Hospital Costs > In Illinois > Swedish American Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 289 | 278 / 23 | $99.555,00 | 2471 / 106 | $18.321,50 | 1259 / 98 | $11.491,40 | 1228 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 148 | 368 / 48 | $61.788,10 | 2122 / 86 | $14.423,50 | 1417 / 89 | $10.887,50 | 1390 / 54 |
| Heart Failure & Shock W Cc | 142 | 136 / 14 | $30.437,00 | 1973 / 91 | $7.047,69 | 1610 / 78 | $5.884,11 | 1605 / 74 |
| Kidney & Urinary Tract Infections W/O Mcc | 124 | 109 / 12 | $24.962,20 | 1973 / 83 | $5.524,98 | 1645 / 69 | $4.487,52 | 1634 / 74 |
| Simple Pneumonia & Pleurisy W Cc | 115 | 88 / 9 | $30.892,70 | 1993 / 85 | $7.020,16 | 1557 / 74 | $5.573,27 | 1551 / 68 |
| Heart Failure & Shock W Mcc | 110 | 174 / 29 | $42.254,60 | 1751 / 73 | $9.836,87 | 1465 / 55 | $8.977,52 | 1461 / 63 |
| Renal Failure W Cc | 102 | 119 / 20 | $30.930,40 | 1742 / 84 | $7.264,26 | 1389 / 77 | $5.603,82 | 1380 / 67 |
| Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 14 | $34.317,90 | 1706 / 70 | $7.850,52 | 1480 / 53 | $6.809,21 | 1474 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 31 | $28.550,60 | 2096 / 94 | $6.043,53 | 1696 / 84 | $4.336,75 | 1683 / 77 |
| Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 19 | $26.542,50 | 1551 / 66 | $6.879,47 | 1390 / 76 | $5.363,82 | 1385 / 70 |
| Cellulitis W/O Mcc | 76 | 113 / 27 | $27.684,30 | 2028 / 104 | $6.195,41 | 1625 / 74 | $4.873,24 | 1618 / 76 |
| G.I. Hemorrhage W Cc | 76 | 142 / 25 | $28.951,90 | 1494 / 60 | $6.803,18 | 1440 / 55 | $5.878,13 | 1437 / 73 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 21 | $22.743,30 | 1761 / 77 | $5.087,59 | 1628 / 66 | $4.227,19 | 1623 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 62 | 99 / 18 | $29.309,40 | 1607 / 74 | $6.329,44 | 1190 / 76 | $4.495,11 | 1186 / 64 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 35 | $47.222,00 | 1819 / 77 | $9.825,12 | 1259 / 61 | $8.238,18 | 1259 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 27 | $39.568,30 | 2025 / 83 | $7.298,20 | 1567 / 57 | $6.379,34 | 1560 / 76 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 59 | 129 / 17 | $43.896,20 | 1045 / 48 | $7.817,75 | 938 / 41 | $6.206,51 | 935 / 55 |
| Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 16 | $102.521,00 | 1910 / 97 | $13.139,30 | 1324 / 68 | $12.068,20 | 1306 / 76 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 26 | $39.030,30 | 1486 / 70 | $7.721,72 | 1209 / 62 | $6.159,77 | 1206 / 65 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 27 | $42.291,80 | 1578 / 70 | $8.994,72 | 1288 / 70 | $7.381,30 | 1285 / 59 |
| Spinal Fusion Except Cervical W/O Mcc | 50 | 144 / 17 | $283.568,00 | 1349 / 56 | $52.399,50 | 1330 / 54 | $39.557,30 | 1325 / 55 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 47 | 79 / 14 | $33.058,70 | 1101 / 58 | $7.473,68 | 912 / 39 | $6.812,23 | 909 / 59 |
| Renal Failure W Mcc | 45 | 150 / 35 | $55.479,40 | 1681 / 88 | $11.797,70 | 1219 / 78 | $9.474,96 | 1219 / 63 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 16 | $16.768,00 | 1173 / 49 | $4.603,88 | 1299 / 69 | $3.168,21 | 1294 / 71 |
| Chest Pain | 42 | 109 / 16 | $28.188,50 | 1328 / 70 | $5.531,05 | 877 / 54 | $3.375,69 | 872 / 44 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 16 | $25.188,60 | 1567 / 88 | $4.911,34 | 1249 / 62 | $4.028,61 | 1239 / 67 |
| Diabetes W Cc | 41 | 51 / 5 | $30.561,00 | 1193 / 67 | $6.313,56 | 873 / 57 | $4.841,71 | 869 / 52 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 21 | $28.470,90 | 1429 / 78 | $5.716,36 | 1099 / 57 | $4.651,26 | 1092 / 62 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 30 | $105.029,00 | 1212 / 73 | $13.551,20 | 952 / 27 | $12.267,60 | 945 / 61 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 19 | $70.026,60 | 1148 / 57 | $17.979,40 | 730 / 72 | $13.062,70 | 722 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 15 | $23.993,30 | 1406 / 69 | $5.116,86 | 1110 / 58 | $3.792,94 | 1104 / 68 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 34 | 35 / 3 | $91.996,00 | 467 / 24 | $12.052,60 | 361 / 13 | $10.990,00 | 360 / 24 |
| G.I. Obstruction W Cc | 34 | 58 / 19 | $27.029,60 | 1086 / 52 | $6.454,35 | 844 / 59 | $4.875,06 | 842 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 31 | $40.306,80 | 1340 / 73 | $8.407,03 | 1033 / 63 | $7.208,41 | 1030 / 68 |
| Syncope & Collapse | 32 | 137 / 33 | $30.335,20 | 1445 / 82 | $5.211,00 | 1175 / 49 | $4.343,00 | 1168 / 64 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 22 | $24.834,80 | 1533 / 77 | $5.149,81 | 1340 / 51 | $4.136,81 | 1329 / 69 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 11 | $35.214,20 | 1136 / 62 | $4.998,03 | 741 / 35 | $4.123,78 | 738 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 17 | $23.112,10 | 792 / 29 | $5.354,80 | 1003 / 37 | $4.346,80 | 999 / 57 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 29 | 32 / 2 | $20.708,30 | 539 / 20 | $4.843,45 | 449 / 24 | $3.706,03 | 448 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 33 | $55.979,90 | 1068 / 55 | $11.047,10 | 756 / 34 | $10.055,10 | 755 / 48 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 19 | $33.778,30 | 993 / 58 | $6.654,07 | 724 / 40 | $5.621,78 | 720 / 50 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 21 | $96.655,10 | 1187 / 63 | $21.086,60 | 687 / 60 | $14.294,00 | 681 / 36 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $34.494,80 | 955 / 40 | $7.007,96 | 658 / 40 | $5.472,04 | 655 / 39 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 18 | $38.272,00 | 934 / 40 | $8.850,64 | 841 / 37 | $8.105,68 | 836 / 46 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 28 | $62.977,30 | 1243 / 70 | $11.261,80 | 820 / 39 | $10.588,50 | 817 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 33 | $35.280,10 | 1367 / 73 | $7.432,64 | 1152 / 54 | $6.662,08 | 1148 / 64 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 15 | $37.431,50 | 786 / 47 | $10.071,10 | 496 / 50 | $6.631,68 | 494 / 32 |
| Peripheral Vascular Disorders W Cc | 25 | 59 / 20 | $29.684,90 | 795 / 54 | $6.583,52 | 627 / 43 | $5.615,84 | 624 / 47 |
| Transient Ischemia | 25 | 100 / 29 | $30.402,10 | 1189 / 68 | $6.623,64 | 947 / 73 | $3.939,36 | 942 / 57 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 17 | $27.008,00 | 639 / 34 | $10.393,00 | 275 / 60 | $4.283,13 | 272 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $21.343,00 | 878 / 44 | $4.468,82 | 845 / 38 | $3.536,45 | 842 / 51 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 7 | $161.776,00 | 872 / 30 | $18.220,10 | 787 / 22 | $17.121,90 | 784 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 15 | $40.516,90 | 1045 / 49 | $7.184,91 | 878 / 34 | $6.302,00 | 876 / 44 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 29 | $58.188,50 | 1295 / 66 | $10.942,00 | 929 / 33 | $10.081,00 | 928 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 24 | $42.602,00 | 1015 / 57 | $8.686,48 | 644 / 47 | $6.983,14 | 639 / 40 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 18 | $125.394,00 | 701 / 39 | $20.815,40 | 518 / 14 | $19.852,20 | 514 / 29 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 16 | $41.546,00 | 673 / 48 | $6.858,37 | 373 / 28 | $5.763,21 | 373 / 29 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 37 | $153.476,00 | 1045 / 63 | $30.813,40 | 563 / 22 | $30.047,20 | 558 / 28 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 19 | $60.107,60 | 466 / 26 | $13.425,10 | 414 / 23 | $12.294,20 | 408 / 28 |
| Other Vascular Procedures W Mcc | 18 | 79 / 20 | $92.826,50 | 520 / 22 | $20.153,70 | 380 / 13 | $19.478,10 | 378 / 18 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 7 | $30.878,20 | 376 / 14 | $6.528,94 | 216 / 13 | $5.402,11 | 216 / 12 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 16 | $111.775,00 | 824 / 45 | $16.822,60 | 489 / 25 | $15.816,40 | 488 / 33 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 13 | $170.613,00 | 510 / 24 | $32.449,80 | 265 / 23 | $21.036,70 | 264 / 15 |
| Medical Back Problems W/O Mcc | 17 | 104 / 41 | $32.325,50 | 1093 / 67 | $7.700,53 | 798 / 65 | $4.741,29 | 795 / 47 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 14 | $54.293,70 | 453 / 31 | $15.522,20 | 186 / 35 | $10.429,70 | 186 / 17 |
| Diabetes W Mcc | 16 | 41 / 7 | $53.467,80 | 593 / 33 | $9.114,06 | 332 / 16 | $8.290,06 | 332 / 20 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 30 | $53.957,10 | 830 / 40 | $11.344,00 | 456 / 17 | $10.575,00 | 455 / 22 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 19 | $41.777,40 | 661 / 26 | $12.558,60 | 199 / 40 | $4.963,12 | 199 / 8 |
| Seizures W/O Mcc | 16 | 92 / 28 | $22.445,90 | 665 / 37 | $5.414,62 | 704 / 37 | $4.504,62 | 701 / 49 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $41.172,70 | 805 / 44 | $10.806,80 | 349 / 44 | $4.894,40 | 348 / 20 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 15 | 15 / 3 | $69.774,50 | 148 / 7 | $12.705,80 | 103 / 4 | $11.741,50 | 102 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 11 | $188.982,00 | 476 / 19 | $54.814,20 | 127 / 23 | $23.880,10 | 127 / 7 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 11 | $23.960,20 | 665 / 31 | $4.556,67 | 581 / 19 | $3.831,33 | 580 / 24 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 22 | $39.102,90 | 669 / 42 | $8.785,47 | 443 / 45 | $7.290,93 | 441 / 35 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 28 | $26.829,40 | 650 / 41 | $5.908,93 | 286 / 28 | $3.739,53 | 286 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 7 | $66.323,70 | 844 / 24 | $11.956,80 | 806 / 20 | $11.148,30 | 804 / 25 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $144.413,00 | 770 / 33 | $40.685,50 | 355 / 49 | $28.105,10 | 353 / 18 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 12 | $75.132,90 | 437 / 26 | $12.310,80 | 209 / 11 | $10.336,10 | 208 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 15 | $82.475,50 | 672 / 24 | $14.162,50 | 518 / 11 | $12.955,00 | 515 / 19 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $69.692,80 | 1406 / 73 | $12.304,40 | 936 / 46 | $11.527,30 | 926 / 47 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 18 | $65.769,80 | 605 / 34 | $11.681,60 | 364 / 20 | $10.561,60 | 363 / 24 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 5 | $41.819,10 | 190 / 7 | $6.900,29 | 89 / 4 | $5.222,64 | 89 / 5 |
| Other Vascular Procedures W Cc | 14 | 88 / 29 | $108.591,00 | 905 / 47 | $27.105,90 | 147 / 53 | $13.052,90 | 147 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 15 | $32.268,20 | 281 / 12 | $7.468,85 | 240 / 15 | $6.452,23 | 240 / 21 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 7 | $26.601,20 | 219 / 13 | $5.715,54 | 168 / 12 | $4.689,08 | 168 / 14 |
| Pulmonary Embolism W Mcc | 13 | 30 / 13 | $43.172,80 | 362 / 20 | $9.426,77 | 308 / 17 | $8.959,08 | 308 / 25 |
| Other Resp System O.R. Procedures W Cc | 13 | 34 / 8 | $59.985,80 | 210 / 11 | $12.708,00 | 173 / 4 | $11.871,10 | 173 / 9 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 17 | $62.676,10 | 468 / 27 | $11.916,70 | 389 / 24 | $11.056,40 | 388 / 30 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $39.700,50 | 313 / 21 | $7.883,00 | 212 / 14 | $6.863,92 | 211 / 18 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 15 | $192.186,00 | 646 / 32 | $26.194,10 | 561 / 24 | $25.074,10 | 559 / 28 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 17 | $35.357,40 | 543 / 38 | $7.148,15 | 330 / 28 | $5.152,08 | 330 / 21 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 18 | $270.683,00 | 485 / 23 | $39.148,90 | 404 / 15 | $38.038,70 | 404 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 30 | $144.350,00 | 857 / 44 | $21.178,20 | 481 / 12 | $20.170,10 | 481 / 25 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $23.838,90 | 219 / 11 | $5.748,33 | 102 / 14 | $3.712,50 | 102 / 16 |
| Complications Of Treatment W Cc | 12 | 40 / 14 | $40.579,80 | 292 / 22 | $7.302,42 | 110 / 16 | $5.508,08 | 110 / 10 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 12 | $152.428,00 | 490 / 19 | $39.606,30 | 354 / 19 | $17.022,90 | 353 / 17 |
| Cellulitis W Mcc | 12 | 46 / 21 | $66.047,90 | 850 / 54 | $10.382,50 | 87 / 41 | $6.924,50 | 87 / 2 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $48.791,40 | 385 / 22 | $8.072,64 | 319 / 17 | $7.196,91 | 319 / 18 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 9 | $53.564,70 | 180 / 10 | $11.311,30 | 113 / 5 | $10.653,90 | 113 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $71.076,60 | 961 / 59 | $10.534,50 | 640 / 39 | $9.738,73 | 638 / 43 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 21 | $24.268,80 | 638 / 30 | $5.134,64 | 539 / 25 | $4.035,00 | 539 / 31 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 23 | $59.232,10 | 572 / 25 | $10.740,80 | 512 / 13 | $9.635,36 | 510 / 25 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 14 | $126.917,00 | 453 / 25 | $40.138,40 | 14 / 31 | $17.201,80 | 14 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 22 | $139.707,00 | 857 / 47 | $20.435,50 | 605 / 29 | $19.347,50 | 602 / 34 |
| Hypertension W/O Mcc | 11 | 54 / 19 | $25.104,20 | 544 / 36 | $4.591,45 | 422 / 18 | $3.494,73 | 420 / 21 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $34.472,10 | 307 / 23 | $5.008,82 | 234 / 14 | $3.903,36 | 233 / 20 | Total 106 procedures | 3.748 | 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.