Hospital Costs > In Illinois > John H Stroger Jr Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Cc | 69 | 209 / 45 | $16.607,40 | 761 / 17 | $15.787,10 | 2745 / 122 | $14.261,40 | 2739 / 122 |
Heart Failure & Shock W/O Cc/Mcc | 63 | 47 / 6 | $12.431,10 | 522 / 11 | $11.921,40 | 2006 / 106 | $10.611,10 | 1993 / 106 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 50 | $11.259,00 | 310 / 2 | $12.658,30 | 2715 / 116 | $11.025,30 | 2700 / 116 |
Chest Pain | 57 | 94 / 10 | $7.721,93 | 62 / 1 | $11.042,80 | 1690 / 81 | $9.900,98 | 1681 / 81 |
Red Blood Cell Disorders W/O Mcc | 54 | 89 / 12 | $12.015,70 | 215 / 3 | $13.210,10 | 1985 / 105 | $11.739,90 | 1976 / 106 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 11 | $8.842,71 | 139 / 2 | $12.153,20 | 2101 / 102 | $10.849,30 | 2089 / 103 |
Renal Failure W Cc | 43 | 178 / 51 | $14.929,00 | 455 / 8 | $15.344,30 | 2428 / 107 | $13.834,10 | 2418 / 108 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 13 | $15.615,50 | 295 / 4 | $12.715,90 | 1605 / 79 | $11.081,50 | 1601 / 79 |
Syncope & Collapse | 36 | 133 / 30 | $8.865,67 | 66 / 2 | $12.166,70 | 1917 / 101 | $11.014,40 | 1909 / 101 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 44 | $13.917,30 | 826 / 26 | $12.242,00 | 2529 / 114 | $10.836,50 | 2520 / 114 |
Medical Back Problems W/O Mcc | 28 | 93 / 31 | $13.192,00 | 138 / 1 | $13.846,70 | 1490 / 79 | $12.384,60 | 1485 / 79 |
Cellulitis W/O Mcc | 27 | 162 / 56 | $11.401,10 | 407 / 6 | $13.263,30 | 2617 / 119 | $11.724,00 | 2609 / 119 |
Signs & Symptoms W/O Mcc | 27 | 64 / 15 | $13.577,50 | 252 / 3 | $12.128,30 | 1331 / 67 | $10.544,80 | 1328 / 68 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 67 | $11.442,10 | 449 / 4 | $12.664,00 | 2697 / 114 | $11.166,90 | 2686 / 114 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 67 | $19.769,00 | 1110 / 23 | $15.326,20 | 2811 / 119 | $13.567,30 | 2802 / 119 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 40 | $20.476,90 | 121 / 1 | $15.732,20 | 1632 / 87 | $14.120,50 | 1629 / 88 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 7 | $11.999,50 | 169 / 2 | $12.077,10 | 1001 / 45 | $10.660,00 | 997 / 45 |
Dysequilibrium | 23 | 42 / 12 | $8.874,70 | 35 / 1 | $11.265,00 | 565 / 32 | $10.149,60 | 565 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 58 | $10.427,00 | 123 / 2 | $14.087,70 | 2433 / 114 | $12.891,40 | 2426 / 115 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 33 | $21.137,50 | 465 / 15 | $17.884,50 | 1730 / 92 | $15.544,40 | 1726 / 93 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 23 | $15.426,70 | 200 / 6 | $15.000,90 | 1256 / 76 | $13.437,80 | 1253 / 76 |
Transient Ischemia | 22 | 103 / 32 | $12.634,30 | 155 / 2 | $12.275,70 | 1659 / 88 | $10.717,00 | 1651 / 88 |
G.I. Hemorrhage W Cc | 21 | 197 / 60 | $22.121,00 | 950 / 21 | $15.936,80 | 2422 / 111 | $14.300,00 | 2418 / 111 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 10 | $9.686,05 | 35 / 1 | $13.620,00 | 738 / 45 | $12.341,60 | 738 / 45 |
Heart Failure & Shock W Mcc | 20 | 264 / 80 | $21.330,70 | 497 / 10 | $21.541,30 | 2612 / 116 | $19.967,40 | 2601 / 117 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 51 | $12.700,80 | 289 / 3 | $12.912,50 | 2161 / 99 | $11.518,60 | 2156 / 99 |
Diabetes W Cc | 18 | 74 / 22 | $12.934,30 | 203 / 5 | $13.300,30 | 1608 / 86 | $11.728,30 | 1603 / 87 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 8 | $12.405,90 | 55 / 1 | $12.901,50 | 380 / 23 | $11.503,10 | 380 / 23 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 29 | $12.239,40 | 67 / 1 | $14.371,40 | 1430 / 78 | $13.335,50 | 1426 / 79 |
Respiratory Neoplasms W Cc | 16 | 31 / 11 | $19.492,20 | 59 / 2 | $18.218,90 | 507 / 31 | $17.043,70 | 506 / 31 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 7 | $5.736,25 | 6 / 1 | $11.360,60 | 377 / 20 | $10.062,30 | 377 / 20 |
Hypertension W/O Mcc | 15 | 50 / 15 | $5.546,13 | 14 / 1 | $11.141,10 | 776 / 43 | $9.968,53 | 774 / 43 |
Renal Failure W Mcc | 15 | 180 / 57 | $18.030,10 | 155 / 2 | $21.528,40 | 2146 / 101 | $19.856,30 | 2142 / 101 |
Organic Disturbances & Mental Retardation | 15 | 44 / 15 | $15.463,30 | 100 / 3 | $15.012,30 | 547 / 34 | $13.255,10 | 547 / 34 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $90.227,80 | 1114 / 51 | $54.752,50 | 1539 / 73 | $51.435,90 | 1525 / 73 |
Respiratory Signs & Symptoms | 15 | 31 / 5 | $9.898,53 | 17 / 1 | $11.798,60 | 313 / 18 | $10.797,70 | 313 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 40 | $7.537,40 | 113 / 1 | $10.654,10 | 1985 / 99 | $9.615,93 | 1979 / 99 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $22.690,10 | 324 / 6 | $18.899,10 | 1466 / 71 | $17.133,20 | 1461 / 71 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 35 | $10.876,60 | 301 / 4 | $12.145,30 | 1964 / 98 | $10.616,40 | 1956 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 72 | $28.847,60 | 965 / 27 | $22.901,40 | 2519 / 110 | $21.035,50 | 2513 / 110 |
Non-Extensive Burns | 14 | 15 / 2 | $35.255,60 | 13 / 2 | $29.662,10 | 41 / 2 | $27.565,70 | 41 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 101 | $31.352,70 | 852 / 18 | $24.716,60 | 2788 / 115 | $22.573,30 | 2743 / 116 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 14 | $23.341,80 | 99 / 8 | $19.332,20 | 396 / 22 | $17.844,30 | 396 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 58 | $21.574,90 | 571 / 9 | $16.150,00 | 2069 / 95 | $14.472,60 | 2064 / 96 |
Otitis Media & Uri W/O Mcc | 12 | 32 / 6 | $14.116,90 | 43 / 1 | $12.246,70 | 222 / 14 | $10.560,00 | 222 / 14 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $8.127,33 | 59 / 1 | $11.287,70 | 858 / 36 | $10.154,20 | 856 / 36 |
Signs & Symptoms W Mcc | 12 | 29 / 7 | $13.246,80 | 16 / 1 | $15.925,20 | 275 / 10 | $14.705,40 | 275 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 44 | $39.151,60 | 303 / 7 | $27.210,80 | 1809 / 92 | $24.906,20 | 1795 / 94 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 11 | $9.128,67 | 34 / 1 | $12.269,00 | 287 / 25 | $10.795,70 | 287 / 25 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $14.385,50 | 129 / 1 | $14.707,80 | 1277 / 63 | $13.253,20 | 1274 / 64 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 8 | $15.017,80 | 11 / 1 | $16.352,80 | 196 / 12 | $14.966,50 | 196 / 12 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 27 | $11.513,00 | 81 / 2 | $13.536,30 | 1081 / 63 | $12.242,70 | 1077 / 63 |
Hiv W Major Related Condition W Cc | 11 | 13 / 1 | $21.720,60 | 8 / 1 | $18.265,30 | 39 / 1 | $16.765,50 | 39 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 49 | $43.320,50 | 790 / 32 | $29.610,10 | 1632 / 82 | $26.860,10 | 1625 / 82 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 27 | $13.872,10 | 89 / 2 | $13.474,50 | 849 / 52 | $11.789,10 | 849 / 53 |
Diabetes W/O Cc/Mcc | 11 | 27 / 6 | $10.244,40 | 44 / 1 | $10.989,50 | 284 / 9 | $9.640,36 | 284 / 9 |
Digestive Malignancy W Cc | 11 | 36 / 15 | $24.657,20 | 78 / 1 | $18.917,20 | 393 / 25 | $17.155,70 | 391 / 25 |
Other Antepartum Diagnoses W Medical Complications | 11 | 14 / 2 | $11.325,00 | 2 / 1 | $13.451,70 | 30 / 2 | $12.273,00 | 30 / 2 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 12 | $62.253,80 | 590 / 21 | $33.208,50 | 750 / 24 | $30.624,60 | 750 / 24 |
Hiv W Or W/O Other Related Condition | 11 | 9 / 1 | $20.718,90 | 4 / 1 | $15.712,80 | 13 / 1 | $14.135,40 | 13 / 1 | Total 60 procedures | 1.340 | 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.