Hospital Costs > In Illinois > St Mary Medical Center Galesburg, 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 | 80 | 436 / 75 | $38.339,20 | 1228 / 32 | $14.052,40 | 2142 / 87 | $12.969,50 | 2105 / 93 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 77 | 487 / 71 | $72.208,50 | 2046 / 90 | $17.763,70 | 2209 / 93 | $14.730,40 | 2165 / 101 |
G.I. Hemorrhage W Cc | 48 | 170 / 38 | $24.470,80 | 1160 / 39 | $7.566,75 | 1788 / 86 | $6.611,42 | 1784 / 88 |
Heart Failure & Shock W Cc | 44 | 234 / 59 | $22.879,30 | 1479 / 53 | $7.503,05 | 2040 / 93 | $6.597,59 | 2035 / 93 |
Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 40 | $20.827,90 | 1089 / 36 | $7.120,66 | 1704 / 85 | $5.883,16 | 1697 / 85 |
Heart Failure & Shock W Mcc | 40 | 244 / 68 | $40.426,10 | 1681 / 67 | $11.338,50 | 2051 / 85 | $10.587,20 | 2042 / 93 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 42 | $24.276,50 | 1187 / 33 | $8.257,53 | 1927 / 81 | $7.084,27 | 1919 / 85 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 50 | $27.812,40 | 1334 / 45 | $8.834,19 | 2024 / 82 | $8.027,08 | 2016 / 93 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 60 | $23.305,60 | 1483 / 46 | $7.272,18 | 2076 / 85 | $6.321,88 | 2068 / 89 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 65 | $16.514,40 | 1145 / 27 | $5.780,00 | 1905 / 77 | $4.832,57 | 1894 / 82 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 43 | $18.282,40 | 884 / 25 | $6.093,15 | 1507 / 72 | $4.990,59 | 1502 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 75 | $18.252,90 | 1171 / 30 | $5.634,22 | 1816 / 73 | $4.515,41 | 1803 / 82 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 50 | $14.333,60 | 876 / 28 | $5.273,85 | 1771 / 77 | $4.424,07 | 1766 / 81 |
Renal Failure W Cc | 27 | 194 / 64 | $19.889,30 | 975 / 26 | $7.254,81 | 1818 / 76 | $6.451,26 | 1808 / 85 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $61.120,30 | 1380 / 67 | $14.915,20 | 1661 / 81 | $13.757,10 | 1642 / 88 |
Cellulitis W/O Mcc | 25 | 164 / 57 | $18.448,60 | 1294 / 48 | $6.343,48 | 1888 / 78 | $5.333,56 | 1880 / 90 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 41 | $51.764,00 | 1113 / 46 | $15.046,30 | 1541 / 73 | $14.545,00 | 1525 / 79 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 32 | $13.635,00 | 822 / 25 | $4.201,78 | 1375 / 53 | $3.255,70 | 1370 / 77 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 50 | $38.532,30 | 1450 / 56 | $10.306,20 | 1584 / 79 | $8.069,33 | 1579 / 77 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 34 | $16.102,00 | 968 / 36 | $5.108,05 | 1374 / 75 | $4.186,14 | 1363 / 77 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 32 | $42.607,50 | 918 / 37 | $12.833,10 | 1363 / 67 | $11.835,80 | 1352 / 72 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 69 | $44.680,20 | 1747 / 73 | $11.032,00 | 2006 / 85 | $10.157,30 | 2005 / 97 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 54 | $28.765,10 | 1071 / 33 | $7.952,71 | 1593 / 66 | $7.175,29 | 1590 / 80 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $17.720,40 | 1088 / 41 | $6.034,75 | 1391 / 72 | $4.232,81 | 1380 / 72 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 26 | $35.510,30 | 860 / 34 | $10.484,90 | 1146 / 53 | $9.346,94 | 1141 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $16.546,70 | 338 / 8 | $5.729,07 | 1145 / 49 | $4.683,73 | 1141 / 65 |
Diabetes W Cc | 12 | 80 / 28 | $22.718,40 | 867 / 42 | $6.280,33 | 1085 / 55 | $5.371,00 | 1081 / 61 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $19.615,80 | 113 / 3 | $11.591,20 | 826 / 45 | $11.087,20 | 823 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 50 | $24.923,90 | 651 / 31 | $9.191,25 | 1396 / 75 | $8.289,92 | 1393 / 82 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $17.764,30 | 711 / 29 | $6.847,27 | 733 / 62 | $3.306,91 | 730 / 42 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 23 | $31.581,90 | 550 / 36 | $7.494,64 | 605 / 36 | $6.944,82 | 605 / 42 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 47 | $17.964,40 | 710 / 27 | $6.075,18 | 1437 / 68 | $5.304,27 | 1428 / 79 |
Renal Failure W Mcc | 11 | 184 / 60 | $31.472,90 | 850 / 29 | $11.639,80 | 1573 / 77 | $10.546,00 | 1571 / 80 | Total 33 procedures | 898 | 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.