Hospital Costs > In Illinois > Iroquois Memorial Hospital, 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 | 34 | 482 / 93 | $15.604,70 | 87 / 2 | $13.237,10 | 2027 / 78 | $12.457,80 | 1990 / 86 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 89 | $34.886,40 | 458 / 5 | $16.068,60 | 2053 / 78 | $13.814,80 | 2011 / 94 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 51 | $14.091,50 | 104 / 1 | $8.667,80 | 1461 / 64 | $7.759,00 | 1456 / 72 |
| G.I. Hemorrhage W Cc | 17 | 201 / 64 | $12.549,10 | 139 / 1 | $7.186,94 | 1749 / 69 | $6.477,29 | 1745 / 84 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 61 | $12.217,30 | 162 / 2 | $7.897,33 | 1534 / 77 | $6.314,87 | 1528 / 73 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 68 | $11.608,50 | 104 / 3 | $8.381,13 | 1790 / 71 | $7.416,87 | 1782 / 84 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $10.995,60 | 45 / 2 | $7.514,69 | 1083 / 46 | $7.049,46 | 1081 / 55 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 38 | $12.753,80 | 21 / 1 | $12.319,70 | 1339 / 63 | $11.717,00 | 1329 / 70 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 78 | $10.713,10 | 153 / 2 | $7.005,25 | 1836 / 73 | $5.909,25 | 1828 / 81 |
| Heart Failure & Shock W Cc | 11 | 267 / 85 | $12.970,20 | 369 / 4 | $7.137,45 | 1867 / 82 | $6.261,82 | 1862 / 85 | Total 10 procedures | 174 | 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.