Hospital Costs > In Illinois > Metrosouth Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 143 | 141 / 15 | $36.539,10 | 1482 / 54 | $10.046,90 | 1540 / 60 | $9.139,99 | 1536 / 71 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 118 | 398 / 61 | $52.353,20 | 1867 / 67 | $12.660,50 | 1504 / 66 | $11.025,80 | 1474 / 57 |
| Heart Failure & Shock W Cc | 99 | 179 / 29 | $27.796,90 | 1844 / 79 | $7.203,82 | 1254 / 86 | $5.506,01 | 1250 / 54 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 74 | 490 / 73 | $69.375,60 | 1979 / 86 | $15.688,60 | 1618 / 71 | $12.354,10 | 1581 / 75 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 42 | $24.499,30 | 1842 / 75 | $5.467,57 | 1663 / 64 | $4.294,57 | 1650 / 74 |
| Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 29 | $35.609,90 | 1780 / 76 | $7.687,88 | 1485 / 46 | $6.818,06 | 1479 / 68 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 25 | $19.706,00 | 1528 / 61 | $5.098,94 | 1597 / 67 | $4.176,27 | 1592 / 71 |
| Red Blood Cell Disorders W/O Mcc | 56 | 87 / 11 | $19.654,90 | 871 / 38 | $6.242,05 | 1151 / 74 | $4.727,73 | 1143 / 64 |
| Renal Failure W Mcc | 56 | 139 / 27 | $38.351,60 | 1215 / 57 | $10.484,00 | 1084 / 62 | $9.094,07 | 1084 / 55 |
| Syncope & Collapse | 55 | 114 / 17 | $22.701,50 | 1083 / 44 | $5.358,00 | 1160 / 57 | $4.317,47 | 1153 / 63 |
| Renal Failure W Cc | 53 | 168 / 44 | $25.417,70 | 1457 / 57 | $6.540,21 | 1488 / 59 | $5.738,25 | 1479 / 71 |
| Transient Ischemia | 48 | 77 / 13 | $24.338,70 | 935 / 42 | $5.564,27 | 993 / 61 | $4.031,90 | 988 / 60 |
| Cellulitis W/O Mcc | 43 | 146 / 44 | $23.964,90 | 1815 / 88 | $5.950,16 | 1731 / 61 | $5.022,91 | 1723 / 83 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 14 | $17.806,30 | 1134 / 50 | $4.866,56 | 1265 / 59 | $4.053,16 | 1255 / 68 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 33 | $36.307,00 | 1401 / 62 | $7.917,05 | 1152 / 65 | $6.071,88 | 1149 / 64 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 34 | $36.152,10 | 1337 / 47 | $8.069,12 | 1385 / 41 | $7.568,05 | 1381 / 68 |
| G.I. Hemorrhage W Cc | 38 | 180 / 47 | $33.234,00 | 1727 / 80 | $7.459,87 | 1366 / 85 | $5.777,47 | 1363 / 70 |
| G.I. Hemorrhage W Mcc | 38 | 83 / 18 | $51.286,20 | 1036 / 48 | $11.515,80 | 851 / 46 | $10.684,40 | 847 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 51 | $35.920,50 | 1406 / 43 | $10.575,20 | 1078 / 79 | $7.960,08 | 1078 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 59 | $28.857,00 | 1889 / 77 | $7.031,77 | 1649 / 75 | $5.669,14 | 1642 / 72 |
| Diabetes W Cc | 35 | 57 / 9 | $19.961,90 | 697 / 25 | $6.294,14 | 841 / 56 | $4.787,69 | 837 / 50 |
| Chest Pain | 35 | 116 / 22 | $20.292,70 | 942 / 41 | $4.517,11 | 980 / 36 | $3.513,23 | 974 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 61 | $20.130,80 | 1590 / 51 | $5.457,81 | 1782 / 65 | $4.662,81 | 1771 / 80 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 27 | $31.336,60 | 1020 / 55 | $7.494,13 | 911 / 40 | $6.811,81 | 908 / 58 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 17 | $28.714,20 | 587 / 25 | $8.387,74 | 701 / 41 | $7.136,68 | 696 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 41 | $22.948,50 | 1279 / 50 | $5.642,62 | 1454 / 57 | $4.896,69 | 1449 / 76 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 30 | $26.093,60 | 981 / 41 | $7.161,86 | 983 / 42 | $6.345,86 | 980 / 54 |
| Red Blood Cell Disorders W Mcc | 28 | 43 / 10 | $32.482,80 | 521 / 29 | $8.434,29 | 591 / 37 | $7.744,00 | 588 / 44 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 29 | $106.180,00 | 560 / 27 | $30.161,80 | 515 / 18 | $29.611,50 | 511 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 28 | $17.798,00 | 1253 / 55 | $5.108,78 | 1162 / 77 | $2.979,22 | 1157 / 66 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 40 | $40.878,70 | 975 / 40 | $7.458,38 | 1047 / 34 | $6.484,85 | 1044 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 54 | $36.085,70 | 1900 / 75 | $7.616,15 | 1413 / 68 | $6.126,19 | 1408 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 28 | $17.031,90 | 1018 / 33 | $5.363,19 | 1294 / 61 | $4.060,50 | 1283 / 66 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 37 | $28.344,40 | 870 / 42 | $8.624,80 | 972 / 66 | $7.088,96 | 969 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $54.310,70 | 1031 / 50 | $11.339,70 | 871 / 40 | $10.504,90 | 869 / 52 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 34 | $49.806,90 | 610 / 22 | $15.611,10 | 702 / 51 | $12.978,80 | 694 / 33 |
| Seizures W/O Mcc | 22 | 86 / 23 | $21.336,10 | 622 / 28 | $5.320,59 | 728 / 31 | $4.551,14 | 725 / 51 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 59 | $30.511,70 | 1742 / 78 | $6.537,77 | 1578 / 62 | $5.641,05 | 1571 / 83 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 25 | $48.865,00 | 717 / 33 | $11.375,30 | 402 / 19 | $10.376,40 | 401 / 17 |
| Organic Disturbances & Mental Retardation | 21 | 38 / 9 | $26.352,90 | 296 / 21 | $6.679,38 | 275 / 17 | $6.103,38 | 275 / 19 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 44 | $47.019,20 | 1004 / 34 | $12.809,20 | 1134 / 54 | $12.204,40 | 1120 / 65 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 20 | $22.060,00 | 771 / 35 | $5.006,84 | 808 / 37 | $4.311,26 | 805 / 44 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 32 | $64.717,60 | 1390 / 72 | $11.635,30 | 1044 / 55 | $10.478,80 | 1041 / 54 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 27 | $24.363,40 | 609 / 36 | $6.448,61 | 520 / 37 | $5.376,61 | 518 / 39 |
| Hypertension W/O Mcc | 18 | 47 / 12 | $17.934,40 | 334 / 18 | $4.628,78 | 445 / 19 | $3.562,11 | 443 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 20 | $102.158,00 | 516 / 16 | $20.108,50 | 435 / 9 | $19.116,50 | 431 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 30 | $30.823,30 | 1132 / 57 | $6.408,75 | 919 / 57 | $4.159,50 | 915 / 52 |
| Diabetes W/O Cc/Mcc | 16 | 22 / 2 | $15.522,40 | 131 / 5 | $4.302,12 | 147 / 4 | $3.474,12 | 147 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 23 | $21.304,60 | 433 / 15 | $6.564,00 | 492 / 41 | $4.778,19 | 488 / 34 |
| Dysequilibrium | 15 | 50 / 18 | $20.734,20 | 263 / 11 | $4.620,93 | 298 / 14 | $3.573,47 | 298 / 18 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $18.830,90 | 505 / 24 | $5.512,07 | 521 / 35 | $3.814,53 | 517 / 31 |
| Other Vascular Procedures W Cc | 15 | 87 / 28 | $101.982,00 | 859 / 42 | $17.252,10 | 715 / 25 | $16.528,90 | 711 / 36 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 31 | $37.641,90 | 1084 / 69 | $6.720,93 | 856 / 42 | $5.955,21 | 852 / 54 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 3 | $50.052,10 | 264 / 12 | $11.025,10 | 214 / 11 | $10.400,00 | 214 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $113.271,00 | 507 / 14 | $27.655,00 | 266 / 4 | $27.051,60 | 264 / 10 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 27 | $32.494,80 | 903 / 36 | $6.874,08 | 820 / 34 | $5.864,85 | 817 / 50 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $50.555,60 | 328 / 17 | $16.082,50 | 396 / 42 | $12.181,10 | 391 / 27 |
| Other Vascular Procedures W Mcc | 13 | 84 / 23 | $78.346,50 | 359 / 9 | $24.613,40 | 299 / 32 | $18.753,20 | 298 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $21.576,10 | 888 / 45 | $4.548,85 | 844 / 41 | $3.534,69 | 841 / 50 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 29 | $133.143,00 | 810 / 39 | $22.809,30 | 638 / 23 | $21.787,80 | 637 / 36 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $24.521,90 | 459 / 16 | $6.428,00 | 563 / 23 | $5.500,00 | 560 / 32 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 26 | $21.613,10 | 282 / 13 | $6.674,00 | 404 / 23 | $5.674,00 | 404 / 31 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $18.585,10 | 512 / 19 | $4.583,42 | 563 / 20 | $3.775,42 | 562 / 22 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 35 | $66.890,40 | 795 / 26 | $20.153,00 | 493 / 53 | $13.599,30 | 488 / 21 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 5 | $227.458,00 | 223 / 8 | $34.964,50 | 121 / 4 | $33.959,20 | 121 / 6 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $21.565,00 | 246 / 16 | $5.774,33 | 165 / 18 | $3.619,25 | 165 / 11 |
| Medical Back Problems W/O Mcc | 12 | 109 / 46 | $31.236,00 | 1057 / 62 | $5.694,08 | 817 / 32 | $4.790,08 | 814 / 50 |
| Diabetes W Mcc | 12 | 45 / 11 | $32.432,80 | 327 / 15 | $8.817,92 | 229 / 10 | $7.711,25 | 229 / 10 |
| Pulmonary Embolism W Mcc | 11 | 32 / 15 | $52.073,30 | 439 / 28 | $9.949,82 | 339 / 25 | $9.184,73 | 339 / 27 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $50.990,40 | 595 / 33 | $10.640,80 | 538 / 29 | $9.433,55 | 536 / 37 |
| Seizures W Mcc | 11 | 55 / 21 | $44.989,20 | 423 / 20 | $11.303,20 | 511 / 26 | $10.642,90 | 511 / 28 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $154.065,00 | 549 / 27 | $37.911,00 | 506 / 25 | $36.952,50 | 505 / 32 | Total 72 procedures | 2.212 | 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.