Hospital Costs > In Illinois > Swedish Covenant Hospital, 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 | 190 | 326 / 38 | $79.661,10 | 2426 / 107 | $13.654,00 | 2040 / 84 | $12.518,70 | 2003 / 88 |
Kidney & Urinary Tract Infections W/O Mcc | 124 | 109 / 12 | $35.848,30 | 2399 / 113 | $6.617,81 | 2093 / 89 | $5.171,72 | 2082 / 88 |
Cellulitis W/O Mcc | 100 | 89 / 16 | $30.871,30 | 2158 / 112 | $7.290,31 | 1934 / 91 | $5.425,82 | 1926 / 91 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 66 | $70.683,30 | 2011 / 89 | $18.327,20 | 1871 / 99 | $13.095,40 | 1830 / 88 |
Heart Failure & Shock W Mcc | 96 | 188 / 38 | $69.779,20 | 2341 / 115 | $12.018,80 | 1999 / 93 | $10.377,90 | 1992 / 90 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 29 | $28.301,30 | 2080 / 93 | $6.088,14 | 2108 / 87 | $5.018,03 | 2094 / 91 |
Heart Failure & Shock W Cc | 92 | 186 / 35 | $46.956,80 | 2502 / 120 | $8.452,12 | 2228 / 99 | $7.075,46 | 2222 / 100 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 21 | $55.311,90 | 2285 / 112 | $9.598,21 | 1905 / 94 | $7.701,63 | 1897 / 88 |
Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 26 | $47.649,30 | 2513 / 114 | $9.143,96 | 2033 / 101 | $6.222,89 | 2025 / 87 |
Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 26 | $37.042,20 | 1987 / 99 | $8.546,26 | 1797 / 100 | $6.093,04 | 1790 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 24 | $30.650,20 | 2152 / 107 | $6.527,91 | 1778 / 96 | $4.439,09 | 1773 / 82 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 64 | 124 / 13 | $62.111,80 | 1411 / 80 | $10.848,70 | 1165 / 74 | $6.894,19 | 1162 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $48.147,40 | 1701 / 89 | $8.293,78 | 1579 / 71 | $7.137,22 | 1576 / 79 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 19 | $141.568,00 | 1411 / 79 | $20.139,10 | 1010 / 68 | $12.561,10 | 1003 / 63 |
Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 16 | $43.039,30 | 1565 / 84 | $10.923,70 | 1523 / 88 | $7.705,69 | 1519 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 42 | $57.193,90 | 2049 / 98 | $10.806,10 | 1868 / 84 | $9.603,88 | 1868 / 90 |
Medical Back Problems W/O Mcc | 51 | 70 / 18 | $35.345,70 | 1157 / 70 | $6.738,20 | 1037 / 56 | $5.352,57 | 1034 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 34 | $44.077,60 | 2142 / 99 | $8.317,42 | 1965 / 83 | $7.192,72 | 1957 / 87 |
Respiratory Infections & Inflammations W Mcc | 48 | 88 / 21 | $75.755,50 | 1463 / 77 | $14.504,40 | 1361 / 71 | $13.320,50 | 1346 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 18 | $64.905,70 | 1202 / 68 | $12.824,60 | 1076 / 57 | $11.470,60 | 1071 / 63 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 12 | $75.379,90 | 1508 / 81 | $12.844,30 | 1338 / 68 | $11.715,90 | 1328 / 69 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 16 | $47.275,50 | 1447 / 90 | $9.417,39 | 1146 / 70 | $7.481,30 | 1143 / 66 |
Renal Failure W Cc | 42 | 179 / 52 | $45.203,20 | 2161 / 107 | $7.556,43 | 1877 / 80 | $6.609,21 | 1867 / 88 |
Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 21 | $127.523,00 | 988 / 39 | $30.810,50 | 953 / 40 | $25.769,80 | 948 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 39 | 71 / 18 | $26.298,30 | 1600 / 93 | $5.567,90 | 1547 / 83 | $4.589,33 | 1534 / 84 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 19 | $213.440,00 | 1307 / 78 | $37.540,90 | 1042 / 59 | $36.014,40 | 1035 / 63 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 21 | $31.311,40 | 1554 / 92 | $6.483,38 | 1546 / 79 | $5.616,31 | 1537 / 86 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 36 | $63.026,40 | 1971 / 94 | $9.445,54 | 1698 / 73 | $8.458,08 | 1693 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 32 | $33.808,10 | 1767 / 87 | $6.393,31 | 1636 / 77 | $5.276,69 | 1631 / 81 |
Transient Ischemia | 37 | 88 / 21 | $35.524,20 | 1340 / 81 | $5.785,76 | 1250 / 64 | $4.653,03 | 1244 / 72 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 29 | $64.912,30 | 1461 / 73 | $14.098,30 | 1498 / 77 | $12.781,50 | 1480 / 81 |
Renal Failure W Mcc | 34 | 161 / 42 | $64.573,20 | 1822 / 94 | $11.501,20 | 1522 / 74 | $10.381,20 | 1521 / 75 |
Chest Pain | 33 | 118 / 24 | $29.363,30 | 1372 / 72 | $5.093,21 | 1241 / 47 | $4.117,52 | 1234 / 58 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 25 | $26.574,00 | 1671 / 90 | $5.904,22 | 1544 / 85 | $3.618,12 | 1538 / 85 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 24 | $116.576,00 | 1658 / 92 | $16.560,70 | 1228 / 62 | $15.244,80 | 1215 / 67 |
Seizures W/O Mcc | 32 | 76 / 15 | $33.420,60 | 1034 / 72 | $6.104,00 | 931 / 54 | $5.200,50 | 929 / 61 |
Respiratory Infections & Inflammations W Cc | 30 | 58 / 13 | $59.374,80 | 1246 / 66 | $10.422,30 | 1140 / 52 | $9.327,40 | 1135 / 60 |
G.I. Hemorrhage W Cc | 29 | 189 / 54 | $30.687,40 | 1597 / 71 | $7.611,83 | 1844 / 87 | $6.741,48 | 1840 / 92 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 25 | $32.243,40 | 1771 / 97 | $5.852,93 | 1564 / 69 | $4.569,10 | 1553 / 79 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 33 | $51.204,70 | 1552 / 89 | $9.463,07 | 1412 / 79 | $8.361,83 | 1409 / 84 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 9 | $217.833,00 | 806 / 47 | $42.156,30 | 395 / 32 | $35.015,50 | 394 / 22 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 21 | $37.612,60 | 1083 / 68 | $7.637,04 | 1071 / 60 | $6.751,76 | 1067 / 66 |
Diabetes W Cc | 25 | 67 / 17 | $36.304,30 | 1333 / 82 | $6.720,16 | 1180 / 60 | $5.671,28 | 1175 / 67 |
Syncope & Collapse | 25 | 144 / 38 | $30.792,20 | 1465 / 84 | $7.404,20 | 1292 / 87 | $4.577,56 | 1285 / 72 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 13 | $52.046,60 | 1205 / 58 | $7.860,56 | 1019 / 49 | $6.763,56 | 1017 / 52 |
Red Blood Cell Disorders W Mcc | 24 | 47 / 14 | $52.602,40 | 876 / 58 | $15.629,30 | 689 / 65 | $8.273,25 | 685 / 51 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 24 | $93.160,60 | 1149 / 57 | $17.515,30 | 1072 / 38 | $16.341,50 | 1059 / 59 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 14 | $178.677,00 | 911 / 50 | $22.684,00 | 654 / 24 | $21.309,50 | 650 / 36 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 24 | 44 / 7 | $38.213,60 | 584 / 41 | $7.084,42 | 480 / 27 | $5.848,58 | 480 / 31 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 9 | $25.864,40 | 525 / 30 | $6.044,43 | 560 / 28 | $4.881,87 | 558 / 34 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 26 | $25.456,60 | 1476 / 76 | $5.766,17 | 1549 / 75 | $4.553,30 | 1541 / 81 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 9 | $27.549,70 | 706 / 36 | $5.937,22 | 726 / 32 | $4.727,96 | 725 / 36 |
Dysequilibrium | 22 | 43 / 13 | $29.100,70 | 405 / 28 | $5.896,23 | 337 / 24 | $3.790,77 | 337 / 21 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 23 | $40.719,90 | 1021 / 74 | $8.720,95 | 790 / 63 | $6.164,32 | 787 / 56 |
Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 17 | $41.541,60 | 687 / 49 | $13.250,20 | 444 / 51 | $5.863,86 | 444 / 34 |
G.I. Obstruction W Cc | 21 | 71 / 28 | $38.996,80 | 1436 / 85 | $8.556,05 | 1287 / 80 | $5.815,95 | 1282 / 76 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 7 | $57.021,90 | 679 / 37 | $15.547,10 | 589 / 41 | $9.696,67 | 587 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 25 | $38.261,20 | 1313 / 71 | $9.644,38 | 1048 / 75 | $4.446,00 | 1044 / 62 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 16 | $26.470,60 | 1046 / 60 | $6.684,14 | 973 / 61 | $3.869,71 | 970 / 58 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 25 | $77.225,40 | 1122 / 68 | $14.897,40 | 921 / 54 | $12.852,40 | 914 / 54 |
Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $25.757,70 | 915 / 52 | $6.701,76 | 900 / 56 | $4.533,76 | 897 / 48 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 14 | $79.573,40 | 618 / 35 | $18.696,80 | 673 / 39 | $17.549,90 | 672 / 42 |
Other Vascular Procedures W Cc | 19 | 83 / 24 | $123.698,00 | 987 / 54 | $18.342,40 | 796 / 34 | $17.341,60 | 791 / 40 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 20 | $35.919,60 | 827 / 53 | $6.962,11 | 824 / 43 | $6.073,00 | 820 / 54 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $47.895,50 | 401 / 16 | $9.309,47 | 459 / 13 | $7.950,16 | 458 / 20 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 15 | $122.519,00 | 803 / 44 | $23.281,70 | 770 / 42 | $21.695,20 | 767 / 44 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 17 | $83.979,60 | 903 / 41 | $16.226,60 | 610 / 41 | $6.143,56 | 608 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 17 | $61.360,30 | 590 / 29 | $12.330,40 | 627 / 32 | $10.386,40 | 625 / 35 |
Diabetes W Mcc | 17 | 40 / 6 | $53.421,20 | 591 / 32 | $10.249,40 | 444 / 26 | $8.980,76 | 444 / 27 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 11 | $46.487,10 | 226 / 19 | $8.788,65 | 190 / 17 | $7.708,71 | 190 / 19 |
Cellulitis W Mcc | 16 | 42 / 17 | $47.150,40 | 706 / 45 | $10.576,40 | 636 / 42 | $9.569,81 | 634 / 48 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $195.194,00 | 1026 / 60 | $36.088,80 | 834 / 34 | $34.228,00 | 832 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $39.848,20 | 941 / 51 | $9.130,62 | 1002 / 49 | $8.166,56 | 997 / 56 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 27 | $29.994,80 | 692 / 43 | $5.590,44 | 509 / 27 | $4.492,62 | 508 / 29 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $57.732,20 | 911 / 49 | $13.750,50 | 560 / 48 | $5.480,80 | 557 / 31 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 12 | $241.730,00 | 847 / 43 | $36.558,40 | 601 / 27 | $34.711,40 | 600 / 32 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 9 | $28.381,70 | 289 / 18 | $8.341,86 | 236 / 19 | $3.936,07 | 236 / 10 |
Respiratory Neoplasms W Mcc | 14 | 38 / 16 | $71.312,90 | 507 / 34 | $12.780,60 | 446 / 28 | $11.732,60 | 444 / 32 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 17 | $94.030,30 | 429 / 22 | $17.583,60 | 357 / 19 | $12.470,60 | 353 / 21 |
Other Vascular Procedures W Mcc | 14 | 83 / 22 | $157.875,00 | 892 / 51 | $24.876,10 | 710 / 33 | $23.840,70 | 707 / 39 |
Transurethral Procedures W Cc | 14 | 27 / 9 | $51.303,50 | 286 / 24 | $9.710,57 | 289 / 19 | $8.443,29 | 289 / 24 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $81.005,90 | 668 / 44 | $15.364,50 | 644 / 40 | $14.265,60 | 637 / 46 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 13 | $72.901,40 | 609 / 21 | $16.047,60 | 685 / 16 | $14.744,40 | 682 / 25 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 9 | $25.673,20 | 215 / 22 | $5.969,07 | 160 / 13 | $4.682,29 | 160 / 17 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 8 | $37.543,80 | 280 / 19 | $9.456,00 | 191 / 20 | $4.858,42 | 191 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 17 | $59.814,80 | 353 / 14 | $14.407,40 | 474 / 19 | $13.470,60 | 470 / 26 |
Seizures W Mcc | 12 | 54 / 20 | $53.822,10 | 524 / 29 | $10.950,00 | 447 / 24 | $9.965,25 | 447 / 26 |
Extracranial Procedures W Cc | 12 | 34 / 11 | $103.340,00 | 358 / 19 | $11.891,20 | 297 / 16 | $10.840,80 | 297 / 17 |
Hypertension W/O Mcc | 12 | 53 / 18 | $33.796,30 | 681 / 43 | $5.275,92 | 556 / 30 | $4.104,50 | 554 / 30 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 14 | $280.286,00 | 575 / 25 | $77.638,30 | 304 / 26 | $26.749,40 | 304 / 10 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $24.296,70 | 670 / 32 | $5.256,25 | 562 / 24 | $3.771,58 | 561 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $66.696,90 | 939 / 56 | $11.874,20 | 762 / 46 | $10.592,00 | 760 / 46 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 5 | $82.138,20 | 167 / 8 | $12.468,30 | 119 / 7 | $11.682,00 | 119 / 7 |
Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 4 | $31.169,00 | 111 / 4 | $8.454,00 | 65 / 5 | $3.995,73 | 65 / 3 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $49.048,80 | 790 / 16 | $6.207,82 | 679 / 14 | $5.120,64 | 675 / 16 | Total 95 procedures | 3.280 | 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.