Hospital Costs > In Illinois > St Josephs Hospital Breese, 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 | 53 | 463 / 84 | $17.078,70 | 139 / 3 | $11.839,80 | 1557 / 40 | $11.131,50 | 1525 / 61 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 47 | $18.161,50 | 302 / 5 | $8.107,88 | 1214 / 42 | $7.247,88 | 1212 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 56 | $11.581,30 | 122 / 1 | $7.098,52 | 1309 / 50 | $5.998,00 | 1304 / 61 |
| G.I. Hemorrhage W Cc | 19 | 199 / 62 | $15.934,80 | 382 / 5 | $6.549,21 | 1369 / 46 | $5.782,89 | 1366 / 71 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 45 | $27.917,30 | 160 / 1 | $13.005,60 | 1249 / 66 | $11.798,40 | 1233 / 73 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 71 | $18.203,70 | 275 / 3 | $9.563,87 | 1569 / 52 | $8.838,53 | 1569 / 75 |
| Heart Failure & Shock W Cc | 12 | 266 / 84 | $13.746,70 | 436 / 6 | $6.515,83 | 1365 / 55 | $5.611,83 | 1360 / 62 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 95 | $28.965,60 | 189 / 2 | $14.272,70 | 1867 / 46 | $13.072,70 | 1826 / 87 | Total 8 procedures | 176 | 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.