Hospital Costs > In Illinois > Shelby Memorial 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 | 19 | 105 / 24 | $4.402,68 | 10 / 3 | $4.998,16 | 239 / 15 | $3.634,16 | 239 / 18 |
| Heart Failure & Shock W Cc | 24 | 254 / 76 | $14.684,70 | 542 / 10 | $7.100,17 | 1937 / 81 | $6.396,17 | 1932 / 87 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 63 | $14.091,50 | 452 / 6 | $6.961,90 | 2075 / 66 | $6.317,63 | 2067 / 88 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 34 | $12.032,90 | 419 / 8 | $5.000,93 | 1293 / 52 | $4.032,40 | 1286 / 74 | Total 4 procedures | 88 | 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.