Hospital Costs > In Illinois > Katherine Shaw Bethea 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 | 46 | 470 / 87 | $47.881,90 | 1704 / 56 | $11.683,20 | 1309 / 34 | $10.662,50 | 1287 / 48 |
Heart Failure & Shock W Cc | 42 | 236 / 60 | $23.340,80 | 1526 / 58 | $6.410,69 | 1519 / 49 | $5.801,05 | 1514 / 71 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 39 | 525 / 82 | $70.249,50 | 2000 / 88 | $13.650,00 | 1612 / 32 | $12.346,30 | 1575 / 73 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 56 | $44.128,20 | 1723 / 71 | $9.186,47 | 1115 / 44 | $8.010,91 | 1115 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 63 | $16.868,80 | 1210 / 32 | $5.047,63 | 975 / 48 | $3.946,63 | 968 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 73 | $23.855,80 | 1791 / 71 | $4.927,28 | 948 / 42 | $3.732,10 | 941 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 57 | $35.936,50 | 1795 / 77 | $7.563,39 | 1392 / 44 | $6.693,18 | 1386 / 65 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 66 | $25.947,30 | 1693 / 61 | $6.417,93 | 1167 / 49 | $5.207,52 | 1163 / 53 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 45 | $37.760,00 | 1418 / 54 | $7.539,78 | 971 / 26 | $6.897,48 | 970 / 42 |
Heart Failure & Shock W Mcc | 23 | 261 / 77 | $36.266,40 | 1467 / 52 | $9.080,74 | 1042 / 34 | $8.349,48 | 1040 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 56 | $30.271,90 | 1633 / 54 | $6.911,87 | 1249 / 45 | $5.924,57 | 1244 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 58 | $29.585,40 | 1698 / 76 | $6.134,96 | 1254 / 47 | $5.225,83 | 1249 / 64 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 36 | $17.979,80 | 713 / 29 | $5.127,05 | 859 / 34 | $4.368,91 | 854 / 50 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 44 | $85.367,40 | 970 / 50 | $13.335,70 | 936 / 23 | $12.191,00 | 929 / 59 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 44 | $44.808,50 | 1070 / 50 | $6.886,48 | 863 / 19 | $6.035,81 | 860 / 52 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 55 | $16.345,70 | 1120 / 39 | $4.614,80 | 925 / 41 | $3.598,75 | 922 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 36 | $20.303,50 | 1407 / 68 | $3.756,32 | 1145 / 33 | $2.952,89 | 1140 / 65 |
G.I. Hemorrhage W Cc | 19 | 199 / 62 | $25.141,30 | 1207 / 44 | $6.422,26 | 952 / 39 | $5.325,53 | 950 / 42 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 45 | $60.361,40 | 1361 / 62 | $12.325,60 | 1007 / 47 | $11.057,90 | 994 / 53 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 31 | $26.376,40 | 1516 / 82 | $4.735,39 | 1097 / 39 | $3.782,22 | 1091 / 67 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 38 | $18.346,20 | 1181 / 55 | $4.510,94 | 1077 / 48 | $3.818,41 | 1069 / 63 |
Cellulitis W/O Mcc | 17 | 172 / 64 | $18.701,20 | 1325 / 53 | $5.558,88 | 996 / 44 | $4.268,94 | 990 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 47 | $30.334,30 | 977 / 49 | $7.820,67 | 874 / 44 | $6.934,80 | 871 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 56 | $25.509,10 | 828 / 21 | $6.695,80 | 824 / 33 | $5.576,13 | 822 / 40 |
Transient Ischemia | 14 | 111 / 40 | $17.265,90 | 438 / 10 | $4.719,93 | 710 / 36 | $3.599,93 | 706 / 49 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 51 | $60.464,80 | 1271 / 58 | $12.512,80 | 1028 / 49 | $11.799,80 | 1015 / 53 |
G.I. Obstruction W Cc | 12 | 80 / 37 | $29.773,50 | 1189 / 63 | $5.784,17 | 589 / 38 | $4.573,00 | 588 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $20.343,00 | 1077 / 34 | $5.199,83 | 943 / 36 | $4.236,42 | 940 / 49 |
Chest Pain | 11 | 140 / 44 | $20.609,60 | 965 / 45 | $4.044,36 | 771 / 18 | $3.229,73 | 766 / 36 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 45 | $67.649,90 | 1097 / 53 | $12.269,50 | 194 / 2 | $11.524,60 | 192 / 4 | Total 30 procedures | 664 | 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.