Hospital Costs > In Illinois > Methodist Hospital Of Chicago, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 57 | 68 / 14 | $4.838,96 | 14 / 4 | $5.959,68 | 682 / 29 | $5.495,68 | 681 / 40 |
Cellulitis W/O Mcc | 14 | 175 / 67 | $13.090,10 | 602 / 14 | $6.972,93 | 2221 / 88 | $6.195,79 | 2213 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 70 | $19.312,60 | 659 / 15 | $9.076,62 | 2161 / 84 | $8.613,85 | 2153 / 101 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 83 | $15.410,40 | 802 / 13 | $6.328,92 | 2322 / 88 | $5.619,58 | 2307 / 100 |
G.I. Obstruction W Cc | 11 | 81 / 38 | $13.791,00 | 214 / 2 | $6.860,82 | 1368 / 67 | $6.098,64 | 1363 / 79 |
Heart Failure & Shock W Cc | 11 | 267 / 85 | $17.239,50 | 838 / 21 | $7.951,36 | 2293 / 95 | $7.293,91 | 2287 / 102 |
Hypertension W/O Mcc | 11 | 54 / 19 | $15.027,40 | 223 / 11 | $5.561,18 | 596 / 32 | $4.348,09 | 594 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 76 | $11.134,80 | 413 / 3 | $6.493,42 | 2307 / 87 | $5.789,42 | 2296 / 99 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 42 | $20.242,30 | 422 / 12 | $8.701,38 | 1262 / 64 | $7.958,00 | 1259 / 72 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 51 | $12.645,80 | 630 / 12 | $6.021,64 | 2116 / 88 | $5.247,24 | 2108 / 96 |
Organic Disturbances & Mental Retardation | 19 | 40 / 11 | $7.863,21 | 12 / 1 | $8.032,05 | 392 / 23 | $7.208,47 | 392 / 27 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 31 | $12.939,40 | 86 / 2 | $7.775,50 | 1082 / 62 | $6.805,79 | 1078 / 67 |
Psychoses | 901 | 7 / 2 | $9.319,50 | 47 / 3 | $8.030,25 | 453 / 22 | $7.287,39 | 453 / 26 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 65 | $20.364,40 | 1161 / 25 | $7.850,14 | 2315 / 92 | $6.942,71 | 2307 / 102 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 37 | $15.908,80 | 820 / 30 | $6.081,83 | 1666 / 80 | $4.980,50 | 1658 / 89 | Total 15 procedures | 1.153 | 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.