Hospital Costs > In Illinois > Memorial Hospital Of Carbondale, 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 | 19 | 72 / 18 | $20.360,60 | 296 / 8 | $6.530,32 | 525 / 19 | $5.512,21 | 524 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $29.759,90 | 434 / 12 | $10.280,60 | 640 / 24 | $9.300,14 | 639 / 32 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $18.802,60 | 261 / 1 | $5.644,69 | 190 / 13 | $3.545,31 | 189 / 7 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 16 | $53.528,70 | 300 / 12 | $11.049,50 | 187 / 3 | $10.112,80 | 186 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 14 | $38.668,90 | 444 / 19 | $8.818,19 | 101 / 20 | $4.786,06 | 101 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 30 | $16.934,50 | 740 / 17 | $5.339,83 | 835 / 46 | $4.137,55 | 832 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 27 | $18.079,20 | 243 / 5 | $7.378,92 | 589 / 29 | $6.505,36 | 586 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 10 | $12.939,70 | 702 / 19 | $4.014,92 | 720 / 47 | $2.602,78 | 716 / 44 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 18 | 14 / 1 | $29.862,20 | 12 / 1 | $10.152,60 | 35 / 1 | $9.043,72 | 35 / 1 |
| Cellulitis W/O Mcc | 39 | 150 / 48 | $16.383,90 | 1041 / 31 | $5.475,36 | 739 / 41 | $4.081,10 | 735 / 32 |
| Chest Pain | 25 | 126 / 32 | $19.221,90 | 864 / 35 | $4.013,36 | 435 / 16 | $2.867,12 | 433 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 51 | $15.645,60 | 577 / 14 | $5.777,90 | 1022 / 22 | $4.977,39 | 1019 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 26 | $19.804,30 | 699 / 17 | $7.075,30 | 844 / 24 | $6.096,50 | 839 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 29 | $12.907,20 | 536 / 12 | $4.596,12 | 871 / 30 | $3.628,76 | 866 / 49 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 18 | $36.140,60 | 103 / 2 | $14.660,00 | 163 / 35 | $10.879,30 | 160 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $25.990,90 | 331 / 6 | $7.090,76 | 544 / 26 | $5.516,92 | 542 / 33 |
| Complications Of Treatment W Cc | 11 | 41 / 15 | $19.974,10 | 93 / 2 | $7.231,55 | 42 / 15 | $4.868,45 | 42 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 5 | $138.174,00 | 309 / 10 | $28.364,70 | 327 / 5 | $26.997,30 | 327 / 13 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 11 | $122.723,00 | 375 / 13 | $28.858,10 | 169 / 18 | $19.746,70 | 168 / 9 |
| Diabetes W Cc | 11 | 81 / 29 | $14.758,00 | 323 / 11 | $5.125,36 | 605 / 23 | $4.396,64 | 604 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 24 | $25.587,70 | 457 / 17 | $7.293,14 | 415 / 17 | $6.456,19 | 413 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 43 | $17.411,70 | 1050 / 26 | $4.896,69 | 1006 / 39 | $3.765,67 | 998 / 42 |
| Extracranial Procedures W Cc | 12 | 34 / 11 | $53.128,60 | 255 / 11 | $9.514,00 | 130 / 5 | $8.508,67 | 130 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 16 | $41.552,60 | 657 / 23 | $7.744,95 | 364 / 24 | $5.382,89 | 364 / 18 |
| G.I. Hemorrhage W Cc | 38 | 180 / 47 | $20.248,50 | 769 / 18 | $6.611,63 | 623 / 50 | $5.023,89 | 622 / 27 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 33 | $31.231,40 | 363 / 11 | $11.054,20 | 187 / 33 | $8.839,16 | 187 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $13.272,30 | 236 / 5 | $4.494,88 | 300 / 14 | $3.361,38 | 298 / 17 |
| G.I. Obstruction W Cc | 21 | 71 / 28 | $17.471,30 | 469 / 11 | $5.527,52 | 707 / 26 | $4.707,71 | 706 / 42 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $15.555,80 | 561 / 18 | $4.046,64 | 509 / 21 | $2.972,82 | 508 / 32 |
| Heart Failure & Shock W Cc | 63 | 215 / 50 | $15.351,00 | 615 / 12 | $6.091,73 | 842 / 36 | $5.168,22 | 841 / 34 |
| Heart Failure & Shock W Mcc | 52 | 232 / 59 | $22.857,00 | 593 / 15 | $8.740,60 | 745 / 21 | $7.984,75 | 745 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 32 | $11.205,30 | 380 / 4 | $4.386,13 | 787 / 36 | $3.543,35 | 783 / 53 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $42.127,30 | 727 / 13 | $11.510,30 | 492 / 23 | $10.060,30 | 491 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 22 | $60.787,70 | 316 / 7 | $16.360,60 | 106 / 4 | $15.222,50 | 106 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 6 | $39.507,00 | 394 / 14 | $9.694,64 | 307 / 15 | $8.511,00 | 306 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 17 | $90.643,50 | 378 / 16 | $29.035,50 | 312 / 9 | $28.075,20 | 312 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 33 | $22.492,50 | 638 / 14 | $6.803,81 | 692 / 37 | $5.424,91 | 691 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 32 | $27.959,30 | 283 / 7 | $9.474,83 | 189 / 4 | $8.470,21 | 188 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 24 | $17.006,60 | 366 / 10 | $4.728,95 | 497 / 17 | $3.630,05 | 493 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 53 | $17.495,20 | 1288 / 35 | $5.473,74 | 358 / 66 | $3.499,71 | 358 / 15 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 18 | $45.051,10 | 208 / 3 | $13.566,60 | 106 / 16 | $9.875,27 | 106 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 8 | $46.809,90 | 282 / 8 | $9.077,36 | 201 / 2 | $7.896,21 | 201 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 22 | $66.521,40 | 210 / 4 | $19.192,20 | 222 / 5 | $17.988,20 | 222 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 12 | $61.137,80 | 489 / 12 | $12.940,30 | 327 / 5 | $11.699,90 | 324 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 224 | 340 / 34 | $51.725,80 | 1370 / 42 | $13.218,30 | 935 / 19 | $10.944,00 | 916 / 33 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 20 | $81.558,50 | 1021 / 45 | $17.430,90 | 596 / 37 | $13.974,40 | 590 / 30 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $141.085,00 | 744 / 30 | $37.179,90 | 904 / 37 | $35.521,30 | 902 / 50 |
| Medical Back Problems W/O Mcc | 19 | 102 / 39 | $16.619,40 | 310 / 8 | $5.287,58 | 499 / 22 | $4.220,21 | 499 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 28 | $26.095,60 | 770 / 36 | $7.467,14 | 778 / 38 | $6.543,83 | 775 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 45 | $13.797,90 | 802 / 24 | $4.514,36 | 1091 / 30 | $3.713,64 | 1088 / 53 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 21 | $30.290,70 | 221 / 5 | $10.537,20 | 254 / 6 | $9.826,96 | 254 / 8 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 30 | $19.587,00 | 383 / 10 | $6.036,40 | 524 / 21 | $5.237,47 | 521 / 33 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 6 | $53.438,70 | 34 / 1 | $17.817,60 | 28 / 1 | $16.476,90 | 28 / 1 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 15 | $40.350,60 | 24 / 1 | $19.675,40 | 82 / 3 | $18.767,00 | 82 / 4 |
| Other Vascular Procedures W Cc | 19 | 83 / 24 | $41.716,10 | 105 / 1 | $14.609,80 | 269 / 5 | $13.758,80 | 268 / 9 |
| Other Vascular Procedures W Mcc | 21 | 76 / 17 | $47.942,20 | 72 / 1 | $18.082,50 | 118 / 1 | $17.166,30 | 118 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 11 | $82.629,20 | 311 / 7 | $21.179,30 | 309 / 17 | $17.995,20 | 307 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 90 | 106 / 6 | $62.730,70 | 513 / 18 | $13.436,60 | 613 / 26 | $10.977,80 | 609 / 33 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 6 | $48.343,70 | 9 / 1 | $19.215,20 | 13 / 3 | $15.019,90 | 13 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 12 | $43.578,10 | 62 / 1 | $13.748,80 | 47 / 12 | $9.430,00 | 46 / 1 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 32 | $13.472,70 | 125 / 2 | $5.480,38 | 144 / 10 | $4.510,54 | 144 / 6 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 9 | $9.574,93 | 39 / 1 | $4.275,07 | 122 / 3 | $3.347,07 | 122 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 17 | $36.925,50 | 55 / 1 | $14.819,20 | 175 / 1 | $13.892,60 | 175 / 4 |
| Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 6 | $62.076,10 | 87 / 3 | $20.420,20 | 90 / 2 | $19.395,30 | 90 / 5 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 7 | $32.178,90 | 59 / 1 | $12.452,30 | 184 / 6 | $11.254,30 | 183 / 8 |
| Pleural Effusion W Mcc | 11 | 19 / 5 | $22.784,80 | 12 / 1 | $9.364,64 | 74 / 2 | $8.958,09 | 74 / 3 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 43 | $21.909,10 | 527 / 12 | $7.432,31 | 869 / 22 | $6.782,10 | 869 / 35 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 26 | $20.177,20 | 389 / 6 | $5.865,57 | 361 / 12 | $4.917,57 | 361 / 23 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 15 | $24.706,70 | 298 / 11 | $7.828,43 | 350 / 24 | $6.968,96 | 348 / 25 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 24 | $16.427,00 | 575 / 16 | $5.091,00 | 848 / 30 | $4.350,06 | 843 / 49 |
| Renal Failure W Cc | 63 | 158 / 39 | $20.998,00 | 1075 / 31 | $5.878,37 | 928 / 27 | $5.108,46 | 920 / 41 |
| Renal Failure W Mcc | 41 | 154 / 37 | $23.205,70 | 376 / 12 | $8.932,05 | 434 / 18 | $7.970,29 | 434 / 13 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $25.841,80 | 508 / 10 | $8.006,44 | 429 / 14 | $7.208,94 | 426 / 21 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 45 | $34.607,70 | 576 / 14 | $11.709,90 | 668 / 23 | $10.852,70 | 660 / 26 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 15 | $26.808,60 | 80 / 1 | $10.113,10 | 224 / 7 | $9.687,53 | 224 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 28 | $42.646,00 | 398 / 12 | $14.557,80 | 347 / 32 | $12.002,90 | 343 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $106.521,00 | 229 / 12 | $34.088,50 | 266 / 14 | $32.617,20 | 265 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 191 | 325 / 37 | $31.406,30 | 855 / 19 | $10.620,00 | 591 / 10 | $9.658,20 | 590 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 33 | $26.338,80 | 1367 / 39 | $7.263,71 | 569 / 56 | $5.282,57 | 567 / 23 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 28 | $14.634,00 | 306 / 6 | $4.529,82 | 576 / 20 | $3.808,36 | 575 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 48 | $20.535,00 | 1186 / 27 | $6.054,59 | 1061 / 28 | $5.129,43 | 1058 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 39 | $22.810,00 | 558 / 11 | $8.444,53 | 567 / 13 | $7.401,02 | 567 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 33 | $12.917,90 | 504 / 14 | $5.134,06 | 704 / 59 | $3.422,19 | 700 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 22 | $98.043,90 | 712 / 24 | $24.061,80 | 670 / 11 | $22.891,00 | 666 / 31 |
| Syncope & Collapse | 32 | 137 / 33 | $15.417,90 | 434 / 11 | $4.696,56 | 730 / 29 | $3.781,06 | 727 / 44 |
| Transient Ischemia | 31 | 94 / 24 | $17.865,10 | 487 / 15 | $4.541,19 | 609 / 28 | $3.484,16 | 605 / 43 |
| Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 2 | $28.096,60 | 50 / 3 | $4.797,57 | 49 / 2 | $4.062,14 | 49 / 5 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 5 | $19.694,10 | 150 / 5 | $4.515,60 | 207 / 8 | $3.738,00 | 206 / 18 | Total 88 procedures | 2.777 | 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.