Hospital Costs > In Illinois > Crossroads Community 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 | 61 | 503 / 77 | $88.391,60 | 2338 / 103 | $15.046,60 | 1680 / 60 | $12.502,60 | 1643 / 81 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 54 | $30.874,70 | 1992 / 84 | $6.983,81 | 1577 / 70 | $5.587,33 | 1570 / 69 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 74 | $27.951,60 | 2058 / 92 | $4.903,43 | 1222 / 40 | $3.908,00 | 1211 / 60 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $16.963,40 | 1010 / 32 | $4.767,71 | 868 / 36 | $3.624,54 | 863 / 48 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 59 | $31.192,50 | 1778 / 84 | $6.432,95 | 1247 / 57 | $5.219,82 | 1242 / 63 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 54 | $21.749,50 | 1703 / 75 | $4.611,19 | 996 / 40 | $3.648,52 | 993 / 47 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 72 | $22.556,70 | 1811 / 74 | $5.070,37 | 1239 / 49 | $4.115,42 | 1230 / 62 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 31 | $25.629,70 | 1483 / 78 | $4.644,44 | 953 / 34 | $3.636,44 | 948 / 62 |
| Cellulitis W/O Mcc | 16 | 173 / 65 | $18.569,40 | 1307 / 50 | $5.560,38 | 1346 / 45 | $4.574,38 | 1340 / 62 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 61 | $31.930,90 | 1727 / 63 | $7.050,87 | 1237 / 48 | $5.918,07 | 1232 / 55 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 40 | $21.188,70 | 1374 / 71 | $4.464,07 | 780 / 42 | $3.537,13 | 776 / 51 |
| Heart Failure & Shock W Cc | 15 | 263 / 81 | $24.531,30 | 1633 / 63 | $6.558,40 | 1506 / 57 | $5.778,13 | 1501 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 72 | $51.966,80 | 1964 / 90 | $9.567,14 | 1549 / 53 | $8.792,29 | 1549 / 74 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 43 | $16.350,60 | 1139 / 43 | $3.673,75 | 926 / 25 | $2.764,42 | 921 / 57 | Total 14 procedures | 322 | 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.