Hospital Costs > In Illinois > Norwegian-American Hospital, 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 Rehabilitation Therapy | 99 | 22 / 3 | $6.316,34 | 6 / 1 | $11.196,70 | 79 / 6 | $10.697,60 | 79 / 6 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 191 | 15 / 4 | $7.118,91 | 60 / 11 | $7.848,33 | 786 / 47 | $7.227,51 | 785 / 50 |
Cellulitis W/O Mcc | 18 | 171 / 63 | $17.415,10 | 1176 / 41 | $8.953,06 | 2468 / 112 | $7.618,72 | 2460 / 114 |
Chest Pain | 18 | 133 / 37 | $19.153,20 | 857 / 34 | $7.310,78 | 1607 / 74 | $6.355,78 | 1598 / 77 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 52 | $21.511,20 | 1163 / 40 | $9.522,23 | 2333 / 108 | $8.948,80 | 2326 / 111 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 29 | $15.649,40 | 864 / 27 | $8.006,48 | 2046 / 97 | $7.537,12 | 2034 / 100 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 51 | $40.997,10 | 976 / 41 | $10.480,80 | 1524 / 72 | $9.542,67 | 1521 / 84 |
Diabetes W Cc | 13 | 79 / 27 | $16.793,20 | 469 / 19 | $8.813,69 | 1508 / 80 | $7.956,69 | 1503 / 83 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 81 | $16.967,70 | 995 / 23 | $8.253,50 | 2587 / 109 | $7.228,28 | 2572 / 112 |
Heart Failure & Shock W Cc | 17 | 261 / 80 | $20.921,20 | 1280 / 43 | $9.960,82 | 2595 / 114 | $9.073,00 | 2589 / 118 |
Heart Failure & Shock W Mcc | 17 | 267 / 83 | $38.381,30 | 1576 / 60 | $12.715,30 | 2321 / 102 | $12.030,50 | 2311 / 109 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 41 | $16.754,60 | 1036 / 39 | $7.809,29 | 1930 / 99 | $6.838,43 | 1917 / 103 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 45 | $118.423,00 | 717 / 36 | $41.331,80 | 1243 / 68 | $39.933,50 | 1233 / 74 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 65 | $20.902,80 | 1666 / 59 | $8.317,43 | 2564 / 108 | $7.203,79 | 2553 / 109 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 56 | $13.556,60 | 769 / 21 | $8.376,89 | 2391 / 109 | $6.717,11 | 2382 / 109 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 22 | $24.467,50 | 375 / 18 | $9.764,42 | 731 / 43 | $8.316,67 | 731 / 47 |
Psychoses | 456 | 31 / 6 | $16.649,30 | 235 / 15 | $10.019,70 | 553 / 31 | $9.270,70 | 553 / 32 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 56 | $37.144,40 | 1395 / 52 | $11.391,00 | 2039 / 85 | $10.532,30 | 2033 / 94 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 46 | $23.801,30 | 1171 / 57 | $8.752,92 | 1875 / 98 | $7.715,83 | 1866 / 102 |
Renal Failure W Cc | 27 | 194 / 64 | $26.419,10 | 1515 / 69 | $9.773,63 | 2301 / 100 | $8.977,89 | 2291 / 104 |
Renal Failure W Mcc | 33 | 162 / 43 | $26.200,90 | 531 / 16 | $13.606,40 | 1884 / 87 | $12.585,60 | 1880 / 94 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 36 | $53.384,60 | 721 / 29 | $18.404,90 | 1502 / 78 | $17.622,20 | 1488 / 87 |
Seizures W/O Mcc | 12 | 96 / 32 | $17.977,90 | 427 / 15 | $8.365,83 | 1231 / 74 | $7.630,17 | 1229 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 97 | $57.618,80 | 2023 / 77 | $16.060,60 | 2505 / 103 | $15.283,10 | 2461 / 110 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 63 | $33.127,60 | 1771 / 68 | $10.319,80 | 2423 / 99 | $9.624,54 | 2413 / 104 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 77 | $24.939,20 | 1622 / 58 | $9.853,92 | 2655 / 110 | $8.800,85 | 2646 / 114 |
Syncope & Collapse | 14 | 155 / 48 | $18.083,00 | 687 / 22 | $8.140,14 | 1821 / 94 | $7.253,14 | 1813 / 98 | Total 27 procedures | 1.186 | 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.