Hospital Costs > In Illinois > Franciscan St James Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 375 | 153 / 9 | $43.771,50 | 1517 / 46 | $13.311,00 | 1815 / 80 | $11.785,00 | 1780 / 79 |
| Heart Failure & Shock W Mcc | 192 | 92 / 6 | $29.721,20 | 1063 / 33 | $10.425,40 | 1686 / 76 | $9.446,46 | 1681 / 81 |
| Heart Failure & Shock W Cc | 133 | 145 / 18 | $18.693,00 | 1013 / 25 | $6.989,27 | 1545 / 75 | $5.821,67 | 1540 / 72 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 119 | 156 / 22 | $20.591,50 | 1463 / 46 | $5.888,76 | 1798 / 80 | $4.474,53 | 1785 / 81 |
| Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 18 | $16.767,70 | 1192 / 31 | $5.694,23 | 1717 / 73 | $4.577,18 | 1706 / 77 |
| Pulmonary Edema & Respiratory Failure | 110 | 93 / 4 | $28.310,10 | 925 / 27 | $9.459,80 | 1441 / 74 | $7.705,33 | 1436 / 71 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 109 | 455 / 60 | $48.230,50 | 1208 / 32 | $17.150,90 | 1748 / 88 | $12.688,10 | 1708 / 84 |
| G.I. Hemorrhage W Cc | 106 | 112 / 11 | $25.092,80 | 1202 / 43 | $7.435,29 | 1596 / 84 | $6.153,73 | 1592 / 80 |
| Chronic Obstructive Pulmonary Disease W Cc | 102 | 77 / 9 | $18.099,00 | 820 / 23 | $6.754,89 | 1414 / 69 | $5.396,33 | 1409 / 71 |
| Syncope & Collapse | 102 | 67 / 4 | $18.747,90 | 743 / 25 | $5.527,66 | 1274 / 64 | $4.542,77 | 1267 / 71 |
| Renal Failure W Cc | 99 | 122 / 21 | $21.957,40 | 1174 / 39 | $7.066,99 | 1577 / 73 | $5.884,61 | 1568 / 75 |
| Chronic Obstructive Pulmonary Disease W Mcc | 99 | 103 / 16 | $24.600,70 | 1096 / 31 | $8.631,71 | 1626 / 81 | $7.038,62 | 1618 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 93 | 112 / 16 | $30.432,80 | 1060 / 29 | $12.757,20 | 1447 / 98 | $8.598,48 | 1447 / 66 |
| Cellulitis W/O Mcc | 83 | 106 / 22 | $17.398,00 | 1174 / 40 | $6.526,08 | 1705 / 80 | $4.988,28 | 1698 / 82 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 80 | 86 / 13 | $16.552,70 | 1144 / 40 | $5.557,39 | 1546 / 83 | $4.126,17 | 1541 / 68 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 17 | $24.937,70 | 792 / 20 | $7.538,78 | 1299 / 58 | $6.337,73 | 1296 / 73 |
| Renal Failure W Mcc | 78 | 117 / 16 | $35.120,80 | 1052 / 44 | $11.431,80 | 1401 / 73 | $9.942,35 | 1401 / 72 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 77 | 84 / 11 | $17.714,50 | 830 / 23 | $5.947,45 | 1411 / 70 | $4.826,64 | 1406 / 74 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 31 | $19.205,70 | 1055 / 19 | $7.154,73 | 1700 / 80 | $5.719,24 | 1692 / 76 |
| Respiratory Infections & Inflammations W Mcc | 73 | 63 / 9 | $38.652,60 | 728 / 19 | $13.690,90 | 1121 / 67 | $12.155,70 | 1107 / 61 |
| Red Blood Cell Disorders W/O Mcc | 70 | 73 / 8 | $17.286,90 | 650 / 22 | $6.157,99 | 1374 / 70 | $5.147,13 | 1365 / 76 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 23 | $23.107,80 | 1081 / 28 | $8.085,65 | 1466 / 79 | $6.203,08 | 1460 / 69 |
| G.I. Hemorrhage W Mcc | 62 | 59 / 7 | $40.757,20 | 719 / 29 | $12.181,40 | 951 / 56 | $11.025,60 | 945 / 59 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $31.972,50 | 610 / 25 | $9.155,21 | 992 / 61 | $6.326,39 | 989 / 59 |
| Chest Pain | 60 | 91 / 9 | $16.920,90 | 684 / 22 | $5.079,87 | 994 / 46 | $3.542,80 | 988 / 50 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 56 | 75 / 8 | $56.416,40 | 812 / 33 | $16.412,70 | 1234 / 60 | $15.270,40 | 1221 / 69 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 11 | $41.652,40 | 881 / 32 | $12.664,10 | 1162 / 66 | $10.910,00 | 1157 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 52 | 116 / 14 | $39.431,50 | 677 / 28 | $12.005,20 | 940 / 49 | $10.796,00 | 936 / 58 |
| Transient Ischemia | 52 | 73 / 10 | $18.318,40 | 533 / 18 | $5.394,27 | 1026 / 60 | $4.089,56 | 1021 / 62 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 17 | $22.645,20 | 761 / 27 | $7.671,65 | 1041 / 63 | $6.464,75 | 1038 / 60 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 50 | 42 / 3 | $123.371,00 | 344 / 21 | $40.234,10 | 547 / 28 | $37.694,60 | 546 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 17 | $31.589,30 | 1033 / 51 | $9.298,14 | 1187 / 77 | $7.560,80 | 1184 / 77 |
| Seizures W/O Mcc | 47 | 61 / 6 | $16.121,30 | 309 / 10 | $5.780,26 | 821 / 50 | $4.808,87 | 818 / 56 |
| Diabetes W Cc | 45 | 47 / 4 | $20.902,00 | 758 / 32 | $6.106,38 | 959 / 50 | $5.046,38 | 955 / 58 |
| Other Digestive System Diagnoses W Cc | 44 | 53 / 12 | $26.162,00 | 725 / 35 | $7.798,91 | 863 / 63 | $5.994,11 | 859 / 55 |
| Peripheral Vascular Disorders W Cc | 42 | 42 / 8 | $19.963,30 | 413 / 19 | $6.753,05 | 656 / 45 | $5.716,50 | 653 / 50 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 27 | $55.261,80 | 348 / 7 | $15.085,40 | 1021 / 43 | $12.651,10 | 1014 / 64 |
| Other Circulatory System Diagnoses W Mcc | 41 | 75 / 12 | $37.470,80 | 414 / 13 | $12.903,30 | 764 / 38 | $11.912,30 | 760 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 6 | $24.057,20 | 478 / 13 | $7.657,25 | 959 / 47 | $6.546,35 | 957 / 49 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 19 | $16.491,30 | 1015 / 38 | $5.026,87 | 1275 / 70 | $4.060,84 | 1265 / 69 |
| Medical Back Problems W/O Mcc | 38 | 83 / 24 | $23.402,20 | 746 / 34 | $6.339,11 | 989 / 52 | $5.211,61 | 986 / 58 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 14 | $31.421,10 | 429 / 22 | $10.373,10 | 549 / 36 | $9.291,89 | 547 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 22 | $25.398,50 | 730 / 33 | $7.739,43 | 894 / 50 | $6.782,57 | 891 / 56 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 29 | $42.760,80 | 754 / 16 | $13.820,60 | 1424 / 75 | $12.470,50 | 1406 / 78 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 22 | $12.698,30 | 678 / 17 | $4.921,89 | 1182 / 75 | $2.999,81 | 1177 / 68 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 18 | $14.393,70 | 712 / 18 | $6.001,72 | 1347 / 71 | $4.149,17 | 1336 / 70 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 33 | 60 / 9 | $45.526,50 | 244 / 11 | $14.860,40 | 605 / 37 | $13.708,30 | 599 / 43 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 33 | 58 / 6 | $12.317,30 | 23 / 2 | $8.029,82 | 195 / 12 | $7.493,91 | 195 / 12 |
| G.I. Obstruction W Cc | 32 | 60 / 21 | $22.469,20 | 822 / 29 | $7.992,19 | 826 / 76 | $4.849,41 | 824 / 50 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 11 | $17.009,20 | 474 / 14 | $5.219,38 | 770 / 42 | $4.200,25 | 767 / 40 |
| Cellulitis W Mcc | 31 | 27 / 4 | $28.048,80 | 329 / 11 | $9.694,97 | 448 / 35 | $8.478,23 | 446 / 33 |
| Seizures W Mcc | 30 | 36 / 4 | $29.915,40 | 165 / 4 | $10.197,80 | 381 / 18 | $9.437,20 | 381 / 22 |
| Degenerative Nervous System Disorders W/O Mcc | 29 | 49 / 13 | $19.056,20 | 195 / 6 | $7.480,34 | 402 / 35 | $5.670,00 | 402 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 12 | $16.848,50 | 270 / 10 | $7.572,76 | 587 / 47 | $5.033,76 | 583 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $20.960,70 | 242 / 4 | $8.615,15 | 903 / 46 | $7.781,00 | 898 / 54 |
| Dysequilibrium | 26 | 39 / 11 | $18.773,80 | 210 / 8 | $4.823,65 | 323 / 16 | $3.685,81 | 323 / 20 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 31 | $105.655,00 | 552 / 25 | $44.650,20 | 620 / 75 | $30.628,20 | 614 / 32 |
| Other Digestive System Diagnoses W Mcc | 24 | 38 / 10 | $32.632,30 | 205 / 4 | $11.831,50 | 394 / 21 | $10.779,40 | 393 / 26 |
| Digestive Malignancy W Cc | 24 | 23 / 8 | $37.458,90 | 217 / 14 | $9.044,25 | 197 / 16 | $7.755,33 | 195 / 17 |
| Diabetes W Mcc | 23 | 34 / 3 | $25.305,20 | 183 / 6 | $9.364,91 | 371 / 20 | $8.496,35 | 371 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 9 | $20.018,70 | 377 / 17 | $6.255,17 | 374 / 29 | $4.127,30 | 374 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 14 | $22.179,00 | 312 / 12 | $7.168,65 | 521 / 34 | $6.416,22 | 521 / 38 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 15 | $23.179,30 | 244 / 7 | $9.035,04 | 690 / 48 | $8.274,17 | 686 / 52 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $85.239,00 | 146 / 7 | $32.347,90 | 382 / 16 | $30.390,30 | 382 / 20 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 22 | 46 / 8 | $18.266,50 | 175 / 5 | $6.972,18 | 271 / 26 | $4.919,73 | 271 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 25 | $22.167,40 | 728 / 26 | $5.692,19 | 864 / 47 | $4.087,14 | 860 / 50 |
| Respiratory Neoplasms W Mcc | 21 | 31 / 10 | $46.012,40 | 328 / 13 | $13.833,00 | 285 / 29 | $10.089,60 | 285 / 23 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 13 | $62.619,70 | 383 / 13 | $26.184,30 | 308 / 47 | $14.663,40 | 307 / 16 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 2 | $26.082,70 | 249 / 2 | $9.850,45 | 575 / 12 | $8.931,30 | 573 / 18 |
| Transurethral Procedures W Cc | 20 | 21 / 4 | $31.158,70 | 131 / 6 | $9.781,10 | 218 / 20 | $7.501,50 | 218 / 20 |
| Hypertension W/O Mcc | 20 | 45 / 10 | $13.835,20 | 169 / 6 | $4.814,35 | 470 / 23 | $3.639,20 | 468 / 28 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 6 | $22.632,20 | 586 / 27 | $4.979,00 | 489 / 27 | $3.850,26 | 488 / 26 |
| Pulmonary Embolism W Mcc | 19 | 24 / 7 | $36.438,30 | 268 / 8 | $10.411,10 | 356 / 28 | $9.344,11 | 356 / 28 |
| Other Vascular Procedures W Cc | 19 | 83 / 24 | $59.396,50 | 348 / 9 | $17.478,00 | 688 / 27 | $16.320,00 | 685 / 35 |
| Respiratory Neoplasms W Cc | 19 | 28 / 8 | $29.288,10 | 180 / 7 | $8.971,37 | 260 / 20 | $7.163,89 | 259 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 21 | $28.120,90 | 595 / 30 | $8.651,21 | 713 / 45 | $7.383,95 | 711 / 50 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 24 | $31.655,90 | 741 / 29 | $10.012,40 | 1029 / 50 | $8.800,06 | 1024 / 54 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 22 | $20.947,20 | 435 / 10 | $7.779,39 | 803 / 47 | $5.829,11 | 800 / 48 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 18 | 98 / 12 | $114.382,00 | 24 / 1 | $49.390,10 | 170 / 4 | $48.152,60 | 170 / 5 |
| Other Vascular Procedures W Mcc | 18 | 79 / 20 | $83.688,60 | 422 / 12 | $22.402,70 | 512 / 23 | $20.831,90 | 509 / 26 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 13 | $20.714,90 | 193 / 9 | $7.102,35 | 261 / 20 | $6.036,88 | 261 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $105.614,00 | 436 / 11 | $42.645,90 | 321 / 54 | $27.694,20 | 319 / 15 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 12 | $40.097,00 | 352 / 21 | $12.292,00 | 501 / 32 | $11.387,10 | 501 / 32 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 32 | $10.770,80 | 293 / 3 | $5.066,53 | 1181 / 55 | $3.879,82 | 1175 / 72 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 7 | $18.920,00 | 97 / 2 | $5.539,19 | 184 / 10 | $4.762,06 | 184 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $14.319,20 | 295 / 9 | $5.228,00 | 660 / 30 | $4.233,50 | 656 / 36 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 13 | $18.231,60 | 148 / 3 | $6.372,12 | 287 / 18 | $5.215,94 | 287 / 20 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 1 | $18.880,40 | 111 / 2 | $7.102,44 | 281 / 12 | $6.011,12 | 281 / 11 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $55.620,70 | 546 / 11 | $24.843,80 | 889 / 66 | $15.174,00 | 881 / 52 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $18.267,50 | 740 / 31 | $4.741,33 | 807 / 47 | $3.462,73 | 804 / 48 |
| Atherosclerosis W/O Mcc | 15 | 43 / 7 | $15.457,90 | 182 / 6 | $4.935,93 | / 15 | $3.454,67 | / |
| Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 7 | $52.942,10 | 213 / 11 | $14.314,50 | 248 / 12 | $13.116,20 | 248 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $27.549,20 | 557 / 23 | $6.954,47 | 642 / 31 | $5.810,47 | 639 / 38 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 9 | $12.849,30 | 95 / 4 | $5.179,53 | 230 / 16 | $3.950,67 | 230 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $88.167,90 | 558 / 25 | $23.517,00 | 627 / 33 | $20.949,40 | 624 / 37 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 22 | $74.195,90 | 214 / 5 | $21.832,30 | 577 / 19 | $20.559,30 | 573 / 32 |
| Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 8 | $13.723,70 | 106 / 3 | $5.106,93 | 201 / 9 | $3.590,27 | 201 / 8 |
| Respiratory Signs & Symptoms | 14 | 32 / 6 | $23.194,50 | 159 / 8 | $6.701,86 | 146 / 11 | $4.081,21 | 146 / 9 |
| Medical Back Problems W Mcc | 14 | 25 / 9 | $42.730,20 | 165 / 7 | $11.079,80 | 164 / 12 | $9.798,79 | 164 / 14 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 18 | $16.772,60 | 370 / 10 | $5.201,07 | 518 / 29 | $3.976,00 | 518 / 28 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $17.875,80 | 482 / 17 | $6.066,85 | 474 / 29 | $3.511,23 | 473 / 20 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 14 | $24.163,60 | 88 / 2 | $7.799,85 | 113 / 15 | $6.611,23 | 113 / 15 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $18.542,60 | 128 / 3 | $6.741,85 | 219 / 21 | $3.797,38 | 218 / 19 |
| Psychoses | 13 | 262 / 27 | $16.365,70 | 225 / 14 | $6.369,38 | 230 / 8 | $5.640,54 | 230 / 15 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 18 | $61.237,50 | 193 / 5 | $13.817,80 | 356 / 14 | $12.461,50 | 352 / 20 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 11 | $15.492,60 | 110 / 4 | $5.525,83 | 150 / 12 | $4.521,50 | 150 / 14 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $84.403,60 | 236 / 10 | $25.707,90 | 401 / 23 | $24.446,70 | 401 / 27 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 21 | $65.265,60 | 359 / 10 | $20.667,60 | 607 / 32 | $19.393,60 | 604 / 35 |
| Endocrine Disorders W Cc | 12 | 26 / 10 | $21.528,50 | 88 / 2 | $7.442,25 | 154 / 12 | $6.264,25 | 154 / 12 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $26.959,20 | 162 / 4 | $7.738,92 | 176 / 16 | $5.969,58 | 176 / 13 |
| Skin Ulcers W Cc | 11 | 8 / 2 | $19.786,50 | 6 / 2 | $6.522,09 | 5 / 2 | $5.357,64 | 5 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 12 | $17.066,20 | 176 / 5 | $5.042,27 | 335 / 17 | $4.185,27 | 334 / 21 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 12 | $19.799,50 | 156 / 4 | $5.404,09 | 219 / 17 | $4.683,18 | 219 / 19 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 5 | $49.920,50 | 40 / 2 | $14.867,80 | 27 / 2 | $13.436,50 | 27 / 2 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 10 | $40.428,50 | 108 / 3 | $11.938,50 | 118 / 5 | $11.245,70 | 118 / 7 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 9 | $108.752,00 | 42 / 2 | $35.995,50 | 105 / 5 | $34.648,90 | 104 / 6 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 6 | $39.742,80 | 188 / 6 | $12.024,00 | 276 / 15 | $11.225,40 | 276 / 16 | Total 117 procedures | 4.852 | 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.