Hospital Costs > In Illinois > Greenville Regional 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 | 19 | 105 / 24 | $5.336,58 | 22 / 6 | $5.294,11 | 521 / 22 | $4.529,47 | 520 / 31 |
| Cellulitis W/O Mcc | 14 | 175 / 67 | $9.445,36 | 199 / 3 | $6.455,00 | 1853 / 79 | $5.255,00 | 1845 / 88 |
| Heart Failure & Shock W Cc | 13 | 265 / 83 | $9.563,85 | 111 / 1 | $7.141,77 | 2034 / 83 | $6.585,46 | 2029 / 92 |
| Heart Failure & Shock W Mcc | 12 | 272 / 88 | $11.914,70 | 48 / 1 | $10.210,80 | 1667 / 67 | $9.405,50 | 1662 / 79 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 61 | $9.844,00 | 293 / 2 | $5.373,18 | 1926 / 78 | $4.721,55 | 1919 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 102 | $13.574,40 | 39 / 1 | $11.337,90 | 1399 / 29 | $10.841,90 | 1372 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 62 | $12.626,40 | 189 / 3 | $7.940,79 | 2037 / 78 | $7.419,64 | 2029 / 92 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 62 | $11.696,80 | 230 / 3 | $7.235,68 | 2086 / 83 | $6.350,52 | 2078 / 91 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 33 | $12.779,70 | 489 / 12 | $5.412,31 | 1532 / 66 | $4.512,31 | 1524 / 80 | Total 9 procedures | 142 | 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.