Hospital Costs > In Illinois > Proctor 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 | 284 | 283 / 25 | $50.450,90 | 1312 / 39 | $11.509,20 | 160 / 2 | $9.588,46 | 160 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 31 | $20.492,00 | 1180 / 26 | $5.551,20 | 12 / 5 | $3.781,51 | 12 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 37 | $17.925,70 | 1343 / 40 | $4.372,42 | 29 / 6 | $2.922,65 | 29 / 1 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 52 | 35 / 4 | $33.284,10 | 65 / 4 | $6.031,48 | 1 / 1 | $5.213,33 | 1 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 85 | $38.974,20 | 1276 / 34 | $9.846,14 | 141 / 1 | $8.775,16 | 141 / 1 |
| Heart Failure & Shock W Cc | 47 | 231 / 57 | $19.423,30 | 1107 / 33 | $4.948,43 | 29 / 1 | $4.099,40 | 29 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 37 | $19.355,40 | 725 / 15 | $5.467,45 | 83 / 1 | $4.565,32 | 83 / 1 |
| Cellulitis W/O Mcc | 43 | 146 / 44 | $18.843,60 | 1343 / 56 | $5.049,77 | 24 / 15 | $3.150,67 | 24 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 34 | $29.751,00 | 1137 / 39 | $6.293,24 | 36 / 14 | $4.341,38 | 36 / 1 |
| Heart Failure & Shock W Mcc | 40 | 244 / 68 | $27.674,90 | 955 / 26 | $7.526,77 | 65 / 1 | $6.833,98 | 65 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 41 | $13.903,50 | 823 / 25 | $3.541,08 | 31 / 1 | $2.621,50 | 31 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 68 | $20.167,90 | 1412 / 43 | $3.837,41 | 46 / 1 | $2.813,43 | 46 / 1 |
| Transient Ischemia | 36 | 89 / 22 | $21.536,10 | 773 / 32 | $3.575,42 | 20 / 1 | $2.502,53 | 20 / 1 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 24 | $14.650,70 | 418 / 10 | $4.046,53 | 14 / 1 | $2.989,47 | 14 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 30 | $50.967,00 | 1078 / 41 | $10.194,00 | 90 / 1 | $9.166,26 | 90 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $13.848,60 | 712 / 20 | $3.456,12 | 24 / 1 | $2.586,12 | 24 / 1 |
| Renal Failure W Cc | 30 | 191 / 61 | $18.810,40 | 862 / 22 | $4.893,37 | 35 / 1 | $3.989,90 | 35 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 21 | $17.997,30 | 1025 / 40 | $3.600,59 | 35 / 1 | $2.519,21 | 35 / 1 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 29 | 20 / 5 | $20.758,50 | 104 / 12 | $2.320,48 | 2 / 1 | $1.613,17 | 2 / 1 |
| G.I. Hemorrhage W Cc | 27 | 191 / 55 | $22.372,20 | 971 / 25 | $5.135,04 | 18 / 1 | $4.016,22 | 18 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 60 | $34.135,50 | 1296 / 36 | $7.786,00 | 387 / 1 | $7.161,41 | 387 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 21 | $25.345,70 | 920 / 36 | $3.890,35 | 58 / 1 | $2.866,35 | 58 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 47 | $16.555,50 | 695 / 14 | $4.042,64 | 38 / 1 | $3.107,36 | 38 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 33 | $12.680,70 | 676 / 16 | $2.841,32 | 18 / 1 | $1.748,95 | 18 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 63 | $21.464,30 | 855 / 21 | $5.983,55 | 45 / 1 | $4.943,55 | 45 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 61 | $24.370,70 | 1406 / 51 | $4.760,55 | 86 / 1 | $3.973,35 | 86 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 22 | $68.517,20 | 236 / 6 | $18.239,20 | 27 / 2 | $15.841,60 | 27 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 8 | $39.939,80 | 408 / 16 | $8.361,65 | 34 / 1 | $7.276,85 | 34 / 2 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 54 | $28.890,00 | 970 / 29 | $6.245,76 | 65 / 1 | $5.550,24 | 65 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $18.318,80 | 1137 / 45 | $3.660,41 | 70 / 1 | $2.738,06 | 70 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 46 | $19.132,60 | 288 / 6 | $6.283,62 | 5 / 1 | $4.973,19 | 5 / 1 |
| G.I. Obstruction W Cc | 15 | 77 / 34 | $19.660,50 | 625 / 18 | $4.364,93 | 10 / 1 | $3.319,60 | 10 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 48 | $80.905,30 | 884 / 42 | $18.732,00 | 2 / 62 | $7.483,40 | 2 / 1 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 25 | $19.341,90 | 618 / 21 | $3.480,14 | 96 / 1 | $2.963,57 | 96 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $17.629,40 | 454 / 19 | $3.565,57 | 36 / 1 | $2.706,14 | 36 / 1 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 26 | $17.228,00 | 247 / 2 | $4.939,86 | 41 / 1 | $4.078,14 | 41 / 2 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 33 | $69.965,00 | 855 / 32 | $14.303,10 | 429 / 5 | $13.352,20 | 426 / 16 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $40.214,30 | 964 / 46 | $8.037,69 | 366 / 15 | $7.104,77 | 363 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $12.778,20 | 348 / 9 | $3.686,69 | 5 / 9 | $1.851,23 | 5 / 1 |
| Syncope & Collapse | 12 | 157 / 50 | $15.164,60 | 405 / 7 | $3.717,08 | 13 / 1 | $2.711,75 | 13 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 40 | $85.001,80 | 584 / 14 | $27.065,90 | 33 / 23 | $17.622,50 | 33 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 34 | $23.116,20 | 568 / 23 | $5.418,27 | 5 / 3 | $3.741,82 | 5 / 1 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 34 | $18.555,50 | 340 / 11 | $4.882,18 | 59 / 1 | $4.224,73 | 59 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $15.786,10 | 334 / 6 | $3.653,91 | 1 / 4 | $2.047,82 | 1 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 49 | $30.723,70 | 366 / 11 | $13.118,00 | 5 / 59 | $6.938,36 | 5 / 1 | Total 45 procedures | 1.476 | 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.