Hospital Costs > In Illinois > Galesburg Cottage Hospital, 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 | 81 | 435 / 74 | $71.594,80 | 2307 / 99 | $10.420,60 | 348 / 7 | $9.271,93 | 348 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 80 | $141.758,00 | 2650 / 110 | $16.051,20 | 597 / 77 | $10.466,90 | 591 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 45 | $44.093,70 | 2045 / 95 | $6.749,66 | 599 / 13 | $5.861,05 | 597 / 20 |
Heart Failure & Shock W Cc | 34 | 244 / 67 | $45.325,80 | 2466 / 119 | $5.797,74 | 637 / 18 | $5.016,56 | 636 / 21 |
Heart Failure & Shock W Mcc | 31 | 253 / 72 | $51.614,00 | 2025 / 94 | $8.277,10 | 414 / 7 | $7.578,26 | 414 / 10 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 62 | $34.221,20 | 2154 / 93 | $5.704,42 | 825 / 9 | $4.932,81 | 822 / 30 |
Renal Failure W Cc | 27 | 194 / 64 | $31.974,60 | 1792 / 86 | $6.013,07 | 267 / 35 | $4.496,26 | 265 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 75 | $38.147,10 | 2433 / 113 | $4.432,04 | 556 / 14 | $3.450,70 | 554 / 25 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 39 | $78.166,20 | 1485 / 80 | $10.560,20 | 272 / 4 | $9.957,12 | 272 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 62 | $55.207,80 | 2023 / 95 | $8.679,44 | 984 / 23 | $7.860,20 | 984 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 51 | $21.260,20 | 1668 / 73 | $4.206,72 | 394 / 17 | $3.236,48 | 394 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 68 | $32.026,20 | 2281 / 110 | $4.550,67 | 685 / 16 | $3.744,00 | 681 / 31 |
Renal Failure W Mcc | 23 | 172 / 50 | $33.251,30 | 964 / 37 | $8.316,57 | 303 / 4 | $7.739,17 | 303 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 56 | $47.780,30 | 2218 / 103 | $5.995,17 | 302 / 5 | $4.994,83 | 301 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 59 | $36.719,40 | 1982 / 98 | $5.483,50 | 512 / 12 | $4.555,50 | 510 / 19 |
Cellulitis W/O Mcc | 22 | 167 / 60 | $24.729,40 | 1856 / 89 | $4.935,41 | 660 / 10 | $4.018,32 | 656 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 48 | $38.730,10 | 1884 / 95 | $4.900,67 | 430 / 18 | $3.755,33 | 430 / 21 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 22 | $60.080,10 | 1257 / 67 | $7.884,75 | 457 / 10 | $7.253,95 | 454 / 24 |
G.I. Hemorrhage W Cc | 20 | 198 / 61 | $36.295,80 | 1831 / 88 | $5.839,90 | 656 / 13 | $5.052,70 | 655 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 40 | $24.608,00 | 1520 / 76 | $4.276,43 | 614 / 14 | $3.417,00 | 613 / 32 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 58 | $58.703,80 | 1907 / 90 | $7.011,46 | 301 / 4 | $6.088,38 | 301 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 49 | $48.282,30 | 1499 / 87 | $6.959,46 | 306 / 11 | $6.054,85 | 305 / 14 |
Syncope & Collapse | 13 | 156 / 49 | $31.736,50 | 1495 / 88 | $4.276,31 | 572 / 10 | $3.624,00 | 569 / 33 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 37 | $31.239,50 | 1651 / 94 | $4.211,00 | 371 / 11 | $3.109,67 | 369 / 21 |
G.I. Hemorrhage W Mcc | 12 | 109 / 40 | $50.638,90 | 1016 / 46 | $8.776,50 | 79 / 1 | $8.373,83 | 79 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 51 | $82.489,60 | 1740 / 93 | $10.935,50 | 406 / 5 | $9.930,17 | 405 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 44 | $29.946,90 | 1752 / 96 | $3.407,64 | 615 / 13 | $2.529,09 | 611 / 35 |
Seizures W Mcc | 11 | 55 / 21 | $31.068,50 | 195 / 6 | $7.794,91 | 56 / 1 | $7.355,64 | 56 / 1 | Total 28 procedures | 687 | 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.