Hospital Costs > In Illinois > Good Samaritan Regional Hlth Center, 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 | 308 | 210 / 13 | $26.680,50 | 631 / 13 | $10.270,20 | 428 / 5 | $9.391,82 | 428 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 173 | 391 / 40 | $44.283,20 | 986 / 23 | $12.241,10 | 785 / 5 | $10.736,10 | 772 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 26 | $20.505,00 | 424 / 6 | $8.173,24 | 547 / 5 | $7.376,81 | 547 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 19 | $18.003,60 | 598 / 10 | $6.377,21 | 378 / 14 | $5.073,44 | 377 / 9 |
| Heart Failure & Shock W Cc | 68 | 210 / 46 | $15.930,70 | 679 / 16 | $5.560,59 | 485 / 10 | $4.885,47 | 485 / 17 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 16 | $20.339,50 | 424 / 8 | $6.910,11 | 352 / 3 | $6.155,40 | 352 / 9 |
| Heart Failure & Shock W Mcc | 65 | 219 / 53 | $22.838,50 | 590 / 13 | $8.337,85 | 590 / 10 | $7.803,43 | 590 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 63 | 133 / 16 | $60.416,70 | 461 / 14 | $14.251,80 | 474 / 38 | $10.588,10 | 472 / 22 |
| Renal Failure W Cc | 57 | 164 / 41 | $17.402,20 | 717 / 18 | $5.519,40 | 529 / 7 | $4.784,39 | 525 / 23 |
| Renal Failure W Mcc | 56 | 139 / 27 | $19.663,90 | 214 / 6 | $8.472,75 | 333 / 6 | $7.794,12 | 333 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 39 | $17.384,00 | 513 / 10 | $6.698,44 | 525 / 10 | $5.803,08 | 524 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 59 | $15.245,90 | 791 / 12 | $4.399,85 | 396 / 11 | $3.325,04 | 394 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 13 | $33.514,50 | 175 / 1 | $13.261,60 | 225 / 13 | $11.646,40 | 223 / 7 |
| Cellulitis W/O Mcc | 45 | 144 / 42 | $12.033,70 | 475 / 9 | $4.975,82 | 276 / 12 | $3.659,22 | 274 / 6 |
| Chest Pain | 44 | 107 / 15 | $13.825,10 | 387 / 13 | $3.706,50 | 325 / 10 | $2.723,82 | 324 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 32 | $16.782,90 | 262 / 3 | $6.255,30 | 219 / 11 | $4.856,84 | 219 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 16 | $11.803,10 | 442 / 8 | $3.950,68 | 264 / 13 | $3.056,34 | 262 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 20 | $17.018,40 | 244 / 6 | $6.275,45 | 271 / 5 | $5.643,85 | 268 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 15 | $22.279,70 | 207 / 6 | $9.513,78 | 341 / 5 | $8.644,17 | 341 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 27 | $26.237,30 | 344 / 8 | $6.791,65 | 215 / 17 | $5.001,02 | 215 / 7 |
| G.I. Hemorrhage W Cc | 39 | 179 / 46 | $17.185,90 | 499 / 10 | $5.616,49 | 332 / 4 | $4.748,38 | 332 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 20 | $82.128,70 | 267 / 6 | $28.419,40 | 284 / 6 | $27.818,10 | 284 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 45 | $17.489,50 | 753 / 21 | $5.525,50 | 559 / 15 | $4.602,55 | 557 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 35 | $14.100,80 | 424 / 7 | $4.595,39 | 252 / 10 | $3.556,28 | 252 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 59 | $14.395,30 | 493 / 7 | $5.825,54 | 422 / 14 | $4.584,40 | 419 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 29 | $26.660,30 | 249 / 5 | $9.586,00 | 251 / 7 | $8.635,70 | 250 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 30 | $17.751,70 | 226 / 4 | $6.906,94 | 382 / 7 | $6.174,82 | 380 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 26 | $8.221,52 | 165 / 3 | $3.351,19 | 296 / 10 | $2.257,00 | 294 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 64 | $14.015,20 | 801 / 18 | $4.472,72 | 596 / 14 | $3.683,76 | 594 / 27 |
| Atherosclerosis W/O Mcc | 28 | 30 / 1 | $9.487,75 | 37 / 1 | $3.790,57 | / 3 | $2.636,07 | / |
| Syncope & Collapse | 27 | 142 / 36 | $15.165,60 | 406 / 8 | $4.273,59 | 502 / 9 | $3.556,56 | 500 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $44.426,60 | 820 / 20 | $11.069,50 | 598 / 10 | $10.233,80 | 595 / 23 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 32 | $14.884,00 | 443 / 12 | $4.648,58 | 309 / 10 | $3.764,88 | 308 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 26 | 74 / 12 | $71.443,50 | 178 / 3 | $18.683,50 | 296 / 3 | $17.850,30 | 294 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 14 | $22.479,50 | 395 / 9 | $5.996,00 | 231 / 3 | $5.014,00 | 231 / 5 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 29 | $27.020,00 | 227 / 4 | $9.877,08 | 268 / 8 | $9.071,75 | 268 / 13 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 22 | $26.790,90 | 150 / 3 | $9.790,62 | 98 / 1 | $9.107,96 | 98 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 35 | $18.134,60 | 437 / 11 | $6.221,39 | 304 / 4 | $5.432,52 | 303 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 12 | $87.261,30 | 117 / 6 | $32.465,60 | 186 / 7 | $31.537,80 | 186 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $12.599,30 | 506 / 11 | $4.167,59 | 461 / 8 | $3.287,59 | 460 / 24 |
| Transient Ischemia | 21 | 104 / 33 | $14.306,10 | 255 / 4 | $4.678,24 | 256 / 34 | $3.103,90 | 256 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 29 | $11.678,20 | 391 / 6 | $4.151,90 | 518 / 7 | $3.249,50 | 516 / 31 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 18 | $21.586,70 | 194 / 4 | $7.389,20 | 141 / 14 | $6.306,65 | 141 / 5 |
| Diabetes W Cc | 20 | 72 / 20 | $15.355,00 | 358 / 13 | $4.901,90 | 250 / 11 | $3.920,85 | 250 / 17 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 45 | $31.115,70 | 422 / 8 | $10.602,30 | 357 / 5 | $10.155,90 | 357 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 56 | $11.537,80 | 492 / 9 | $4.147,47 | 518 / 15 | $3.318,84 | 516 / 24 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 21 | $20.763,80 | 428 / 9 | $5.483,68 | 199 / 3 | $4.594,42 | 199 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 34 | $77.390,20 | 491 / 7 | $23.025,30 | 504 / 5 | $21.820,00 | 501 / 17 |
| Seizures W/O Mcc | 18 | 90 / 27 | $12.840,30 | 167 / 3 | $4.352,00 | 262 / 2 | $3.678,22 | 261 / 17 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 6 | $20.686,90 | 325 / 3 | $5.095,44 | 86 / 8 | $3.268,11 | 86 / 1 |
| Medical Back Problems W/O Mcc | 17 | 104 / 41 | $16.275,70 | 294 / 7 | $4.746,53 | 229 / 3 | $3.820,41 | 229 / 11 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 3 | $50.293,60 | 292 / 7 | $9.792,88 | 114 / 1 | $8.584,41 | 113 / 2 |
| Other Vascular Procedures W Cc | 16 | 86 / 27 | $73.650,90 | 563 / 14 | $17.233,80 | 718 / 24 | $16.549,80 | 714 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $16.095,80 | 91 / 2 | $6.808,07 | 205 / 4 | $6.008,07 | 204 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $59.879,50 | 256 / 6 | $18.591,70 | 278 / 10 | $17.465,30 | 276 / 14 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $18.556,70 | 341 / 12 | $5.285,87 | 133 / 3 | $4.481,60 | 133 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 14 | $44.349,00 | 95 / 1 | $10.581,00 | 211 / 2 | $9.806,14 | 211 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 21 | $35.505,40 | 562 / 17 | $8.781,79 | 53 / 31 | $4.471,86 | 53 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $27.709,90 | 297 / 3 | $8.401,29 | 286 / 5 | $7.621,86 | 285 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $14.439,50 | 495 / 16 | $4.421,92 | 100 / 35 | $2.333,23 | 100 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 20 | $52.925,80 | 210 / 3 | $17.049,20 | 223 / 8 | $16.022,70 | 222 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 17 | $32.395,90 | 171 / 5 | $10.545,80 | 158 / 4 | $10.270,20 | 158 / 14 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $50.797,80 | 294 / 8 | $13.907,60 | 22 / 17 | $9.883,23 | 22 / 1 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $11.483,70 | 182 / 5 | $3.725,54 | 179 / 4 | $2.886,15 | 178 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $112.634,00 | 328 / 13 | $33.536,70 | 522 / 20 | $32.931,20 | 521 / 26 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 10 | $184.814,00 | 203 / 7 | $54.955,70 | 356 / 17 | $54.051,70 | 356 / 17 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 14 | $134.009,00 | 289 / 8 | $33.013,70 | 491 / 13 | $31.811,00 | 491 / 24 |
| Diabetes W Mcc | 12 | 45 / 11 | $18.699,20 | 65 / 1 | $7.818,33 | 163 / 2 | $7.319,67 | 163 / 7 |
| Extracranial Procedures W Cc | 12 | 34 / 11 | $45.532,00 | 206 / 5 | $9.108,50 | 91 / 2 | $8.071,50 | 91 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $34.361,90 | 291 / 7 | $9.201,42 | 152 / 5 | $7.996,08 | 152 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 31 | $57.792,40 | 111 / 2 | $17.929,10 | 110 / 1 | $17.050,50 | 110 / 4 |
| Other Infectious & Parasitic Diseases Diagnoses W Mcc | 11 | 10 / 4 | $29.087,70 | 4 / 1 | $13.830,10 | 3 / 1 | $13.393,70 | 3 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 29 | $15.514,60 | 131 / 3 | $6.498,45 | 146 / 7 | $5.733,36 | 146 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 35 | $13.848,70 | 179 / 2 | $4.460,00 | 459 / 8 | $3.578,55 | 456 / 26 |
| Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 5 | $13.341,60 | 4 / 1 | $9.509,45 | 15 / 1 | $8.630,91 | 15 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $21.628,20 | 156 / 4 | $8.839,45 | 219 / 9 | $8.068,55 | 219 / 12 | Total 76 procedures | 2.552 | 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.