Hospital Costs > In Illinois > Harrisburg Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 84 | 119 / 23 | $20.840,80 | 1221 / 30 | $7.212,89 | 2147 / 82 | $6.479,94 | 2139 / 93 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 11 | $15.105,60 | 744 / 26 | $5.637,97 | 1645 / 72 | $4.864,23 | 1637 / 88 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 94 | $19.536,20 | 243 / 4 | $12.256,60 | 1738 / 53 | $11.572,20 | 1705 / 72 |
| Heart Failure & Shock W Cc | 32 | 246 / 69 | $16.845,70 | 783 / 19 | $7.285,62 | 1947 / 88 | $6.412,62 | 1942 / 88 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 73 | $14.925,80 | 747 / 10 | $5.897,14 | 2054 / 81 | $4.896,31 | 2040 / 87 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 51 | $13.345,80 | 736 / 20 | $5.561,76 | 1937 / 84 | $4.740,00 | 1930 / 86 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 63 | $19.363,00 | 349 / 5 | $9.868,67 | 1652 / 66 | $9.015,33 | 1652 / 80 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 69 | $16.765,90 | 1191 / 30 | $5.803,61 | 1975 / 78 | $4.961,87 | 1964 / 83 |
| Heart Failure & Shock W Mcc | 22 | 262 / 78 | $20.108,00 | 427 / 8 | $10.262,70 | 1702 / 71 | $9.475,09 | 1697 / 82 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 59 | $11.509,50 | 186 / 3 | $6.928,64 | 1858 / 78 | $6.266,82 | 1851 / 92 |
| Cellulitis W/O Mcc | 21 | 168 / 61 | $14.269,60 | 763 / 22 | $6.815,52 | 1736 / 86 | $5.030,10 | 1728 / 84 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 34 | $13.593,30 | 616 / 14 | $5.729,65 | 1702 / 68 | $4.944,05 | 1691 / 85 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 36 | $10.752,20 | 345 / 3 | $5.428,47 | 1487 / 80 | $4.401,21 | 1475 / 82 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 39 | $17.360,40 | 658 / 23 | $6.233,26 | 1537 / 73 | $5.594,95 | 1528 / 85 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 20 | $15.220,30 | 346 / 8 | $5.850,63 | 857 / 48 | $4.406,21 | 854 / 47 |
| G.I. Hemorrhage W Cc | 18 | 200 / 63 | $18.623,40 | 628 / 14 | $7.381,67 | 1762 / 80 | $6.505,22 | 1758 / 85 |
| Renal Failure W Cc | 17 | 204 / 70 | $16.080,40 | 573 / 12 | $6.945,29 | 1705 / 71 | $6.160,35 | 1695 / 81 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 67 | $16.693,40 | 452 / 7 | $8.412,12 | 1856 / 73 | $7.576,12 | 1848 / 86 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 55 | $19.210,10 | 356 / 7 | $8.577,88 | 1493 / 60 | $7.821,88 | 1488 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 62 | $19.122,20 | 704 / 13 | $7.720,29 | 1848 / 72 | $6.904,29 | 1840 / 83 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $11.988,30 | 279 / 2 | $4.947,33 | 960 / 51 | $3.838,00 | 957 / 57 |
| Renal Failure W Mcc | 12 | 183 / 59 | $27.154,50 | 587 / 20 | $10.469,30 | 1208 / 60 | $9.456,00 | 1208 / 60 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 27 | $12.560,80 | 119 / 3 | $6.648,58 | 732 / 42 | $5.637,92 | 728 / 49 | Total 23 procedures | 548 | 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.