Hospital Costs > In Illinois > Presence United Samaritans Medical Center, 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 | 26 | 99 / 24 | $40.537,60 | 823 / 27 | $9.646,96 | 147 / 7 | $8.126,19 | 147 / 5 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 25 | $26.950,50 | 637 / 33 | $7.150,21 | 229 / 44 | $4.172,07 | 226 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 26 | $29.166,90 | 1601 / 73 | $4.937,81 | 679 / 23 | $3.985,85 | 676 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 34 | $37.171,00 | 1228 / 66 | $7.064,14 | 615 / 15 | $6.546,43 | 612 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 35 | $18.604,20 | 1316 / 60 | $3.557,05 | 855 / 19 | $2.712,25 | 851 / 54 |
Cellulitis W Mcc | 24 | 34 / 9 | $44.271,50 | 671 / 40 | $8.638,58 | 338 / 11 | $8.035,92 | 337 / 18 |
Cellulitis W/O Mcc | 81 | 108 / 23 | $29.248,30 | 2093 / 107 | $5.189,93 | 964 / 24 | $4.247,75 | 958 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 84 | 95 / 16 | $28.478,50 | 1651 / 72 | $5.873,64 | 630 / 29 | $4.657,80 | 628 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 100 | 102 / 15 | $33.805,90 | 1680 / 67 | $7.113,35 | 634 / 28 | $5.905,72 | 631 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 22 | $24.931,60 | 1537 / 78 | $4.459,38 | 500 / 22 | $3.326,38 | 499 / 27 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 18 | $27.458,60 | 448 / 24 | $5.861,65 | 217 / 8 | $5.030,45 | 217 / 16 |
Diabetes W Cc | 21 | 71 / 19 | $32.792,30 | 1254 / 75 | $5.085,48 | 604 / 22 | $4.395,19 | 603 / 35 |
Diabetes W Mcc | 14 | 43 / 9 | $48.716,90 | 542 / 30 | $8.836,86 | 412 / 11 | $8.752,36 | 412 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $41.752,40 | 993 / 54 | $7.962,19 | 272 / 27 | $6.173,04 | 270 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 40 | $28.890,10 | 2113 / 96 | $5.411,87 | 851 / 60 | $3.662,71 | 846 / 38 |
G.I. Hemorrhage W Cc | 56 | 162 / 33 | $35.783,30 | 1811 / 84 | $6.027,18 | 736 / 21 | $5.123,18 | 734 / 32 |
G.I. Hemorrhage W Mcc | 17 | 104 / 35 | $56.799,00 | 1138 / 59 | $10.412,90 | 573 / 21 | $9.842,59 | 574 / 29 |
G.I. Obstruction W Cc | 18 | 74 / 31 | $32.118,60 | 1265 / 66 | $5.376,39 | 647 / 19 | $4.635,06 | 646 / 38 |
Heart Failure & Shock W Cc | 68 | 210 / 46 | $29.956,20 | 1954 / 88 | $5.967,71 | 979 / 28 | $5.276,88 | 978 / 39 |
Heart Failure & Shock W Mcc | 111 | 173 / 28 | $41.622,30 | 1730 / 69 | $8.726,68 | 772 / 20 | $8.021,21 | 772 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 38 | $22.878,20 | 1443 / 78 | $4.181,65 | 610 / 21 | $3.396,71 | 608 / 35 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 38 | $66.526,30 | 1482 / 76 | $11.556,20 | 676 / 27 | $10.395,20 | 673 / 29 |
Hypertension W/O Mcc | 12 | 53 / 18 | $17.690,70 | 323 / 17 | $4.923,33 | 89 / 25 | $2.596,83 | 89 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 45 | $146.241,00 | 990 / 55 | $31.465,50 | 163 / 25 | $26.385,50 | 163 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 46 | $34.617,70 | 1342 / 57 | $6.474,78 | 669 / 19 | $5.401,00 | 668 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $46.508,00 | 869 / 40 | $9.873,09 | 419 / 12 | $9.138,48 | 418 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 35 | $27.255,80 | 994 / 42 | $6.453,73 | 166 / 59 | $3.150,45 | 164 / 6 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 25 | $27.889,10 | 1092 / 47 | $6.647,68 | 543 / 22 | $5.764,65 | 542 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 90 | 143 / 24 | $24.577,90 | 1956 / 80 | $4.726,13 | 917 / 23 | $3.896,62 | 910 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 86 | $78.197,80 | 2171 / 95 | $13.266,60 | 985 / 21 | $11.028,80 | 965 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 30 | $29.178,00 | 930 / 48 | $6.407,26 | 452 / 10 | $5.958,07 | 449 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 32 | $25.670,80 | 1923 / 90 | $4.358,40 | 914 / 24 | $3.588,81 | 911 / 39 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 28 | $31.290,50 | 907 / 49 | $5.733,88 | 354 / 10 | $4.954,59 | 351 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $42.914,20 | 682 / 38 | $8.933,77 | 275 / 11 | $8.288,85 | 275 / 18 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 16 | $30.999,90 | 152 / 7 | $6.756,18 | 58 / 5 | $5.880,55 | 58 / 6 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 33 | $18.971,20 | 358 / 16 | $5.267,25 | 261 / 2 | $4.765,92 | 260 / 16 |
Pulmonary Edema & Respiratory Failure | 55 | 148 / 23 | $40.308,60 | 1511 / 62 | $7.222,84 | 823 / 14 | $6.738,18 | 823 / 30 |
Pulmonary Embolism W Mcc | 14 | 29 / 12 | $58.989,10 | 482 / 35 | $8.897,36 | 216 / 9 | $8.380,79 | 216 / 13 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 38 | $31.082,50 | 1537 / 90 | $4.938,70 | 579 / 20 | $4.060,30 | 577 / 29 |
Renal Failure W Cc | 63 | 158 / 39 | $27.844,00 | 1592 / 74 | $5.711,90 | 887 / 18 | $5.075,97 | 879 / 40 |
Renal Failure W Mcc | 56 | 139 / 27 | $39.185,80 | 1251 / 60 | $9.306,88 | 646 / 28 | $8.278,23 | 646 / 26 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 29 | $39.934,40 | 957 / 43 | $7.996,83 | 450 / 12 | $7.239,50 | 447 / 23 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $57.906,10 | 1230 / 54 | $12.177,10 | 399 / 39 | $10.256,80 | 398 / 12 |
Respiratory Neoplasms W Mcc | 12 | 40 / 18 | $43.003,40 | 296 / 12 | $9.985,92 | 184 / 5 | $9.377,92 | 184 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 35 | $65.912,00 | 1063 / 51 | $13.019,60 | 387 / 7 | $12.115,20 | 383 / 15 |
Seizures W Mcc | 13 | 53 / 19 | $34.881,80 | 262 / 9 | $8.905,38 | 150 / 5 | $8.070,92 | 150 / 5 |
Seizures W/O Mcc | 24 | 84 / 21 | $29.735,90 | 936 / 65 | $4.667,75 | 404 / 11 | $3.914,42 | 402 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 201 | 315 / 33 | $54.518,70 | 1934 / 72 | $10.911,50 | 653 / 13 | $9.731,36 | 652 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 28 | $36.119,60 | 1904 / 76 | $6.531,81 | 1099 / 22 | $5.761,60 | 1096 / 44 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 37 | $27.175,10 | 1786 / 69 | $6.179,77 | 774 / 35 | $4.881,73 | 771 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 85 | 120 / 19 | $46.653,60 | 1804 / 76 | $8.442,22 | 779 / 12 | $7.630,93 | 779 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 36 | $22.476,00 | 1329 / 64 | $4.384,08 | 845 / 18 | $3.547,15 | 841 / 53 |
Syncope & Collapse | 14 | 155 / 48 | $27.671,90 | 1344 / 71 | $4.508,86 | 778 / 19 | $3.827,71 | 775 / 50 |
Transient Ischemia | 21 | 104 / 33 | $23.437,20 | 881 / 40 | $4.341,95 | 602 / 16 | $3.476,43 | 598 / 41 | Total 54 procedures | 2.058 | 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.