Hospital Costs > In Illinois > St Anthonys Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 294 | 274 / 20 | $36.765,40 | 576 / 7 | $12.535,20 | 554 / 9 | $10.404,00 | 549 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 111 | 405 / 66 | $23.436,80 | 445 / 6 | $10.251,40 | 228 / 4 | $9.003,28 | 228 / 2 |
Heart Failure & Shock W Cc | 95 | 183 / 33 | $13.573,00 | 421 / 5 | $5.474,14 | 272 / 3 | $4.652,18 | 272 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 21 | $14.964,00 | 350 / 5 | $5.935,03 | 380 / 3 | $5.076,59 | 379 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 48 | $11.672,70 | 348 / 3 | $4.480,98 | 199 / 17 | $3.117,14 | 199 / 3 |
Cellulitis W/O Mcc | 57 | 132 / 34 | $13.594,90 | 678 / 18 | $4.748,12 | 208 / 2 | $3.567,89 | 207 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 35 | $13.725,70 | 387 / 6 | $5.439,19 | 581 / 10 | $4.621,68 | 579 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 37 | $14.735,60 | 298 / 5 | $6.934,70 | 133 / 18 | $5.249,32 | 133 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 45 | $11.588,60 | 465 / 5 | $4.463,49 | 391 / 12 | $3.536,76 | 391 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 46 | 55 / 9 | $25.154,60 | 249 / 9 | $8.639,87 | 144 / 5 | $7.773,80 | 144 / 8 |
Heart Failure & Shock W Mcc | 46 | 238 / 62 | $19.392,20 | 396 / 6 | $8.146,91 | 385 / 5 | $7.543,09 | 385 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 22 | $31.318,30 | 266 / 2 | $10.986,20 | 388 / 6 | $9.900,80 | 387 / 9 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 54 | $17.212,50 | 822 / 14 | $5.899,31 | 738 / 19 | $4.849,40 | 735 / 27 |
Renal Failure W Cc | 39 | 182 / 54 | $12.193,10 | 229 / 1 | $5.213,87 | 324 / 2 | $4.564,03 | 322 / 14 |
G.I. Hemorrhage W Cc | 38 | 180 / 47 | $13.580,90 | 195 / 3 | $5.693,89 | 363 / 7 | $4.770,95 | 363 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 52 | $19.327,90 | 347 / 4 | $7.984,11 | 344 / 3 | $7.105,41 | 344 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 20 | $11.698,10 | 429 / 7 | $3.821,58 | 293 / 6 | $3.085,58 | 291 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 18 | $10.658,60 | 319 / 6 | $4.134,06 | 329 / 7 | $3.164,28 | 329 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 24 | $9.687,55 | 318 / 6 | $3.445,76 | 287 / 14 | $2.249,67 | 285 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 19 | $10.999,30 | 314 / 5 | $4.401,68 | 254 / 20 | $3.000,58 | 252 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 48 | $10.358,00 | 353 / 3 | $3.986,52 | 361 / 5 | $3.196,45 | 361 / 15 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 29 | $11.135,10 | 164 / 2 | $4.599,10 | 311 / 7 | $3.766,00 | 310 / 13 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 10 | $15.262,20 | 69 / 1 | $6.926,04 | 101 / 1 | $6.180,32 | 101 / 2 |
Renal Failure W Mcc | 24 | 171 / 49 | $12.523,50 | 22 / 1 | $7.732,46 | 35 / 1 | $6.873,79 | 35 / 1 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 48 | $16.054,30 | 195 / 2 | $7.017,52 | 144 / 6 | $5.792,52 | 144 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 46 | $10.575,30 | 143 / 1 | $4.485,30 | 417 / 3 | $3.747,91 | 417 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 41 | $13.365,20 | 76 / 1 | $6.820,95 | 243 / 6 | $5.955,43 | 243 / 7 |
Other Circulatory System Diagnoses W Cc | 21 | 45 / 8 | $13.228,10 | 56 / 1 | $6.471,95 | 11 / 14 | $4.012,33 | 11 / 1 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 37 | $10.942,40 | 74 / 1 | $5.740,05 | 50 / 1 | $4.819,67 | 50 / 1 |
G.I. Obstruction W Cc | 19 | 73 / 30 | $17.643,90 | 484 / 13 | $5.071,16 | 201 / 7 | $4.050,53 | 200 / 7 |
Transurethral Procedures W Cc | 19 | 22 / 5 | $21.116,50 | 34 / 2 | $7.327,74 | 25 / 3 | $5.878,74 | 25 / 3 |
Medical Back Problems W/O Mcc | 19 | 102 / 39 | $13.973,40 | 173 / 3 | $4.817,58 | 215 / 7 | $3.795,26 | 215 / 10 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 17 | $15.087,40 | 101 / 1 | $5.458,22 | 83 / 3 | $4.786,22 | 83 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 32 | $22.136,80 | 204 / 5 | $8.649,50 | 118 / 1 | $7.982,83 | 118 / 1 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 24 | $18.391,70 | 310 / 4 | $5.832,31 | 8 / 11 | $3.694,06 | 8 / 1 |
Signs & Symptoms W/O Mcc | 16 | 75 / 23 | $13.667,90 | 259 / 4 | $4.515,31 | 116 / 17 | $3.027,50 | 116 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 35 | $95.018,10 | 680 / 23 | $29.230,00 | 668 / 36 | $22.865,80 | 664 / 30 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 3 | $60.466,30 | 66 / 1 | $25.454,50 | 16 / 2 | $15.717,80 | 16 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 14 | $54.112,40 | 97 / 1 | $18.762,60 | 184 / 2 | $17.816,40 | 184 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 18 | $12.558,00 | 120 / 1 | $4.361,79 | 92 / 8 | $3.244,07 | 92 / 6 |
Syncope & Collapse | 13 | 156 / 49 | $12.549,30 | 230 / 3 | $4.190,23 | 243 / 6 | $3.257,31 | 241 / 12 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 11 | $41.885,80 | 54 / 1 | $15.527,90 | 173 / 2 | $14.501,50 | 173 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 27 | $11.411,50 | 42 / 2 | $6.068,00 | 155 / 2 | $5.789,85 | 155 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 43 | $61.528,50 | 115 / 1 | $27.323,30 | 186 / 3 | $26.762,20 | 186 / 9 |
Diabetes W Cc | 13 | 79 / 27 | $13.865,80 | 261 / 7 | $4.743,23 | 240 / 3 | $3.906,31 | 240 / 15 |
Transient Ischemia | 13 | 112 / 41 | $10.644,30 | 83 / 1 | $4.040,46 | 202 / 6 | $3.014,00 | 202 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 33 | $11.005,30 | 66 / 1 | $4.186,38 | 172 / 2 | $3.159,92 | 170 / 7 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 19 | $12.986,90 | 197 / 2 | $4.117,31 | 175 / 10 | $3.184,38 | 176 / 11 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 29 | $19.841,40 | 251 / 2 | $7.807,33 | 268 / 9 | $6.898,00 | 266 / 11 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $8.780,25 | 78 / 2 | $3.642,67 | 85 / 3 | $2.629,33 | 84 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $43.944,40 | 69 / 2 | $18.686,40 | 311 / 11 | $17.678,40 | 309 / 16 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 34 | $12.784,30 | 104 / 1 | $5.504,36 | 289 / 11 | $4.841,09 | 288 / 19 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 28 | $16.619,90 | 261 / 9 | $5.095,36 | 30 / 3 | $3.530,64 | 30 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 44 | $22.031,40 | 526 / 20 | $6.289,09 | 188 / 6 | $5.515,27 | 186 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 60 | $15.113,40 | 159 / 2 | $5.666,36 | 132 / 2 | $4.677,27 | 132 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $21.028,60 | 39 / 1 | $9.109,00 | 136 / 3 | $7.898,82 | 136 / 9 |
Chest Pain | 11 | 140 / 44 | $17.217,80 | 710 / 25 | $3.519,45 | 354 / 7 | $2.754,36 | 353 / 15 | Total 57 procedures | 1.885 | 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.