Hospital Costs > In Illinois > St Bernard 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 | 225 | 12 / 3 | $4.997,65 | 16 / 5 | $7.346,84 | 765 / 44 | $6.783,81 | 764 / 49 |
Heart Failure & Shock W Cc | 55 | 223 / 55 | $19.540,70 | 1129 / 34 | $9.281,38 | 2547 / 109 | $8.659,64 | 2541 / 117 |
Heart Failure & Shock W Mcc | 52 | 232 / 59 | $31.320,80 | 1176 / 36 | $12.701,10 | 2308 / 101 | $11.917,90 | 2298 / 108 |
Heart Failure & Shock W/O Cc/Mcc | 46 | 64 / 12 | $13.654,40 | 686 / 18 | $7.269,43 | 1896 / 97 | $6.429,43 | 1883 / 101 |
Renal Failure W Mcc | 40 | 155 / 38 | $28.486,30 | 682 / 24 | $13.368,50 | 1905 / 86 | $12.770,20 | 1901 / 95 |
Chest Pain | 38 | 113 / 20 | $13.334,40 | 338 / 9 | $6.800,45 | 1588 / 70 | $6.087,18 | 1579 / 76 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 95 | $39.608,00 | 1302 / 36 | $14.644,50 | 2363 / 92 | $14.017,30 | 2321 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 28 | $22.108,60 | 531 / 21 | $10.157,00 | 1504 / 80 | $9.447,59 | 1501 / 87 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 25 | $17.667,90 | 1076 / 37 | $7.555,07 | 1981 / 92 | $6.533,28 | 1970 / 96 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 56 | $26.484,40 | 1239 / 43 | $10.141,90 | 2309 / 100 | $9.458,00 | 2301 / 109 |
Syncope & Collapse | 27 | 142 / 36 | $14.894,60 | 381 / 6 | $7.622,30 | 1766 / 91 | $6.550,89 | 1758 / 94 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 51 | $11.306,10 | 466 / 6 | $7.408,44 | 2382 / 104 | $6.634,04 | 2373 / 108 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 24 | 25 / 7 | $3.550,58 | 16 / 3 | $5.813,12 | 93 / 12 | $5.410,46 | 92 / 12 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 34 | $18.721,00 | 780 / 32 | $8.019,29 | 1828 / 93 | $7.155,62 | 1819 / 100 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 65 | $34.261,00 | 1304 / 38 | $12.800,20 | 2308 / 99 | $12.285,10 | 2302 / 106 |
Seizures W/O Mcc | 22 | 86 / 23 | $10.902,80 | 95 / 2 | $7.842,64 | 1194 / 72 | $7.019,36 | 1192 / 76 |
Diabetes W Cc | 21 | 71 / 19 | $19.124,10 | 629 / 22 | $8.300,62 | 1463 / 76 | $7.441,19 | 1458 / 80 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 60 | $19.968,60 | 997 / 31 | $9.022,33 | 2267 / 105 | $8.274,14 | 2260 / 110 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 9 | $84.303,90 | 141 / 6 | $36.319,70 | 622 / 26 | $35.146,90 | 621 / 34 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 73 | $17.300,90 | 1261 / 34 | $7.923,67 | 2571 / 106 | $7.291,44 | 2560 / 110 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 81 | $16.823,40 | 977 / 21 | $7.734,67 | 2537 / 106 | $6.799,56 | 2522 / 111 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 76 | $23.468,40 | 1494 / 48 | $9.215,50 | 2604 / 103 | $8.410,50 | 2595 / 111 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 52 | $25.290,90 | 1413 / 59 | $7.941,87 | 2033 / 90 | $7.345,33 | 2028 / 95 |
Signs & Symptoms W/O Mcc | 14 | 77 / 25 | $12.408,40 | 197 / 1 | $7.327,14 | 1213 / 60 | $6.380,86 | 1210 / 64 |
Cellulitis W/O Mcc | 13 | 176 / 68 | $15.159,90 | 878 / 28 | $8.320,00 | 2473 / 106 | $7.667,69 | 2465 / 115 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $39.816,00 | 319 / 8 | $18.797,20 | 1534 / 80 | $18.055,60 | 1520 / 88 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 25 | $24.763,40 | 302 / 12 | $11.096,90 | 949 / 57 | $10.442,40 | 945 / 62 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 43 | $13.603,20 | 811 / 24 | $6.540,50 | 1874 / 91 | $5.138,67 | 1868 / 94 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 11 | $10.911,50 | 60 / 2 | $7.061,83 | 353 / 16 | $6.113,50 | 353 / 19 |
Transient Ischemia | 12 | 113 / 42 | $13.124,20 | 186 / 3 | $7.431,50 | 1569 / 80 | $6.530,17 | 1561 / 85 |
Renal Failure W Cc | 11 | 210 / 75 | $20.372,10 | 1014 / 28 | $9.109,27 | 2269 / 96 | $8.633,27 | 2259 / 103 | Total 31 procedures | 945 | 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.