Hospital Costs > In Illinois > Touchette Regional Hospital Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 70 | 57 / 10 | $3.737,74 | 2 / 1 | $6.779,43 | 700 / 38 | $5.667,23 | 699 / 41 |
Cellulitis W/O Mcc | 12 | 177 / 69 | $4.986,50 | 5 / 1 | $7.469,17 | 2309 / 95 | $6.559,83 | 2301 / 107 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 69 | $11.274,30 | 88 / 2 | $9.679,29 | 2216 / 95 | $8.902,14 | 2208 / 103 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $9.869,73 | 230 / 4 | $7.007,18 | 1973 / 86 | $6.457,36 | 1962 / 95 |
Heart Failure & Shock W Mcc | 14 | 270 / 86 | $15.233,40 | 150 / 3 | $11.630,40 | 2171 / 88 | $11.118,40 | 2161 / 102 |
Psychoses | 140 | 159 / 16 | $5.462,40 | 2 / 1 | $8.809,22 | 491 / 26 | $7.982,06 | 491 / 28 | Total 6 procedures | 261 | 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.