Hospital Costs > In Illinois > Roseland Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 187 | 16 / 5 | $8.596,79 | 90 / 14 | $7.064,01 | 752 / 42 | $6.510,26 | 751 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 94 | $58.872,70 | 2057 / 79 | $15.685,10 | 2495 / 102 | $15.146,90 | 2451 / 109 |
Heart Failure & Shock W Mcc | 27 | 257 / 75 | $51.878,60 | 2032 / 95 | $13.434,70 | 2369 / 105 | $12.553,20 | 2359 / 111 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 61 | $39.048,40 | 1884 / 84 | $10.065,10 | 2252 / 99 | $9.083,75 | 2244 / 105 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 78 | $21.204,60 | 1518 / 51 | $7.447,82 | 2479 / 105 | $6.407,64 | 2464 / 108 |
Heart Failure & Shock W Cc | 21 | 257 / 78 | $30.423,00 | 1972 / 90 | $8.947,29 | 2467 / 106 | $8.087,86 | 2461 / 112 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 62 | $30.746,90 | 1756 / 83 | $8.708,26 | 2209 / 103 | $7.738,05 | 2202 / 106 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 73 | $33.926,30 | 2140 / 92 | $9.442,47 | 2624 / 107 | $8.568,79 | 2615 / 112 |
Chest Pain | 18 | 133 / 37 | $18.292,60 | 791 / 29 | $6.554,78 | 1528 / 69 | $5.444,44 | 1519 / 73 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 40 | $23.806,90 | 1172 / 58 | $7.835,89 | 1757 / 92 | $6.662,67 | 1748 / 97 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 57 | $34.398,70 | 2246 / 112 | $7.538,06 | 2394 / 105 | $6.738,06 | 2385 / 110 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $28.165,90 | 1651 / 86 | $7.277,12 | 1947 / 89 | $6.279,47 | 1936 / 91 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 74 | $27.907,80 | 2126 / 97 | $7.533,81 | 2453 / 102 | $6.420,56 | 2442 / 104 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 40 | $77.430,30 | 1278 / 66 | $18.082,00 | 1471 / 74 | $17.241,20 | 1457 / 82 |
Seizures W/O Mcc | 15 | 93 / 29 | $21.051,40 | 603 / 27 | $7.554,07 | 1205 / 68 | $7.150,87 | 1203 / 77 |
Syncope & Collapse | 14 | 155 / 48 | $22.301,60 | 1057 / 43 | $7.412,57 | 1771 / 88 | $6.590,79 | 1763 / 95 |
Diabetes W Cc | 13 | 79 / 27 | $30.540,40 | 1191 / 66 | $7.860,38 | 1449 / 70 | $7.306,54 | 1444 / 78 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 12 | 37 / 11 | $5.570,50 | 31 / 5 | $5.578,00 | 96 / 11 | $5.527,33 | 95 / 13 |
Transient Ischemia | 12 | 113 / 42 | $19.418,80 | 617 / 24 | $7.131,92 | 1524 / 76 | $6.123,92 | 1516 / 83 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 44 | $29.599,50 | 946 / 50 | $9.838,00 | 1496 / 77 | $9.398,73 | 1493 / 86 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 34 | $26.723,00 | 699 / 44 | $8.907,27 | 1084 / 65 | $7.980,55 | 1081 / 70 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 44 | $19.663,50 | 1274 / 61 | $7.018,27 | 1878 / 95 | $6.244,45 | 1865 / 99 | Total 22 procedures | 554 | 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.