Hospital Costs > In Illinois > Rush Oak Park Hospital, 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 | $41.945,30 | 899 / 35 | $9.601,67 | 304 / 6 | $8.543,00 | 304 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 50 | $19.321,40 | 988 / 28 | $4.999,05 | 701 / 25 | $4.016,16 | 698 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 47 | $16.318,90 | 167 / 3 | $6.728,07 | 259 / 3 | $5.973,27 | 258 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 41 | $14.373,70 | 909 / 28 | $3.836,93 | 548 / 39 | $2.480,71 | 544 / 32 |
Cellulitis W Mcc | 11 | 47 / 22 | $31.624,60 | 413 / 19 | $9.180,45 | 408 / 23 | $8.345,73 | 406 / 27 |
Cellulitis W/O Mcc | 50 | 139 / 38 | $19.004,90 | 1365 / 58 | $5.695,76 | 988 / 49 | $4.261,28 | 982 / 50 |
Chest Pain | 19 | 132 / 36 | $13.643,70 | 365 / 11 | $3.990,53 | 844 / 14 | $3.322,26 | 839 / 40 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 48 | $21.807,30 | 1188 / 41 | $5.942,49 | 1167 / 35 | $5.112,60 | 1163 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 54 | $24.036,50 | 1053 / 29 | $7.190,68 | 1113 / 32 | $6.353,55 | 1108 / 47 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $17.573,00 | 1069 / 36 | $4.678,42 | 1196 / 33 | $3.943,08 | 1187 / 62 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 51 | $39.184,10 | 922 / 36 | $13.568,20 | 185 / 84 | $4.942,33 | 185 / 6 |
Diabetes W Cc | 17 | 75 / 23 | $22.209,40 | 828 / 38 | $5.266,82 | 466 / 28 | $4.238,53 | 466 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 60 | $20.499,30 | 1452 / 45 | $5.088,83 | 1061 / 47 | $3.792,30 | 1053 / 48 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 10 | $95.095,10 | 188 / 6 | $28.060,80 | 190 / 5 | $27.090,30 | 190 / 7 |
G.I. Hemorrhage W Cc | 35 | 183 / 50 | $22.715,40 | 999 / 27 | $6.289,57 | 951 / 34 | $5.325,34 | 949 / 41 |
G.I. Hemorrhage W Mcc | 13 | 108 / 39 | $32.975,80 | 429 / 14 | $10.686,10 | 657 / 27 | $10.087,20 | 658 / 37 |
G.I. Obstruction W Cc | 13 | 79 / 36 | $15.121,10 | 298 / 6 | $5.396,46 | 640 / 21 | $4.624,69 | 639 / 36 |
Heart Failure & Shock W Cc | 54 | 224 / 56 | $18.799,40 | 1020 / 27 | $6.184,61 | 1065 / 37 | $5.340,24 | 1063 / 44 |
Heart Failure & Shock W Mcc | 41 | 243 / 67 | $33.820,70 | 1330 / 45 | $9.248,61 | 966 / 43 | $8.245,83 | 965 / 36 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 39 | $17.073,70 | 1065 / 43 | $4.268,00 | 712 / 27 | $3.483,31 | 708 / 43 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 51 | $49.220,00 | 1022 / 37 | $12.137,20 | 1062 / 44 | $11.183,00 | 1048 / 56 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 33 | $80.602,50 | 255 / 4 | $30.075,90 | 207 / 15 | $26.978,20 | 207 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 52 | $27.925,70 | 998 / 28 | $8.054,53 | 695 / 69 | $5.428,63 | 694 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 32 | $25.108,90 | 905 / 35 | $7.773,43 | 308 / 65 | $3.384,29 | 305 / 16 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 43 | $31.819,50 | 1248 / 61 | $7.171,93 | 1040 / 43 | $6.463,73 | 1037 / 59 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 55 | $17.860,40 | 1335 / 39 | $4.927,95 | 1086 / 34 | $4.015,12 | 1078 / 56 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 5 | $50.102,10 | 343 / 5 | $17.296,10 | 140 / 22 | $10.721,30 | 139 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 75 | $53.394,50 | 1440 / 46 | $13.990,60 | 1327 / 38 | $11.653,10 | 1295 / 55 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 13 | $59.953,40 | 206 / 6 | $17.005,10 | 166 / 10 | $13.853,30 | 166 / 5 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $79.712,40 | 1000 / 44 | $15.522,10 | 751 / 17 | $14.558,50 | 743 / 41 |
Medical Back Problems W/O Mcc | 13 | 108 / 45 | $21.707,40 | 652 / 24 | $5.175,08 | 425 / 18 | $4.123,46 | 425 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 35 | $27.587,60 | 837 / 40 | $7.265,86 | 656 / 35 | $6.309,05 | 653 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 38 | $17.378,00 | 1252 / 45 | $4.580,37 | 787 / 38 | $3.512,71 | 784 / 34 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 25 | $33.177,10 | 294 / 8 | $11.021,60 | 260 / 9 | $9.844,29 | 260 / 10 |
Other Circulatory System O.R. Procedures | 12 | 43 / 11 | $76.231,20 | 247 / 14 | $18.034,50 | 196 / 14 | $17.028,80 | 196 / 13 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 32 | $20.734,50 | 450 / 15 | $6.237,31 | 214 / 30 | $4.699,38 | 212 / 13 |
Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 11 | 12 / 1 | $43.551,60 | 10 / 1 | $12.194,30 | 8 / 1 | $11.479,90 | 8 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 11 | 11 / 3 | $50.701,50 | 11 / 2 | $15.845,90 | 21 / 2 | $15.226,30 | 21 / 2 |
Other Vascular Procedures W Mcc | 23 | 74 / 15 | $76.951,30 | 343 / 8 | $21.307,30 | 489 / 19 | $20.624,50 | 487 / 24 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 33 | $22.096,50 | 501 / 26 | $6.229,08 | 379 / 30 | $5.066,50 | 377 / 27 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 59 | $24.606,50 | 704 / 18 | $7.705,33 | 994 / 32 | $6.938,83 | 993 / 45 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 24 | $26.851,20 | 369 / 16 | $7.889,77 | 400 / 25 | $7.114,31 | 398 / 28 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 36 | $18.508,40 | 757 / 31 | $5.143,73 | 889 / 35 | $4.400,50 | 884 / 54 |
Renal Failure W Cc | 54 | 167 / 43 | $25.971,90 | 1486 / 64 | $6.050,22 | 992 / 36 | $5.174,57 | 984 / 44 |
Renal Failure W Mcc | 33 | 162 / 43 | $30.723,50 | 804 / 26 | $9.722,00 | 504 / 42 | $8.070,45 | 504 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $52.785,20 | 702 / 27 | $14.099,30 | 797 / 26 | $13.306,20 | 789 / 38 |
Seizures W/O Mcc | 15 | 93 / 29 | $16.437,10 | 335 / 11 | $4.810,00 | 388 / 16 | $3.893,73 | 386 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 87 | 429 / 73 | $37.527,80 | 1185 / 29 | $11.210,20 | 937 / 23 | $10.107,70 | 932 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 52 | $28.985,60 | 1555 / 50 | $6.682,00 | 966 / 35 | $5.632,36 | 963 / 36 |
Signs & Symptoms W/O Mcc | 20 | 71 / 19 | $16.855,20 | 461 / 13 | $4.501,75 | 432 / 15 | $3.563,70 | 431 / 22 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 72 | $22.480,50 | 1399 / 40 | $6.210,35 | 1267 / 39 | $5.269,70 | 1263 / 56 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 66 | $31.481,30 | 1133 / 32 | $8.722,95 | 695 / 24 | $7.553,19 | 695 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 30 | $18.857,30 | 1107 / 48 | $4.611,26 | 981 / 31 | $3.661,16 | 976 / 64 |
Syncope & Collapse | 36 | 133 / 30 | $21.263,20 | 961 / 37 | $4.745,58 | 798 / 35 | $3.845,86 | 794 / 52 |
Transient Ischemia | 14 | 111 / 40 | $19.094,30 | 583 / 20 | $4.571,57 | 561 / 32 | $3.431,93 | 558 / 36 | Total 55 procedures | 1.326 | 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.