Hospital Costs > In Illinois > Louis A Weiss Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $35.921,60 | 935 / 39 | $9.078,14 | 1174 / 55 | $7.494,50 | 1172 / 57 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 33 | $39.713,60 | 799 / 24 | $13.656,40 | 1427 / 73 | $12.276,90 | 1415 / 74 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 32 | $29.252,30 | 683 / 42 | $6.522,18 | 626 / 34 | $5.132,55 | 625 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 49 | $24.459,30 | 1374 / 54 | $7.118,65 | 1795 / 82 | $5.823,65 | 1790 / 87 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 50 | $39.924,40 | 1320 / 72 | $10.818,90 | 1550 / 89 | $8.889,42 | 1547 / 89 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 40 | $17.088,00 | 1206 / 51 | $5.177,00 | 1618 / 81 | $3.797,60 | 1612 / 89 |
Cellulitis W/O Mcc | 42 | 147 / 45 | $20.233,00 | 1505 / 69 | $7.469,43 | 2141 / 96 | $5.921,95 | 2133 / 99 |
Chest Pain | 25 | 126 / 32 | $21.603,60 | 1026 / 50 | $5.629,48 | 1285 / 56 | $4.227,32 | 1278 / 60 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 52 | $25.840,00 | 1498 / 60 | $8.339,63 | 1996 / 96 | $6.670,93 | 1989 / 99 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 70 | $25.303,50 | 1150 / 38 | $9.395,23 | 1944 / 91 | $7.801,31 | 1936 / 91 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $17.270,90 | 1040 / 34 | $6.548,74 | 1755 / 80 | $5.186,16 | 1744 / 87 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 48 | $48.799,90 | 1178 / 59 | $9.506,31 | 1346 / 64 | $7.771,38 | 1343 / 77 |
Diabetes W Cc | 28 | 64 / 14 | $24.979,70 | 995 / 52 | $7.452,68 | 1217 / 65 | $5.824,96 | 1212 / 69 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 49 | $23.607,00 | 1770 / 69 | $6.738,33 | 2187 / 96 | $5.201,86 | 2173 / 98 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 14 | $137.758,00 | 432 / 23 | $35.687,80 | 503 / 27 | $33.436,90 | 503 / 26 |
G.I. Hemorrhage W Cc | 19 | 199 / 62 | $29.000,80 | 1497 / 61 | $8.658,58 | 1999 / 95 | $7.260,21 | 1995 / 99 |
G.I. Hemorrhage W Mcc | 12 | 109 / 40 | $49.203,10 | 985 / 40 | $14.481,20 | 1206 / 67 | $12.255,40 | 1198 / 71 |
G.I. Obstruction W Cc | 13 | 79 / 36 | $33.744,50 | 1317 / 74 | $9.243,08 | 1087 / 85 | $5.275,38 | 1084 / 65 |
Heart Failure & Shock W Cc | 31 | 247 / 70 | $22.851,30 | 1474 / 52 | $8.582,29 | 2310 / 101 | $7.346,39 | 2304 / 103 |
Heart Failure & Shock W Mcc | 41 | 243 / 67 | $31.543,80 | 1187 / 38 | $12.324,50 | 2063 / 96 | $10.635,00 | 2054 / 95 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 43 | $17.421,80 | 1100 / 48 | $6.115,75 | 1674 / 88 | $4.957,58 | 1661 / 90 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 44 | $68.516,10 | 1517 / 81 | $16.103,10 | 1750 / 88 | $14.422,50 | 1731 / 90 |
Hypertension W/O Mcc | 12 | 53 / 18 | $18.962,80 | 378 / 21 | $5.818,75 | 598 / 34 | $4.355,83 | 596 / 37 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 31 | $136.942,00 | 897 / 47 | $42.960,30 | 1162 / 72 | $37.983,80 | 1154 / 70 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 43 | $32.707,30 | 1276 / 63 | $9.985,20 | 1616 / 83 | $8.208,00 | 1612 / 83 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 63 | $19.915,10 | 1572 / 49 | $6.954,93 | 2177 / 96 | $5.398,13 | 2166 / 93 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 12 | $102.491,00 | 671 / 39 | $23.808,20 | 677 / 34 | $21.778,60 | 674 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 112 | 452 / 59 | $67.572,20 | 1931 / 81 | $17.318,50 | 2187 / 89 | $14.595,00 | 2143 / 99 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $192.421,00 | 1017 / 59 | $41.181,50 | 985 / 51 | $37.292,60 | 983 / 55 |
Medical Back Problems W/O Mcc | 21 | 100 / 37 | $22.465,80 | 699 / 28 | $7.389,67 | 1151 / 61 | $5.808,67 | 1147 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 38 | $34.914,90 | 1160 / 67 | $9.765,53 | 1323 / 75 | $8.257,88 | 1320 / 76 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 40 | $20.098,20 | 1566 / 65 | $6.443,90 | 1996 / 95 | $4.879,87 | 1988 / 89 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 30 | $41.404,80 | 519 / 20 | $15.024,30 | 986 / 55 | $13.493,10 | 979 / 58 |
Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $77.336,30 | 252 / 15 | $21.247,60 | 297 / 17 | $19.656,00 | 297 / 19 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 18 | $30.732,50 | 386 / 18 | $8.190,55 | 468 / 26 | $6.501,64 | 468 / 28 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 34 | $29.840,20 | 381 / 18 | $12.112,60 | 788 / 48 | $10.744,60 | 785 / 49 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 52 | $112.591,00 | 1270 / 75 | $17.308,60 | 1124 / 57 | $13.359,50 | 1117 / 69 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 32 | $27.986,90 | 744 / 47 | $8.247,92 | 899 / 59 | $6.648,54 | 896 / 62 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 52 | $28.991,40 | 978 / 30 | $10.445,20 | 1787 / 80 | $8.858,95 | 1782 / 84 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 20 | $53.498,60 | 883 / 59 | $11.326,80 | 812 / 59 | $9.097,56 | 808 / 55 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 35 | $25.404,30 | 1277 / 72 | $7.176,09 | 1609 / 86 | $5.890,78 | 1600 / 90 |
Renal Failure W Cc | 37 | 184 / 56 | $21.005,10 | 1077 / 32 | $8.348,62 | 2017 / 87 | $7.057,54 | 2007 / 93 |
Renal Failure W Mcc | 18 | 177 / 54 | $40.762,70 | 1311 / 63 | $13.022,40 | 1735 / 84 | $11.387,70 | 1733 / 89 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 25 | $32.354,10 | 769 / 32 | $11.306,10 | 1191 / 60 | $9.643,47 | 1186 / 64 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 30 | $44.321,80 | 456 / 15 | $18.127,40 | 1431 / 75 | $16.741,50 | 1417 / 79 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $72.517,80 | 80 / 2 | $34.595,20 | 475 / 23 | $31.945,30 | 474 / 25 |
Revision Of Hip Or Knee Replacement W Cc | 67 | 24 / 2 | $83.993,00 | 328 / 14 | $26.475,40 | 532 / 26 | $23.898,70 | 530 / 27 |
Revision Of Hip Or Knee Replacement W Mcc | 13 | 11 / 1 | $110.715,00 | 9 / 1 | $35.639,20 | 14 / 1 | $33.680,80 | 14 / 1 |
Seizures W/O Mcc | 22 | 86 / 23 | $20.439,20 | 569 / 26 | $6.858,91 | 1015 / 61 | $5.618,09 | 1013 / 67 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 12 | $82.008,70 | 97 / 5 | $39.113,10 | 469 / 27 | $36.107,70 | 468 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 161 | 355 / 45 | $41.800,50 | 1397 / 39 | $14.910,80 | 2190 / 96 | $13.131,10 | 2152 / 94 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 45 | $25.189,20 | 1272 / 36 | $9.294,38 | 2126 / 89 | $7.704,92 | 2118 / 96 |
Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $22.084,70 | 773 / 36 | $6.351,48 | 993 / 52 | $4.910,48 | 990 / 54 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 64 | $24.156,70 | 1552 / 53 | $8.485,93 | 2311 / 96 | $6.927,69 | 2303 / 101 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 71 | $37.040,00 | 1453 / 45 | $11.915,10 | 1957 / 89 | $9.942,73 | 1957 / 94 |
Syncope & Collapse | 31 | 138 / 34 | $24.096,20 | 1171 / 53 | $6.626,13 | 1478 / 78 | $5.069,52 | 1471 / 82 | Total 56 procedures | 1.454 | 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.