Hospital Costs > In Illinois > Centegra Health System - Mc Henry 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 | 230 | 334 / 32 | $39.027,40 | 701 / 9 | $13.443,30 | 550 / 26 | $10.394,20 | 545 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 126 | 76 / 7 | $23.558,90 | 1026 / 28 | $7.201,49 | 344 / 33 | $5.605,12 | 343 / 6 |
| Heart Failure & Shock W Mcc | 109 | 175 / 30 | $29.012,00 | 1023 / 32 | $8.802,97 | 449 / 24 | $7.616,53 | 449 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 67 | $42.445,60 | 1444 / 44 | $11.060,20 | 865 / 20 | $10.016,10 | 864 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 26 | $19.200,00 | 1301 / 36 | $4.297,74 | 311 / 5 | $3.244,10 | 310 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 79 | 126 / 23 | $31.185,10 | 1114 / 31 | $8.224,32 | 579 / 8 | $7.414,20 | 579 / 17 |
| Heart Failure & Shock W Cc | 73 | 205 / 42 | $22.300,70 | 1427 / 50 | $5.541,00 | 206 / 8 | $4.551,90 | 206 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 72 | 124 / 12 | $62.660,10 | 512 / 17 | $13.875,10 | 295 / 36 | $10.125,00 | 295 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 72 | 107 / 23 | $18.908,30 | 887 / 26 | $5.336,11 | 313 / 6 | $4.340,78 | 312 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $29.422,60 | 486 / 15 | $6.690,58 | 290 / 14 | $5.134,15 | 290 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 39 | $21.546,70 | 1307 / 32 | $5.892,50 | 401 / 17 | $4.563,83 | 398 / 12 |
| G.I. Hemorrhage W Cc | 57 | 161 / 32 | $25.855,90 | 1277 / 49 | $6.505,35 | 331 / 44 | $4.748,19 | 331 / 6 |
| Respiratory Infections & Inflammations W Mcc | 52 | 84 / 17 | $38.843,10 | 740 / 20 | $11.733,80 | 500 / 26 | $10.481,20 | 495 / 15 |
| Renal Failure W Mcc | 51 | 144 / 30 | $37.436,30 | 1176 / 51 | $8.882,63 | 380 / 16 | $7.879,57 | 380 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 29 | $25.960,10 | 853 / 24 | $6.555,52 | 191 / 25 | $4.815,19 | 191 / 6 |
| Renal Failure W Cc | 46 | 175 / 49 | $18.364,50 | 811 / 21 | $5.641,37 | 189 / 13 | $4.353,63 | 188 / 4 |
| Syncope & Collapse | 46 | 123 / 22 | $21.373,70 | 973 / 38 | $4.166,54 | 192 / 3 | $3.168,28 | 191 / 7 |
| Cellulitis W/O Mcc | 45 | 144 / 42 | $14.332,20 | 771 / 23 | $4.806,73 | 324 / 6 | $3.719,53 | 321 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 51 | $15.112,10 | 957 / 23 | $4.272,96 | 203 / 2 | $3.314,02 | 203 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 14 | $36.860,50 | 694 / 23 | $9.958,88 | 561 / 18 | $9.143,98 | 560 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 21 | $31.897,40 | 404 / 13 | $9.494,45 | 220 / 5 | $8.547,40 | 219 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 24 | $25.803,40 | 708 / 32 | $6.953,52 | 290 / 9 | $6.018,33 | 289 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 32 | $16.854,20 | 733 / 16 | $4.499,10 | 368 / 4 | $3.695,00 | 368 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $15.426,50 | 834 / 24 | $4.831,77 | 90 / 40 | $2.798,05 | 90 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 19 | $14.519,70 | 927 / 29 | $3.249,13 | 158 / 6 | $2.052,62 | 158 / 6 |
| Medical Back Problems W/O Mcc | 38 | 83 / 24 | $16.838,60 | 326 / 9 | $4.798,29 | 97 / 6 | $3.523,05 | 97 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 42 | $13.574,80 | 772 / 22 | $3.935,68 | 231 / 2 | $3.053,51 | 231 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 21 | $56.570,70 | 821 / 34 | $14.495,70 | 268 / 30 | $11.816,20 | 266 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 27 | $20.365,70 | 597 / 19 | $6.340,34 | 337 / 9 | $5.479,09 | 336 / 12 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 25 | $20.520,20 | 944 / 40 | $4.599,73 | 218 / 8 | $3.658,64 | 218 / 4 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $35.408,70 | 525 / 19 | $10.021,40 | 372 / 12 | $9.341,38 | 372 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 20 | $16.192,30 | 849 / 32 | $4.432,33 | 111 / 22 | $2.742,50 | 110 / 4 |
| Transient Ischemia | 29 | 96 / 26 | $19.173,30 | 595 / 21 | $4.496,97 | 112 / 24 | $2.817,86 | 112 / 4 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 18 | $31.624,00 | 255 / 7 | $11.437,00 | 230 / 20 | $9.700,10 | 230 / 7 |
| Seizures W/O Mcc | 29 | 79 / 17 | $17.738,10 | 405 / 13 | $4.691,07 | 48 / 12 | $3.109,00 | 48 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 35 | $43.993,00 | 805 / 19 | $11.214,00 | 546 / 14 | $10.146,90 | 544 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 52 | $21.243,10 | 899 / 18 | $5.978,96 | 337 / 4 | $5.029,25 | 336 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 28 | $17.157,90 | 1073 / 45 | $3.841,81 | 186 / 8 | $2.947,00 | 184 / 10 |
| G.I. Obstruction W Cc | 27 | 65 / 24 | $19.899,90 | 648 / 20 | $6.132,93 | 96 / 51 | $3.771,22 | 95 / 3 |
| Coronary Bypass W Cardiac Cath W Mcc | 26 | 30 / 1 | $162.210,00 | 139 / 4 | $41.860,80 | 86 / 3 | $37.531,20 | 86 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 31 | $21.499,30 | 488 / 17 | $6.269,04 | 218 / 4 | $5.568,73 | 216 / 8 |
| Chest Pain | 26 | 125 / 31 | $13.699,30 | 371 / 12 | $3.455,12 | 219 / 2 | $2.575,12 | 218 / 10 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 46 | $23.554,80 | 634 / 17 | $7.400,85 | 262 / 21 | $6.035,69 | 262 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 15 | $97.912,40 | 464 / 13 | $26.169,50 | 393 / 35 | $18.658,00 | 391 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 17 | $24.359,40 | 454 / 18 | $6.265,87 | 148 / 3 | $5.744,13 | 148 / 6 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 20 | $26.223,20 | 525 / 11 | $7.714,30 | 282 / 5 | $6.925,43 | 280 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 16 | $48.346,60 | 286 / 14 | $12.808,00 | 382 / 16 | $12.038,50 | 377 / 25 |
| Organic Disturbances & Mental Retardation | 22 | 37 / 8 | $19.772,80 | 171 / 8 | $5.660,73 | 45 / 3 | $4.619,27 | 45 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 36 | $87.103,60 | 324 / 12 | $29.051,20 | 123 / 10 | $25.954,20 | 123 / 4 |
| Hypertension W/O Mcc | 20 | 45 / 10 | $14.532,90 | 200 / 9 | $4.343,90 | 41 / 14 | $2.357,50 | 41 / 1 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 20 | $28.049,30 | 771 / 33 | $6.523,80 | 208 / 28 | $4.620,40 | 208 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 10 | $64.515,40 | 302 / 10 | $17.227,80 | 23 / 24 | $8.123,95 | 23 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $12.126,70 | 290 / 3 | $3.490,16 | 141 / 2 | $2.410,58 | 141 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 14 | $15.449,10 | 309 / 7 | $3.936,00 | 110 / 3 | $2.995,56 | 111 / 6 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 29 | $51.405,40 | 452 / 7 | $14.449,80 | 511 / 8 | $13.646,30 | 506 / 25 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 24 | $78.217,30 | 354 / 11 | $20.886,20 | 437 / 11 | $19.746,60 | 437 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 14 | $23.553,70 | 423 / 13 | $5.955,29 | 122 / 15 | $4.249,41 | 122 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 5 | $33.947,60 | 445 / 7 | $8.991,88 | 404 / 6 | $8.173,06 | 403 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $17.947,70 | 441 / 14 | $3.643,24 | 138 / 3 | $3.001,35 | 138 / 7 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 22 | $13.670,40 | 261 / 5 | $3.810,88 | 120 / 2 | $3.037,24 | 120 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 20 | $23.918,90 | 465 / 11 | $6.191,53 | 115 / 10 | $4.742,12 | 115 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 17 | $66.905,10 | 377 / 13 | $17.487,10 | 254 / 11 | $16.270,60 | 252 / 12 |
| Other Vascular Procedures W Cc | 16 | 86 / 27 | $64.607,20 | 436 / 10 | $15.676,00 | 467 / 10 | $14.776,10 | 464 / 17 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $39.319,80 | 75 / 2 | $15.164,80 | 223 / 6 | $14.184,80 | 222 / 8 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 9 | $63.427,70 | 98 / 5 | $21.107,90 | 28 / 7 | $18.043,00 | 28 / 2 |
| Pulmonary Embolism W Mcc | 16 | 27 / 10 | $40.658,10 | 335 / 15 | $8.825,00 | 186 / 8 | $8.219,00 | 186 / 10 |
| Major Chest Procedures W Mcc | 16 | 33 / 7 | $95.236,60 | 77 / 1 | $28.367,40 | 22 / 1 | $24.028,00 | 22 / 1 |
| Diabetes W Cc | 15 | 77 / 25 | $16.616,10 | 454 / 17 | $4.751,60 | 217 / 4 | $3.870,53 | 217 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 20 | $21.314,90 | 284 / 9 | $5.578,67 | 125 / 5 | $4.934,40 | 125 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 28 | $16.698,50 | 403 / 23 | $3.927,80 | 121 / 3 | $3.283,53 | 121 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 17 | $18.655,70 | 338 / 10 | $4.341,20 | 131 / 7 | $3.415,33 | 131 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $21.644,90 | 692 / 23 | $4.363,13 | 223 / 5 | $3.236,73 | 221 / 14 |
| Major Chest Procedures W Cc | 14 | 60 / 14 | $67.924,10 | 255 / 7 | $15.640,10 | 83 / 7 | $13.092,40 | 83 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 9 | $21.382,60 | 343 / 4 | $4.350,86 | 129 / 3 | $3.400,00 | 129 / 5 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 13 | $23.344,10 | 100 / 9 | $6.349,43 | 55 / 2 | $6.178,00 | 55 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $32.103,70 | 713 / 32 | $7.279,07 | 70 / 16 | $5.581,50 | 70 / 2 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 24 | $28.334,80 | 410 / 20 | $7.182,54 | 123 / 3 | $6.252,08 | 123 / 3 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 32 | $15.423,60 | 199 / 5 | $6.116,46 | 45 / 24 | $4.111,15 | 45 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 10 | $143.904,00 | 47 / 2 | $50.077,20 | 42 / 2 | $48.141,80 | 42 / 2 |
| G.I. Obstruction W Mcc | 13 | 29 / 11 | $25.957,00 | 77 / 2 | $8.806,38 | 55 / 1 | $8.065,46 | 55 / 1 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 16 | $26.970,90 | 147 / 5 | $8.949,23 | 38 / 15 | $6.398,85 | 38 / 4 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 32 | $25.006,10 | 678 / 33 | $5.558,31 | 150 / 4 | $4.539,23 | 149 / 7 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 16 | $22.694,40 | 225 / 5 | $5.120,46 | 81 / 5 | $4.270,62 | 81 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $66.669,40 | 336 / 11 | $19.162,10 | 399 / 12 | $18.322,70 | 397 / 19 |
| Respiratory Neoplasms W Cc | 12 | 35 / 15 | $34.070,60 | 251 / 16 | $6.473,08 | 68 / 1 | $5.867,75 | 67 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $18.630,50 | 139 / 2 | $4.206,08 | 17 / 1 | $2.990,08 | 17 / 4 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $101.644,00 | 123 / 2 | $35.052,50 | 89 / 13 | $27.632,20 | 89 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 19 | $47.647,70 | 90 / 2 | $11.338,80 | 155 / 2 | $10.530,80 | 153 / 8 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 12 | 42 / 8 | $77.013,40 | 76 / 2 | $17.540,10 | 46 / 1 | $16.732,20 | 46 / 3 |
| Other Vascular Procedures W Mcc | 12 | 85 / 24 | $79.750,80 | 375 / 10 | $18.470,90 | 194 / 3 | $17.870,90 | 194 / 6 |
| Diabetes W Mcc | 12 | 45 / 11 | $34.689,20 | 373 / 18 | $8.358,00 | 148 / 6 | $7.220,67 | 148 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 21 | $115.391,00 | 291 / 16 | $33.968,40 | 300 / 12 | $33.259,10 | 299 / 15 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $29.249,90 | 284 / 7 | $5.552,27 | 63 / 2 | $4.670,82 | 63 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 27 | $19.066,50 | 196 / 7 | $5.206,73 | 60 / 1 | $4.331,09 | 60 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $114.454,00 | 339 / 14 | $31.737,60 | 415 / 13 | $30.969,60 | 415 / 24 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 8 | $181.942,00 | 51 / 2 | $50.518,50 | 27 / 1 | $49.416,00 | 27 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 15 | $122.059,00 | 236 / 3 | $24.940,00 | 125 / 1 | $23.849,10 | 125 / 6 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 16 | $44.591,60 | 209 / 4 | $10.830,60 | 149 / 2 | $9.847,36 | 149 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 14 | $20.268,30 | 62 / 1 | $6.842,64 | 81 / 1 | $6.071,73 | 81 / 3 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 12 | $13.172,70 | 97 / 3 | $3.716,64 | 106 / 2 | $2.951,55 | 106 / 4 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 12 | $14.127,90 | 92 / 3 | $4.137,09 | 32 / 2 | $3.258,55 | 32 / 4 | Total 101 procedures | 3.139 | 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.