Hospital Costs > In Illinois > Holy Cross Hospital Chicago, 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 | 138 | 26 / 7 | $7.590,13 | 69 / 12 | $5.300,50 | 594 / 23 | $4.910,35 | 593 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 106 | 410 / 68 | $54.083,70 | 1922 / 71 | $12.567,90 | 1863 / 63 | $11.926,60 | 1828 / 82 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 26 | $24.833,70 | 1874 / 82 | $5.827,26 | 1975 / 79 | $4.724,06 | 1961 / 85 |
Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 18 | $29.055,20 | 1673 / 74 | $6.871,44 | 1784 / 74 | $6.055,34 | 1777 / 87 |
Heart Failure & Shock W Cc | 75 | 203 / 41 | $29.809,50 | 1944 / 86 | $7.221,56 | 1950 / 87 | $6.415,27 | 1945 / 89 |
Heart Failure & Shock W Mcc | 71 | 213 / 49 | $42.223,20 | 1748 / 72 | $10.256,90 | 1704 / 70 | $9.475,82 | 1699 / 83 |
Syncope & Collapse | 64 | 105 / 13 | $24.845,40 | 1209 / 59 | $5.560,22 | 1373 / 65 | $4.767,22 | 1366 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $32.156,80 | 1253 / 47 | $8.428,28 | 1296 / 73 | $6.335,33 | 1293 / 72 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 58 | 68 / 8 | $28.579,90 | 896 / 43 | $7.949,57 | 1110 / 57 | $7.370,53 | 1107 / 64 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 57 | 74 / 7 | $57.190,30 | 843 / 35 | $14.734,30 | 912 / 36 | $13.766,00 | 904 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 40 | $26.946,70 | 2075 / 90 | $5.851,02 | 2056 / 80 | $5.118,45 | 2045 / 86 |
Chest Pain | 55 | 96 / 12 | $24.988,50 | 1210 / 61 | $5.388,60 | 1179 / 52 | $3.929,51 | 1172 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 38 | $38.476,30 | 1870 / 82 | $8.343,75 | 1850 / 68 | $7.558,80 | 1842 / 85 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 27 | $39.594,40 | 1491 / 59 | $8.647,14 | 1546 / 63 | $7.948,90 | 1541 / 75 |
Renal Failure W Mcc | 47 | 148 / 33 | $39.239,30 | 1255 / 61 | $10.331,20 | 1291 / 55 | $9.637,40 | 1291 / 66 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 12 | $55.794,30 | 1251 / 62 | $11.768,80 | 1176 / 58 | $10.951,80 | 1171 / 65 |
Seizures W/O Mcc | 46 | 62 / 7 | $23.424,60 | 712 / 39 | $5.716,87 | 827 / 48 | $4.823,65 | 824 / 57 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 24 | $46.804,00 | 1120 / 53 | $7.811,42 | 1199 / 40 | $7.009,21 | 1196 / 68 |
Renal Failure W Cc | 40 | 181 / 53 | $30.637,20 | 1724 / 82 | $7.073,55 | 1799 / 74 | $6.407,15 | 1789 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 24 | $46.656,50 | 873 / 42 | $11.623,60 | 943 / 45 | $10.820,30 | 939 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 39 | 525 / 82 | $54.699,30 | 1493 / 51 | $15.631,70 | 1654 / 69 | $12.444,00 | 1617 / 78 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 21 | $28.543,40 | 1434 / 80 | $6.038,36 | 1455 / 67 | $5.358,15 | 1446 / 80 |
G.I. Hemorrhage W Cc | 37 | 181 / 48 | $30.137,30 | 1569 / 69 | $7.315,35 | 1780 / 75 | $6.567,24 | 1776 / 87 |
Cellulitis W/O Mcc | 36 | 153 / 50 | $23.694,50 | 1793 / 86 | $6.283,64 | 1858 / 75 | $5.263,64 | 1850 / 89 |
Diabetes W Cc | 36 | 56 / 8 | $27.644,10 | 1099 / 59 | $6.205,67 | 1103 / 52 | $5.401,22 | 1099 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 35 | $34.046,30 | 1773 / 88 | $5.931,86 | 1533 / 69 | $5.058,97 | 1528 / 78 |
Transient Ischemia | 36 | 89 / 22 | $29.082,40 | 1151 / 62 | $5.390,58 | 1158 / 59 | $4.382,58 | 1152 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 43 | $27.525,50 | 2024 / 99 | $5.964,14 | 1729 / 86 | $4.368,60 | 1724 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 56 | $43.999,50 | 1716 / 69 | $10.110,20 | 1733 / 70 | $9.216,66 | 1733 / 84 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 25 | $20.520,00 | 1315 / 64 | $5.317,97 | 1453 / 78 | $4.325,97 | 1441 / 79 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 24 | $21.679,50 | 1383 / 63 | $5.505,73 | 1603 / 65 | $4.659,87 | 1592 / 81 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 10 | $32.472,90 | 520 / 28 | $8.776,25 | 682 / 44 | $8.250,54 | 678 / 50 |
G.I. Hemorrhage W Mcc | 25 | 96 / 28 | $50.597,20 | 1015 / 45 | $12.097,00 | 1037 / 55 | $11.430,70 | 1029 / 61 |
Other Circulatory System O.R. Procedures | 25 | 30 / 2 | $59.499,40 | 154 / 3 | $17.634,20 | 193 / 11 | $16.958,40 | 193 / 12 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 22 | $42.373,30 | 553 / 24 | $12.209,60 | 720 / 30 | $11.707,00 | 718 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 31 | $25.718,50 | 1648 / 89 | $4.516,38 | 1540 / 68 | $3.611,04 | 1534 / 84 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 55 | $40.381,10 | 2046 / 86 | $7.334,50 | 1723 / 58 | $6.626,50 | 1716 / 81 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 12 | $110.795,00 | 266 / 14 | $34.015,00 | 264 / 13 | $32.591,00 | 263 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 22 | $34.507,30 | 784 / 34 | $8.311,00 | 843 / 38 | $7.572,22 | 838 / 53 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 36 | $34.038,80 | 1334 / 67 | $7.921,82 | 1256 / 70 | $6.903,64 | 1252 / 71 |
Signs & Symptoms W/O Mcc | 22 | 69 / 17 | $21.459,50 | 726 / 31 | $5.361,05 | 969 / 45 | $4.809,77 | 966 / 52 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 41 | $46.327,70 | 1463 / 85 | $8.855,10 | 1407 / 71 | $8.337,05 | 1404 / 83 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 35 | $109.399,00 | 602 / 30 | $34.607,20 | 878 / 47 | $33.627,30 | 872 / 56 |
Hypertension W/O Mcc | 20 | 45 / 10 | $19.966,60 | 410 / 22 | $4.926,40 | 536 / 26 | $3.960,00 | 534 / 29 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 73 | $29.669,40 | 1932 / 79 | $7.160,42 | 1895 / 81 | $5.983,16 | 1887 / 84 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 18 | $37.937,20 | 981 / 43 | $7.277,05 | 908 / 38 | $6.389,47 | 906 / 47 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 26 | $23.280,70 | 554 / 29 | $7.023,53 | 872 / 52 | $6.516,58 | 869 / 59 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $67.368,20 | 1379 / 69 | $13.435,60 | 1296 / 64 | $12.902,20 | 1281 / 70 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 28 | $24.190,40 | 631 / 29 | $7.086,00 | 888 / 53 | $6.095,88 | 884 / 58 |
Organic Disturbances & Mental Retardation | 17 | 42 / 13 | $30.111,60 | 345 / 28 | $7.236,12 | 299 / 21 | $6.311,88 | 299 / 21 |
Diabetes W/O Cc/Mcc | 16 | 22 / 2 | $16.510,00 | 148 / 7 | $4.632,88 | 180 / 5 | $3.650,88 | 180 / 6 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 9 | $3.630,75 | 19 / 4 | $3.885,19 | 59 / 5 | $3.513,19 | 58 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $57.469,10 | 428 / 23 | $14.128,60 | 583 / 31 | $13.563,30 | 577 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $22.131,40 | 726 / 25 | $5.722,60 | 1165 / 48 | $4.733,80 | 1161 / 67 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 14 | $83.836,90 | 118 / 3 | $29.180,10 | 271 / 8 | $28.405,30 | 271 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 49 | $55.250,50 | 1214 / 47 | $13.239,90 | 1421 / 69 | $12.462,70 | 1403 / 77 |
Seizures W Mcc | 14 | 52 / 18 | $47.688,90 | 455 / 25 | $10.082,00 | 351 / 17 | $9.218,00 | 351 / 19 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 17 | $23.895,00 | 323 / 13 | $6.542,38 | 471 / 23 | $5.796,54 | 471 / 30 |
Cellulitis W Mcc | 13 | 45 / 20 | $27.332,80 | 312 / 8 | $10.160,90 | 597 / 40 | $9.331,38 | 595 / 46 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 21 | $35.360,50 | 602 / 41 | $7.155,31 | 504 / 33 | $6.318,38 | 504 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 37 | $25.111,90 | 1462 / 74 | $5.212,17 | 1398 / 60 | $4.204,17 | 1390 / 78 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 26 | $20.413,00 | 243 / 10 | $7.193,33 | 502 / 31 | $6.086,67 | 502 / 37 |
Atherosclerosis W/O Mcc | 12 | 46 / 10 | $20.865,70 | 329 / 13 | $4.833,83 | / 14 | $3.901,83 | / |
Other Vascular Procedures W Mcc | 12 | 85 / 24 | $88.009,30 | 475 / 17 | $21.047,30 | 503 / 17 | $20.745,90 | 500 / 25 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $41.591,80 | 1074 / 54 | $6.995,17 | 924 / 39 | $6.195,17 | 921 / 54 |
G.I. Obstruction W Cc | 12 | 80 / 37 | $37.444,40 | 1405 / 83 | $6.581,92 | 1264 / 63 | $5.751,25 | 1260 / 75 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 12 | $147.097,00 | 51 / 3 | $50.418,30 | 63 / 3 | $49.653,20 | 63 / 3 |
Psychoses | 11 | 264 / 29 | $15.457,20 | 192 / 10 | $7.312,18 | 392 / 19 | $6.707,82 | 392 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $26.798,50 | 705 / 35 | $5.033,27 | 516 / 29 | $3.939,45 | 515 / 27 |
Medical Back Problems W/O Mcc | 11 | 110 / 47 | $26.582,50 | 897 / 46 | $6.154,27 | 1105 / 46 | $5.607,36 | 1101 / 64 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 12 | $19.558,50 | 202 / 10 | $5.063,18 | 241 / 7 | $3.966,45 | 241 / 11 | Total 71 procedures | 2.348 | 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.