Hospital Costs > In Illinois > Passavant Area Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 116 | 448 / 58 | $49.700,80 | 1272 / 36 | $14.682,90 | 1567 / 53 | $12.241,90 | 1532 / 70 |
Simple Pneumonia & Pleurisy W Cc | 105 | 98 / 14 | $23.354,20 | 1487 / 47 | $6.568,63 | 1313 / 53 | $5.313,15 | 1308 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $22.888,80 | 962 / 25 | $7.496,28 | 1391 / 41 | $6.689,76 | 1385 / 64 |
Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 17 | $24.835,50 | 909 / 33 | $7.324,92 | 832 / 46 | $6.133,96 | 831 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 48 | $20.633,30 | 1640 / 55 | $5.715,83 | 1024 / 74 | $3.976,98 | 1016 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 43 | $35.362,30 | 1374 / 40 | $9.313,69 | 1417 / 48 | $8.529,71 | 1417 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 33 | $15.812,90 | 1064 / 35 | $4.487,23 | 915 / 29 | $3.590,55 | 912 / 40 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 13 | $18.003,70 | 1111 / 42 | $4.566,45 | 1037 / 28 | $3.771,55 | 1028 / 58 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 63 | $19.002,90 | 1281 / 34 | $4.752,88 | 764 / 28 | $3.604,60 | 759 / 32 |
Heart Failure & Shock W Cc | 38 | 240 / 64 | $16.664,80 | 767 / 18 | $6.359,42 | 1316 / 45 | $5.565,32 | 1312 / 58 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 13 | $18.149,80 | 1039 / 41 | $4.667,43 | 786 / 36 | $3.489,14 | 782 / 48 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 41 | $28.048,90 | 914 / 25 | $7.807,55 | 1085 / 36 | $7.073,48 | 1083 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 50 | $17.983,60 | 805 / 22 | $5.987,94 | 1206 / 38 | $5.158,94 | 1201 / 62 |
G.I. Hemorrhage W Cc | 26 | 192 / 56 | $22.408,00 | 975 / 26 | $7.036,54 | 987 / 63 | $5.350,19 | 985 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 31 | $9.974,46 | 348 / 7 | $3.875,46 | 498 / 41 | $2.439,29 | 494 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 32 | $14.900,10 | 844 / 28 | $4.313,17 | 770 / 30 | $3.529,87 | 766 / 48 |
Cellulitis W/O Mcc | 22 | 167 / 60 | $16.975,00 | 1122 / 38 | $6.529,68 | 913 / 81 | $4.210,64 | 907 / 42 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 37 | $18.860,50 | 791 / 34 | $5.119,14 | 863 / 33 | $4.370,95 | 858 / 51 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 37 | $58.811,90 | 883 / 37 | $15.348,90 | 1113 / 48 | $14.648,30 | 1101 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 50 | $19.492,30 | 1011 / 29 | $4.844,47 | 513 / 15 | $3.828,89 | 511 / 23 |
Heart Failure & Shock W Mcc | 17 | 267 / 83 | $32.099,80 | 1222 / 39 | $10.088,20 | 1773 / 62 | $9.646,82 | 1768 / 84 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 46 | $38.544,80 | 565 / 9 | $12.600,90 | 1216 / 56 | $11.682,30 | 1201 / 69 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $22.006,70 | 912 / 50 | $4.822,14 | 462 / 49 | $2.916,50 | 461 / 27 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 33 | $73.999,90 | 917 / 37 | $17.032,90 | 1006 / 31 | $15.910,60 | 995 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 32 | $16.599,70 | 340 / 9 | $4.858,00 | 602 / 21 | $3.738,00 | 598 / 39 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $13.330,50 | 243 / 6 | $4.452,23 | 375 / 12 | $3.516,85 | 372 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 58 | $21.720,30 | 584 / 10 | $6.910,54 | 975 / 42 | $5.797,92 | 972 / 52 |
Transient Ischemia | 13 | 112 / 41 | $17.489,20 | 452 / 12 | $4.466,15 | 478 / 21 | $3.353,54 | 477 / 29 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 20 | $18.866,80 | 469 / 15 | $5.172,08 | 203 / 28 | $3.254,83 | 204 / 13 |
G.I. Obstruction W Cc | 11 | 81 / 38 | $20.627,80 | 695 / 22 | $5.680,18 | 793 / 34 | $4.804,55 | 791 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 103 | $46.178,40 | 1635 / 51 | $13.011,50 | 1877 / 73 | $11.970,20 | 1842 / 85 | Total 31 procedures | 1.000 | 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.