Hospital Costs > In Illinois > Presence Saint Joseph Hospital - Chicago, procedure costs

Presence Saint Joseph Hospital - Chicago, procedure costs

2900 North Lake Shore Drive, Chicago, IL 60657,

Procedure Costs @ Presence Saint Joseph Hospital - Chicago
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Psychoses48625 / 5$24.868,20409 / 28$9.934,00441 / 30$7.174,87441 / 24
Headaches W/O Mcc2391 / 1$48.315,10221 / 15$10.829,60141 / 15$4.143,31141 / 11
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc145371 / 50$60.600,702102 / 84$15.238,202198 / 98$13.144,102159 / 95
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc86189 / 33$26.886,401993 / 86$6.948,382141 / 98$5.098,002127 / 94
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc80484 / 70$77.548,602158 / 94$21.390,802079 / 105$13.966,602037 / 96
Heart Failure & Shock W Mcc78206 / 45$45.209,601851 / 76$12.384,102062 / 98$10.629,802053 / 94
Heart Failure & Shock W Cc56222 / 54$35.619,602201 / 105$8.587,642184 / 102$6.958,642178 / 97
Cellulitis W/O Mcc50139 / 38$22.109,201666 / 79$7.250,021844 / 90$5.228,901836 / 87
G.I. Hemorrhage W Cc46172 / 40$35.731,701810 / 83$8.827,041985 / 98$7.213,651981 / 97
Renal Failure W Cc44177 / 50$28.951,301658 / 76$8.797,931919 / 92$6.707,571909 / 89
Chronic Obstructive Pulmonary Disease W Cc43136 / 41$38.735,302038 / 104$8.271,261970 / 95$6.590,091963 / 97
Kidney & Urinary Tract Infections W/O Mcc42191 / 53$22.347,901790 / 70$6.814,362178 / 94$5.400,902167 / 94
Kidney & Urinary Tract Infections W Mcc40104 / 23$32.914,001286 / 64$9.416,281542 / 78$7.786,231538 / 82
Simple Pneumonia & Pleurisy W Cc39164 / 57$35.358,102196 / 97$8.530,212256 / 97$6.763,132248 / 98
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3787 / 21$148.100,001008 / 59$42.664,601221 / 71$39.371,601211 / 73
Renal Failure W Mcc36159 / 40$47.771,901526 / 78$12.692,101624 / 81$10.767,501622 / 83
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc35161 / 33$95.260,101113 / 65$23.273,301049 / 76$12.842,301042 / 66
Respiratory Infections & Inflammations W Mcc34102 / 32$61.440,101298 / 62$15.878,501422 / 76$13.738,801407 / 78
Cardiac Arrhythmia & Conduction Disorders W Mcc3390 / 30$33.690,601116 / 54$10.006,601385 / 84$8.244,241382 / 81
Organic Disturbances & Mental Retardation3128 / 4$28.599,60328 / 26$9.161,97386 / 28$7.123,94386 / 26
Degenerative Nervous System Disorders W/O Mcc3147 / 12$28.889,50474 / 26$8.806,48614 / 41$6.786,06614 / 42
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc31176 / 50$44.170,802147 / 100$9.338,482058 / 90$7.498,772050 / 95
Cardiac Arrhythmia & Conduction Disorders W Cc28133 / 42$27.219,501502 / 68$7.077,791712 / 81$5.507,571707 / 85
Other Kidney & Urinary Tract Diagnoses W Mcc2675 / 22$49.967,50795 / 44$12.383,70796 / 49$10.810,20793 / 52
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs26156 / 47$33.032,301285 / 51$8.774,191628 / 78$7.307,081624 / 82
Hip & Femur Procedures Except Major Joint W Cc25118 / 38$67.989,201506 / 78$18.138,001618 / 94$13.435,801599 / 86
G.I. Hemorrhage W Mcc2398 / 30$58.959,601175 / 64$14.551,801219 / 68$12.366,001211 / 72
Other Circulatory System Diagnoses W Mcc2393 / 23$61.650,00950 / 53$15.110,70914 / 56$12.828,70908 / 53
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc22128 / 33$20.661,601435 / 69$6.268,591440 / 90$3.382,321434 / 79
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2274 / 23$33.873,90768 / 33$10.132,601089 / 56$8.543,641084 / 59
Chronic Obstructive Pulmonary Disease W Mcc22180 / 63$47.792,702131 / 105$10.213,502089 / 102$8.238,322081 / 96
Syncope & Collapse22147 / 41$25.904,901264 / 65$7.612,091447 / 90$4.996,141440 / 81
Medical Back Problems W/O Mcc2299 / 36$31.401,001065 / 65$7.782,051089 / 67$5.531,501086 / 63
Red Blood Cell Disorders W Mcc2150 / 17$49.668,20824 / 56$11.075,80859 / 56$9.562,43855 / 57
Intracranial Hemorrhage Or Cerebral Infarction W Mcc21147 / 40$46.528,00871 / 41$15.083,401117 / 71$11.635,001111 / 64
Major Small & Large Bowel Procedures W Mcc2065 / 20$173.007,00935 / 51$39.630,80921 / 45$35.866,40919 / 51
Other Digestive System Diagnoses W Cc2077 / 25$36.085,701049 / 63$8.853,901196 / 66$7.430,051192 / 71
G.I. Obstruction W Cc2072 / 29$27.539,401108 / 54$7.861,251413 / 74$6.276,651408 / 81
Respiratory Infections & Inflammations W Cc1969 / 23$45.774,801072 / 55$11.730,101241 / 62$10.010,201236 / 67
Circulatory Disorders Except Ami, W Card Cath W/O Mcc19169 / 46$54.053,201294 / 72$9.266,421330 / 63$7.681,371327 / 74
Other Digestive System Diagnoses W Mcc1844 / 15$60.161,20559 / 30$13.693,60484 / 28$11.641,10483 / 29
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc18148 / 57$23.807,801824 / 83$6.264,112085 / 90$5.113,722077 / 95
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc18108 / 37$27.231,10822 / 38$9.480,891269 / 71$7.976,221266 / 73
Peripheral Vascular Disorders W Cc1767 / 28$32.117,40865 / 61$8.611,65926 / 61$6.770,94923 / 64
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1783 / 20$134.252,00747 / 43$26.684,60820 / 37$24.125,40815 / 46
Simple Pneumonia & Pleurisy W Mcc17188 / 70$52.404,001973 / 92$17.406,301823 / 107$9.478,881823 / 87
Red Blood Cell Disorders W/O Mcc16127 / 42$21.129,801000 / 43$7.009,191493 / 84$5.463,001484 / 82
Other Vascular Procedures W Mcc1681 / 21$103.956,00626 / 33$26.413,10727 / 39$24.095,40724 / 41
Heart Failure & Shock W/O Cc/Mcc1694 / 39$24.627,801538 / 86$7.973,751479 / 100$4.380,691467 / 81
Bronchitis & Asthma W Cc/Mcc1561 / 24$26.223,10619 / 29$7.574,20870 / 48$6.311,93866 / 55
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1448 / 18$23.685,90483 / 25$6.678,71550 / 33$4.835,36548 / 33
Respiratory Neoplasms W Mcc1438 / 16$57.901,60440 / 25$14.024,80476 / 30$12.068,40473 / 33
Cranial & Peripheral Nerve Disorders W/O Mcc1454 / 16$33.024,30517 / 34$7.909,00528 / 31$6.258,14528 / 35
Other Vascular Procedures W Cc1488 / 29$66.146,50463 / 11$19.841,10878 / 41$18.313,20873 / 49
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc13111 / 30$30.360,80699 / 44$8.617,15153 / 49$3.402,62153 / 8
Other Circulatory System O.R. Procedures1342 / 10$92.287,80300 / 20$21.370,60276 / 20$19.003,80276 / 18
Permanent Cardiac Pacemaker Implant W Cc1364 / 21$68.431,20461 / 19$20.517,20735 / 42$18.423,60732 / 45
Fractures Of Hip & Pelvis W/O Mcc1348 / 19$26.087,50676 / 33$6.561,85744 / 35$4.836,00743 / 37
Hip & Femur Procedures Except Major Joint W Mcc1349 / 20$137.182,00852 / 46$26.677,70831 / 44$23.350,00828 / 45
Pulmonary Edema & Respiratory Failure12191 / 59$50.440,301769 / 82$10.755,201875 / 83$9.253,421870 / 88
Acute Myocardial Infarction, Discharged Alive W Mcc12113 / 38$50.961,901164 / 55$14.310,801501 / 76$12.919,201489 / 78
Spinal Fusion Except Cervical W/O Mcc11183 / 40$111.716,00853 / 33$33.167,30966 / 47$25.941,40961 / 43
Major Small & Large Bowel Procedures W Cc1197 / 36$67.826,10815 / 28$20.175,901209 / 54$17.593,401195 / 64
G.I. Obstruction W/O Cc/Mcc1160 / 26$20.076,50822 / 39$5.806,271025 / 57$4.039,001022 / 60
Digestive Malignancy W Cc1136 / 15$37.891,30222 / 15$10.602,00275 / 19$8.874,55273 / 20
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 23$21.327,50285 / 10$8.143,73546 / 38$6.576,09546 / 39
Total 66 procedures2.511discharges

DATA

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.