Hospital Costs > In Illinois > St Mary's Hospital Centralia, 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 | 116 | 400 / 63 | $24.264,90 | 494 / 7 | $10.922,70 | 997 / 15 | $10.181,00 | 988 / 26 |
Heart Failure & Shock W Cc | 113 | 165 / 24 | $15.406,80 | 620 / 13 | $6.023,93 | 710 / 34 | $5.073,27 | 709 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 103 | 76 / 8 | $15.112,70 | 525 / 10 | $5.610,39 | 743 / 16 | $4.754,04 | 741 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 91 | 111 / 19 | $18.246,60 | 585 / 14 | $7.010,92 | 862 / 20 | $6.109,82 | 857 / 33 |
Cellulitis W/O Mcc | 81 | 108 / 23 | $11.085,40 | 368 / 5 | $5.076,30 | 691 / 18 | $4.040,22 | 687 / 29 |
Heart Failure & Shock W Mcc | 74 | 210 / 47 | $20.374,80 | 443 / 9 | $8.822,57 | 988 / 27 | $8.282,89 | 987 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 43 | $14.624,20 | 703 / 7 | $4.687,37 | 491 / 23 | $3.397,23 | 489 / 21 |
Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 33 | $13.511,10 | 395 / 5 | $6.005,48 | 617 / 24 | $4.753,07 | 614 / 20 |
Respiratory Infections & Inflammations W Mcc | 60 | 76 / 12 | $24.938,30 | 229 / 2 | $12.024,50 | 895 / 34 | $11.381,30 | 885 / 44 |
Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 35 | $22.060,30 | 515 / 8 | $8.621,83 | 1007 / 19 | $7.881,57 | 1007 / 41 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 59 | 66 / 9 | $18.896,20 | 127 / 2 | $9.873,36 | 583 / 15 | $9.177,49 | 582 / 27 |
Renal Failure W Cc | 51 | 170 / 46 | $13.424,20 | 332 / 3 | $5.749,78 | 720 / 19 | $4.930,39 | 713 / 34 |
Renal Failure W Mcc | 49 | 146 / 32 | $19.444,20 | 208 / 5 | $9.011,16 | 746 / 20 | $8.446,27 | 746 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 50 | $13.440,50 | 702 / 9 | $4.657,67 | 501 / 20 | $3.621,70 | 501 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $12.499,80 | 495 / 10 | $4.316,79 | 400 / 17 | $3.230,44 | 399 / 21 |
G.I. Hemorrhage W Cc | 39 | 179 / 46 | $16.926,80 | 476 / 9 | $6.084,36 | 559 / 25 | $4.960,62 | 558 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 41 | $10.941,80 | 421 / 5 | $4.213,74 | 387 / 18 | $3.227,63 | 387 / 17 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 25 | $14.733,30 | 231 / 4 | $6.688,51 | 674 / 25 | $5.906,68 | 673 / 28 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 38 | $17.610,10 | 261 / 3 | $7.288,53 | 528 / 19 | $6.364,97 | 528 / 18 |
Bronchitis & Asthma W Cc/Mcc | 34 | 42 / 9 | $10.481,30 | 62 / 1 | $5.345,18 | 284 / 9 | $4.295,24 | 281 / 15 |
Respiratory Infections & Inflammations W Cc | 33 | 55 / 12 | $14.983,90 | 102 / 1 | $8.312,97 | 415 / 21 | $7.185,73 | 412 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 49 | $14.117,80 | 286 / 4 | $6.367,94 | 969 / 13 | $5.635,82 | 966 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 29 | $17.492,80 | 278 / 7 | $6.656,82 | 466 / 20 | $5.971,11 | 463 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 43 | $13.503,30 | 371 / 6 | $4.748,81 | 579 / 14 | $3.894,30 | 577 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 46 | $19.650,20 | 454 / 5 | $6.941,00 | 464 / 43 | $5.184,63 | 463 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 31 | $13.043,60 | 607 / 13 | $4.055,71 | 488 / 18 | $3.301,04 | 486 / 29 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 42 | $26.715,90 | 365 / 9 | $6.483,50 | 589 / 5 | $5.573,71 | 587 / 37 |
Chest Pain | 24 | 127 / 33 | $13.396,80 | 347 / 10 | $3.656,04 | 215 / 9 | $2.570,71 | 214 / 8 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 22 | $13.974,60 | 144 / 3 | $5.674,65 | 448 / 16 | $5.203,00 | 446 / 33 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 91 | $42.872,70 | 920 / 18 | $12.981,80 | 1413 / 13 | $11.837,00 | 1380 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 39 | $25.595,20 | 222 / 4 | $10.346,10 | 602 / 18 | $9.634,86 | 601 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 33 | $12.400,90 | 645 / 14 | $3.900,86 | 315 / 43 | $2.275,27 | 313 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 34 | $38.417,00 | 292 / 5 | $13.282,70 | 551 / 14 | $12.589,20 | 543 / 23 |
Atherosclerosis W/O Mcc | 21 | 37 / 3 | $12.461,80 | 102 / 3 | $3.670,62 | / 2 | $2.925,48 | / |
Seizures W/O Mcc | 21 | 87 / 24 | $13.539,80 | 189 / 4 | $4.609,24 | 329 / 10 | $3.808,86 | 327 / 24 |
G.I. Obstruction W Cc | 20 | 72 / 29 | $16.531,00 | 403 / 10 | $5.300,75 | 542 / 16 | $4.521,55 | 541 / 28 |
Transient Ischemia | 20 | 105 / 34 | $17.576,90 | 458 / 13 | $4.209,40 | 436 / 14 | $3.300,60 | 435 / 25 |
Cellulitis W Mcc | 20 | 38 / 13 | $17.218,20 | 74 / 1 | $8.607,80 | 319 / 10 | $7.945,40 | 318 / 15 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 39 | $12.589,90 | 251 / 6 | $4.793,16 | 605 / 16 | $4.094,21 | 601 / 31 |
Diabetes W Cc | 18 | 74 / 22 | $14.480,20 | 300 / 9 | $5.049,22 | 326 / 17 | $4.048,00 | 326 / 21 |
G.I. Hemorrhage W Mcc | 16 | 105 / 36 | $25.896,90 | 199 / 3 | $11.140,40 | 798 / 36 | $10.538,40 | 795 / 46 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $14.631,10 | 39 / 1 | $9.193,81 | 352 / 17 | $8.591,81 | 352 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 47 | $13.878,10 | 87 / 2 | $7.179,80 | 502 / 21 | $6.377,67 | 499 / 28 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $60.206,70 | 644 / 16 | $14.998,10 | 588 / 13 | $13.948,50 | 582 / 29 |
Syncope & Collapse | 14 | 155 / 48 | $15.770,40 | 462 / 12 | $4.358,21 | 619 / 15 | $3.667,93 | 616 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $16.090,00 | 90 / 1 | $7.132,62 | 329 / 13 | $6.293,23 | 327 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 36 | $12.669,40 | 472 / 10 | $4.243,00 | 286 / 13 | $3.031,92 | 284 / 15 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 32 | $16.220,60 | 200 / 4 | $5.807,69 | 310 / 14 | $4.877,23 | 307 / 17 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $17.730,30 | 206 / 6 | $6.073,46 | 413 / 6 | $5.330,08 | 412 / 19 |
Medical Back Problems W/O Mcc | 13 | 108 / 45 | $16.890,70 | 327 / 10 | $5.088,85 | 448 / 15 | $4.155,92 | 448 / 24 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 22 | $15.967,20 | 124 / 4 | $5.926,92 | 189 / 9 | $5.141,58 | 189 / 15 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $40.847,40 | 7 / 1 | $29.365,50 | 207 / 6 | $28.009,90 | 207 / 8 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $14.227,90 | 66 / 2 | $4.862,00 | 42 / 12 | $2.808,82 | 42 / 4 |
Diabetes W Mcc | 11 | 46 / 12 | $19.475,70 | 71 / 2 | $8.280,45 | 213 / 5 | $7.623,00 | 213 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 29 | $10.456,50 | 31 / 1 | $7.027,36 | 432 / 20 | $6.477,55 | 431 / 25 | Total 55 procedures | 1.937 | 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.