Hospital Costs > In Illinois > South Shore Hospital Chicago, 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 | 19 | 106 / 31 | $33.859,90 | 571 / 19 | $11.212,60 | 1112 / 44 | $10.716,60 | 1107 / 60 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 274 | 4 / 1 | $15.800,50 | 35 / 3 | $8.577,49 | 53 / 4 | $7.988,44 | 53 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 114 | 33 / 8 | $5.473,11 | 27 / 8 | $5.452,57 | 607 / 24 | $5.017,20 | 606 / 34 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 43 | 12 / 3 | $6.642,53 | 42 / 7 | $4.036,40 | 64 / 6 | $3.612,95 | 63 / 6 |
Angina Pectoris | 13 | 12 / 1 | $19.350,50 | 31 / 2 | $4.742,15 | 47 / 2 | $3.905,23 | 47 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 48 | $34.787,10 | 1153 / 59 | $9.788,29 | 1169 / 82 | $7.526,29 | 1166 / 75 |
Cellulitis W/O Mcc | 37 | 152 / 49 | $16.781,60 | 1094 / 34 | $6.341,62 | 1951 / 77 | $5.458,59 | 1943 / 93 |
Chest Pain | 23 | 128 / 34 | $17.586,70 | 738 / 26 | $5.299,22 | 1148 / 50 | $3.837,91 | 1141 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 53 | $22.052,00 | 1210 / 43 | $6.996,66 | 1899 / 82 | $6.376,52 | 1892 / 94 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 54 | $31.819,70 | 1582 / 60 | $8.447,77 | 1865 / 74 | $7.593,06 | 1857 / 87 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 34 | $18.434,20 | 1153 / 46 | $5.645,05 | 1587 / 67 | $4.622,65 | 1576 / 80 |
Diabetes W Cc | 13 | 79 / 27 | $14.744,20 | 321 / 10 | $6.331,77 | 1155 / 58 | $5.595,77 | 1150 / 65 |
Diabetes W Mcc | 15 | 42 / 8 | $29.103,80 | 264 / 8 | $9.615,00 | 442 / 23 | $8.966,47 | 442 / 26 |
Diabetes W/O Cc/Mcc | 11 | 27 / 6 | $14.344,30 | 114 / 3 | $4.774,45 | 203 / 6 | $4.117,00 | 203 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 71 | $16.511,00 | 939 / 18 | $5.808,48 | 2114 / 77 | $5.029,13 | 2100 / 92 |
G.I. Hemorrhage W Cc | 22 | 196 / 59 | $30.239,70 | 1574 / 70 | $7.418,18 | 1822 / 83 | $6.704,00 | 1818 / 89 |
G.I. Hemorrhage W Mcc | 11 | 110 / 41 | $35.223,90 | 515 / 18 | $11.927,60 | 431 / 51 | $9.465,45 | 432 / 22 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $19.745,80 | 538 / 25 | $5.532,64 | 737 / 36 | $4.546,45 | 733 / 38 |
Heart Failure & Shock W Cc | 36 | 242 / 65 | $22.809,30 | 1465 / 51 | $7.285,81 | 1991 / 89 | $6.513,36 | 1986 / 90 |
Heart Failure & Shock W Mcc | 50 | 234 / 60 | $32.341,40 | 1235 / 40 | $10.701,10 | 1854 / 79 | $9.895,38 | 1849 / 85 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 40 | $17.001,40 | 1060 / 42 | $5.394,40 | 1618 / 79 | $4.766,13 | 1605 / 86 |
Hypertension W/O Mcc | 12 | 53 / 18 | $12.994,80 | 142 / 4 | $5.064,00 | 579 / 28 | $4.253,33 | 577 / 34 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 43 | $100.945,00 | 505 / 24 | $33.210,90 | 763 / 33 | $32.137,70 | 757 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 75 | $18.683,20 | 1425 / 43 | $5.989,80 | 2129 / 83 | $5.266,60 | 2118 / 90 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 44 | $28.094,40 | 860 / 41 | $8.076,91 | 1161 / 60 | $7.524,18 | 1158 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 40 | $18.629,90 | 1403 / 55 | $5.529,49 | 1976 / 82 | $4.823,03 | 1968 / 88 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 33 | $18.354,40 | 306 / 7 | $7.186,00 | 1028 / 55 | $6.580,67 | 1024 / 64 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 34 | $18.717,30 | 348 / 14 | $7.192,91 | 897 / 55 | $6.646,00 | 894 / 61 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 57 | $38.960,80 | 1469 / 57 | $8.668,71 | 1576 / 65 | $8.039,00 | 1571 / 76 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 42 | $18.852,20 | 789 / 33 | $6.166,19 | 1518 / 72 | $5.545,69 | 1509 / 84 |
Renal Failure W Cc | 13 | 208 / 73 | $22.301,80 | 1211 / 43 | $7.103,85 | 1774 / 75 | $6.358,00 | 1764 / 83 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 44 | $38.834,00 | 299 / 6 | $15.036,30 | 1071 / 42 | $14.431,00 | 1061 / 61 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $78.782,20 | 108 / 4 | $33.418,80 | 527 / 19 | $33.036,30 | 526 / 27 |
Seizures W/O Mcc | 20 | 88 / 25 | $22.272,40 | 660 / 36 | $5.911,35 | 951 / 51 | $5.308,15 | 949 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 89 | $44.954,00 | 1573 / 48 | $12.572,00 | 1726 / 64 | $11.537,40 | 1693 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 57 | $25.034,40 | 1257 / 35 | $7.820,05 | 1941 / 74 | $7.132,81 | 1933 / 86 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 69 | $28.729,10 | 1881 / 76 | $7.259,25 | 2190 / 84 | $6.595,92 | 2182 / 96 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 68 | $40.060,80 | 1559 / 52 | $10.189,40 | 1702 / 71 | $9.157,79 | 1702 / 81 |
Syncope & Collapse | 38 | 131 / 28 | $19.611,90 | 817 / 29 | $5.931,76 | 1333 / 71 | $4.672,18 | 1326 / 75 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 9 | $148.118,00 | 55 / 4 | $64.013,80 | 257 / 10 | $62.870,40 | 257 / 12 | Total 40 procedures | 1.190 | 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.