15 | $21.075,00 | 1256 / 31 | $6.852,93 | 1212 / 62 | $5.232,98 | 1208 / 54 |
| Cellulitis W/O Mcc | 102 | 87 / 14 | $15.036,60 | 864 / 27 | $5.848,77 | 1085 / 57 | $4.339,69 | 1079 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 94 | 139 / 23 | $17.638,00 | 1302 / 36 | $5.262,18 | 1095 / 57 | $4.019,85 | 1087 / 58 |
| Chronic Obstructive Pulmonary Disease W Cc | 90 | 89 / 12 | $21.846,30 | 1190 / 42 | $6.362,07 | 990 / 53 | $4.948,93 | 987 / 44 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 88 | 108 / 7 | $86.406,70 | 989 / 52 | $15.794,10 | 766 / 50 | $11.459,50 | 761 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 87 | 79 / 10 | $16.818,30 | 1181 / 42 | $4.843,80 | 1088 / 57 | $3.711,71 | 1085 / 52 |
| Renal Failure W Cc | 87 | 134 / 25 | $20.803,30 | 1063 / 30 | $6.455,83 | 1192 / 51 | $5.374,75 | 1184 / 55 |
| G.I. Hemorrhage W Cc | 81 | 137 / 23 | $23.235,60 | 1053 / 32 | $6.635,98 | 1100 / 51 | $5.465,81 | 1098 / 55 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 68 | 120 / 11 | $39.209,80 | 924 / 37 | $7.071,74 | 804 / 24 | $5.917,90 | 802 / 50 |
| Hip & Femur Procedures Except Major Joint W Cc | 62 | 81 / 10 | $58.854,90 | 1318 / 60 | $12.838,60 | 1120 / 62 | $11.371,90 | 1106 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 19 | $20.047,70 | 1060 / 32 | $5.297,34 | 901 / 44 | $4.202,38 | 898 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $28.186,80 | 1023 / 29 | $7.400,12 | 938 / 53 | $5.739,12 | 935 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 60 | 90 / 9 | $15.507,40 | 1055 / 39 | $4.100,87 | 666 / 52 | $2.569,33 | 662 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 55 | 68 / 14 | $29.376,10 | 922 / 46 | $8.630,07 | 654 / 68 | $6.598,13 | 651 / 41 |
| Renal Failure W Mcc | 50 | 145 / 31 | $28.342,20 | 670 / 22 | $10.306,90 | 923 / 53 | $8.766,58 | 923 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 46 | 64 / 12 | $16.364,20 | 1006 / 37 | $4.981,96 | 683 / 67 | $3.454,30 | 680 / 42 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 18 | $19.720,30 | 877 / 39 | $5.352,86 | 686 / 48 | $4.171,55 | 682 / 37 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 26 | $33.196,80 | 525 / 12 | $13.123,60 | 1034 / 60 | $11.807,00 | 1021 / 54 |
| Syncope & Collapse | 42 | 127 / 24 | $24.796,50 | 1207 / 58 | $5.660,55 | 560 / 67 | $3.608,57 | 557 / 31 |
| Medical Back Problems W/O Mcc | 42 | 79 / 22 | $22.731,70 | 715 / 31 | $6.011,43 | 525 / 44 | $4.256,43 | 523 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 12 | $20.834,30 | 636 / 17 | $5.518,24 | 684 / 43 | $3.840,37 | 680 / 42 |
| G.I. Obstruction W Cc | 40 | 52 / 13 | $21.686,60 | 769 / 25 | $6.055,48 | 621 / 47 | $4.609,23 | 620 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 23 | $21.287,20 | 657 / 22 | $7.510,00 | 939 / 57 | $6.292,00 | 936 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 24 | $39.083,90 | 664 / 27 | $12.114,20 | 716 / 53 | $9.931,72 | 715 / 41 |
| Respiratory Infections & Inflammations W Cc | 36 | 52 / 9 | $23.759,20 | 415 / 7 | $9.247,67 | 826 / 44 | $8.055,67 | 821 / 45 |
| Seizures W/O Mcc | 35 | 73 / 12 | $23.074,60 | 700 / 38 | $5.331,77 | 443 / 32 | $3.964,86 | 441 / 35 |
| Extracranial Procedures W/O Cc/Mcc | 35 | 63 / 3 | $34.660,90 | 543 / 16 | $7.122,97 | 467 / 14 | $5.639,34 | 466 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 19 | $15.784,70 | 875 / 29 | $4.942,77 | 755 / 44 | $3.540,46 | 752 / 40 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 22 | $54.315,00 | 748 / 30 | $15.113,00 | 919 / 45 | $13.797,90 | 911 / 49 |
| Transient Ischemia | 33 | 92 / 23 | $22.675,20 | 837 / 36 | $5.256,82 | 468 / 51 | $3.341,09 | 467 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 18 | $55.179,50 | 1238 / 60 | $12.234,50 | 1187 / 62 | $10.978,80 | 1181 / 66 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 18 | $14.548,00 | 681 / 22 | $5.096,25 | 726 / 56 | $3.436,78 | 722 / 44 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 17 | $25.474,80 | 702 / 34 | $11.898,50 | 443 / 76 | $5.113,10 | 440 / 28 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 28 | 33 / 3 | $19.407,00 | 497 / 19 | $4.588,75 | 225 / 18 | $3.176,43 | 224 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $28.365,30 | 576 / 23 | $8.225,00 | 660 / 36 | $7.030,26 | 655 / 42 |
| Renal Failure W/O Cc/Mcc | 26 | 30 / 3 | $13.299,50 | 279 / 8 | $4.334,19 | 350 / 15 | $3.217,50 | 349 / 15 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 26 | 43 / 5 | $89.366,70 | 461 / 23 | $12.106,90 | 332 / 14 | $10.774,70 | 331 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 31 | $90.811,70 | 380 / 17 | $36.696,10 | 740 / 54 | $31.868,00 | 734 / 43 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 13 | $12.270,00 | 302 / 5 | $4.229,96 | 631 / 27 | $3.139,77 | 630 / 37 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 23 | $53.888,00 | 504 / 9 | $16.686,20 | 866 / 28 | $15.057,70 | 858 / 49 |
| Diabetes W Cc | 25 | 67 / 17 | $20.753,60 | 744 / 30 | $5.580,04 | 539 / 36 | $4.321,08 | 539 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 32 | $24.174,40 | 653 / 26 | $7.537,08 | 748 / 45 | $6.495,12 | 745 / 47 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 16 | $18.209,20 | 314 / 12 | $5.833,58 | 353 / 21 | $4.455,25 | 349 / 20 |
| Hypertension W/O Mcc | 23 | 42 / 7 | $16.566,20 | 279 / 13 | $4.268,78 | 343 / 12 | $3.262,26 | 341 / 18 |
| Cellulitis W Mcc | 21 | 37 / 12 | $29.079,20 | 356 / 13 | $9.831,05 | 430 / 36 | $8.414,86 | 428 / 31 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 19 | $95.768,50 | 345 / 8 | $33.042,80 | 623 / 21 | $31.133,20 | 621 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 16 | $35.180,10 | 912 / 38 | $7.009,38 | 665 / 32 | $5.793,67 | 663 / 32 |
| Chest Pain | 21 | 130 / 35 | $19.593,50 | 895 / 37 | $4.183,90 | 884 / 25 | $3.382,67 | 879 / 45 |
| Transurethral Procedures W Cc | 21 | 20 / 3 | $36.379,40 | 190 / 10 | $8.330,19 | 184 / 10 | $7.208,33 | 184 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 28 | $22.035,20 | 163 / 6 | $10.343,20 | 482 / 35 | $9.052,05 | 481 / 31 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 20 | $19.151,70 | 257 / 5 | $7.757,75 | 467 / 36 | $6.584,60 | 465 / 27 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 18 | $36.357,90 | 612 / 36 | $9.669,50 | 331 / 51 | $6.898,05 | 329 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 18 | $122.684,00 | 683 / 36 | $22.116,90 | 582 / 22 | $20.611,10 | 578 / 33 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 12 | $17.458,90 | 203 / 1 | $6.063,74 | 452 / 18 | $5.129,74 | 451 / 28 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 6 | $25.768,20 | 218 / 7 | $7.675,53 | 109 / 10 | $5.304,95 | 109 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 9 | $186.865,00 | 471 / 18 | $34.480,40 | 508 / 16 | $32.655,50 | 508 / 26 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 5 | $113.890,00 | 191 / 11 | $24.082,00 | 131 / 13 | $18.316,20 | 130 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 20 | $59.310,30 | 456 / 25 | $14.353,70 | 515 / 33 | $13.008,40 | 509 / 36 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 15 | $80.870,70 | 538 / 22 | $20.612,30 | 589 / 31 | $19.219,10 | 586 / 32 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 18 | $20.071,10 | 252 / 6 | $6.644,82 | 311 / 26 | $5.528,65 | 311 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 18 | $40.472,90 | 278 / 6 | $10.784,30 | 457 / 17 | $9.355,29 | 455 / 22 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 10 | $61.651,20 | 478 / 12 | $14.147,80 | 504 / 9 | $12.836,40 | 501 / 20 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 13 | $37.769,90 | 227 / 8 | $10.551,70 | 193 / 12 | $9.461,35 | 193 / 11 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 11 | $46.493,90 | 516 / 23 | $10.661,40 | 521 / 30 | $9.365,06 | 519 / 36 |
| Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 7 | $249.456,00 | 326 / 15 | $53.088,60 | 321 / 16 | $50.724,50 | 321 / 16 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 29 | $22.726,20 | 528 / 28 | $6.850,06 | 316 / 48 | $4.892,38 | 314 / 23 |
| Endocrine Disorders W Cc | 15 | 23 / 7 | $29.929,30 | 175 / 10 | $6.906,80 | 127 / 9 | $5.903,93 | 127 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $64.421,20 | 458 / 19 | $13.897,50 | 363 / 16 | $12.419,30 | 362 / 21 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 25 | $22.898,00 | 544 / 14 | $6.497,07 | 540 / 25 | $5.261,73 | 538 / 30 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 31 | $38.885,30 | 450 / 16 | $12.519,50 | 633 / 35 | $11.256,90 | 631 / 39 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 13 | $20.700,40 | 212 / 4 | $5.932,47 | 170 / 6 | $4.989,53 | 169 / 9 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 13 | $23.353,70 | 128 / 2 | $7.363,87 | 186 / 13 | $6.114,87 | 186 / 13 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 2 | $30.331,30 | 116 / 3 | $10.901,80 | 167 / 10 | $9.833,73 | 167 / 10 |
| Seizures W Mcc | 14 | 52 / 18 | $36.351,80 | 288 / 11 | $10.584,90 | 346 / 21 | $9.180,57 | 346 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 37 | $156.577,00 | 1143 / 50 | $30.370,00 | 1132 / 38 | $28.986,40 | 1127 / 51 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 25 | $21.946,60 | 763 / 34 | $5.482,14 | 296 / 47 | $3.381,21 | 295 / 16 |
| Extracranial Procedures W Cc | 14 | 32 / 9 | $36.640,10 | 134 / 3 | $10.229,40 | 198 / 11 | $9.288,50 | 198 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 19 | $14.407,10 | 168 / 3 | $5.135,08 | 226 / 18 | $3.668,54 | 226 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 11 | $36.630,80 | 260 / 5 | $8.814,54 | 220 / 10 | $6.218,46 | 220 / 11 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $127.682,00 | 379 / 19 | $34.296,50 | 472 / 23 | $32.560,80 | 472 / 25 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $138.736,00 | 500 / 28 | $35.465,00 | 555 / 25 | $33.655,80 | 554 / 28 |
| Other Resp System O.R. Procedures W Cc | 12 | 35 / 9 | $53.653,40 | 179 / 8 | $13.050,40 | 174 / 6 | $11.872,80 | 174 / 10 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 14 | $97.771,40 | 330 / 14 | $27.628,20 | 434 / 19 | $25.834,90 | 433 / 22 |
| Dysequilibrium | 12 | 53 / 20 | $16.847,90 | 172 / 5 | $5.708,50 | 90 / 20 | $2.722,67 | 90 / 6 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $18.401,00 | 217 / 7 | $4.552,00 | 169 / 14 | $3.222,17 | 169 / 12 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 11 | $16.846,50 | 121 / 1 | $6.179,50 | 158 / 6 | $5.073,42 | 158 / 8 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 7 | $52.415,70 | 103 / 2 | $15.445,80 | 137 / 4 | $13.920,70 | 137 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 17 | $64.943,10 | 400 / 21 | $12.991,00 | 279 / 10 | $11.178,80 | 279 / 16 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $79.190,80 | 198 / 7 | $23.898,10 | 303 / 18 | $22.655,20 | 303 / 18 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 22 | $68.450,80 | 464 / 21 | $17.229,80 | 459 / 30 | $15.628,30 | 458 / 29 |
| Other Vascular Procedures W Cc | 12 | 90 / 31 | $51.470,60 | 225 / 5 | $16.254,70 | 495 / 19 | $14.931,80 | 492 / 22 |
| Diabetes W Mcc | 12 | 45 / 11 | $39.559,70 | 450 / 24 | $10.772,50 | 497 / 30 | $9.457,67 | 497 / 32 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 19 | $36.171,90 | 231 / 7 | $12.568,60 | 294 / 26 | $11.241,40 | 293 / 27 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 16 | $59.708,10 | 349 / 18 | $12.359,50 | 274 / 12 | $11.033,00 | 272 / 20 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 8 | $40.213,50 | 181 / 3 | $10.950,80 | 286 / 4 | $9.818,64 | 285 / 7 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 41 | $33.105,30 | 430 / 15 | $11.554,20 | 761 / 47 | $10.451,20 | 759 / 42 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 31 | $93.162,20 | 518 / 14 | $26.954,50 | 343 / 35 | $18.924,50 | 343 / 15 | Total 106 procedures | 4.154 | 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.