Hospital Costs > In Illinois > Cgh Medical Center, 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 | 140 | 376 / 53 | $40.693,60 | 1348 / 37 | $11.273,30 | 1167 / 25 | $10.426,80 | 1149 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 64 | $50.575,40 | 1317 / 40 | $13.317,90 | 1347 / 22 | $11.698,00 | 1315 / 57 |
Pulmonary Edema & Respiratory Failure | 75 | 128 / 11 | $31.876,40 | 1137 / 37 | $7.636,03 | 536 / 30 | $6.376,51 | 536 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 36 | $34.647,90 | 1328 / 39 | $8.726,08 | 1018 / 25 | $7.889,75 | 1018 / 43 |
Heart Failure & Shock W Mcc | 57 | 227 / 58 | $36.224,00 | 1464 / 51 | $9.056,54 | 943 / 33 | $8.211,63 | 942 / 35 |
Heart Failure & Shock W Cc | 54 | 224 / 56 | $26.171,60 | 1758 / 70 | $6.017,19 | 802 / 32 | $5.142,52 | 801 / 29 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 21 | $50.701,10 | 1221 / 66 | $6.941,41 | 779 / 22 | $5.874,10 | 777 / 48 |
Cellulitis W/O Mcc | 49 | 140 / 39 | $18.670,00 | 1320 / 51 | $5.141,02 | 563 / 20 | $3.941,57 | 560 / 21 |
G.I. Hemorrhage W Cc | 47 | 171 / 39 | $29.695,20 | 1537 / 64 | $6.056,30 | 1016 / 23 | $5.380,04 | 1014 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 27 | $30.854,20 | 1660 / 78 | $5.295,00 | 482 / 43 | $3.804,70 | 481 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 59 | $22.089,90 | 1639 / 58 | $4.693,40 | 547 / 24 | $3.444,17 | 545 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 28 | $89.513,90 | 1044 / 60 | $12.485,40 | 742 / 11 | $11.367,00 | 738 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 45 | $28.903,90 | 1551 / 48 | $6.898,24 | 756 / 44 | $5.443,92 | 754 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 47 | $26.099,70 | 1524 / 63 | $5.629,50 | 890 / 17 | $4.862,39 | 887 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 22 | $21.095,80 | 1458 / 72 | $3.402,22 | 412 / 12 | $2.364,89 | 409 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 51 | $24.231,80 | 1063 / 30 | $7.042,31 | 973 / 22 | $6.216,71 | 968 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 60 | $21.446,20 | 1718 / 65 | $4.669,79 | 587 / 21 | $3.680,70 | 585 / 26 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 35 | $40.084,40 | 791 / 23 | $11.701,60 | 883 / 22 | $11.351,70 | 873 / 41 |
Renal Failure W Mcc | 31 | 164 / 44 | $34.363,50 | 1018 / 42 | $9.279,10 | 822 / 25 | $8.579,26 | 822 / 39 |
Renal Failure W Cc | 30 | 191 / 61 | $25.426,30 | 1459 / 58 | $5.826,40 | 1037 / 22 | $5.224,80 | 1029 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 32 | $34.065,90 | 1128 / 56 | $10.057,80 | 539 / 85 | $6.426,87 | 536 / 30 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 19 | $35.841,80 | 539 / 25 | $9.741,76 | 471 / 25 | $9.005,17 | 470 / 29 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 66 | $23.976,50 | 1541 / 51 | $5.907,37 | 874 / 20 | $4.969,89 | 871 / 32 |
G.I. Hemorrhage W Mcc | 26 | 95 / 27 | $35.780,30 | 542 / 20 | $10.510,00 | 524 / 24 | $9.717,38 | 525 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 31 | $70.902,60 | 1154 / 59 | $15.480,40 | 642 / 50 | $12.795,40 | 634 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 41 | $52.599,50 | 1141 / 44 | $11.903,50 | 851 / 38 | $10.699,20 | 840 / 43 |
Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 14 | $29.636,60 | 433 / 11 | $6.367,05 | 382 / 6 | $5.445,14 | 382 / 19 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 38 | $25.945,60 | 977 / 40 | $6.776,10 | 687 / 27 | $5.929,70 | 686 / 32 |
G.I. Obstruction W Cc | 20 | 72 / 29 | $26.068,40 | 1044 / 48 | $5.727,85 | 320 / 36 | $4.229,85 | 319 / 15 |
Syncope & Collapse | 20 | 149 / 43 | $23.090,50 | 1112 / 47 | $5.444,10 | 153 / 61 | $3.090,75 | 153 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $20.312,70 | 1287 / 55 | $4.369,95 | 398 / 19 | $3.229,74 | 397 / 20 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 40 | $26.157,00 | 1323 / 75 | $4.881,39 | 654 / 19 | $4.145,39 | 650 / 33 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 28 | $30.230,50 | 871 / 43 | $5.917,88 | 377 / 19 | $4.999,35 | 374 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 39 | $20.861,30 | 1348 / 69 | $4.091,12 | 545 / 20 | $3.339,12 | 543 / 32 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 34 | $48.251,90 | 1091 / 48 | $12.621,10 | 427 / 65 | $8.833,50 | 427 / 16 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $22.449,70 | 924 / 53 | $3.722,81 | 275 / 10 | $2.664,81 | 275 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 34 | $21.097,70 | 1265 / 60 | $4.297,80 | 344 / 16 | $3.088,20 | 342 / 17 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $59.026,30 | 122 / 3 | $19.646,40 | 356 / 6 | $19.002,10 | 356 / 16 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $64.948,30 | 533 / 33 | $12.759,20 | 333 / 15 | $11.721,50 | 328 / 19 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 3 | $46.101,30 | 237 / 10 | $10.207,90 | 158 / 8 | $9.602,21 | 158 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 47 | $37.893,90 | 626 / 25 | $10.249,80 | 494 / 16 | $9.324,23 | 493 / 21 |
Pulmonary Embolism W Mcc | 13 | 30 / 13 | $38.925,50 | 304 / 13 | $9.188,00 | 197 / 10 | $8.255,08 | 197 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 33 | $28.906,30 | 1064 / 49 | $4.617,46 | 394 / 15 | $3.502,38 | 391 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 25 | $113.340,00 | 619 / 28 | $20.025,50 | 423 / 7 | $19.014,80 | 420 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 59 | $34.290,90 | 1331 / 55 | $6.535,08 | 999 / 23 | $5.841,75 | 996 / 54 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 21 | $74.616,80 | 468 / 19 | $18.536,80 | 429 / 22 | $17.528,80 | 426 / 25 |
Seizures W/O Mcc | 12 | 96 / 32 | $27.496,40 | 867 / 53 | $4.582,08 | 382 / 9 | $3.880,75 | 380 / 28 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 45 | $97.244,80 | 460 / 21 | $31.196,30 | 605 / 23 | $30.428,30 | 600 / 30 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $21.672,20 | 613 / 31 | $4.261,64 | 144 / 6 | $3.057,27 | 144 / 11 | Total 49 procedures | 1.547 | 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.