Hospital Costs > In Illinois > Presence Our Lady Of The Resurrection Med Ctr, 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 | 170 | 346 / 44 | $66.186,80 | 2227 / 95 | $12.328,10 | 1135 / 55 | $10.374,90 | 1119 / 33 |
Heart Failure & Shock W Mcc | 127 | 157 / 21 | $51.551,90 | 2023 / 93 | $9.425,15 | 1328 / 47 | $8.755,81 | 1325 / 60 |
Renal Failure W Mcc | 103 | 92 / 13 | $47.730,20 | 1524 / 77 | $9.658,47 | 975 / 39 | $8.872,33 | 975 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 34 | $29.578,60 | 2200 / 102 | $6.055,07 | 1051 / 84 | $3.993,30 | 1043 / 49 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 28 | $41.816,20 | 1979 / 90 | $7.470,22 | 1266 / 40 | $6.541,81 | 1260 / 55 |
Kidney & Urinary Tract Infections W Mcc | 64 | 80 / 11 | $37.881,30 | 1440 / 79 | $7.243,72 | 996 / 44 | $6.385,47 | 993 / 55 |
Heart Failure & Shock W Cc | 61 | 217 / 51 | $31.145,50 | 2020 / 94 | $6.836,49 | 1334 / 68 | $5.583,98 | 1330 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $36.437,90 | 1406 / 63 | $8.357,62 | 950 / 72 | $5.759,95 | 947 / 51 |
Renal Failure W Cc | 60 | 161 / 40 | $37.274,90 | 1965 / 95 | $7.046,72 | 1094 / 72 | $5.283,53 | 1086 / 50 |
Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 30 | $36.598,60 | 1974 / 96 | $6.878,14 | 1077 / 75 | $5.036,86 | 1073 / 51 |
Respiratory Infections & Inflammations W Mcc | 57 | 79 / 14 | $62.835,60 | 1317 / 65 | $11.936,60 | 814 / 32 | $11.160,60 | 804 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 81 | $62.041,90 | 1769 / 70 | $17.936,30 | 1177 / 95 | $11.337,60 | 1149 / 47 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 42 | $54.686,20 | 2009 / 93 | $10.291,80 | 1230 / 76 | $8.188,06 | 1230 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 57 | $30.196,90 | 2178 / 100 | $5.072,67 | 1519 / 46 | $4.147,82 | 1507 / 69 |
G.I. Hemorrhage W Cc | 48 | 170 / 38 | $36.037,50 | 1823 / 87 | $7.333,21 | 1173 / 77 | $5.549,35 | 1171 / 61 |
Cellulitis W/O Mcc | 45 | 144 / 42 | $25.669,80 | 1911 / 95 | $5.684,56 | 1411 / 48 | $4.635,93 | 1404 / 64 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 23 | $61.689,90 | 1394 / 70 | $11.842,70 | 855 / 36 | $10.709,00 | 844 / 44 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 16 | $59.905,00 | 1325 / 68 | $10.991,80 | 931 / 36 | $10.083,70 | 930 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $41.682,90 | 1336 / 80 | $7.075,36 | 616 / 31 | $6.220,36 | 613 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 27 | $62.540,70 | 1174 / 61 | $10.655,80 | 627 / 24 | $9.689,22 | 626 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 28 | $45.302,50 | 1442 / 81 | $8.045,91 | 953 / 52 | $7.068,14 | 950 / 60 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 59 | $42.067,50 | 2384 / 108 | $6.508,57 | 1384 / 51 | $5.399,49 | 1378 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 45 | $27.944,80 | 2045 / 102 | $4.799,03 | 1166 / 53 | $3.786,85 | 1163 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 26 | $119.726,00 | 732 / 37 | $33.246,10 | 280 / 34 | $27.761,50 | 280 / 12 |
Cellulitis W Mcc | 29 | 29 / 5 | $29.721,00 | 377 / 14 | $9.099,90 | 365 / 20 | $8.163,62 | 363 / 22 |
Transient Ischemia | 28 | 97 / 27 | $30.619,40 | 1196 / 69 | $5.747,93 | 777 / 63 | $3.675,61 | 773 / 52 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 15 | $50.172,40 | 1151 / 63 | $8.810,71 | 825 / 36 | $8.055,00 | 820 / 44 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 45 | $51.680,40 | 1784 / 84 | $7.964,11 | 1157 / 38 | $7.173,59 | 1155 / 49 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 10 | $133.674,00 | 407 / 22 | $32.250,50 | 149 / 6 | $30.965,50 | 149 / 7 |
Seizures W/O Mcc | 26 | 82 / 19 | $30.690,70 | 978 / 69 | $5.088,77 | 541 / 25 | $4.135,62 | 538 / 42 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 23 | $58.977,00 | 868 / 53 | $9.828,76 | 376 / 27 | $8.658,44 | 376 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 31 | $97.555,00 | 1489 / 80 | $19.050,50 | 1063 / 82 | $14.400,20 | 1053 / 60 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $30.184,00 | 1716 / 93 | $7.700,17 | 807 / 94 | $3.579,88 | 803 / 44 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 45 | $35.798,60 | 1823 / 93 | $5.358,12 | 1245 / 48 | $4.560,12 | 1240 / 66 |
G.I. Hemorrhage W Mcc | 23 | 98 / 30 | $58.055,50 | 1159 / 62 | $11.071,80 | 746 / 34 | $10.388,00 | 745 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 43 | $60.649,00 | 1394 / 79 | $11.438,90 | 461 / 77 | $5.381,73 | 459 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 34 | $24.532,20 | 1534 / 85 | $4.616,24 | 1043 / 52 | $3.778,14 | 1035 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 57 | $40.552,60 | 2051 / 87 | $13.104,10 | 476 / 104 | $5.174,00 | 474 / 16 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $43.075,10 | 1088 / 50 | $6.965,90 | 784 / 30 | $6.080,90 | 782 / 40 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 18 | $41.918,90 | 712 / 47 | $8.132,35 | 437 / 28 | $7.248,95 | 435 / 33 |
Syncope & Collapse | 19 | 150 / 44 | $29.951,70 | 1428 / 81 | $6.155,74 | 549 / 74 | $3.595,58 | 546 / 30 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 36 | $23.371,90 | 1569 / 82 | $3.930,21 | 1086 / 45 | $2.895,68 | 1081 / 62 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 10 | $182.899,00 | 683 / 35 | $32.147,20 | 411 / 15 | $30.929,10 | 411 / 23 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 17 | $103.015,00 | 709 / 36 | $18.677,10 | 436 / 23 | $17.605,40 | 433 / 26 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $40.395,10 | 957 / 52 | $7.780,88 | 616 / 24 | $6.912,50 | 611 / 37 |
Medical Back Problems W/O Mcc | 16 | 105 / 42 | $31.100,90 | 1049 / 61 | $5.699,38 | 631 / 33 | $4.453,00 | 629 / 41 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $36.305,00 | 838 / 55 | $5.822,13 | 507 / 20 | $4.816,40 | 503 / 36 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $32.105,20 | 864 / 60 | $6.431,93 | 719 / 36 | $5.908,87 | 716 / 54 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 16 | $34.258,80 | 531 / 37 | $5.920,71 | 175 / 11 | $4.538,14 | 175 / 10 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 44 | $33.228,90 | 1616 / 100 | $9.081,29 | 530 / 100 | $4.015,43 | 528 / 28 |
Diabetes W Mcc | 14 | 43 / 9 | $34.381,90 | 366 / 17 | $8.633,57 | 249 / 8 | $7.816,14 | 249 / 14 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $165.325,00 | 894 / 43 | $29.122,10 | 344 / 9 | $28.036,40 | 342 / 16 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 18 | $40.285,90 | 320 / 9 | $10.579,10 | 301 / 8 | $10.088,30 | 300 / 19 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 11 | $89.633,10 | 269 / 13 | $21.640,40 | 154 / 10 | $20.112,10 | 154 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 50 | $85.117,50 | 962 / 49 | $12.871,70 | 841 / 15 | $11.813,80 | 835 / 49 |
Diabetes W Cc | 13 | 79 / 27 | $30.619,20 | 1195 / 68 | $5.463,62 | 641 / 34 | $4.446,08 | 640 / 41 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 10 | $30.836,80 | 375 / 13 | $6.229,15 | 150 / 7 | $5.032,62 | 150 / 7 |
Hypertension W/O Mcc | 13 | 52 / 17 | $27.480,20 | 598 / 40 | $6.647,54 | 219 / 39 | $2.934,85 | 217 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 31 | $23.628,80 | 583 / 37 | $5.046,33 | 228 / 16 | $3.592,08 | 228 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 16 | $109.322,00 | 284 / 10 | $26.691,30 | 123 / 3 | $25.738,80 | 123 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $78.949,90 | 651 / 42 | $13.295,00 | 381 / 21 | $12.033,20 | 376 / 24 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 33 | $41.553,30 | 1160 / 74 | $6.446,17 | 652 / 35 | $5.485,33 | 648 / 47 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 34 | $46.699,90 | 669 / 29 | $11.483,60 | 547 / 21 | $10.930,40 | 545 / 29 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 28 | $32.274,80 | 706 / 40 | $7.131,92 | 469 / 21 | $6.585,42 | 467 / 28 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 12 | $238.924,00 | 224 / 12 | $55.504,50 | 126 / 5 | $54.326,50 | 126 / 6 |
Endocrine Disorders W Cc | 11 | 27 / 11 | $27.066,60 | 149 / 6 | $6.749,09 | 105 / 6 | $5.724,55 | 105 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 35 | $29.638,60 | 1089 / 53 | $5.078,55 | 973 / 29 | $4.285,64 | 969 / 54 |
G.I. Obstruction W Cc | 11 | 81 / 38 | $33.184,30 | 1300 / 70 | $5.951,91 | 1011 / 43 | $5.139,91 | 1008 / 60 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 11 | $88.458,10 | 264 / 14 | $17.412,50 | 179 / 8 | $16.680,10 | 178 / 10 | Total 69 procedures | 2.213 | 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.