Hospital Costs > In Illinois > Decatur 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 | 362 | 215 / 13 | $41.374,40 | 836 / 16 | $12.961,00 | 523 / 12 | $10.349,10 | 519 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 283 | 235 / 19 | $30.304,90 | 795 / 17 | $10.917,80 | 507 / 14 | $9.525,74 | 507 / 10 |
| Heart Failure & Shock W Mcc | 117 | 167 / 25 | $22.854,60 | 592 / 14 | $8.560,44 | 356 / 16 | $7.494,08 | 356 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 17 | $22.450,60 | 536 / 10 | $8.879,35 | 332 / 33 | $7.079,11 | 332 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 91 | 112 / 19 | $16.251,30 | 715 / 11 | $5.790,60 | 325 / 12 | $4.480,30 | 323 / 7 |
| Pulmonary Edema & Respiratory Failure | 82 | 121 / 10 | $22.341,20 | 560 / 14 | $7.114,00 | 463 / 11 | $6.303,79 | 463 / 12 |
| G.I. Hemorrhage W Cc | 80 | 138 / 24 | $16.551,90 | 444 / 8 | $6.015,15 | 372 / 20 | $4.776,95 | 372 / 10 |
| Cellulitis W/O Mcc | 80 | 109 / 24 | $14.748,80 | 827 / 26 | $5.059,35 | 452 / 16 | $3.836,25 | 449 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 23 | $17.319,90 | 504 / 9 | $7.022,79 | 288 / 21 | $5.553,01 | 287 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 38 | $14.936,10 | 748 / 11 | $4.588,31 | 432 / 19 | $3.345,54 | 430 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 17 | $21.925,40 | 963 / 21 | $6.554,60 | 402 / 26 | $5.103,58 | 400 / 11 |
| Renal Failure W Cc | 65 | 156 / 38 | $17.658,70 | 747 / 19 | $5.526,05 | 264 / 8 | $4.493,51 | 262 / 9 |
| Heart Failure & Shock W Cc | 61 | 217 / 51 | $14.627,80 | 535 / 9 | $5.649,18 | 335 / 12 | $4.714,48 | 335 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 29 | $14.937,50 | 504 / 9 | $5.928,43 | 364 / 33 | $4.387,07 | 363 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 24 | $26.676,70 | 903 / 26 | $6.272,14 | 520 / 13 | $5.241,17 | 519 / 24 |
| Renal Failure W Mcc | 59 | 136 / 25 | $27.012,30 | 579 / 19 | $8.674,70 | 170 / 8 | $7.486,32 | 170 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 13 | $36.733,70 | 483 / 7 | $11.571,10 | 198 / 29 | $9.483,27 | 197 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 41 | $14.796,90 | 902 / 22 | $4.756,38 | 234 / 25 | $3.344,82 | 234 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 21 | $59.111,70 | 436 / 12 | $13.850,30 | 254 / 35 | $9.996,21 | 254 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 22 | $19.848,60 | 333 / 9 | $7.051,38 | 270 / 14 | $5.991,26 | 269 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 26 | $27.521,20 | 399 / 10 | $6.929,54 | 139 / 21 | $4.848,78 | 139 / 4 |
| Other Digestive System Diagnoses W Cc | 40 | 57 / 13 | $17.116,80 | 245 / 5 | $5.756,30 | 163 / 11 | $4.578,70 | 161 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 23 | $30.862,80 | 371 / 12 | $9.810,15 | 323 / 10 | $8.851,47 | 322 / 16 |
| Transient Ischemia | 39 | 86 / 19 | $20.604,50 | 702 / 27 | $4.602,36 | 246 / 33 | $3.079,08 | 246 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 40 | $12.624,20 | 626 / 11 | $4.806,95 | 140 / 54 | $2.906,38 | 140 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 15 | $27.695,60 | 324 / 13 | $8.679,46 | 175 / 7 | $7.908,70 | 175 / 11 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 20 | $29.246,90 | 302 / 5 | $9.767,61 | 200 / 5 | $8.884,75 | 200 / 8 |
| Pulmonary Embolism W/O Mcc | 36 | 38 / 7 | $18.185,90 | 304 / 3 | $6.118,31 | 206 / 16 | $4.615,25 | 206 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 19 | $11.933,70 | 439 / 8 | $4.230,80 | 412 / 13 | $3.240,09 | 411 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 24 | $18.474,10 | 329 / 9 | $6.190,54 | 270 / 2 | $5.641,66 | 267 / 13 |
| Major Small & Large Bowel Procedures W Cc | 35 | 73 / 16 | $49.789,40 | 415 / 6 | $14.183,50 | 228 / 4 | $12.577,50 | 226 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 16 | $14.062,20 | 623 / 21 | $4.916,65 | 359 / 46 | $3.098,12 | 357 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 15 | $20.425,60 | 608 / 16 | $4.537,44 | 342 / 11 | $3.428,06 | 339 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $15.209,90 | 869 / 32 | $4.085,03 | 400 / 19 | $3.214,85 | 398 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 25 | $41.962,10 | 382 / 11 | $14.026,00 | 292 / 25 | $11.865,60 | 289 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 27 | $89.222,90 | 356 / 13 | $34.324,20 | 176 / 45 | $26.647,40 | 176 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 27 | $11.446,50 | 518 / 11 | $3.703,90 | 281 / 27 | $2.243,47 | 279 / 17 |
| Diabetes W Cc | 29 | 63 / 13 | $14.164,90 | 281 / 8 | $5.054,00 | 145 / 18 | $3.711,00 | 145 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 29 | 44 / 13 | $17.640,70 | 201 / 4 | $6.682,38 | 188 / 11 | $5.875,38 | 188 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 31 | $15.336,60 | 275 / 5 | $6.223,44 | 277 / 5 | $5.388,19 | 276 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $26.689,60 | 510 / 20 | $6.726,00 | 109 / 2 | $5.725,89 | 109 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 15 | $86.029,50 | 247 / 5 | $29.494,50 | 387 / 10 | $28.402,80 | 385 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 24 | $24.459,40 | 275 / 9 | $9.166,31 | 144 / 3 | $8.111,08 | 144 / 4 |
| G.I. Obstruction W Cc | 25 | 67 / 26 | $13.729,30 | 210 / 1 | $5.357,56 | 87 / 18 | $3.746,08 | 87 / 2 |
| Medical Back Problems W/O Mcc | 25 | 96 / 33 | $20.187,40 | 541 / 17 | $5.010,76 | 140 / 13 | $3.642,92 | 140 / 5 |
| Syncope & Collapse | 24 | 145 / 39 | $16.841,50 | 563 / 15 | $4.644,96 | 439 / 25 | $3.490,17 | 437 / 21 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 42 | $27.326,10 | 307 / 5 | $10.345,90 | 119 / 2 | $9.456,57 | 119 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 46 | $15.941,40 | 614 / 11 | $4.732,96 | 315 / 13 | $3.632,74 | 315 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 20 | $68.877,00 | 242 / 8 | $18.723,50 | 205 / 3 | $17.843,40 | 205 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 21 | 65 / 10 | $60.494,00 | 147 / 6 | $20.516,40 | 88 / 9 | $16.784,40 | 88 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 15 | $33.187,10 | 146 / 2 | $10.913,20 | 113 / 22 | $7.896,55 | 113 / 2 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 38 | $16.331,80 | 565 / 15 | $4.828,80 | 526 / 17 | $4.011,15 | 524 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $12.307,20 | 308 / 6 | $4.389,10 | 107 / 34 | $2.349,00 | 107 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 11 | $28.831,70 | 121 / 2 | $10.760,60 | 151 / 8 | $10.237,20 | 151 / 13 |
| Seizures W/O Mcc | 20 | 88 / 25 | $18.194,50 | 446 / 16 | $4.469,25 | 241 / 7 | $3.641,80 | 240 / 13 |
| Cellulitis W Mcc | 19 | 39 / 14 | $27.169,60 | 308 / 7 | $8.155,37 | 85 / 4 | $6.914,95 | 85 / 1 |
| Pulmonary Embolism W Mcc | 19 | 24 / 7 | $22.035,40 | 67 / 2 | $8.313,00 | 42 / 1 | $7.162,74 | 42 / 2 |
| Hypertension W/O Mcc | 19 | 46 / 11 | $14.006,10 | 176 / 8 | $4.468,63 | 63 / 16 | $2.478,42 | 63 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 9 | $80.934,20 | 104 / 1 | $24.471,90 | 38 / 1 | $23.181,50 | 38 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 12 | $27.650,70 | 248 / 4 | $6.389,33 | 192 / 2 | $5.184,67 | 192 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 17 | $30.988,60 | 468 / 13 | $6.110,06 | 189 / 2 | $4.936,61 | 189 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 11 | $41.992,30 | 169 / 1 | $12.335,30 | 43 / 6 | $9.419,83 | 43 / 1 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 28 | $26.064,70 | 136 / 2 | $9.828,11 | 78 / 2 | $8.986,56 | 78 / 1 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 28 | $16.146,60 | 229 / 7 | $6.163,94 | 35 / 26 | $4.072,41 | 35 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 5 | $26.984,90 | 71 / 1 | $8.711,41 | 116 / 1 | $7.305,12 | 116 / 4 |
| Major Chest Procedures W Cc | 17 | 57 / 11 | $55.406,40 | 159 / 4 | $13.314,60 | 21 / 1 | $11.893,50 | 21 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 3 | $21.239,70 | 56 / 1 | $6.809,35 | 16 / 3 | $4.110,47 | 16 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 13 | $17.789,20 | 165 / 4 | $5.244,47 | 129 / 4 | $4.320,41 | 129 / 7 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $22.539,30 | 374 / 6 | $8.637,44 | 25 / 32 | $5.961,44 | 25 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 4 | $19.492,90 | 145 / 4 | $5.042,50 | 35 / 15 | $2.748,25 | 35 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 12 | $30.617,00 | 202 / 4 | $9.470,56 | 50 / 10 | $7.409,00 | 50 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 17 | $48.677,70 | 137 / 2 | $16.004,80 | 76 / 3 | $14.997,10 | 76 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 15 | $60.191,60 | 261 / 7 | $18.403,50 | 250 / 7 | $17.209,90 | 248 / 12 |
| Other Vascular Procedures W Mcc | 16 | 81 / 21 | $67.758,90 | 233 / 6 | $18.289,90 | 132 / 2 | $17.307,10 | 132 / 4 |
| G.I. Obstruction W Mcc | 15 | 27 / 9 | $24.670,50 | 65 / 1 | $9.314,73 | 119 / 7 | $8.621,47 | 119 / 7 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 24 | $17.774,50 | 525 / 17 | $4.042,40 | 139 / 8 | $3.084,00 | 139 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 20 | $15.493,10 | 113 / 2 | $5.743,80 | 150 / 8 | $5.025,00 | 150 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 36 | $51.830,30 | 126 / 1 | $23.945,90 | 180 / 10 | $19.751,70 | 179 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $91.203,60 | 132 / 7 | $30.934,70 | 101 / 2 | $29.995,20 | 101 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $12.977,50 | 126 / 4 | $5.199,60 | 105 / 7 | $3.810,27 | 104 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 22 | $74.131,00 | 213 / 4 | $17.951,50 | 168 / 1 | $16.968,50 | 168 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $32.493,40 | 65 / 1 | $13.438,90 | 6 / 24 | $9.211,71 | 6 / 1 |
| Chest Pain | 14 | 137 / 41 | $16.013,80 | 587 / 19 | $3.785,71 | 122 / 11 | $2.402,50 | 122 / 4 |
| Other Vascular Procedures W Cc | 13 | 89 / 30 | $49.348,80 | 197 / 2 | $23.774,50 | 4 / 48 | $11.192,90 | 4 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 9 | $41.237,30 | 192 / 8 | $8.844,69 | 82 / 2 | $5.845,77 | 82 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 9 | $52.263,70 | 64 / 1 | $15.547,60 | 58 / 1 | $14.309,30 | 57 / 1 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $13.545,50 | 287 / 9 | $3.822,00 | 252 / 5 | $3.025,85 | 251 / 9 |
| Interstitial Lung Disease W Mcc | 13 | 12 / 5 | $17.482,10 | 4 / 1 | $9.092,77 | 7 / 2 | $8.158,31 | 7 / 3 |
| Transurethral Procedures W Cc | 13 | 28 / 10 | $28.430,40 | 104 / 4 | $8.766,85 | 19 / 15 | $5.808,15 | 19 / 2 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 17 | $27.421,10 | 88 / 2 | $9.753,23 | 103 / 1 | $8.822,08 | 103 / 2 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $21.538,40 | 74 / 4 | $6.850,85 | 43 / 4 | $5.668,77 | 42 / 1 |
| Diabetes W Mcc | 13 | 44 / 10 | $25.040,20 | 176 / 5 | $9.047,62 | 10 / 13 | $5.977,38 | 10 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 7 | $20.732,40 | 149 / 4 | $4.976,69 | 46 / 4 | $3.773,85 | 46 / 6 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 25 | $21.403,00 | 189 / 3 | $7.253,50 | 165 / 9 | $6.384,17 | 165 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 10 | $55.325,50 | 144 / 4 | $14.542,80 | 150 / 3 | $13.769,10 | 149 / 6 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $26.525,70 | 42 / 1 | $9.383,00 | 19 / 1 | $8.467,75 | 19 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $83.338,50 | 137 / 5 | $28.818,20 | 197 / 3 | $27.882,50 | 197 / 7 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 17 | $18.280,80 | 49 / 1 | $7.647,58 | 90 / 2 | $6.958,75 | 90 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $21.549,50 | 32 / 1 | $10.179,60 | 72 / 2 | $9.549,45 | 72 / 4 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 15 | $48.416,00 | 52 / 2 | $17.367,60 | 15 / 1 | $16.584,50 | 15 / 1 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 12 | $117.105,00 | 26 / 1 | $44.164,30 | 15 / 1 | $42.992,40 | 15 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 15 | $201.144,00 | 14 / 1 | $73.903,50 | 18 / 1 | $72.505,80 | 18 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 9 | $36.028,00 | 50 / 1 | $10.074,90 | 36 / 1 | $8.916,09 | 36 / 1 | Total 103 procedures | 3.674 | 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.