Hospital Costs > In Illinois > St Joseph Medical Center Bloomington, 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 | 134 | 382 / 54 | $38.164,40 | 1223 / 31 | $11.315,10 | 257 / 28 | $9.071,57 | 257 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 122 | 442 / 56 | $63.363,80 | 1821 / 76 | $13.590,50 | 569 / 30 | $10.426,50 | 564 / 13 |
| Heart Failure & Shock W Cc | 75 | 203 / 41 | $21.238,10 | 1318 / 45 | $5.823,73 | 249 / 21 | $4.620,47 | 249 / 5 |
| G.I. Hemorrhage W Cc | 74 | 144 / 26 | $19.540,20 | 711 / 15 | $5.678,28 | 321 / 5 | $4.731,26 | 321 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 59 | 137 / 17 | $83.374,50 | 927 / 45 | $11.514,00 | 395 / 1 | $10.378,30 | 395 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 33 | $24.429,10 | 1411 / 52 | $5.221,33 | 498 / 2 | $4.543,51 | 497 / 17 |
| Heart Failure & Shock W Mcc | 46 | 238 / 62 | $33.915,10 | 1340 / 46 | $8.069,09 | 153 / 2 | $7.137,28 | 153 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 38 | $15.245,10 | 987 / 33 | $4.045,22 | 329 / 10 | $3.165,95 | 329 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 27 | $28.455,00 | 444 / 13 | $7.681,10 | 249 / 37 | $5.065,90 | 249 / 9 |
| Renal Failure W Cc | 40 | 181 / 53 | $21.445,20 | 1115 / 35 | $5.411,85 | 351 / 5 | $4.594,25 | 349 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 56 | $19.593,60 | 1090 / 20 | $5.639,55 | 272 / 7 | $4.431,67 | 271 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 43 | $25.808,60 | 1315 / 37 | $6.098,41 | 472 / 8 | $5.169,59 | 470 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $29.627,90 | 1128 / 38 | $6.061,66 | 356 / 5 | $5.044,39 | 355 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 57 | $16.079,80 | 1082 / 25 | $4.311,92 | 255 / 3 | $3.370,58 | 255 / 7 |
| Renal Failure W Mcc | 35 | 160 / 41 | $37.454,00 | 1178 / 52 | $8.690,43 | 291 / 9 | $7.722,20 | 291 / 4 |
| Cellulitis W/O Mcc | 31 | 158 / 54 | $21.815,90 | 1647 / 77 | $4.795,00 | 435 / 5 | $3.821,58 | 432 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 31 | $32.635,00 | 427 / 14 | $9.456,27 | 229 / 3 | $8.576,27 | 228 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 56 | $29.101,30 | 1411 / 50 | $6.692,17 | 532 / 9 | $5.806,66 | 531 / 15 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 29 | $110.882,00 | 843 / 32 | $23.837,90 | 278 / 8 | $20.389,30 | 277 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 29 | $12.346,70 | 513 / 10 | $4.032,88 | 101 / 17 | $2.772,58 | 100 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $48.542,10 | 997 / 32 | $10.930,80 | 369 / 4 | $9.866,19 | 368 / 8 |
| Medical Back Problems W/O Mcc | 26 | 95 / 32 | $22.055,00 | 678 / 26 | $4.723,42 | 240 / 2 | $3.842,19 | 240 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 62 | $38.044,50 | 1487 / 47 | $7.982,36 | 347 / 2 | $7.110,68 | 347 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 76 | $19.523,90 | 1327 / 37 | $4.329,42 | 641 / 7 | $3.522,75 | 637 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 45 | $15.178,40 | 540 / 9 | $4.642,21 | 316 / 11 | $3.632,88 | 316 / 17 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 41 | $56.318,30 | 1200 / 50 | $10.344,10 | 210 / 1 | $9.792,08 | 210 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $19.532,60 | 1231 / 53 | $4.187,67 | 449 / 9 | $3.281,00 | 448 / 23 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 13 | $32.414,30 | 490 / 14 | $6.060,30 | 241 / 1 | $5.065,52 | 241 / 10 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 48 | $37.401,00 | 1405 / 53 | $7.071,00 | 502 / 10 | $6.336,43 | 502 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 40 | $24.834,30 | 648 / 30 | $6.954,14 | 292 / 10 | $6.024,68 | 291 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 34 | $68.501,40 | 1113 / 55 | $12.374,40 | 186 / 3 | $11.498,70 | 185 / 3 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 31 | $48.437,20 | 962 / 38 | $9.929,90 | 333 / 10 | $9.241,14 | 333 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 34 | $15.116,70 | 1004 / 35 | $3.357,24 | 258 / 11 | $2.205,24 | 256 / 16 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 25 | $23.196,20 | 573 / 24 | $5.629,30 | 130 / 5 | $4.494,75 | 129 / 6 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 27 | $69.174,50 | 841 / 30 | $14.085,30 | 371 / 3 | $13.117,30 | 368 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 29 | $21.474,20 | 681 / 22 | $4.478,71 | 327 / 10 | $3.409,53 | 324 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 14 | $24.910,00 | 474 / 18 | $5.556,12 | 74 / 4 | $4.048,71 | 74 / 4 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $30.535,70 | 706 / 24 | $7.753,44 | 387 / 7 | $7.145,44 | 384 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 21 | $42.156,10 | 194 / 7 | $12.074,80 | 77 / 3 | $10.301,40 | 77 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 21 | $151.248,00 | 833 / 47 | $28.341,70 | 495 / 44 | $19.616,20 | 491 / 26 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 22 | $19.218,80 | 203 / 8 | $5.501,12 | 84 / 4 | $4.447,12 | 84 / 6 |
| Transient Ischemia | 16 | 109 / 38 | $20.582,20 | 700 / 26 | $4.137,62 | 371 / 11 | $3.227,62 | 370 / 21 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $117.056,00 | 722 / 30 | $20.774,50 | 61 / 10 | $16.510,90 | 61 / 3 |
| G.I. Obstruction W Cc | 14 | 78 / 35 | $18.905,50 | 578 / 16 | $5.123,57 | 284 / 9 | $4.177,29 | 283 / 10 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 44 | $23.754,00 | 1168 / 56 | $5.285,93 | 243 / 43 | $3.690,86 | 243 / 6 |
| Diabetes W Cc | 13 | 79 / 27 | $20.793,70 | 747 / 31 | $4.988,62 | 77 / 14 | $3.555,54 | 77 / 2 |
| Seizures W/O Mcc | 13 | 95 / 31 | $19.707,50 | 538 / 23 | $4.403,85 | 202 / 5 | $3.569,38 | 201 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 42 | $20.410,00 | 437 / 14 | $6.414,77 | 227 / 11 | $5.577,85 | 225 / 11 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 17 | $38.860,80 | 448 / 20 | $6.460,62 | 84 / 4 | $4.700,00 | 84 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 44 | $126.869,00 | 795 / 40 | $36.517,00 | 60 / 52 | $24.742,30 | 60 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 15 | $43.693,40 | 200 / 3 | $10.667,70 | 122 / 1 | $9.571,67 | 122 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 38 | $47.938,30 | 1080 / 44 | $10.147,80 | 612 / 21 | $9.243,75 | 611 / 31 |
| Other Vascular Procedures W Cc | 12 | 90 / 31 | $85.556,40 | 704 / 28 | $14.117,90 | 189 / 1 | $13.315,20 | 189 / 3 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 34 | $37.839,60 | 428 / 14 | $9.870,17 | 124 / 3 | $9.264,83 | 124 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $13.016,20 | 219 / 4 | $5.239,92 | 84 / 31 | $2.879,67 | 84 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 14 | $73.734,10 | 616 / 22 | $12.945,20 | 110 / 2 | $10.472,60 | 110 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $22.935,10 | 182 / 4 | $5.484,91 | 28 / 1 | $4.388,18 | 28 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $49.319,10 | 279 / 7 | $12.175,70 | 156 / 2 | $11.084,80 | 155 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $27.079,70 | 303 / 11 | $8.706,18 | 90 / 8 | $7.527,64 | 90 / 3 |
| Hypertension W/O Mcc | 11 | 54 / 19 | $12.983,50 | 140 / 3 | $3.722,27 | 73 / 2 | $2.520,82 | 73 / 4 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 34 | $24.142,30 | 597 / 34 | $5.330,00 | 211 / 5 | $4.669,64 | 210 / 13 |
| Major Chest Procedures W Cc | 11 | 63 / 17 | $92.012,90 | 374 / 16 | $14.349,90 | 88 / 4 | $13.142,60 | 88 / 5 | Total 62 procedures | 1.721 | 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.