Hospital Costs > In Illinois > Saint Anthony's Health Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 72 | $37.122,80 | 1159 / 27 | $10.195,00 | 314 / 2 | $9.199,03 | 314 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 48 | $27.648,50 | 879 / 21 | $8.172,63 | 143 / 4 | $6.689,95 | 143 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 83 | $62.327,10 | 1776 / 71 | $12.070,30 | 942 / 4 | $10.961,20 | 923 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 67 | $24.821,80 | 1872 / 81 | $4.409,00 | 488 / 12 | $3.392,58 | 486 / 20 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 31 | $40.400,10 | 803 / 24 | $10.604,40 | 302 / 6 | $10.025,30 | 302 / 7 |
| Heart Failure & Shock W Mcc | 34 | 250 / 70 | $33.365,10 | 1307 / 44 | $8.117,82 | 235 / 4 | $7.300,88 | 235 / 4 |
| G.I. Hemorrhage W Cc | 31 | 187 / 53 | $26.553,70 | 1329 / 54 | $5.755,06 | 573 / 11 | $4.973,65 | 572 / 24 |
| Renal Failure W Cc | 31 | 190 / 60 | $22.187,30 | 1197 / 41 | $5.478,35 | 563 / 6 | $4.813,58 | 559 / 25 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 44 | $27.786,90 | 900 / 24 | $7.014,96 | 444 / 5 | $6.283,54 | 444 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 66 | $23.733,70 | 1517 / 50 | $5.359,37 | 250 / 1 | $4.407,07 | 250 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 53 | $22.867,40 | 1056 / 26 | $6.855,59 | 457 / 43 | $5.157,33 | 455 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 60 | $31.526,10 | 1556 / 58 | $6.721,48 | 586 / 11 | $5.856,20 | 585 / 18 |
| Renal Failure W Mcc | 24 | 171 / 49 | $32.666,10 | 929 / 32 | $8.281,17 | 296 / 3 | $7.727,83 | 296 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 36 | $20.153,60 | 584 / 18 | $5.975,73 | 126 / 2 | $5.097,18 | 126 / 2 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 24 | $28.167,80 | 613 / 15 | $7.264,89 | 157 / 1 | $6.662,22 | 157 / 5 |
| Heart Failure & Shock W Cc | 18 | 260 / 79 | $25.160,80 | 1680 / 66 | $5.482,22 | 283 / 4 | $4.673,33 | 283 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 39 | $46.931,20 | 538 / 20 | $12.101,90 | 216 / 1 | $11.608,80 | 214 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 64 | $24.481,50 | 1416 / 54 | $5.250,00 | 569 / 3 | $4.611,88 | 567 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 47 | $48.552,30 | 999 / 33 | $11.015,30 | 527 / 7 | $10.111,30 | 526 / 19 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 44 | $24.244,80 | 1208 / 63 | $4.830,21 | 107 / 18 | $3.444,57 | 107 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 42 | $95.796,30 | 441 / 18 | $26.533,60 | 104 / 2 | $25.652,50 | 104 / 3 |
| Cellulitis W/O Mcc | 14 | 175 / 67 | $13.254,50 | 625 / 16 | $4.851,29 | 334 / 8 | $3.738,14 | 331 / 13 |
| G.I. Obstruction W Cc | 12 | 80 / 37 | $23.178,00 | 876 / 32 | $5.199,75 | 446 / 13 | $4.399,75 | 445 / 20 |
| Syncope & Collapse | 12 | 157 / 50 | $31.670,10 | 1494 / 87 | $4.318,00 | 285 / 12 | $3.318,00 | 283 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 59 | $28.524,50 | 1049 / 31 | $5.688,42 | 232 / 3 | $4.883,08 | 232 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 34 | $23.619,40 | 815 / 32 | $4.290,17 | 462 / 4 | $3.586,17 | 459 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 38 | $19.193,70 | 1134 / 51 | $4.189,45 | 594 / 10 | $3.310,91 | 592 / 34 |
| Transient Ischemia | 11 | 114 / 43 | $29.716,20 | 1169 / 65 | $4.162,82 | 421 / 12 | $3.290,09 | 420 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 51 | $28.646,70 | 892 / 44 | $6.776,00 | 64 / 4 | $5.468,27 | 64 / 2 | Total 29 procedures | 706 | 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.