Hospital Costs > In Illinois > Fhn Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 32 | $14.159,40 | 301 / 18 | $4.378,64 | 275 / 9 | $3.718,27 | 275 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 49 | $24.183,60 | 1363 / 53 | $5.356,25 | 1286 / 47 | $4.631,45 | 1281 / 68 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 50 | $22.255,60 | 477 / 15 | $7.241,25 | 375 / 23 | $6.167,92 | 373 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 31 | $16.759,20 | 1172 / 48 | $3.687,17 | 820 / 26 | $2.687,17 | 816 / 51 |
Cellulitis W Mcc | 11 | 47 / 22 | $30.301,30 | 391 / 17 | $8.709,45 | 339 / 14 | $8.046,18 | 338 / 19 |
Cellulitis W/O Mcc | 52 | 137 / 36 | $16.502,40 | 1052 / 33 | $5.210,29 | 945 / 26 | $4.235,52 | 939 / 46 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 45 | $25.555,50 | 1481 / 59 | $5.714,32 | 919 / 20 | $4.889,05 | 916 / 39 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 54 | $28.589,30 | 1378 / 47 | $7.077,71 | 860 / 26 | $6.106,35 | 855 / 32 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 25 | $17.714,20 | 1084 / 40 | $4.534,90 | 751 / 26 | $3.532,97 | 748 / 39 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 49 | $32.022,80 | 613 / 26 | $6.545,86 | 433 / 9 | $5.343,57 | 431 / 22 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 19 | $25.995,10 | 377 / 17 | $5.418,36 | 253 / 5 | $4.871,45 | 253 / 16 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 14 | $28.487,20 | 583 / 25 | $5.696,29 | 304 / 7 | $4.770,18 | 303 / 17 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 10 | $21.211,10 | 276 / 14 | $4.793,31 | 118 / 16 | $3.019,15 | 118 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 64 | $22.145,50 | 1645 / 59 | $5.503,57 | 740 / 67 | $3.592,71 | 736 / 29 |
G.I. Hemorrhage W Cc | 40 | 178 / 45 | $24.555,90 | 1171 / 40 | $6.160,90 | 774 / 28 | $5.160,90 | 772 / 36 |
G.I. Hemorrhage W Mcc | 17 | 104 / 35 | $38.422,20 | 635 / 26 | $10.367,20 | 580 / 19 | $9.868,35 | 581 / 30 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $20.538,30 | 562 / 27 | $4.390,18 | 433 / 9 | $3.622,18 | 429 / 28 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $16.673,30 | 640 / 22 | $3.963,08 | 762 / 18 | $3.360,42 | 759 / 46 |
Heart Failure & Shock W Cc | 67 | 211 / 47 | $20.680,70 | 1257 / 41 | $6.000,48 | 1150 / 31 | $5.403,94 | 1147 / 50 |
Heart Failure & Shock W Mcc | 21 | 263 / 79 | $34.354,90 | 1357 / 48 | $8.872,38 | 1132 / 29 | $8.470,10 | 1129 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $17.197,60 | 1076 / 46 | $4.309,53 | 617 / 29 | $3.404,53 | 615 / 38 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 46 | $54.138,20 | 1184 / 45 | $11.671,80 | 757 / 33 | $10.536,70 | 750 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 51 | $30.687,60 | 1197 / 43 | $6.401,90 | 686 / 16 | $5.419,05 | 685 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 48 | $36.708,80 | 571 / 21 | $14.724,10 | 216 / 68 | $8.537,75 | 215 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $21.217,50 | 668 / 19 | $4.715,47 | 613 / 16 | $3.751,20 | 609 / 40 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 39 | $27.097,50 | 1045 / 45 | $7.151,89 | 339 / 41 | $5.481,63 | 338 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 47 | $17.048,70 | 1230 / 33 | $4.984,86 | 629 / 41 | $3.709,71 | 627 / 28 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 22 | $49.888,80 | 461 / 18 | $9.860,58 | 349 / 4 | $8.855,25 | 349 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 29 | $21.484,30 | 335 / 10 | $7.001,00 | 253 / 18 | $6.014,82 | 252 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 72 | $61.369,70 | 1744 / 67 | $14.084,20 | 1383 / 41 | $11.773,80 | 1350 / 59 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $96.870,20 | 1189 / 64 | $18.339,70 | 1171 / 43 | $17.269,80 | 1157 / 62 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $159.643,00 | 859 / 40 | $41.365,20 | 1089 / 52 | $40.642,20 | 1087 / 61 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 44 | $33.425,90 | 1115 / 61 | $9.397,18 | 1407 / 69 | $8.739,73 | 1404 / 79 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 47 | $20.026,50 | 1557 / 63 | $4.425,83 | 1015 / 26 | $3.663,17 | 1012 / 49 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 29 | $22.875,00 | 559 / 20 | $5.889,00 | 416 / 18 | $5.061,00 | 413 / 26 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 23 | $20.383,60 | 261 / 8 | $5.994,09 | 179 / 12 | $5.112,64 | 179 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 52 | $78.310,70 | 839 / 40 | $13.003,40 | 835 / 17 | $11.793,20 | 829 / 48 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 56 | $31.015,20 | 1097 / 35 | $7.285,20 | 967 / 18 | $6.884,13 | 966 / 41 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 34 | $17.617,00 | 684 / 25 | $5.005,00 | 611 / 25 | $4.098,33 | 607 / 32 |
Renal Failure W Cc | 29 | 192 / 62 | $24.572,30 | 1391 / 53 | $5.949,21 | 1215 / 32 | $5.407,38 | 1207 / 57 |
Renal Failure W Mcc | 16 | 179 / 56 | $28.422,40 | 676 / 23 | $9.014,62 | 767 / 21 | $8.486,62 | 767 / 38 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 15 | $37.671,20 | 917 / 37 | $8.472,50 | 547 / 27 | $7.441,64 | 544 / 28 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 49 | $45.609,20 | 948 / 29 | $11.787,40 | 769 / 27 | $11.062,10 | 761 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 83 | $49.201,50 | 1755 / 60 | $11.877,70 | 1412 / 42 | $10.879,90 | 1385 / 53 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 55 | $31.071,50 | 1681 / 59 | $6.498,96 | 866 / 19 | $5.540,25 | 864 / 35 |
Simple Pneumonia & Pleurisy W Cc | 91 | 112 / 19 | $24.474,80 | 1582 / 55 | $5.950,02 | 928 / 22 | $5.025,01 | 925 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 58 | $27.899,30 | 901 / 24 | $8.638,07 | 900 / 21 | $7.759,13 | 900 / 32 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 12 | $18.927,90 | 1118 / 49 | $4.456,74 | 692 / 23 | $3.409,16 | 688 / 40 |
Syncope & Collapse | 13 | 156 / 49 | $20.233,00 | 875 / 31 | $5.131,69 | 299 / 48 | $3.327,15 | 297 / 15 | Total 49 procedures | 1.247 | 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.