Hospital Costs > In Illinois > St Mary's Hospital Streator, 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 | 96 | 420 / 70 | $33.350,90 | 963 / 21 | $12.516,10 | 1806 / 61 | $11.759,90 | 1771 / 78 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 44 | $21.935,80 | 1344 / 35 | $6.582,80 | 1647 / 54 | $5.667,24 | 1640 / 71 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 37 | $20.603,10 | 837 / 17 | $7.181,49 | 1543 / 52 | $6.335,19 | 1536 / 74 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 52 | $27.328,00 | 855 / 19 | $9.756,05 | 1583 / 58 | $8.877,35 | 1583 / 76 |
| Heart Failure & Shock W Cc | 31 | 247 / 70 | $17.131,10 | 821 / 20 | $6.730,87 | 1517 / 64 | $5.796,68 | 1512 / 70 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 37 | $38.857,80 | 742 / 21 | $13.434,00 | 1236 / 63 | $12.655,50 | 1221 / 69 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 58 | $26.238,30 | 1219 / 42 | $7.957,52 | 1613 / 56 | $7.018,85 | 1605 / 76 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 88 | $65.552,30 | 1878 / 78 | $14.979,30 | 2068 / 59 | $13.867,60 | 2026 / 95 |
| Heart Failure & Shock W Mcc | 23 | 261 / 77 | $25.888,00 | 809 / 23 | $10.170,80 | 1653 / 66 | $9.384,70 | 1648 / 77 |
| Cellulitis W/O Mcc | 23 | 166 / 59 | $17.489,60 | 1186 / 42 | $5.706,13 | 1532 / 50 | $4.761,43 | 1525 / 72 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 78 | $17.366,70 | 1044 / 25 | $5.129,18 | 1113 / 49 | $3.833,50 | 1105 / 53 |
| G.I. Hemorrhage W Cc | 20 | 198 / 61 | $21.865,30 | 933 / 19 | $6.855,80 | 1492 / 58 | $5.951,80 | 1488 / 76 |
| Renal Failure W Cc | 20 | 201 / 69 | $15.821,20 | 545 / 10 | $6.591,45 | 1568 / 63 | $5.868,25 | 1559 / 74 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 62 | $22.128,30 | 1217 / 44 | $6.929,37 | 1163 / 79 | $5.110,32 | 1159 / 57 |
| Renal Failure W Mcc | 18 | 177 / 54 | $20.754,80 | 258 / 9 | $10.152,20 | 1310 / 50 | $9.682,83 | 1310 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 59 | $13.206,30 | 715 / 18 | $4.665,00 | 1365 / 44 | $3.943,93 | 1360 / 66 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $26.470,10 | 541 / 12 | $9.444,14 | 977 / 48 | $8.587,00 | 972 / 53 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 36 | $24.388,90 | 274 / 8 | $10.993,80 | 995 / 37 | $10.298,90 | 993 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 48 | $27.337,70 | 809 / 40 | $8.187,07 | 1007 / 56 | $7.158,50 | 1004 / 67 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 34 | $74.497,00 | 928 / 41 | $18.672,80 | 1219 / 44 | $17.747,30 | 1205 / 65 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 45 | $81.985,30 | 266 / 5 | $36.128,50 | 996 / 50 | $35.465,40 | 990 / 62 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 52 | $49.277,80 | 1025 / 38 | $13.369,50 | 1430 / 71 | $12.485,20 | 1412 / 79 | Total 22 procedures | 585 | 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.