Hospital Costs > In Illinois > Hinsdale Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 315 | 256 / 18 | $69.066,60 | 1966 / 85 | $16.737,30 | 1212 / 86 | $11.411,60 | 1182 / 50 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 258 | 258 / 22 | $45.309,30 | 1593 / 49 | $12.329,00 | 1520 / 56 | $11.052,20 | 1489 / 59 |
Cellulitis W/O Mcc | 96 | 93 / 18 | $20.445,40 | 1529 / 70 | $5.818,68 | 1574 / 56 | $4.803,34 | 1567 / 74 |
Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 25 | $24.826,40 | 1612 / 56 | $6.762,71 | 1415 / 59 | $5.433,87 | 1409 / 64 |
Heart Failure & Shock W Mcc | 78 | 206 / 45 | $39.740,60 | 1648 / 63 | $10.353,30 | 1231 / 75 | $8.615,82 | 1228 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 19 | $30.040,90 | 1617 / 52 | $7.855,94 | 1253 / 76 | $5.927,08 | 1248 / 57 |
Heart Failure & Shock W Cc | 69 | 209 / 45 | $25.443,70 | 1699 / 67 | $6.710,12 | 1299 / 63 | $5.549,77 | 1295 / 57 |
G.I. Hemorrhage W Cc | 67 | 151 / 27 | $25.458,10 | 1237 / 48 | $7.178,34 | 1059 / 68 | $5.423,13 | 1057 / 51 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 51 | $22.052,00 | 1634 / 57 | $5.199,74 | 1479 / 52 | $4.114,84 | 1468 / 68 |
Renal Failure W Cc | 53 | 168 / 44 | $23.449,40 | 1307 / 47 | $6.526,08 | 1376 / 57 | $5.585,40 | 1367 / 65 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 48 | $20.783,80 | 1652 / 56 | $5.337,19 | 1359 / 58 | $4.209,85 | 1350 / 65 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 41 | $32.096,00 | 1593 / 62 | $7.762,62 | 1368 / 49 | $6.662,36 | 1362 / 61 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 47 | $42.423,60 | 1656 / 64 | $9.863,16 | 1539 / 65 | $8.772,25 | 1539 / 73 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 25 | $56.701,00 | 1268 / 54 | $12.667,30 | 1121 / 60 | $11.374,80 | 1107 / 60 |
Renal Failure W Mcc | 40 | 155 / 38 | $51.127,90 | 1606 / 86 | $10.759,20 | 1226 / 66 | $9.495,25 | 1226 / 64 |
G.I. Obstruction W Cc | 39 | 53 / 14 | $26.096,70 | 1046 / 49 | $6.047,87 | 798 / 46 | $4.810,54 | 796 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 46 | $25.460,20 | 1474 / 57 | $6.803,59 | 1198 / 71 | $5.152,46 | 1194 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 28 | $33.970,70 | 486 / 16 | $10.971,80 | 742 / 32 | $10.015,40 | 741 / 44 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 36 | $20.737,60 | 1102 / 36 | $5.471,43 | 1159 / 51 | $4.453,83 | 1155 / 61 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 28 | $25.789,60 | 966 / 37 | $7.517,53 | 1024 / 58 | $6.440,82 | 1021 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 40 | $29.149,00 | 1098 / 36 | $7.142,74 | 1211 / 49 | $6.160,15 | 1208 / 66 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 33 | 91 / 18 | $14.185,60 | 302 / 19 | $5.461,00 | 183 / 25 | $3.482,48 | 183 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 45 | $18.049,20 | 1329 / 50 | $5.198,61 | 972 / 74 | $3.636,21 | 969 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 25 | $15.190,10 | 1013 / 36 | $4.505,25 | 524 / 67 | $2.465,91 | 520 / 30 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 32 | 57 / 5 | $33.718,10 | 361 / 12 | $8.519,88 | 261 / 19 | $5.447,44 | 261 / 16 |
Medical Back Problems W/O Mcc | 31 | 90 / 29 | $27.511,40 | 930 / 49 | $6.945,48 | 432 / 59 | $4.135,35 | 432 / 23 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 29 | 11 / 1 | $68.517,30 | 147 / 12 | $13.002,80 | 106 / 9 | $11.523,20 | 106 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 22 | $17.744,90 | 985 / 36 | $4.924,11 | 895 / 47 | $3.588,11 | 891 / 57 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 5 | $51.835,60 | 284 / 10 | $12.781,30 | 309 / 15 | $11.349,60 | 307 / 22 |
G.I. Hemorrhage W Mcc | 27 | 94 / 26 | $51.494,60 | 1040 / 49 | $11.855,20 | 748 / 50 | $10.389,10 | 746 / 41 |
Syncope & Collapse | 27 | 142 / 36 | $23.477,30 | 1135 / 50 | $5.038,07 | 952 / 44 | $4.001,04 | 946 / 56 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 17 | $32.109,80 | 753 / 30 | $8.786,88 | 583 / 35 | $7.527,19 | 580 / 32 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 32 | $120.386,00 | 742 / 38 | $34.033,70 | 759 / 39 | $32.086,80 | 753 / 45 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 24 | $68.407,20 | 825 / 29 | $19.950,30 | 263 / 52 | $12.706,50 | 261 / 11 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 13 | $122.955,00 | 342 / 20 | $33.575,50 | 58 / 11 | $28.839,30 | 58 / 3 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 43 | $49.684,60 | 1063 / 40 | $12.294,70 | 697 / 45 | $10.912,90 | 689 / 29 |
Transient Ischemia | 22 | 103 / 32 | $25.487,40 | 984 / 47 | $4.849,86 | 686 / 39 | $3.568,41 | 682 / 48 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 12 | $59.103,60 | 545 / 28 | $13.208,10 | 506 / 25 | $11.901,40 | 505 / 31 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 24 | $31.856,00 | 930 / 50 | $6.850,19 | 543 / 45 | $5.270,38 | 540 / 38 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 24 | $23.715,80 | 579 / 31 | $6.830,19 | 438 / 47 | $5.169,29 | 436 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 42 | $29.944,20 | 956 / 47 | $8.168,80 | 889 / 55 | $6.957,60 | 886 / 55 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 21 | $23.874,60 | 596 / 18 | $8.089,05 | 211 / 49 | $4.623,11 | 211 / 13 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 52 | $50.489,70 | 1772 / 83 | $9.219,42 | 1676 / 72 | $8.373,95 | 1671 / 80 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 11 | $33.521,00 | 525 / 36 | $6.157,32 | 343 / 16 | $5.187,16 | 343 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 27 | $33.058,40 | 1189 / 63 | $5.211,00 | 920 / 33 | $4.161,74 | 916 / 53 |
Cellulitis W Mcc | 18 | 40 / 15 | $35.850,70 | 505 / 30 | $9.331,11 | 397 / 27 | $8.305,33 | 395 / 24 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 29 | $43.469,90 | 586 / 26 | $11.906,20 | 502 / 26 | $10.786,20 | 500 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 39 | $20.677,10 | 1328 / 68 | $4.815,94 | 1198 / 58 | $3.971,94 | 1188 / 65 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 16 | 8 / 1 | $40.708,40 | 22 / 1 | $9.669,06 | 6 / 2 | $5.895,25 | 6 / 2 |
Diabetes W Cc | 16 | 76 / 24 | $21.457,20 | 791 / 35 | $5.695,81 | 826 / 40 | $4.743,31 | 822 / 48 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 42 | $21.981,60 | 1068 / 48 | $5.549,12 | 1023 / 52 | $4.541,62 | 1016 / 60 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 19 | $42.359,70 | 307 / 7 | $10.783,30 | 498 / 16 | $9.548,13 | 496 / 24 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 19 | $72.478,90 | 526 / 24 | $16.109,80 | 376 / 13 | $15.026,10 | 375 / 20 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 13 | $26.959,70 | 109 / 3 | $7.083,71 | 62 / 10 | $5.922,57 | 62 / 7 |
Digestive Malignancy W Cc | 14 | 33 / 12 | $33.388,40 | 180 / 11 | $8.100,71 | 116 / 8 | $6.935,00 | 115 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 26 | $24.572,10 | 463 / 19 | $7.648,64 | 565 / 31 | $6.844,07 | 563 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $27.656,20 | 553 / 22 | $7.994,54 | 618 / 28 | $6.921,31 | 613 / 38 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 9 | $39.168,10 | 91 / 2 | $12.946,50 | 133 / 12 | $11.801,90 | 133 / 10 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $17.501,70 | 699 / 27 | $4.448,92 | 399 / 37 | $2.831,62 | 398 / 22 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 27 | $141.099,00 | 745 / 31 | $37.086,30 | 885 / 36 | $35.099,90 | 883 / 47 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 50 | $48.341,60 | 1158 / 57 | $8.036,54 | 1130 / 47 | $6.783,69 | 1127 / 64 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 10 | $16.701,20 | 121 / 6 | $6.623,69 | 74 / 19 | $3.743,23 | 74 / 9 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 26 | $41.587,80 | 914 / 62 | $6.136,46 | 569 / 27 | $4.990,62 | 565 / 37 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $53.078,50 | 711 / 28 | $13.866,70 | 696 / 22 | $12.953,50 | 688 / 31 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 15 | $65.314,80 | 311 / 12 | $15.023,40 | 214 / 22 | $9.825,23 | 214 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 39 | $114.459,00 | 882 / 36 | $28.916,80 | 1063 / 35 | $27.471,50 | 1058 / 48 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 14 | $95.209,20 | 317 / 11 | $23.327,40 | 291 / 11 | $22.292,80 | 290 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 10 | $55.690,80 | 149 / 5 | $16.185,20 | 41 / 8 | $12.235,30 | 41 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 10 | $87.310,00 | 128 / 4 | $19.226,30 | 134 / 7 | $18.394,30 | 133 / 8 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $24.985,80 | 134 / 3 | $7.675,73 | 100 / 14 | $5.480,55 | 100 / 9 |
Pulmonary Embolism W Mcc | 11 | 32 / 15 | $42.331,40 | 353 / 17 | $9.761,64 | 266 / 22 | $8.679,45 | 266 / 20 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 17 | $102.881,00 | 463 / 25 | $22.125,80 | 409 / 16 | $20.950,50 | 408 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 20 | $108.444,00 | 703 / 40 | $23.420,30 | 376 / 32 | $18.195,70 | 374 / 17 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $14.566,30 | 737 / 20 | $4.858,73 | 994 / 41 | $3.724,18 | 985 / 56 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 52 | $70.217,10 | 688 / 26 | $13.117,50 | 878 / 19 | $11.977,20 | 872 / 53 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 19 | $44.370,90 | 364 / 19 | $11.794,70 | 279 / 19 | $11.134,40 | 278 / 24 | Total 76 procedures | 2.595 | 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.