Hospital Costs > In Illinois > Loyola Gottlieb Memorial 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 | 180 | 384 / 39 | $48.100,70 | 1199 / 31 | $15.225,70 | 1085 / 64 | $11.197,50 | 1061 / 42 |
| Heart Failure & Shock W Cc | 91 | 187 / 36 | $32.601,10 | 2082 / 98 | $6.875,49 | 1003 / 71 | $5.293,74 | 1001 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 73 | 443 / 77 | $54.763,60 | 1938 / 73 | $12.468,70 | 979 / 59 | $10.155,20 | 971 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 49 | $28.833,70 | 2111 / 95 | $4.868,06 | 1286 / 36 | $3.958,23 | 1275 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 38 | $25.493,20 | 1997 / 86 | $4.947,57 | 1166 / 37 | $4.065,05 | 1158 / 59 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 50 | $32.631,80 | 2089 / 90 | $6.293,21 | 1020 / 44 | $5.093,96 | 1017 / 43 |
| G.I. Hemorrhage W Cc | 47 | 171 / 39 | $36.380,60 | 1833 / 89 | $6.481,74 | 1135 / 42 | $5.507,11 | 1133 / 57 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 41 | $41.006,90 | 1954 / 87 | $8.518,38 | 868 / 76 | $6.117,72 | 863 / 35 |
| Cellulitis W/O Mcc | 47 | 142 / 40 | $31.250,90 | 2169 / 113 | $6.160,89 | 1135 / 72 | $4.376,87 | 1129 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 28 | $29.517,60 | 1611 / 75 | $5.690,28 | 894 / 59 | $4.196,43 | 891 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 34 | $25.960,00 | 1937 / 91 | $4.590,65 | 1171 / 39 | $3.788,54 | 1168 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 46 | $44.232,00 | 1730 / 72 | $8.944,71 | 1000 / 37 | $7.872,22 | 1000 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 41 | $30.581,50 | 1746 / 79 | $5.854,33 | 953 / 27 | $4.918,53 | 950 / 42 |
| Heart Failure & Shock W Mcc | 42 | 242 / 66 | $47.142,50 | 1909 / 83 | $9.247,26 | 1059 / 42 | $8.367,67 | 1057 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 18 | $25.145,30 | 1630 / 87 | $3.785,61 | 713 / 34 | $2.597,17 | 709 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 21 | $25.149,60 | 1565 / 87 | $4.475,51 | 534 / 43 | $3.331,17 | 532 / 31 |
| Syncope & Collapse | 35 | 134 / 31 | $29.718,70 | 1421 / 80 | $4.749,86 | 758 / 36 | $3.808,49 | 755 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 29 | $42.465,20 | 1382 / 77 | $9.586,47 | 198 / 80 | $5.848,53 | 198 / 4 |
| Medical Back Problems W/O Mcc | 32 | 89 / 28 | $28.136,60 | 949 / 50 | $6.171,62 | 577 / 47 | $4.357,47 | 575 / 37 |
| Chest Pain | 31 | 120 / 26 | $24.847,70 | 1203 / 60 | $4.204,19 | 601 / 26 | $3.024,45 | 597 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 20 | $48.015,10 | 1083 / 45 | $10.824,70 | 786 / 31 | $9.681,74 | 785 / 40 |
| Renal Failure W Mcc | 30 | 165 / 45 | $50.831,20 | 1592 / 85 | $9.408,37 | 879 / 30 | $8.693,20 | 879 / 40 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 28 | $32.258,00 | 1588 / 95 | $6.433,00 | 402 / 78 | $3.872,40 | 401 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 51 | $41.830,80 | 2096 / 92 | $6.792,41 | 1369 / 39 | $6.077,07 | 1364 / 64 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 28 | $52.534,90 | 696 / 26 | $13.983,60 | 449 / 24 | $12.311,40 | 444 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 34 | $35.589,70 | 1376 / 74 | $7.000,42 | 826 / 36 | $6.127,46 | 825 / 41 |
| Renal Failure W Cc | 24 | 197 / 65 | $38.081,40 | 1988 / 97 | $6.425,04 | 1152 / 50 | $5.326,50 | 1144 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 33 | $30.561,30 | 986 / 52 | $6.900,43 | 545 / 29 | $6.098,65 | 542 / 33 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 23 | $25.372,70 | 625 / 39 | $4.507,83 | 292 / 12 | $3.761,35 | 292 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 41 | $60.816,20 | 1373 / 65 | $12.077,00 | 1016 / 41 | $11.071,50 | 1003 / 54 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 26 | $92.939,00 | 1147 / 56 | $15.336,60 | 698 / 16 | $14.333,50 | 692 / 37 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 44 | $66.816,90 | 614 / 22 | $21.720,90 | 221 / 72 | $9.894,10 | 221 / 3 |
| Seizures W/O Mcc | 20 | 88 / 25 | $31.077,70 | 985 / 70 | $4.962,20 | 300 / 24 | $3.752,90 | 298 / 22 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 44 | $55.512,60 | 1187 / 49 | $12.214,60 | 984 / 41 | $11.646,20 | 974 / 50 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 45 | $43.769,60 | 1044 / 47 | $6.922,20 | 758 / 20 | $5.826,50 | 756 / 44 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 27 | $38.223,30 | 1095 / 70 | $6.385,06 | 371 / 34 | $4.993,17 | 368 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 19 | $33.418,70 | 862 / 32 | $6.750,67 | 601 / 26 | $5.659,89 | 600 / 25 |
| Other Vascular Procedures W Mcc | 18 | 79 / 20 | $97.378,70 | 572 / 28 | $19.113,90 | 234 / 6 | $18.200,10 | 233 / 8 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 34 | $53.361,00 | 1074 / 54 | $14.086,90 | 353 / 65 | $9.280,56 | 353 / 18 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 25 | $35.031,00 | 849 / 33 | $8.403,59 | 699 / 25 | $7.750,76 | 694 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 43 | $44.448,10 | 824 / 35 | $10.525,50 | 611 / 21 | $9.655,35 | 610 / 30 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 6 | $19.539,20 | 240 / 13 | $4.307,59 | 218 / 11 | $3.445,94 | 218 / 17 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 54 | $31.546,10 | 1124 / 36 | $7.694,41 | 1160 / 31 | $7.180,94 | 1158 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $23.966,30 | 1496 / 71 | $5.250,75 | 292 / 56 | $3.132,38 | 292 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 55 | $45.633,80 | 1645 / 85 | $9.216,69 | 335 / 81 | $5.020,44 | 334 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $123.931,00 | 600 / 19 | $27.902,50 | 247 / 5 | $26.883,90 | 245 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 41 | $109.208,00 | 600 / 29 | $29.849,70 | 379 / 12 | $28.507,30 | 379 / 18 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $32.813,70 | 775 / 48 | $5.633,40 | 439 / 17 | $4.647,20 | 435 / 30 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 13 | $66.047,90 | 189 / 8 | $20.366,20 | 298 / 7 | $19.312,30 | 297 / 11 |
| Diabetes W Cc | 14 | 78 / 26 | $20.449,70 | 725 / 29 | $5.354,43 | 138 / 31 | $3.689,43 | 138 / 5 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 31 | $36.119,90 | 934 / 70 | $6.212,43 | 522 / 29 | $5.381,43 | 520 / 40 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $81.920,20 | 96 / 4 | $27.426,80 | 7 / 1 | $25.672,50 | 7 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 36 | $29.313,00 | 1597 / 89 | $5.439,77 | 513 / 67 | $3.247,00 | 511 / 30 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 17 | $32.530,00 | 376 / 30 | $6.332,38 | 197 / 8 | $5.663,85 | 197 / 11 |
| Transient Ischemia | 13 | 112 / 41 | $27.304,20 | 1072 / 57 | $7.260,00 | 362 / 78 | $3.220,69 | 361 / 20 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 20 | $91.062,40 | 635 / 29 | $18.133,20 | 382 / 20 | $17.175,20 | 379 / 21 |
| G.I. Obstruction W Cc | 13 | 79 / 36 | $35.178,70 | 1349 / 78 | $5.734,31 | 780 / 37 | $4.792,69 | 778 / 46 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $38.042,90 | 766 / 39 | $5.919,08 | 346 / 12 | $4.885,92 | 345 / 19 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $26.586,20 | 739 / 41 | $4.541,42 | 381 / 15 | $3.527,33 | 378 / 25 |
| Other Vascular Procedures W Cc | 12 | 90 / 31 | $87.570,50 | 725 / 30 | $15.377,90 | 433 / 7 | $14.559,70 | 430 / 15 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 27 | $18.287,50 | 562 / 19 | $4.491,08 | 507 / 14 | $3.683,33 | 506 / 27 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 34 | $47.433,20 | 679 / 30 | $11.689,20 | 613 / 23 | $11.194,80 | 611 / 38 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 20 | $28.552,20 | 585 / 35 | $4.710,58 | 195 / 10 | $3.591,92 | 195 / 15 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $41.945,20 | 1078 / 56 | $6.352,58 | 636 / 22 | $5.426,42 | 633 / 38 |
| Seizures W Mcc | 11 | 55 / 21 | $33.848,90 | 243 / 7 | $9.439,18 | 206 / 9 | $8.413,36 | 206 / 11 |
| Diabetes W Mcc | 11 | 46 / 12 | $47.353,90 | 531 / 28 | $8.679,45 | 238 / 9 | $7.762,00 | 238 / 13 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 27 | $30.246,70 | 501 / 31 | $5.997,82 | 179 / 10 | $4.894,09 | 179 / 13 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $65.458,30 | 419 / 16 | $16.298,30 | 417 / 15 | $15.293,30 | 416 / 25 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $82.758,70 | 113 / 2 | $27.977,10 | 185 / 4 | $26.965,50 | 185 / 6 | Total 69 procedures | 1.932 | 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.