Hospital Costs > In Illinois > Copley Memorial 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 | 254 | 311 / 29 | $81.254,30 | 2230 / 100 | $16.090,80 | 1561 / 80 | $12.218,50 | 1526 / 69 |
| Simple Pneumonia & Pleurisy W Cc | 90 | 113 / 20 | $41.464,30 | 2369 / 107 | $7.781,72 | 1665 / 91 | $5.683,29 | 1658 / 73 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 25 | $32.833,00 | 2306 / 111 | $6.087,64 | 1642 / 86 | $4.485,65 | 1631 / 71 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 39 | $37.638,00 | 2418 / 111 | $6.526,47 | 1731 / 92 | $4.375,03 | 1718 / 79 |
| Heart Failure & Shock W Cc | 72 | 206 / 43 | $39.974,20 | 2322 / 114 | $6.805,24 | 1553 / 67 | $5.826,10 | 1548 / 73 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 78 | $77.491,10 | 2394 / 105 | $17.081,00 | 1387 / 107 | $10.818,40 | 1360 / 51 |
| Heart Failure & Shock W Mcc | 71 | 213 / 49 | $54.700,70 | 2104 / 102 | $11.967,40 | 1092 / 92 | $8.421,42 | 1089 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 31 | $51.985,90 | 1966 / 91 | $12.586,30 | 872 / 93 | $7.735,14 | 872 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $49.026,40 | 2153 / 107 | $8.610,81 | 1698 / 80 | $7.194,52 | 1690 / 81 |
| Cellulitis W/O Mcc | 63 | 126 / 30 | $32.978,10 | 2233 / 116 | $7.054,76 | 1550 / 89 | $4.781,51 | 1543 / 73 |
| Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 29 | $39.374,20 | 2055 / 105 | $7.269,73 | 1564 / 87 | $5.616,03 | 1558 / 80 |
| G.I. Hemorrhage W Cc | 60 | 158 / 29 | $46.176,40 | 2097 / 106 | $8.217,25 | 1479 / 91 | $5.939,23 | 1475 / 74 |
| Renal Failure W Cc | 50 | 171 / 47 | $42.123,80 | 2101 / 103 | $8.232,30 | 1123 / 86 | $5.309,50 | 1115 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 32 | $43.212,20 | 1593 / 81 | $10.185,40 | 1117 / 87 | $6.026,39 | 1114 / 61 |
| Medical Back Problems W/O Mcc | 41 | 80 / 23 | $33.276,20 | 1119 / 69 | $6.516,05 | 811 / 54 | $4.780,20 | 808 / 49 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 35 | $61.512,40 | 1954 / 93 | $8.558,92 | 1462 / 59 | $7.760,50 | 1457 / 73 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 21 | $100.671,00 | 1524 / 84 | $17.289,10 | 973 / 64 | $14.022,90 | 963 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 44 | $27.715,40 | 2033 / 100 | $5.108,44 | 1661 / 69 | $4.256,82 | 1656 / 76 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 17 | $30.425,90 | 1628 / 93 | $6.635,12 | 1061 / 85 | $3.739,64 | 1055 / 66 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 33 | $79.616,60 | 1701 / 91 | $13.070,60 | 1307 / 67 | $11.985,30 | 1290 / 75 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 40 | $38.858,00 | 1886 / 96 | $8.282,07 | 1248 / 91 | $4.565,87 | 1243 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 31 | $68.997,70 | 1255 / 72 | $10.522,70 | 547 / 20 | $9.458,27 | 546 / 23 |
| Renal Failure W Mcc | 30 | 165 / 45 | $56.891,50 | 1708 / 90 | $10.192,40 | 1201 / 51 | $9.447,07 | 1201 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 51 | $41.391,50 | 2076 / 89 | $10.172,90 | 1275 / 97 | $5.952,28 | 1270 / 58 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 39 | $110.728,00 | 1257 / 74 | $27.846,50 | 330 / 81 | $10.228,20 | 330 / 8 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 31 | $30.537,90 | 1519 / 87 | $7.796,44 | 1292 / 91 | $4.979,56 | 1284 / 71 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 22 | $91.314,00 | 1126 / 53 | $31.648,50 | 122 / 71 | $12.030,70 | 122 / 2 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 20 | $46.576,20 | 1220 / 78 | $7.212,81 | 958 / 58 | $6.320,58 | 954 / 63 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 33 | $40.039,80 | 1504 / 82 | $7.845,44 | 1030 / 69 | $6.452,04 | 1027 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 38 | $46.960,40 | 1474 / 86 | $8.711,46 | 1117 / 70 | $7.396,67 | 1114 / 70 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 34 | $174.207,00 | 1143 / 69 | $32.790,40 | 723 / 30 | $31.684,90 | 717 / 40 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 31 | $34.349,40 | 1829 / 99 | $7.720,91 | 891 / 95 | $3.646,00 | 884 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 33 | $40.875,40 | 1317 / 77 | $7.786,74 | 826 / 52 | $6.635,87 | 823 / 51 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 32 | $164.831,00 | 1174 / 52 | $36.684,60 | 723 / 49 | $23.412,10 | 719 / 35 |
| G.I. Obstruction W Cc | 22 | 70 / 27 | $41.115,00 | 1477 / 86 | $7.513,77 | 1038 / 71 | $5.184,82 | 1035 / 62 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 28 | $62.996,80 | 1366 / 71 | $11.074,00 | 961 / 41 | $10.178,90 | 959 / 47 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $35.050,00 | 1133 / 61 | $5.148,10 | 803 / 39 | $4.300,76 | 800 / 43 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 21 | $129.373,00 | 787 / 36 | $31.299,20 | 373 / 44 | $19.113,60 | 373 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 20 | $40.536,00 | 829 / 50 | $8.908,05 | 622 / 46 | $7.048,25 | 620 / 42 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $200.606,00 | 1047 / 61 | $33.647,90 | 732 / 27 | $32.690,80 | 730 / 38 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 16 | $36.216,30 | 614 / 42 | $8.464,89 | 404 / 40 | $5.870,21 | 404 / 30 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 45 | $86.627,70 | 1561 / 84 | $12.749,40 | 1098 / 53 | $12.058,60 | 1084 / 59 |
| Syncope & Collapse | 19 | 150 / 44 | $38.250,40 | 1660 / 96 | $7.263,89 | 1094 / 85 | $4.227,11 | 1087 / 61 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 27 | $73.895,50 | 1093 / 65 | $13.424,30 | 888 / 43 | $12.603,00 | 882 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $39.193,20 | 1341 / 72 | $8.457,78 | 1014 / 70 | $4.363,72 | 1010 / 58 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $33.234,20 | 1159 / 64 | $4.677,72 | 995 / 45 | $3.947,78 | 992 / 59 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 19 | $45.686,40 | 1124 / 55 | $7.368,06 | 906 / 42 | $6.387,06 | 904 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 37 | $30.195,70 | 1758 / 97 | $4.375,89 | 1334 / 62 | $3.209,50 | 1329 / 72 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 21 | $41.662,60 | 688 / 50 | $6.960,24 | 440 / 29 | $5.839,59 | 440 / 33 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 23 | $37.857,10 | 1018 / 51 | $9.742,18 | 575 / 59 | $5.303,59 | 572 / 34 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $47.075,20 | 1093 / 57 | $9.042,81 | 930 / 39 | $8.398,75 | 925 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 15 | $97.422,90 | 624 / 33 | $24.291,40 | 243 / 37 | $17.131,90 | 241 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 16 | $30.371,90 | 610 / 37 | $5.614,88 | 447 / 26 | $4.357,81 | 445 / 30 |
| Chest Pain | 16 | 135 / 39 | $34.793,20 | 1495 / 77 | $7.699,69 | 768 / 76 | $3.227,25 | 763 / 35 |
| Cellulitis W Mcc | 16 | 42 / 17 | $54.241,00 | 763 / 51 | $10.798,90 | 453 / 43 | $8.507,38 | 451 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 40 | $24.153,90 | 1516 / 83 | $5.060,07 | 1438 / 73 | $4.304,13 | 1427 / 78 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $37.110,10 | 845 / 56 | $9.168,47 | 356 / 56 | $4.457,53 | 352 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 15 | 59 / 7 | $92.101,20 | 203 / 8 | $17.465,80 | 75 / 6 | $12.896,10 | 75 / 2 |
| Diabetes W Cc | 14 | 78 / 26 | $42.022,20 | 1441 / 85 | $6.236,43 | 800 / 54 | $4.705,14 | 796 / 47 |
| Nervous System Neoplasms W Mcc | 14 | 34 / 9 | $46.286,70 | 195 / 13 | $9.105,29 | 144 / 13 | $8.196,71 | 144 / 12 |
| Other Vascular Procedures W Mcc | 14 | 83 / 22 | $143.435,00 | 846 / 48 | $23.014,60 | 632 / 29 | $22.486,10 | 629 / 35 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 15 | $33.977,50 | 274 / 13 | $9.056,79 | 266 / 19 | $8.149,43 | 266 / 22 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 31 | $34.394,40 | 909 / 65 | $11.691,50 | 529 / 72 | $5.387,57 | 527 / 41 |
| Major Chest Procedures W Mcc | 14 | 35 / 8 | $176.247,00 | 243 / 12 | $42.473,40 | 111 / 10 | $28.957,80 | 111 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 21 | $55.045,60 | 807 / 37 | $8.430,71 | 572 / 29 | $6.012,00 | 571 / 30 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 6 | $49.938,30 | 216 / 11 | $7.189,69 | 136 / 7 | $5.836,23 | 136 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $161.248,00 | 521 / 31 | $32.157,90 | 419 / 18 | $31.175,00 | 419 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 50 | $56.671,40 | 1342 / 77 | $10.340,60 | 946 / 71 | $6.229,46 | 943 / 56 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 15 | $148.024,00 | 610 / 31 | $21.501,50 | 378 / 13 | $20.511,90 | 377 / 16 |
| Other Vascular Procedures W Cc | 13 | 89 / 30 | $117.987,00 | 961 / 53 | $25.101,70 | 399 / 50 | $14.392,10 | 397 / 12 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 15 | $165.108,00 | 385 / 17 | $57.024,50 | 25 / 20 | $21.616,70 | 25 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 20 | $29.288,80 | 738 / 39 | $4.995,92 | 505 / 21 | $3.950,67 | 505 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $29.297,60 | 738 / 36 | $7.163,50 | 405 / 35 | $3.615,33 | 404 / 23 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 18 | $38.864,80 | 483 / 31 | $6.481,82 | 389 / 21 | $5.768,73 | 389 / 24 |
| Seizures W/O Mcc | 11 | 97 / 33 | $33.997,00 | 1044 / 74 | $6.069,82 | 773 / 53 | $4.663,73 | 770 / 55 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $157.196,00 | 378 / 13 | $36.702,70 | 129 / 15 | $28.795,40 | 129 / 3 |
| Transient Ischemia | 11 | 114 / 43 | $37.494,60 | 1389 / 84 | $5.261,18 | 1141 / 53 | $4.351,73 | 1135 / 67 |
| Pulmonary Embolism W Mcc | 11 | 32 / 15 | $43.145,90 | 361 / 19 | $9.306,18 | 214 / 11 | $8.373,36 | 214 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $39.863,60 | 629 / 36 | $15.817,40 | 36 / 58 | $7.088,73 | 36 / 2 |
| Digestive Malignancy W Cc | 11 | 36 / 15 | $52.973,70 | 316 / 22 | $12.785,70 | 22 / 22 | $5.848,82 | 22 / 1 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 41 | $52.209,40 | 1052 / 52 | $10.773,90 | 646 / 28 | $10.053,60 | 647 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $37.988,40 | 901 / 47 | $9.180,82 | 583 / 51 | $6.828,91 | 578 / 36 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $102.774,00 | 360 / 23 | $23.057,10 | 155 / 22 | $13.798,10 | 154 / 7 |
| Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 7 | $124.364,00 | 175 / 10 | $20.333,60 | 89 / 5 | $19.214,30 | 89 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 23 | $73.037,30 | 679 / 36 | $11.206,70 | 580 / 25 | $10.070,60 | 578 / 32 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $36.766,50 | 319 / 24 | $12.902,70 | 179 / 25 | $3.621,64 | 178 / 17 | Total 86 procedures | 2.488 | 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.