Hospital Costs > In Illinois > St Alexius Medical Center Hoffman Estates, 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 | 319 | 199 / 11 | $75.360,20 | 2365 / 102 | $12.849,80 | 1867 / 71 | $11.944,70 | 1832 / 83 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 273 | 294 / 26 | $61.611,30 | 1753 / 69 | $13.856,20 | 1374 / 35 | $11.748,40 | 1341 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 137 | 66 / 6 | $45.957,00 | 2092 / 101 | $7.886,04 | 1519 / 54 | $6.862,42 | 1512 / 72 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 136 | 139 / 17 | $29.790,50 | 2157 / 99 | $5.221,60 | 1553 / 53 | $4.176,53 | 1540 / 70 |
| Heart Failure & Shock W Mcc | 134 | 150 / 17 | $51.028,40 | 2011 / 91 | $9.710,29 | 1469 / 53 | $8.981,69 | 1465 / 64 |
| Simple Pneumonia & Pleurisy W Mcc | 130 | 75 / 6 | $58.658,90 | 2079 / 102 | $9.852,72 | 1629 / 64 | $8.969,22 | 1629 / 79 |
| Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 18 | $27.606,20 | 2101 / 94 | $5.446,95 | 1594 / 64 | $4.437,46 | 1583 / 70 |
| Cellulitis W/O Mcc | 110 | 79 / 12 | $28.697,40 | 2070 / 106 | $5.884,64 | 1507 / 60 | $4.735,53 | 1500 / 70 |
| Kidney & Urinary Tract Infections W Mcc | 91 | 53 / 4 | $37.885,20 | 1441 / 80 | $7.387,26 | 1155 / 51 | $6.664,97 | 1151 / 65 |
| Syncope & Collapse | 85 | 84 / 8 | $29.393,70 | 1414 / 77 | $5.108,76 | 1046 / 46 | $4.128,61 | 1039 / 59 |
| Renal Failure W Cc | 83 | 138 / 28 | $28.519,10 | 1634 / 75 | $6.460,78 | 1267 / 52 | $5.466,46 | 1259 / 60 |
| G.I. Hemorrhage W Cc | 81 | 137 / 23 | $40.629,40 | 1969 / 100 | $6.737,07 | 1283 / 53 | $5.673,63 | 1280 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 22 | $36.649,70 | 1977 / 97 | $6.366,34 | 1297 / 54 | $5.269,52 | 1292 / 66 |
| Renal Failure W Mcc | 73 | 122 / 20 | $53.772,10 | 1653 / 87 | $10.378,30 | 1212 / 58 | $9.462,75 | 1212 / 62 |
| Respiratory Infections & Inflammations W Mcc | 72 | 64 / 10 | $60.369,70 | 1270 / 57 | $12.063,60 | 902 / 36 | $11.402,30 | 892 / 45 |
| Pulmonary Edema & Respiratory Failure | 69 | 134 / 14 | $51.764,70 | 1785 / 85 | $8.140,78 | 1319 / 44 | $7.441,42 | 1315 / 63 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 34 | $34.526,20 | 2164 / 95 | $6.978,35 | 1303 / 68 | $5.307,44 | 1299 / 57 |
| Medical Back Problems W/O Mcc | 68 | 53 / 11 | $29.392,20 | 995 / 57 | $5.768,47 | 730 / 37 | $4.625,56 | 727 / 46 |
| Heart Failure & Shock W Cc | 64 | 214 / 49 | $35.245,90 | 2190 / 104 | $6.554,12 | 1479 / 56 | $5.745,47 | 1474 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 25 | $39.247,10 | 1494 / 71 | $7.638,02 | 924 / 61 | $5.719,96 | 921 / 48 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 10 | $170.666,00 | 1131 / 68 | $33.815,50 | 822 / 37 | $33.010,60 | 816 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 31 | $43.182,30 | 2122 / 96 | $7.795,27 | 1200 / 73 | $5.878,07 | 1195 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 28 | $27.977,90 | 2046 / 103 | $4.957,38 | 1437 / 61 | $4.011,34 | 1432 / 67 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 29 | $31.271,00 | 1676 / 82 | $5.587,60 | 1047 / 53 | $4.343,60 | 1043 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 21 | $57.744,00 | 1104 / 58 | $11.243,80 | 588 / 36 | $9.565,48 | 587 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 25 | $60.644,00 | 1369 / 64 | $12.448,10 | 1178 / 49 | $11.566,20 | 1164 / 64 |
| Chest Pain | 40 | 111 / 18 | $25.854,10 | 1245 / 63 | $4.344,10 | 908 / 31 | $3.406,50 | 903 / 46 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 39 | 17 / 3 | $57.571,70 | 556 / 24 | $10.886,30 | 454 / 21 | $9.346,10 | 452 / 21 |
| Other Digestive System Diagnoses W Cc | 38 | 59 / 15 | $30.253,90 | 873 / 44 | $6.382,42 | 601 / 33 | $5.402,79 | 598 / 43 |
| Transient Ischemia | 38 | 87 / 20 | $28.864,40 | 1141 / 60 | $5.000,45 | 908 / 42 | $3.883,79 | 903 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $41.741,20 | 1338 / 81 | $7.928,22 | 769 / 56 | $6.525,39 | 766 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 27 | $41.572,20 | 1364 / 75 | $8.113,67 | 925 / 54 | $7.013,17 | 922 / 56 |
| Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 25 | $123.878,00 | 957 / 38 | $25.434,20 | 626 / 17 | $22.590,50 | 622 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 22 | $19.515,80 | 1371 / 64 | $4.060,86 | 1170 / 48 | $2.987,97 | 1165 / 67 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 31 | $49.665,10 | 1194 / 61 | $8.261,20 | 777 / 49 | $5.872,00 | 775 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 14 | $53.306,40 | 1205 / 67 | $8.237,11 | 836 / 37 | $7.545,91 | 831 / 52 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 35 | 66 / 16 | $43.129,10 | 687 / 39 | $10.021,40 | 548 / 31 | $9.284,97 | 546 / 36 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 33 | $74.416,70 | 760 / 32 | $13.413,70 | 661 / 25 | $11.130,90 | 657 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 19 | $66.431,60 | 1415 / 77 | $11.058,50 | 998 / 40 | $10.304,50 | 996 / 51 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $73.284,10 | 1374 / 78 | $12.381,80 | 903 / 58 | $10.871,80 | 898 / 56 |
| Cellulitis W Mcc | 31 | 27 / 4 | $51.046,00 | 738 / 48 | $9.135,71 | 399 / 21 | $8.315,06 | 397 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 26 | $100.022,00 | 1517 / 83 | $17.334,50 | 1427 / 65 | $16.713,70 | 1413 / 78 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 28 | $33.142,50 | 1613 / 99 | $5.802,53 | 1269 / 64 | $4.933,20 | 1261 / 69 |
| Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 14 | $170.038,00 | 914 / 49 | $33.232,00 | 687 / 23 | $32.099,20 | 685 / 31 |
| G.I. Obstruction W Cc | 28 | 64 / 23 | $33.007,20 | 1296 / 69 | $6.046,46 | 1061 / 45 | $5.224,75 | 1058 / 63 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 16 | $45.945,10 | 1077 / 56 | $9.051,48 | 893 / 40 | $8.281,70 | 888 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 6 | $82.442,10 | 509 / 20 | $19.720,80 | 434 / 17 | $18.600,80 | 432 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 15 | $34.097,80 | 736 / 42 | $7.616,32 | 613 / 27 | $7.033,92 | 611 / 40 |
| Seizures W/O Mcc | 25 | 83 / 20 | $25.933,50 | 809 / 48 | $5.670,52 | 521 / 47 | $4.089,48 | 518 / 39 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 24 | $94.688,20 | 1165 / 61 | $17.709,00 | 435 / 40 | $13.370,20 | 432 / 17 |
| Medical Back Problems W Mcc | 24 | 15 / 2 | $53.446,90 | 232 / 17 | $10.085,20 | 133 / 7 | $9.329,21 | 133 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 8 | $22.968,70 | 460 / 23 | $5.328,54 | 360 / 22 | $4.076,83 | 360 / 25 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 22 | $29.929,40 | 807 / 55 | $6.335,57 | 585 / 32 | $5.522,35 | 583 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 23 | 17 / 4 | $89.550,40 | 319 / 17 | $17.126,90 | 319 / 14 | $16.133,60 | 318 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 27 | $30.192,00 | 1617 / 90 | $4.981,36 | 932 / 50 | $3.622,45 | 927 / 60 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $24.327,80 | 1508 / 75 | $5.133,68 | 996 / 50 | $3.726,32 | 987 / 57 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 8 | $139.044,00 | 441 / 24 | $30.736,20 | 348 / 15 | $29.626,00 | 348 / 18 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 25 | $65.976,20 | 1002 / 59 | $11.547,60 | 556 / 22 | $10.959,80 | 554 / 32 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 21 | 26 / 5 | $43.607,60 | 357 / 8 | $8.160,43 | 320 / 5 | $6.754,14 | 319 / 15 |
| Other Digestive System Diagnoses W Mcc | 21 | 41 / 12 | $54.240,30 | 505 / 25 | $10.640,60 | 227 / 11 | $9.659,24 | 227 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $23.795,20 | 677 / 36 | $4.876,19 | 533 / 22 | $3.840,00 | 529 / 32 |
| Peripheral Vascular Disorders W Mcc | 20 | 29 / 9 | $46.061,00 | 395 / 28 | $8.546,45 | 229 / 9 | $7.879,25 | 229 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 26 | $28.368,50 | 1038 / 48 | $5.147,80 | 889 / 32 | $4.119,00 | 885 / 51 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 13 | $106.391,00 | 732 / 39 | $21.143,60 | 693 / 36 | $20.420,40 | 690 / 40 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 19 | $33.877,60 | 582 / 38 | $7.447,68 | 317 / 33 | $5.341,89 | 317 / 24 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 20 | $28.894,40 | 681 / 41 | $6.370,16 | 371 / 36 | $4.492,58 | 367 / 22 |
| Hypertension W/O Mcc | 18 | 47 / 12 | $22.454,70 | 477 / 29 | $4.458,11 | 368 / 15 | $3.322,11 | 366 / 19 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 18 | 22 / 10 | $38.211,40 | 195 / 14 | $6.956,11 | 81 / 8 | $6.149,00 | 81 / 10 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 20 | $45.382,00 | 767 / 52 | $8.213,39 | 427 / 31 | $7.216,94 | 425 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 20 | $66.225,40 | 548 / 35 | $13.256,40 | 423 / 20 | $12.347,70 | 417 / 31 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 4 | $37.280,00 | 521 / 14 | $9.008,39 | 415 / 7 | $8.204,89 | 414 / 12 |
| Other Disorders Of Nervous System W Cc | 17 | 39 / 12 | $38.223,10 | 477 / 30 | $6.046,88 | 232 / 14 | $4.997,88 | 232 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 38 | $25.982,10 | 1594 / 91 | $4.776,41 | 1221 / 55 | $3.999,00 | 1211 / 66 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 15 | $20.938,80 | 545 / 19 | $4.999,47 | 547 / 22 | $4.047,00 | 547 / 32 |
| Bone Diseases & Arthropathies W/O Mcc | 17 | 27 / 7 | $27.596,60 | 225 / 25 | $5.053,12 | 110 / 9 | $4.055,47 | 110 / 13 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 7 | $23.800,30 | 145 / 8 | $5.169,25 | 114 / 8 | $4.115,25 | 114 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 21 | $103.395,00 | 527 / 18 | $19.732,40 | 410 / 6 | $18.826,40 | 407 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $161.371,00 | 590 / 30 | $35.735,00 | 388 / 16 | $34.924,30 | 387 / 21 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 24 | $26.961,60 | 959 / 55 | $4.883,60 | 632 / 31 | $3.915,07 | 631 / 34 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 19 | $78.053,90 | 602 / 32 | $16.267,70 | 226 / 14 | $14.207,10 | 225 / 10 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 7 | $62.963,90 | 217 / 14 | $12.889,90 | 148 / 11 | $12.085,60 | 148 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 15 | $66.688,30 | 535 / 38 | $12.488,10 | 213 / 25 | $10.705,60 | 213 / 18 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 10 | $71.512,10 | 271 / 12 | $17.230,70 | 311 / 8 | $16.181,10 | 310 / 15 |
| Pulmonary Embolism W Mcc | 15 | 28 / 11 | $64.098,50 | 503 / 38 | $10.105,10 | 367 / 26 | $9.460,80 | 367 / 30 |
| O.R. Procedures For Obesity W Cc | 14 | 20 / 3 | $70.576,50 | 89 / 5 | $12.333,30 | 54 / 2 | $11.215,60 | 54 / 5 |
| Other Circulatory System O.R. Procedures | 14 | 41 / 9 | $71.166,10 | 225 / 10 | $16.545,10 | 119 / 5 | $15.505,10 | 119 / 4 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 14 | $123.666,00 | 278 / 8 | $27.728,40 | 171 / 6 | $26.005,40 | 171 / 8 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 26 | $41.857,90 | 1077 / 55 | $7.368,50 | 628 / 44 | $5.415,93 | 625 / 37 |
| Headaches W/O Mcc | 14 | 29 / 4 | $31.758,40 | 174 / 9 | $4.745,79 | 109 / 4 | $3.710,36 | 109 / 10 |
| Seizures W Mcc | 14 | 52 / 18 | $58.123,50 | 551 / 31 | $9.823,93 | 266 / 14 | $8.653,64 | 266 / 14 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 6 | $46.233,80 | 204 / 9 | $6.778,85 | 81 / 2 | $5.144,00 | 81 / 4 |
| Other Vascular Procedures W Mcc | 13 | 84 / 23 | $117.081,00 | 705 / 38 | $22.209,30 | 561 / 22 | $21.465,90 | 558 / 29 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $20.636,20 | 226 / 14 | $4.593,31 | 194 / 8 | $3.751,46 | 194 / 13 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 17 | $44.738,70 | 536 / 26 | $7.215,69 | 302 / 8 | $5.614,77 | 301 / 19 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 17 | $37.053,60 | 570 / 39 | $6.099,85 | 310 / 13 | $5.045,31 | 310 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $23.685,30 | 970 / 57 | $4.377,77 | 754 / 33 | $3.353,77 | 751 / 44 |
| G.I. Obstruction W Mcc | 13 | 29 / 11 | $61.680,60 | 419 / 22 | $11.947,20 | 386 / 20 | $11.390,80 | 386 / 22 |
| Diabetes W Cc | 13 | 79 / 27 | $34.574,40 | 1303 / 76 | $5.791,23 | 610 / 44 | $4.408,54 | 609 / 37 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 13 | 21 / 6 | $49.424,60 | 83 / 4 | $10.545,50 | 59 / 2 | $9.425,54 | 59 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 22 | $40.578,00 | 668 / 47 | $6.586,33 | 458 / 24 | $6.079,67 | 458 / 33 |
| Transurethral Procedures W Cc | 12 | 29 / 11 | $50.158,10 | 282 / 23 | $8.446,08 | 136 / 13 | $6.852,75 | 136 / 12 |
| Dysequilibrium | 12 | 53 / 20 | $29.205,10 | 407 / 29 | $4.462,00 | 256 / 12 | $3.355,33 | 256 / 17 |
| Skin Debridement W Mcc | 12 | 5 / 1 | $68.820,50 | 10 / 2 | $12.994,80 | 4 / 1 | $12.113,40 | 4 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 16 | $60.681,50 | 355 / 19 | $11.998,70 | 271 / 7 | $11.009,60 | 269 / 19 |
| Complications Of Treatment W Cc | 11 | 41 / 15 | $34.162,90 | 250 / 15 | $6.216,91 | 122 / 6 | $5.672,91 | 122 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 18 | $66.424,90 | 552 / 18 | $14.060,50 | 503 / 10 | $12.856,20 | 500 / 18 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 9 | $63.460,50 | 215 / 11 | $11.234,20 | 50 / 3 | $9.327,00 | 50 / 3 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 19 | $79.103,70 | 538 / 38 | $11.521,20 | 179 / 22 | $9.342,18 | 179 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $45.055,60 | 1116 / 53 | $6.858,45 | 881 / 27 | $6.308,64 | 879 / 45 | Total 109 procedures | 4.256 | 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.