Hospital Costs > In Illinois > Presence Saint Joseph Hospital - Chicago, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 38 | $50.961,90 | 1164 / 55 | $14.310,80 | 1501 / 76 | $12.919,20 | 1489 / 78 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 30 | $30.360,80 | 699 / 44 | $8.617,15 | 153 / 49 | $3.402,62 | 153 / 8 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 24 | $26.223,10 | 619 / 29 | $7.574,20 | 870 / 48 | $6.311,93 | 866 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 42 | $27.219,50 | 1502 / 68 | $7.077,79 | 1712 / 81 | $5.507,57 | 1707 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 30 | $33.690,60 | 1116 / 54 | $10.006,60 | 1385 / 84 | $8.244,24 | 1382 / 81 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 33 | $20.661,60 | 1435 / 69 | $6.268,59 | 1440 / 90 | $3.382,32 | 1434 / 79 |
Cellulitis W/O Mcc | 50 | 139 / 38 | $22.109,20 | 1666 / 79 | $7.250,02 | 1844 / 90 | $5.228,90 | 1836 / 87 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 41 | $38.735,30 | 2038 / 104 | $8.271,26 | 1970 / 95 | $6.590,09 | 1963 / 97 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 63 | $47.792,70 | 2131 / 105 | $10.213,50 | 2089 / 102 | $8.238,32 | 2081 / 96 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 46 | $54.053,20 | 1294 / 72 | $9.266,42 | 1330 / 63 | $7.681,37 | 1327 / 74 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 16 | $33.024,30 | 517 / 34 | $7.909,00 | 528 / 31 | $6.258,14 | 528 / 35 |
Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 12 | $28.889,50 | 474 / 26 | $8.806,48 | 614 / 41 | $6.786,06 | 614 / 42 |
Digestive Malignancy W Cc | 11 | 36 / 15 | $37.891,30 | 222 / 15 | $10.602,00 | 275 / 19 | $8.874,55 | 273 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 23 | $33.873,90 | 768 / 33 | $10.132,60 | 1089 / 56 | $8.543,64 | 1084 / 59 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 33 | $26.886,40 | 1993 / 86 | $6.948,38 | 2141 / 98 | $5.098,00 | 2127 / 94 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 19 | $26.087,50 | 676 / 33 | $6.561,85 | 744 / 35 | $4.836,00 | 743 / 37 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 18 | $23.685,90 | 483 / 25 | $6.678,71 | 550 / 33 | $4.835,36 | 548 / 33 |
G.I. Hemorrhage W Cc | 46 | 172 / 40 | $35.731,70 | 1810 / 83 | $8.827,04 | 1985 / 98 | $7.213,65 | 1981 / 97 |
G.I. Hemorrhage W Mcc | 23 | 98 / 30 | $58.959,60 | 1175 / 64 | $14.551,80 | 1219 / 68 | $12.366,00 | 1211 / 72 |
G.I. Obstruction W Cc | 20 | 72 / 29 | $27.539,40 | 1108 / 54 | $7.861,25 | 1413 / 74 | $6.276,65 | 1408 / 81 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $20.076,50 | 822 / 39 | $5.806,27 | 1025 / 57 | $4.039,00 | 1022 / 60 |
Headaches W/O Mcc | 239 | 1 / 1 | $48.315,10 | 221 / 15 | $10.829,60 | 141 / 15 | $4.143,31 | 141 / 11 |
Heart Failure & Shock W Cc | 56 | 222 / 54 | $35.619,60 | 2201 / 105 | $8.587,64 | 2184 / 102 | $6.958,64 | 2178 / 97 |
Heart Failure & Shock W Mcc | 78 | 206 / 45 | $45.209,60 | 1851 / 76 | $12.384,10 | 2062 / 98 | $10.629,80 | 2053 / 94 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 39 | $24.627,80 | 1538 / 86 | $7.973,75 | 1479 / 100 | $4.380,69 | 1467 / 81 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 38 | $67.989,20 | 1506 / 78 | $18.138,00 | 1618 / 94 | $13.435,80 | 1599 / 86 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 20 | $137.182,00 | 852 / 46 | $26.677,70 | 831 / 44 | $23.350,00 | 828 / 45 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 21 | $148.100,00 | 1008 / 59 | $42.664,60 | 1221 / 71 | $39.371,60 | 1211 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 47 | $33.032,30 | 1285 / 51 | $8.774,19 | 1628 / 78 | $7.307,08 | 1624 / 82 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 40 | $46.528,00 | 871 / 41 | $15.083,40 | 1117 / 71 | $11.635,00 | 1111 / 64 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 23 | $32.914,00 | 1286 / 64 | $9.416,28 | 1542 / 78 | $7.786,23 | 1538 / 82 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 53 | $22.347,90 | 1790 / 70 | $6.814,36 | 2178 / 94 | $5.400,90 | 2167 / 94 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 70 | $77.548,60 | 2158 / 94 | $21.390,80 | 2079 / 105 | $13.966,60 | 2037 / 96 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $67.826,10 | 815 / 28 | $20.175,90 | 1209 / 54 | $17.593,40 | 1195 / 64 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $173.007,00 | 935 / 51 | $39.630,80 | 921 / 45 | $35.866,40 | 919 / 51 |
Medical Back Problems W/O Mcc | 22 | 99 / 36 | $31.401,00 | 1065 / 65 | $7.782,05 | 1089 / 67 | $5.531,50 | 1086 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 37 | $27.231,10 | 822 / 38 | $9.480,89 | 1269 / 71 | $7.976,22 | 1266 / 73 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 57 | $23.807,80 | 1824 / 83 | $6.264,11 | 2085 / 90 | $5.113,72 | 2077 / 95 |
Organic Disturbances & Mental Retardation | 31 | 28 / 4 | $28.599,60 | 328 / 26 | $9.161,97 | 386 / 28 | $7.123,94 | 386 / 26 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 23 | $61.650,00 | 950 / 53 | $15.110,70 | 914 / 56 | $12.828,70 | 908 / 53 |
Other Circulatory System O.R. Procedures | 13 | 42 / 10 | $92.287,80 | 300 / 20 | $21.370,60 | 276 / 20 | $19.003,80 | 276 / 18 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 25 | $36.085,70 | 1049 / 63 | $8.853,90 | 1196 / 66 | $7.430,05 | 1192 / 71 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 15 | $60.161,20 | 559 / 30 | $13.693,60 | 484 / 28 | $11.641,10 | 483 / 29 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 23 | $21.327,50 | 285 / 10 | $8.143,73 | 546 / 38 | $6.576,09 | 546 / 39 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 22 | $49.967,50 | 795 / 44 | $12.383,70 | 796 / 49 | $10.810,20 | 793 / 52 |
Other Vascular Procedures W Cc | 14 | 88 / 29 | $66.146,50 | 463 / 11 | $19.841,10 | 878 / 41 | $18.313,20 | 873 / 49 |
Other Vascular Procedures W Mcc | 16 | 81 / 21 | $103.956,00 | 626 / 33 | $26.413,10 | 727 / 39 | $24.095,40 | 724 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 20 | $134.252,00 | 747 / 43 | $26.684,60 | 820 / 37 | $24.125,40 | 815 / 46 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 33 | $95.260,10 | 1113 / 65 | $23.273,30 | 1049 / 76 | $12.842,30 | 1042 / 66 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 28 | $32.117,40 | 865 / 61 | $8.611,65 | 926 / 61 | $6.770,94 | 923 / 64 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 21 | $68.431,20 | 461 / 19 | $20.517,20 | 735 / 42 | $18.423,60 | 732 / 45 |
Psychoses | 486 | 25 / 5 | $24.868,20 | 409 / 28 | $9.934,00 | 441 / 30 | $7.174,87 | 441 / 24 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 59 | $50.440,30 | 1769 / 82 | $10.755,20 | 1875 / 83 | $9.253,42 | 1870 / 88 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 17 | $49.668,20 | 824 / 56 | $11.075,80 | 859 / 56 | $9.562,43 | 855 / 57 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 42 | $21.129,80 | 1000 / 43 | $7.009,19 | 1493 / 84 | $5.463,00 | 1484 / 82 |
Renal Failure W Cc | 44 | 177 / 50 | $28.951,30 | 1658 / 76 | $8.797,93 | 1919 / 92 | $6.707,57 | 1909 / 89 |
Renal Failure W Mcc | 36 | 159 / 40 | $47.771,90 | 1526 / 78 | $12.692,10 | 1624 / 81 | $10.767,50 | 1622 / 83 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 23 | $45.774,80 | 1072 / 55 | $11.730,10 | 1241 / 62 | $10.010,20 | 1236 / 67 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 32 | $61.440,10 | 1298 / 62 | $15.878,50 | 1422 / 76 | $13.738,80 | 1407 / 78 |
Respiratory Neoplasms W Mcc | 14 | 38 / 16 | $57.901,60 | 440 / 25 | $14.024,80 | 476 / 30 | $12.068,40 | 473 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 50 | $60.600,70 | 2102 / 84 | $15.238,20 | 2198 / 98 | $13.144,10 | 2159 / 95 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 50 | $44.170,80 | 2147 / 100 | $9.338,48 | 2058 / 90 | $7.498,77 | 2050 / 95 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 57 | $35.358,10 | 2196 / 97 | $8.530,21 | 2256 / 97 | $6.763,13 | 2248 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 70 | $52.404,00 | 1973 / 92 | $17.406,30 | 1823 / 107 | $9.478,88 | 1823 / 87 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 40 | $111.716,00 | 853 / 33 | $33.167,30 | 966 / 47 | $25.941,40 | 961 / 43 |
Syncope & Collapse | 22 | 147 / 41 | $25.904,90 | 1264 / 65 | $7.612,09 | 1447 / 90 | $4.996,14 | 1440 / 81 | Total 66 procedures | 2.511 | 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.