Hospital Costs > In Illinois > Delnor 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 | 195 | 369 / 38 | $66.582,90 | 1904 / 80 | $12.294,40 | 519 / 6 | $10.345,10 | 515 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 112 | 404 / 65 | $68.229,10 | 2259 / 96 | $13.447,70 | 1790 / 82 | $11.716,70 | 1755 / 75 |
| Heart Failure & Shock W Cc | 97 | 181 / 31 | $37.961,00 | 2265 / 108 | $5.602,54 | 374 / 11 | $4.755,69 | 374 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 16 | $35.526,00 | 2201 / 98 | $7.002,90 | 330 / 72 | $4.485,29 | 328 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 96 | 137 / 22 | $27.041,60 | 2079 / 91 | $4.448,86 | 256 / 10 | $3.371,94 | 256 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 19 | $30.756,40 | 2157 / 108 | $4.177,28 | 600 / 16 | $3.380,89 | 598 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 45 | $32.104,90 | 2251 / 104 | $4.287,46 | 392 / 4 | $3.320,60 | 390 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 33 | $57.642,90 | 2060 / 99 | $9.114,82 | 1053 / 41 | $7.928,84 | 1053 / 44 |
| Heart Failure & Shock W Mcc | 59 | 225 / 56 | $48.314,50 | 1943 / 87 | $8.527,80 | 614 / 14 | $7.828,95 | 614 / 18 |
| Cellulitis W/O Mcc | 51 | 138 / 37 | $30.160,50 | 2135 / 110 | $5.228,14 | 367 / 27 | $3.768,59 | 364 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 46 | 47 / 6 | $27.783,40 | 1550 / 86 | $4.177,67 | 196 / 8 | $2.894,43 | 194 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 29 | $28.353,40 | 1559 / 70 | $5.118,71 | 254 / 33 | $3.557,84 | 254 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 21 | $37.986,30 | 1261 / 69 | $7.037,23 | 354 / 13 | $6.137,51 | 353 / 19 |
| G.I. Hemorrhage W Cc | 42 | 176 / 44 | $38.676,30 | 1912 / 95 | $6.674,38 | 469 / 52 | $4.879,43 | 468 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 42 | $41.231,30 | 2100 / 112 | $5.483,74 | 489 / 13 | $4.533,64 | 488 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 35 | $41.980,00 | 1566 / 76 | $6.178,00 | 486 / 10 | $5.207,88 | 485 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 49 | $44.485,70 | 2061 / 97 | $6.658,27 | 457 / 8 | $5.746,70 | 456 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 22 | $28.545,10 | 1673 / 98 | $3.872,79 | 159 / 10 | $2.916,56 | 157 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 48 | $43.985,60 | 2141 / 98 | $6.462,94 | 987 / 17 | $5.647,88 | 984 / 38 |
| Renal Failure W Cc | 34 | 187 / 59 | $38.296,40 | 1994 / 98 | $5.931,62 | 711 / 31 | $4.925,32 | 704 / 31 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 17 | $92.139,60 | 1134 / 55 | $19.751,90 | 467 / 49 | $13.483,80 | 463 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 33 | $73.053,60 | 1597 / 86 | $11.284,00 | 616 / 15 | $10.272,40 | 613 / 24 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 27 | $31.868,20 | 1574 / 94 | $4.587,19 | 451 / 6 | $3.927,58 | 450 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 27 | $22.814,50 | 1543 / 79 | $3.735,83 | 154 / 31 | $2.048,67 | 154 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $32.376,30 | 1171 / 60 | $5.224,69 | 185 / 34 | $3.175,21 | 183 / 9 |
| Renal Failure W Mcc | 29 | 166 / 46 | $87.546,80 | 2050 / 100 | $13.793,70 | 1821 / 89 | $12.015,90 | 1817 / 92 |
| Medical Back Problems W/O Mcc | 28 | 93 / 31 | $41.344,00 | 1269 / 76 | $5.325,39 | 587 / 24 | $4.376,89 | 585 / 39 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 18 | $35.731,70 | 977 / 42 | $5.728,41 | 271 / 8 | $4.740,77 | 271 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $31.216,50 | 1747 / 94 | $4.320,18 | 115 / 18 | $2.853,09 | 115 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 36 | $35.799,30 | 1380 / 75 | $6.317,77 | 348 / 8 | $5.495,95 | 347 / 16 |
| Syncope & Collapse | 21 | 148 / 42 | $44.355,30 | 1759 / 99 | $4.367,24 | 507 / 16 | $3.561,14 | 505 / 26 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 19 | $41.865,20 | 853 / 51 | $6.423,81 | 130 / 6 | $5.677,14 | 130 / 4 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 50 | $41.496,30 | 1554 / 65 | $7.045,71 | 523 / 8 | $6.355,43 | 523 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 14 | $72.178,30 | 671 / 35 | $11.535,40 | 587 / 27 | $10.105,80 | 585 / 34 |
| G.I. Obstruction W Cc | 20 | 72 / 29 | $30.009,30 | 1195 / 64 | $5.126,35 | 353 / 10 | $4.281,55 | 352 / 17 |
| Transient Ischemia | 20 | 105 / 34 | $35.094,90 | 1326 / 80 | $4.029,60 | 232 / 5 | $3.060,00 | 232 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $235.055,00 | 1133 / 65 | $49.651,20 | 1232 / 61 | $48.684,90 | 1229 / 65 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 27 | $39.367,10 | 1117 / 73 | $5.777,83 | 260 / 12 | $4.778,72 | 257 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 17 | $27.422,40 | 462 / 26 | $5.721,56 | 157 / 7 | $5.047,78 | 157 / 11 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 21 | $33.301,90 | 1088 / 59 | $4.181,39 | 212 / 12 | $3.255,61 | 211 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 47 | $81.228,30 | 891 / 44 | $18.734,80 | 122 / 63 | $9.548,11 | 122 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 22 | $40.838,80 | 903 / 61 | $5.131,65 | 213 / 6 | $4.143,41 | 210 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 15 | $24.895,70 | 652 / 31 | $4.414,12 | 94 / 12 | $2.925,71 | 95 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 10 | $82.563,10 | 473 / 30 | $13.648,30 | 399 / 18 | $12.650,70 | 396 / 26 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 20 | $21.793,60 | 902 / 49 | $3.510,47 | 156 / 4 | $2.446,94 | 156 / 15 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 21 | $54.633,00 | 904 / 61 | $7.639,31 | 328 / 17 | $6.883,31 | 326 / 21 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 27 | $35.032,80 | 745 / 47 | $3.844,75 | 89 / 1 | $3.143,75 | 89 / 2 |
| Diabetes W Cc | 16 | 76 / 24 | $30.534,20 | 1190 / 65 | $4.872,25 | 88 / 9 | $3.576,69 | 88 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 48 | $50.352,40 | 1208 / 64 | $12.145,60 | 34 / 80 | $4.468,81 | 34 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 22 | $37.443,60 | 636 / 46 | $5.912,75 | 147 / 9 | $4.778,75 | 147 / 12 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 36 | $68.491,90 | 1322 / 73 | $17.994,20 | 603 / 78 | $9.936,88 | 604 / 33 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $92.951,40 | 723 / 40 | $15.406,80 | 267 / 9 | $14.422,80 | 266 / 13 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 15 | $44.461,50 | 532 / 25 | $9.181,27 | 114 / 21 | $4.846,93 | 114 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $49.599,20 | 1152 / 65 | $6.953,07 | 426 / 7 | $6.470,87 | 424 / 27 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 14 | $57.972,70 | 472 / 34 | $10.134,10 | 391 / 25 | $9.329,87 | 391 / 25 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $54.375,90 | 647 / 36 | $9.433,64 | 224 / 9 | $8.231,36 | 224 / 13 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $62.668,00 | 1315 / 64 | $11.701,50 | 712 / 21 | $10.946,10 | 704 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 46 | $55.172,90 | 1049 / 52 | $11.603,90 | 923 / 44 | $10.737,60 | 920 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 41 | $46.372,90 | 1431 / 88 | $6.670,86 | 408 / 21 | $5.893,57 | 405 / 23 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 10 | $32.941,50 | 309 / 21 | $4.849,62 | 12 / 9 | $2.909,46 | 12 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 15 | $42.157,40 | 364 / 23 | $6.340,08 | 55 / 2 | $5.316,08 | 55 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 22 | $41.740,80 | 659 / 24 | $6.553,31 | 461 / 9 | $5.625,31 | 460 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $65.781,50 | 1056 / 50 | $13.906,80 | 810 / 23 | $13.350,50 | 802 / 39 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 37 | $71.676,60 | 1482 / 80 | $10.306,50 | 773 / 25 | $9.659,15 | 772 / 38 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 13 | $111.162,00 | 433 / 23 | $17.525,20 | 330 / 12 | $16.311,70 | 330 / 18 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 16 | $74.852,80 | 458 / 26 | $12.258,80 | 275 / 5 | $11.143,80 | 275 / 15 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 33 | $97.972,70 | 1260 / 72 | $15.546,20 | 1144 / 59 | $14.987,50 | 1136 / 69 |
| Seizures W/O Mcc | 12 | 96 / 32 | $29.128,20 | 921 / 63 | $4.384,33 | 208 / 3 | $3.579,00 | 207 / 12 |
| Major Chest Procedures W Cc | 12 | 62 / 16 | $105.705,00 | 417 / 22 | $23.506,60 | 210 / 19 | $14.676,50 | 209 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 39 | $155.390,00 | 1136 / 49 | $27.603,10 | 996 / 29 | $26.397,70 | 991 / 45 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 33 | $41.470,70 | 1030 / 75 | $6.537,83 | 634 / 39 | $5.633,83 | 631 / 48 |
| Chest Pain | 11 | 140 / 44 | $26.341,20 | 1267 / 64 | $3.478,18 | 163 / 3 | $2.489,09 | 162 / 6 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 14 | $118.375,00 | 413 / 21 | $21.959,90 | 217 / 12 | $21.084,30 | 217 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 22 | $79.772,60 | 529 / 20 | $17.135,10 | 225 / 9 | $16.041,30 | 224 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 14 | $27.293,90 | 161 / 5 | $6.883,27 | 86 / 3 | $6.121,09 | 86 / 4 | Total 75 procedures | 2.276 | 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.