Hospital Costs > In Illinois > St Elizabeth Hospital Belleville, 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 | 179 | 337 / 42 | $38.955,40 | 1275 / 33 | $11.254,80 | 1169 / 24 | $10.428,00 | 1151 / 38 |
| Psychoses | 133 | 165 / 17 | $12.931,90 | 132 / 8 | $6.470,92 | 157 / 10 | $5.346,26 | 157 / 10 |
| Heart Failure & Shock W Mcc | 89 | 195 / 41 | $28.145,20 | 984 / 31 | $9.147,92 | 940 / 36 | $8.208,40 | 939 / 34 |
| Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 24 | $33.457,90 | 1251 / 35 | $8.772,88 | 976 / 27 | $7.851,11 | 976 / 36 |
| Heart Failure & Shock W Cc | 71 | 207 / 44 | $19.384,30 | 1103 / 32 | $6.385,94 | 995 / 48 | $5.290,83 | 993 / 40 |
| G.I. Hemorrhage W Cc | 65 | 153 / 28 | $22.720,10 | 1002 / 28 | $6.756,15 | 584 / 54 | $4.986,08 | 583 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 74 | $43.334,50 | 947 / 20 | $13.585,60 | 864 / 29 | $10.844,30 | 847 / 27 |
| Pulmonary Edema & Respiratory Failure | 56 | 147 / 22 | $22.579,90 | 571 / 15 | $7.613,71 | 862 / 28 | $6.778,84 | 862 / 34 |
| Renal Failure W Mcc | 54 | 141 / 28 | $32.925,90 | 941 / 34 | $9.491,78 | 685 / 32 | $8.349,30 | 685 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 44 | $16.555,20 | 1149 / 28 | $4.989,67 | 1080 / 42 | $4.011,85 | 1072 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 47 | $23.704,80 | 1510 / 49 | $6.187,00 | 1069 / 36 | $5.135,26 | 1066 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 56 | $20.730,50 | 1479 / 48 | $4.765,56 | 1208 / 30 | $3.897,04 | 1197 / 59 |
| Renal Failure W Cc | 49 | 172 / 48 | $21.283,90 | 1098 / 33 | $6.098,31 | 959 / 40 | $5.143,86 | 951 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 27 | $17.131,80 | 763 / 20 | $5.213,51 | 783 / 38 | $4.099,74 | 780 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 38 | $23.798,70 | 1140 / 32 | $6.639,91 | 1028 / 31 | $5.690,26 | 1025 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 15 | $13.173,10 | 742 / 20 | $3.794,93 | 885 / 35 | $2.734,93 | 881 / 56 |
| Cellulitis W/O Mcc | 44 | 145 / 43 | $13.373,30 | 643 / 17 | $5.250,95 | 891 / 29 | $4.190,02 | 885 / 41 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 26 | $43.709,30 | 109 / 1 | $13.019,40 | 481 / 18 | $10.604,20 | 479 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 35 | $24.235,80 | 746 / 19 | $6.565,56 | 690 / 27 | $5.423,95 | 689 / 32 |
| Transient Ischemia | 40 | 85 / 18 | $17.476,10 | 449 / 11 | $5.002,30 | 592 / 43 | $3.467,40 | 589 / 39 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 30 | $31.644,90 | 593 / 21 | $6.849,05 | 745 / 18 | $5.799,89 | 743 / 42 |
| Syncope & Collapse | 36 | 133 / 30 | $17.574,20 | 634 / 18 | $4.788,36 | 675 / 38 | $3.722,78 | 672 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 43 | $16.612,90 | 1151 / 41 | $4.879,37 | 923 / 58 | $3.593,74 | 920 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 28 | $20.712,20 | 373 / 12 | $7.275,26 | 440 / 25 | $6.271,71 | 437 / 25 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 33 | 91 / 18 | $10.728,70 | 152 / 16 | $4.573,48 | 246 / 13 | $3.652,45 | 246 / 19 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 19 | $54.279,10 | 838 / 42 | $11.991,10 | 553 / 27 | $10.949,10 | 551 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 22 | $35.078,20 | 620 / 20 | $11.875,00 | 545 / 60 | $9.116,07 | 544 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 55 | $20.818,60 | 1088 / 35 | $5.904,92 | 1303 / 31 | $5.274,19 | 1298 / 67 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $40.612,70 | 663 / 11 | $11.576,20 | 758 / 30 | $10.537,80 | 751 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 24 | $17.389,00 | 955 / 35 | $4.658,28 | 718 / 35 | $3.434,04 | 714 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $37.108,70 | 590 / 23 | $10.800,00 | 628 / 28 | $9.691,64 | 627 / 32 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 34 | $17.054,70 | 631 / 21 | $5.211,83 | 736 / 38 | $4.220,08 | 731 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 24 | $23.580,00 | 812 / 31 | $4.865,86 | 711 / 22 | $3.866,82 | 707 / 43 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 15 | $28.847,20 | 692 / 22 | $6.672,05 | 315 / 23 | $5.169,55 | 314 / 11 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 43 | $45.908,30 | 966 / 30 | $11.842,20 | 687 / 29 | $10.892,70 | 679 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 35 | $28.862,20 | 909 / 45 | $6.920,90 | 564 / 30 | $6.130,48 | 561 / 36 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 35 | $117.352,00 | 710 / 35 | $32.606,40 | 701 / 28 | $31.502,00 | 695 / 38 |
| Seizures W/O Mcc | 21 | 87 / 24 | $16.042,20 | 304 / 9 | $4.961,38 | 371 / 23 | $3.870,81 | 369 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $30.269,00 | 395 / 19 | $9.588,48 | 468 / 24 | $8.997,29 | 467 / 28 |
| Depressive Neuroses | 21 | 29 / 1 | $9.036,52 | 44 / 2 | $4.479,86 | 45 / 1 | $3.471,00 | 45 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 35 | $15.233,70 | 872 / 33 | $4.489,30 | 982 / 45 | $3.712,65 | 974 / 61 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 36 | $50.950,90 | 648 / 23 | $13.083,80 | 456 / 10 | $12.335,00 | 451 / 20 |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 20 | 10 / 1 | $9.530,05 | 6 / 1 | $4.299,75 | 13 / 1 | $3.271,95 | 13 / 1 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 19 | $35.340,20 | 587 / 34 | $8.440,42 | 495 / 38 | $7.487,84 | 493 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 65 | $24.848,60 | 1116 / 34 | $7.162,21 | 997 / 30 | $6.238,37 | 992 / 42 |
| Chest Pain | 18 | 133 / 37 | $15.467,10 | 539 / 17 | $4.065,50 | 522 / 21 | $2.951,22 | 518 / 24 |
| Diabetes W Cc | 18 | 74 / 22 | $16.762,70 | 466 / 18 | $5.365,33 | 661 / 32 | $4.486,89 | 659 / 43 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 22 | $16.341,90 | 430 / 12 | $4.536,82 | 520 / 21 | $3.699,71 | 519 / 28 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $14.984,90 | 301 / 5 | $4.327,12 | 214 / 13 | $3.155,00 | 213 / 14 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 14 | $16.294,20 | 109 / 4 | $6.269,62 | 119 / 7 | $5.176,94 | 119 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 42 | $23.446,10 | 816 / 30 | $7.108,31 | 828 / 38 | $6.129,62 | 827 / 42 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 22 | $15.835,70 | 111 / 3 | $6.297,88 | 306 / 17 | $5.293,88 | 306 / 23 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 37 | $38.885,50 | 657 / 27 | $9.692,07 | 130 / 4 | $8.606,47 | 130 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 20 | $28.712,70 | 401 / 7 | $6.577,93 | 442 / 10 | $5.582,47 | 441 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $25.544,70 | 455 / 16 | $7.414,33 | 221 / 21 | $6.037,13 | 220 / 8 |
| Other Vascular Procedures W Cc | 15 | 87 / 28 | $77.322,70 | 624 / 18 | $16.566,10 | 628 / 22 | $15.727,70 | 625 / 31 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 15 | $92.476,50 | 203 / 3 | $20.601,10 | 32 / 6 | $17.389,20 | 32 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 12 | $125.460,00 | 262 / 6 | $31.855,80 | 22 / 10 | $21.091,30 | 22 / 1 |
| G.I. Obstruction W Cc | 14 | 78 / 35 | $23.622,40 | 901 / 33 | $5.851,71 | 470 / 40 | $4.430,64 | 469 / 22 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 16 | $25.943,30 | 213 / 2 | $6.850,21 | 325 / 5 | $5.690,21 | 324 / 21 |
| Other Vascular Procedures W Mcc | 13 | 84 / 23 | $94.157,20 | 536 / 25 | $21.141,30 | 430 / 18 | $19.949,80 | 428 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 21 | $77.347,20 | 76 / 3 | $31.076,60 | 93 / 4 | $29.858,60 | 93 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 39 | $72.082,00 | 401 / 5 | $23.913,10 | 281 / 9 | $20.415,40 | 280 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 14 | $40.606,80 | 211 / 1 | $13.381,70 | 406 / 5 | $12.148,20 | 405 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $15.205,60 | 344 / 11 | $5.365,33 | 119 / 33 | $2.986,33 | 119 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 25 | $69.560,10 | 159 / 2 | $19.344,80 | 114 / 5 | $16.476,80 | 114 / 4 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $15.168,00 | 71 / 2 | $5.309,09 | 71 / 5 | $4.038,45 | 71 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 26 | $45.960,70 | 252 / 12 | $12.657,60 | 368 / 13 | $11.962,00 | 363 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $96.113,00 | 225 / 11 | $30.216,50 | 301 / 8 | $29.219,80 | 301 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 29 | $33.694,00 | 733 / 41 | $8.046,64 | 616 / 43 | $7.041,64 | 614 / 41 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 31 | $66.832,40 | 219 / 5 | $19.810,50 | 322 / 7 | $18.730,50 | 322 / 14 | Total 71 procedures | 2.282 | 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.