Hospital Costs > In Illinois > Centegra Health System - Woodstock 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 | 139 | 425 / 51 | $37.291,10 | 602 / 8 | $14.978,80 | 500 / 58 | $10.320,30 | 497 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 47 | $19.010,90 | 1282 / 35 | $4.731,90 | 1034 / 27 | $3.780,25 | 1026 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 59 | 457 / 82 | $42.014,40 | 1412 / 41 | $11.456,60 | 1237 / 31 | $10.528,40 | 1216 / 44 |
Heart Failure & Shock W Mcc | 52 | 232 / 59 | $36.365,70 | 1471 / 53 | $9.395,71 | 1305 / 46 | $8.723,71 | 1302 / 58 |
Heart Failure & Shock W Cc | 46 | 232 / 58 | $19.297,70 | 1090 / 29 | $6.598,13 | 968 / 59 | $5.268,46 | 967 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 45 | $37.352,10 | 1465 / 46 | $8.849,57 | 649 / 31 | $7.499,65 | 649 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 43 | $28.885,30 | 1399 / 48 | $7.264,89 | 1136 / 35 | $6.379,56 | 1131 / 49 |
Cellulitis W/O Mcc | 41 | 148 / 46 | $12.754,10 | 554 / 13 | $5.409,98 | 887 / 37 | $4.186,90 | 881 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 38 | $15.683,40 | 1043 / 34 | $5.167,37 | 702 / 73 | $3.452,54 | 700 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 55 | $13.773,50 | 765 / 14 | $4.802,55 | 636 / 27 | $3.714,55 | 633 / 30 |
Renal Failure W Cc | 39 | 182 / 54 | $20.175,20 | 997 / 27 | $6.079,67 | 716 / 39 | $4.928,08 | 709 / 32 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 3 | $38.005,10 | 146 / 2 | $14.397,80 | 345 / 12 | $11.825,90 | 342 / 11 |
G.I. Hemorrhage W Cc | 35 | 183 / 50 | $22.133,50 | 953 / 22 | $6.258,74 | 954 / 30 | $5.328,14 | 952 / 43 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 62 | $20.786,20 | 1214 / 29 | $6.264,45 | 717 / 42 | $4.831,03 | 714 / 24 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 53 | $16.594,80 | 667 / 16 | $5.731,48 | 877 / 21 | $4.854,24 | 874 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 35 | $25.815,40 | 709 / 33 | $7.289,85 | 522 / 26 | $6.395,04 | 519 / 29 |
Renal Failure W Mcc | 26 | 169 / 47 | $35.387,30 | 1065 / 46 | $10.623,50 | 554 / 64 | $8.136,69 | 554 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 30 | $15.061,40 | 998 / 34 | $3.632,48 | 682 / 22 | $2.575,20 | 678 / 41 |
G.I. Hemorrhage W Mcc | 25 | 96 / 28 | $49.670,90 | 998 / 43 | $11.604,00 | 920 / 48 | $10.938,80 | 915 / 57 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 31 | $45.500,90 | 498 / 16 | $13.861,50 | 219 / 21 | $11.629,50 | 217 / 6 |
O.R. Procedures For Obesity W/O Cc/Mcc | 25 | 52 / 5 | $34.762,50 | 131 / 1 | $10.565,40 | 123 / 4 | $8.079,64 | 123 / 4 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 40 | $36.805,20 | 650 / 18 | $12.897,10 | 370 / 56 | $10.192,80 | 369 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 48 | $25.532,40 | 832 / 22 | $6.561,88 | 836 / 26 | $5.592,92 | 834 / 41 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 25 | $18.287,20 | 1053 / 42 | $4.498,46 | 841 / 29 | $3.545,12 | 837 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $14.527,50 | 730 / 19 | $4.475,17 | 616 / 24 | $3.417,83 | 615 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 42 | $42.593,00 | 746 / 14 | $12.100,90 | 414 / 42 | $9.945,90 | 413 / 13 |
Syncope & Collapse | 21 | 148 / 42 | $20.354,30 | 886 / 33 | $4.743,38 | 423 / 34 | $3.479,19 | 421 / 19 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $12.635,20 | 334 / 8 | $3.891,50 | 368 / 13 | $2.793,35 | 368 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 50 | $20.149,90 | 1064 / 33 | $5.204,32 | 203 / 37 | $3.478,84 | 203 / 3 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 39 | $18.382,70 | 458 / 13 | $6.648,05 | 541 / 23 | $5.758,79 | 540 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 36 | $24.890,30 | 696 / 29 | $8.202,89 | 376 / 62 | $5.833,16 | 373 / 20 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 4 | $35.237,60 | 477 / 9 | $9.693,50 | 442 / 11 | $8.320,06 | 441 / 13 |
G.I. Obstruction W Cc | 17 | 75 / 32 | $16.223,70 | 378 / 7 | $6.554,82 | 191 / 62 | $4.039,59 | 190 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 33 | $31.737,90 | 504 / 15 | $9.277,88 | 313 / 4 | $8.570,06 | 313 / 10 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 54 | $33.231,60 | 1211 / 41 | $7.520,82 | 962 / 24 | $6.878,94 | 961 / 40 |
Medical Back Problems W/O Mcc | 17 | 104 / 41 | $15.237,80 | 239 / 4 | $5.313,24 | 681 / 23 | $4.533,94 | 678 / 44 |
Diabetes W Cc | 16 | 76 / 24 | $18.106,90 | 567 / 20 | $5.226,25 | 601 / 26 | $4.394,25 | 600 / 34 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 10 | $52.101,10 | 149 / 2 | $16.331,00 | 163 / 7 | $13.823,90 | 163 / 4 |
Transient Ischemia | 16 | 109 / 38 | $16.260,40 | 372 / 8 | $4.472,19 | 539 / 22 | $3.414,19 | 536 / 34 |
Hypertension W/O Mcc | 16 | 49 / 14 | $16.850,30 | 294 / 15 | $4.020,62 | 199 / 6 | $2.892,62 | 197 / 10 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 31 | $62.974,00 | 969 / 57 | $14.671,20 | 1079 / 50 | $14.247,70 | 1071 / 65 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $16.981,40 | 399 / 10 | $5.005,93 | 206 / 28 | $3.144,86 | 205 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 62 | $21.992,70 | 974 / 22 | $6.637,50 | 1339 / 30 | $6.031,79 | 1334 / 63 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 29 | $17.366,10 | 427 / 24 | $4.359,21 | 290 / 8 | $3.751,21 | 290 / 23 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 31 | $20.541,70 | 438 / 14 | $6.042,93 | 541 / 23 | $5.268,07 | 538 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 17 | $62.529,60 | 287 / 8 | $21.593,50 | 114 / 26 | $16.053,10 | 114 / 4 |
Chest Pain | 14 | 137 / 41 | $16.465,40 | 629 / 20 | $3.911,36 | 619 / 13 | $3.047,36 | 615 / 27 |
Cellulitis W Mcc | 13 | 45 / 20 | $27.796,30 | 324 / 10 | $8.593,08 | 258 / 9 | $7.670,00 | 257 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 47 | $36.800,90 | 577 / 22 | $10.004,10 | 507 / 15 | $9.354,23 | 506 / 22 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 42 | $15.024,10 | 856 / 31 | $4.343,62 | 414 / 32 | $3.226,08 | 412 / 24 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 45 | $17.444,00 | 668 / 24 | $5.066,92 | 911 / 29 | $4.419,54 | 906 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 33 | $18.401,80 | 460 / 12 | $4.831,77 | 729 / 19 | $3.898,85 | 725 / 45 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $13.676,90 | 257 / 8 | $5.180,83 | 121 / 29 | $2.989,83 | 121 / 8 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 35 | $46.994,50 | 333 / 3 | $16.475,10 | 265 / 24 | $12.733,70 | 263 / 12 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 33 | $19.249,80 | 376 / 18 | $5.770,42 | 301 / 17 | $4.866,42 | 299 / 21 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 20 | $41.032,80 | 332 / 12 | $12.262,20 | 152 / 23 | $9.136,00 | 152 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 20 | $14.493,60 | 267 / 6 | $4.561,67 | 63 / 17 | $2.825,58 | 63 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 44 | $154.915,00 | 1053 / 64 | $45.429,00 | 1355 / 77 | $44.001,60 | 1345 / 79 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $15.067,40 | 119 / 3 | $5.927,18 | 308 / 2 | $5.162,09 | 307 / 10 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $24.260,80 | 621 / 22 | $6.434,55 | 170 / 23 | $4.531,64 | 170 / 8 | Total 60 procedures | 1.525 | 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.