Hospital Costs > In Illinois > Morris Hospital & Healthcare Centers, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 194 | 322 / 35 | $42.300,00 | 1434 / 43 | $12.056,30 | 1063 / 47 | $10.275,80 | 1050 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 62 | $47.012,80 | 1141 / 28 | $12.336,40 | 1037 / 7 | $11.128,40 | 1014 / 40 |
Heart Failure & Shock W Mcc | 77 | 207 / 46 | $31.298,30 | 1173 / 35 | $8.492,13 | 582 / 12 | $7.795,18 | 582 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 28 | $34.166,40 | 1298 / 37 | $8.254,53 | 545 / 9 | $7.375,21 | 545 / 12 |
Respiratory Infections & Inflammations W Mcc | 50 | 86 / 19 | $48.524,40 | 1032 / 37 | $12.134,90 | 889 / 38 | $11.363,10 | 879 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 39 | $20.987,10 | 1103 / 38 | $5.829,83 | 200 / 26 | $4.179,70 | 200 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 51 | $13.994,80 | 800 / 17 | $4.553,73 | 219 / 17 | $3.330,58 | 219 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 65 | $16.555,10 | 944 / 19 | $4.501,44 | 253 / 18 | $3.179,29 | 253 / 4 |
Heart Failure & Shock W Cc | 39 | 239 / 63 | $17.432,00 | 864 / 22 | $5.552,92 | 184 / 9 | $4.506,03 | 184 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 48 | $26.026,90 | 1202 / 41 | $6.812,05 | 679 / 16 | $5.960,68 | 675 / 26 |
G.I. Hemorrhage W Cc | 36 | 182 / 49 | $22.318,10 | 969 / 24 | $5.722,83 | 459 / 10 | $4.869,50 | 458 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 31 | $31.648,20 | 594 / 22 | $6.732,23 | 235 / 15 | $5.027,71 | 235 / 8 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 60 | $22.399,10 | 1395 / 39 | $6.040,70 | 295 / 27 | $4.464,48 | 293 / 6 |
Renal Failure W Cc | 29 | 192 / 62 | $23.683,90 | 1327 / 49 | $6.508,14 | 135 / 55 | $4.260,66 | 135 / 3 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 44 | $33.162,60 | 1207 / 40 | $7.128,07 | 464 / 13 | $6.304,07 | 464 / 13 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 31 | $20.859,40 | 627 / 20 | $6.303,48 | 317 / 7 | $5.445,63 | 316 / 10 |
Cellulitis W/O Mcc | 27 | 162 / 56 | $17.922,50 | 1234 / 45 | $4.914,93 | 302 / 9 | $3.693,59 | 299 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 29 | $15.332,60 | 1033 / 37 | $3.200,81 | 178 / 3 | $2.089,42 | 177 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 55 | $21.761,30 | 943 / 20 | $6.167,25 | 615 / 9 | $5.329,25 | 613 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 39 | $26.752,80 | 774 / 38 | $8.414,30 | 218 / 65 | $5.899,35 | 218 / 5 |
Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 31 | $141.052,00 | 1070 / 44 | $45.912,50 | 1001 / 53 | $26.433,10 | 996 / 46 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 41 | $46.795,50 | 922 / 26 | $13.695,00 | 297 / 74 | $9.725,27 | 296 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 35 | $23.079,50 | 599 / 24 | $7.755,71 | 103 / 51 | $5.287,19 | 102 / 2 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 17 | $47.581,40 | 270 / 13 | $14.162,30 | 345 / 32 | $11.813,70 | 340 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 55 | $16.255,30 | 1109 / 37 | $3.988,80 | 430 / 6 | $3.264,00 | 430 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 49 | $21.955,60 | 1204 / 41 | $4.555,95 | 287 / 6 | $3.591,15 | 287 / 11 |
G.I. Hemorrhage W Mcc | 20 | 101 / 32 | $30.172,80 | 328 / 8 | $9.567,35 | 223 / 2 | $8.969,00 | 223 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 36 | $21.639,10 | 1381 / 62 | $4.128,67 | 179 / 6 | $2.985,56 | 179 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 54 | $26.197,00 | 875 / 25 | $6.029,88 | 193 / 4 | $4.819,53 | 193 / 7 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 30 | $43.682,20 | 594 / 27 | $11.084,30 | 465 / 13 | $10.632,40 | 464 / 24 |
Renal Failure W Mcc | 16 | 179 / 56 | $32.879,40 | 938 / 33 | $8.980,00 | 508 / 19 | $8.076,06 | 508 / 18 |
G.I. Obstruction W Cc | 16 | 76 / 33 | $17.807,90 | 497 / 14 | $4.925,56 | 279 / 4 | $4.169,56 | 278 / 9 |
Transient Ischemia | 15 | 110 / 39 | $18.194,20 | 519 / 16 | $4.029,07 | 143 / 4 | $2.904,80 | 143 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 34 | $18.493,10 | 1074 / 44 | $4.059,00 | 173 / 3 | $2.853,67 | 171 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 48 | $60.331,10 | 457 / 13 | $11.789,80 | 541 / 5 | $10.742,30 | 538 / 28 |
Cellulitis W Mcc | 15 | 43 / 18 | $38.387,70 | 554 / 31 | $9.513,20 | 505 / 31 | $8.787,80 | 503 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 42 | $64.320,30 | 1017 / 47 | $13.424,10 | 676 / 16 | $12.903,10 | 668 / 29 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 36 | $43.552,40 | 950 / 40 | $9.658,36 | 372 / 8 | $8.707,50 | 372 / 13 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 23 | $31.887,90 | 504 / 26 | $7.208,86 | 319 / 5 | $6.861,43 | 318 / 19 |
Syncope & Collapse | 13 | 156 / 49 | $21.732,60 | 1010 / 41 | $4.189,08 | 189 / 5 | $3.162,62 | 188 / 6 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 32 | $23.966,50 | 622 / 26 | $5.340,69 | 102 / 1 | $4.407,77 | 101 / 5 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 45 | $22.958,20 | 1123 / 50 | $4.623,31 | 245 / 9 | $3.692,85 | 245 / 7 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $133.496,00 | 466 / 26 | $40.155,20 | 404 / 32 | $30.848,20 | 404 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $12.636,20 | 199 / 2 | $3.609,58 | 239 / 1 | $3.209,58 | 238 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 43 | $18.303,50 | 1174 / 54 | $3.749,92 | 43 / 3 | $2.640,58 | 43 / 2 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $133.716,00 | 692 / 27 | $35.498,20 | 852 / 32 | $34.493,10 | 850 / 46 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $24.497,10 | 410 / 12 | $8.373,83 | 15 / 40 | $5.141,17 | 15 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $55.365,50 | 288 / 8 | $17.981,10 | 90 / 34 | $13.256,30 | 90 / 2 |
Chest Pain | 11 | 140 / 44 | $15.505,40 | 543 / 18 | $3.479,82 | 65 / 4 | $2.269,64 | 65 / 2 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $30.259,00 | 700 / 23 | $12.423,00 | 34 / 65 | $6.087,18 | 34 / 2 |
Pulmonary Embolism W Mcc | 11 | 32 / 15 | $46.361,40 | 386 / 25 | $8.518,00 | 91 / 2 | $7.642,36 | 91 / 4 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $15.611,00 | 566 / 19 | $4.472,55 | 32 / 39 | $2.094,82 | 32 / 2 | Total 52 procedures | 1.478 | 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.