Hospital Costs > In Illinois > Kishwaukee Community 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 | 148 | 416 / 49 | $68.719,70 | 1955 / 83 | $15.609,80 | 1018 / 68 | $11.083,10 | 998 / 39 |
Simple Pneumonia & Pleurisy W Cc | 93 | 110 / 18 | $39.903,70 | 2322 / 106 | $6.027,96 | 969 / 26 | $5.053,51 | 966 / 39 |
Heart Failure & Shock W Cc | 56 | 222 / 54 | $23.216,60 | 1511 / 56 | $5.954,14 | 824 / 25 | $5.157,57 | 823 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 44 | $22.492,60 | 1803 / 72 | $4.937,58 | 756 / 35 | $3.797,31 | 751 / 32 |
Cellulitis W/O Mcc | 52 | 137 / 36 | $23.877,70 | 1807 / 87 | $6.127,73 | 573 / 70 | $3.949,25 | 570 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 87 | $65.355,80 | 2208 / 93 | $13.002,50 | 1177 / 72 | $10.449,30 | 1159 / 39 |
Heart Failure & Shock W Mcc | 45 | 239 / 63 | $52.503,30 | 2055 / 97 | $9.239,64 | 1283 / 41 | $8.694,58 | 1280 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 62 | $22.704,50 | 1685 / 63 | $5.509,43 | 533 / 68 | $3.433,16 | 531 / 23 |
Renal Failure W Cc | 39 | 182 / 54 | $27.131,00 | 1557 / 72 | $5.895,79 | 851 / 28 | $5.040,33 | 844 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $23.475,50 | 1477 / 70 | $5.465,00 | 528 / 63 | $3.350,10 | 527 / 30 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 47 | $36.495,40 | 1969 / 95 | $6.987,03 | 983 / 80 | $4.943,08 | 980 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 50 | $46.235,80 | 2101 / 102 | $9.348,83 | 610 / 90 | $5.876,53 | 608 / 21 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 54 | $59.228,20 | 2088 / 103 | $9.507,97 | 1500 / 50 | $8.677,80 | 1500 / 71 |
Pulmonary Edema & Respiratory Failure | 34 | 169 / 40 | $65.395,60 | 1996 / 95 | $10.608,20 | 1983 / 82 | $10.002,10 | 1977 / 93 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 32 | $38.783,60 | 911 / 35 | $6.581,97 | 599 / 10 | $5.584,32 | 597 / 38 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 27 | $16.405,40 | 1144 / 44 | $3.542,67 | 569 / 18 | $2.494,13 | 565 / 33 |
G.I. Hemorrhage W Cc | 29 | 189 / 54 | $32.673,30 | 1694 / 78 | $6.114,59 | 1158 / 26 | $5.527,55 | 1156 / 59 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 23 | $25.919,10 | 1500 / 80 | $4.355,70 | 460 / 17 | $3.202,81 | 458 / 27 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 35 | $36.804,30 | 1407 / 76 | $7.122,65 | 857 / 39 | $6.164,74 | 855 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 46 | $26.315,40 | 1468 / 65 | $4.908,78 | 703 / 19 | $4.016,96 | 700 / 33 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 43 | $88.156,40 | 1571 / 85 | $17.462,60 | 1695 / 83 | $16.859,00 | 1679 / 86 |
Syncope & Collapse | 22 | 147 / 41 | $23.432,80 | 1133 / 49 | $4.529,36 | 777 / 20 | $3.827,55 | 774 / 49 |
Renal Failure W Mcc | 20 | 175 / 52 | $36.994,80 | 1150 / 49 | $8.728,85 | 457 / 11 | $8.004,05 | 457 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 55 | $26.205,60 | 1951 / 92 | $4.550,65 | 1080 / 35 | $3.705,85 | 1077 / 51 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $24.474,00 | 697 / 38 | $6.428,00 | 203 / 40 | $3.187,89 | 202 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 37 | $17.151,90 | 1072 / 44 | $4.193,11 | 376 / 22 | $3.188,67 | 374 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 44 | $36.926,30 | 1220 / 65 | $7.302,94 | 629 / 27 | $6.568,72 | 626 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 47 | $74.108,70 | 759 / 31 | $12.457,60 | 724 / 10 | $11.314,50 | 720 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 38 | $25.936,80 | 765 / 34 | $6.569,71 | 304 / 18 | $5.718,88 | 301 / 15 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $43.609,20 | 1033 / 52 | $8.217,19 | 558 / 18 | $7.463,19 | 555 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 47 | $57.318,20 | 1281 / 57 | $11.461,50 | 686 / 20 | $10.405,50 | 682 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 40 | $83.547,40 | 1347 / 69 | $16.194,70 | 1275 / 56 | $15.550,60 | 1262 / 72 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $37.984,20 | 857 / 58 | $7.197,07 | 871 / 45 | $6.318,13 | 867 / 56 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $157.571,00 | 851 / 39 | $34.154,90 | 767 / 30 | $33.109,60 | 765 / 42 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 44 | $23.351,70 | 1141 / 54 | $5.420,79 | 297 / 50 | $3.752,64 | 296 / 11 |
Diabetes W Cc | 14 | 78 / 26 | $25.739,80 | 1025 / 53 | $5.009,50 | 465 / 16 | $4.236,93 | 465 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $35.900,20 | 838 / 41 | $7.237,31 | 331 / 15 | $6.306,85 | 329 / 18 |
Signs & Symptoms W/O Mcc | 13 | 78 / 26 | $24.854,80 | 884 / 51 | $4.128,69 | 371 / 11 | $3.481,31 | 370 / 19 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 33 | $46.586,80 | 664 / 28 | $16.058,20 | 344 / 63 | $10.141,00 | 343 / 14 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $22.421,80 | 922 / 52 | $3.778,15 | 413 / 11 | $2.850,15 | 412 / 24 |
G.I. Hemorrhage W Mcc | 12 | 109 / 40 | $40.025,40 | 693 / 28 | $10.227,40 | 487 / 16 | $9.622,08 | 488 / 23 |
G.I. Obstruction W Cc | 12 | 80 / 37 | $28.508,90 | 1144 / 59 | $5.393,67 | 930 / 20 | $4.991,00 | 927 / 58 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $35.307,00 | 972 / 41 | $5.673,33 | 390 / 6 | $4.972,00 | 390 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $47.157,70 | 531 / 24 | $9.799,00 | 332 / 17 | $8.596,33 | 331 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 64 | $32.343,20 | 1749 / 65 | $6.531,83 | 853 / 23 | $5.523,83 | 851 / 34 |
Chest Pain | 11 | 140 / 44 | $21.500,70 | 1018 / 49 | $5.469,18 | 64 / 53 | $2.268,00 | 64 / 1 | Total 46 procedures | 1.323 | 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.