Hospital Costs > In Illinois > Saint Anthony 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 | 13 | 112 / 37 | $48.953,50 | 1112 / 51 | $13.953,20 | 1529 / 74 | $13.174,00 | 1516 / 79 |
Cellulitis W/O Mcc | 13 | 176 / 68 | $26.750,40 | 1976 / 101 | $8.360,00 | 2430 / 107 | $7.311,38 | 2422 / 112 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 71 | $37.434,70 | 1846 / 78 | $10.300,20 | 2342 / 105 | $9.767,67 | 2334 / 110 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 36 | $18.021,30 | 1114 / 43 | $7.503,61 | 2001 / 91 | $6.747,50 | 1990 / 98 |
Diabetes W Cc | 14 | 78 / 26 | $28.870,40 | 1139 / 60 | $8.245,71 | 1485 / 75 | $7.642,07 | 1480 / 82 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 83 | $19.817,80 | 1365 / 42 | $8.474,42 | 2434 / 110 | $6.132,08 | 2419 / 105 |
G.I. Hemorrhage W Cc | 18 | 200 / 63 | $36.457,00 | 1838 / 91 | $9.460,78 | 2260 / 103 | $8.894,39 | 2256 / 107 |
Heart Failure & Shock W Cc | 29 | 249 / 72 | $28.971,40 | 1904 / 83 | $9.995,14 | 2475 / 115 | $8.111,24 | 2469 / 113 |
Heart Failure & Shock W Mcc | 25 | 259 / 76 | $38.391,50 | 1578 / 61 | $12.339,20 | 2225 / 97 | $11.442,80 | 2215 / 104 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 58 | $22.579,00 | 1816 / 75 | $7.821,31 | 2513 / 105 | $6.827,54 | 2502 / 107 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 93 | $53.754,10 | 1456 / 47 | $16.864,10 | 2348 / 87 | $15.695,70 | 2303 / 105 |
Medical Back Problems W/O Mcc | 13 | 108 / 45 | $21.306,20 | 623 / 20 | $8.393,77 | 1393 / 71 | $7.625,38 | 1388 / 75 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 54 | $12.372,60 | 590 / 10 | $7.232,38 | 2353 / 103 | $6.415,05 | 2344 / 105 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 58 | $46.471,30 | 1678 / 77 | $11.439,60 | 2079 / 86 | $10.952,40 | 2073 / 95 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 34 | $23.003,70 | 1126 / 51 | $8.080,75 | 1810 / 94 | $7.058,00 | 1801 / 98 |
Renal Failure W Cc | 38 | 183 / 55 | $25.148,80 | 1436 / 55 | $9.249,95 | 2177 / 97 | $7.911,45 | 2167 / 100 |
Renal Failure W Mcc | 26 | 169 / 47 | $35.420,70 | 1069 / 47 | $13.857,10 | 1766 / 90 | $11.540,80 | 1763 / 90 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 44 | $55.739,50 | 792 / 32 | $17.569,00 | 1441 / 69 | $16.836,50 | 1427 / 80 |
Seizures W/O Mcc | 11 | 97 / 33 | $24.789,30 | 766 / 42 | $7.812,91 | 1149 / 71 | $6.586,09 | 1147 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 93 | $46.233,90 | 1637 / 52 | $15.138,90 | 2395 / 97 | $14.216,80 | 2352 / 106 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 70 | $26.054,20 | 1701 / 62 | $9.190,13 | 2600 / 102 | $8.391,30 | 2591 / 110 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 69 | $43.277,10 | 1691 / 66 | $15.634,10 | 2148 / 105 | $10.924,90 | 2143 / 101 | Total 22 procedures | 439 | 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.