Hospital Costs > In Illinois > Saint James Hospital, 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 | 78 | 438 / 76 | $29.341,70 | 752 / 16 | $14.813,00 | 2366 / 95 | $14.020,60 | 2324 / 105 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 79 | $61.378,10 | 1745 / 68 | $18.103,30 | 2365 / 97 | $15.848,50 | 2320 / 106 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 58 | $19.055,90 | 696 / 12 | $8.564,55 | 2001 / 85 | $7.301,95 | 1993 / 91 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 64 | $16.159,10 | 620 / 15 | $7.516,71 | 1924 / 88 | $6.453,18 | 1917 / 96 |
| Heart Failure & Shock W Cc | 15 | 263 / 81 | $21.574,50 | 1355 / 48 | $7.993,13 | 2286 / 96 | $7.265,67 | 2280 / 101 |
| Cellulitis W/O Mcc | 15 | 174 / 66 | $12.297,10 | 511 / 12 | $6.730,67 | 2083 / 85 | $5.760,00 | 2075 / 98 |
| Heart Failure & Shock W Mcc | 15 | 269 / 85 | $30.119,70 | 1090 / 34 | $12.024,10 | 2038 / 94 | $10.523,30 | 2029 / 91 |
| Renal Failure W Cc | 13 | 208 / 73 | $15.144,20 | 477 / 9 | $7.754,62 | 2005 / 82 | $7.006,31 | 1995 / 92 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 44 | $14.150,20 | 882 / 27 | $4.461,36 | 1475 / 64 | $3.475,18 | 1469 / 82 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 52 | $49.953,70 | 1042 / 39 | $15.887,40 | 1792 / 86 | $14.898,30 | 1773 / 93 | Total 10 procedures | 253 | 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.