Hospital Costs > In Illinois > Vista Medical Center East, 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 | 131 | 385 / 56 | $90.086,30 | 2546 / 114 | $12.267,40 | 1715 / 54 | $11.492,90 | 1682 / 70 |
| Chest Pain | 125 | 36 / 2 | $31.318,20 | 1423 / 73 | $4.468,34 | 850 / 33 | $3.332,31 | 845 / 41 |
| Heart Failure & Shock W Mcc | 117 | 167 / 25 | $56.837,40 | 2142 / 105 | $10.333,00 | 1365 / 73 | $8.823,41 | 1362 / 62 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 25 | $38.164,40 | 2434 / 114 | $5.899,35 | 1710 / 82 | $4.351,75 | 1697 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 18 | $55.272,80 | 2284 / 111 | $8.563,65 | 1594 / 79 | $6.978,05 | 1586 / 75 |
| Heart Failure & Shock W Cc | 92 | 186 / 35 | $41.210,80 | 2361 / 116 | $7.078,46 | 1617 / 80 | $5.887,62 | 1612 / 75 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 81 | 85 / 12 | $25.468,20 | 1914 / 89 | $5.010,95 | 1556 / 62 | $4.131,15 | 1551 / 69 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 27 | $47.893,00 | 2518 / 115 | $7.778,27 | 1672 / 90 | $5.691,31 | 1665 / 75 |
| Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 18 | $40.227,10 | 2072 / 108 | $6.393,06 | 1423 / 55 | $5.413,82 | 1418 / 73 |
| Cellulitis W/O Mcc | 78 | 111 / 26 | $35.964,10 | 2317 / 118 | $6.003,47 | 1691 / 64 | $4.965,94 | 1684 / 81 |
| Syncope & Collapse | 77 | 92 / 9 | $34.055,10 | 1559 / 92 | $5.699,71 | 962 / 68 | $4.014,90 | 956 / 57 |
| Simple Pneumonia & Pleurisy W Mcc | 73 | 132 / 25 | $63.178,90 | 2148 / 105 | $9.619,22 | 1607 / 56 | $8.931,86 | 1607 / 78 |
| Renal Failure W Cc | 72 | 149 / 35 | $43.719,00 | 2121 / 105 | $7.641,60 | 1410 / 81 | $5.632,06 | 1401 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 33 | $31.360,10 | 2264 / 109 | $5.427,18 | 1656 / 62 | $4.500,59 | 1645 / 75 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 68 | 52 / 6 | $34.338,90 | 1828 / 98 | $5.303,96 | 1236 / 60 | $3.996,97 | 1227 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 75 | $133.230,00 | 2634 / 109 | $17.700,80 | 1588 / 91 | $12.291,00 | 1551 / 72 |
| G.I. Hemorrhage W Cc | 54 | 164 / 34 | $41.486,20 | 1993 / 104 | $6.913,59 | 1494 / 61 | $5.953,72 | 1490 / 77 |
| Transient Ischemia | 49 | 76 / 12 | $38.665,40 | 1409 / 86 | $4.985,63 | 971 / 40 | $3.996,90 | 966 / 59 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 22 | $70.780,30 | 1505 / 85 | $9.042,57 | 1171 / 58 | $6.906,00 | 1168 / 66 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 15 | $93.545,40 | 1447 / 74 | $14.785,70 | 923 / 37 | $13.815,30 | 915 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 40 | $60.721,20 | 2416 / 106 | $7.598,40 | 1731 / 65 | $6.642,12 | 1724 / 82 |
| Red Blood Cell Disorders W/O Mcc | 42 | 101 / 19 | $30.476,60 | 1518 / 86 | $5.613,17 | 1265 / 54 | $4.924,40 | 1257 / 68 |
| Renal Failure W Mcc | 41 | 154 / 37 | $66.816,20 | 1860 / 95 | $10.241,40 | 1211 / 52 | $9.459,34 | 1211 / 61 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 19 | $27.623,60 | 1698 / 93 | $4.841,95 | 1130 / 71 | $2.937,92 | 1125 / 64 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 31 | $148.550,00 | 1433 / 80 | $13.242,90 | 917 / 20 | $12.128,80 | 910 / 56 |
| Peripheral Vascular Disorders W Cc | 37 | 47 / 10 | $35.691,60 | 932 / 69 | $6.555,00 | 564 / 41 | $5.465,89 | 562 / 42 |
| Seizures W/O Mcc | 37 | 71 / 11 | $32.891,30 | 1019 / 71 | $5.366,81 | 692 / 34 | $4.483,27 | 689 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 36 | $35.592,50 | 1818 / 91 | $6.842,60 | 1158 / 79 | $4.453,14 | 1154 / 60 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 21 | $27.676,50 | 1644 / 96 | $4.814,86 | 1302 / 57 | $4.089,83 | 1292 / 71 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 40 | $56.430,70 | 1830 / 91 | $7.325,59 | 1294 / 51 | $6.329,82 | 1291 / 71 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 32 | $107.705,00 | 1935 / 99 | $12.644,80 | 1245 / 57 | $11.778,80 | 1229 / 71 |
| Medical Back Problems W/O Mcc | 32 | 89 / 28 | $31.341,10 | 1062 / 63 | $5.913,06 | 863 / 40 | $4.895,06 | 860 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 27 | $45.993,70 | 1421 / 85 | $7.332,71 | 840 / 36 | $6.667,94 | 837 / 53 |
| Diabetes W Cc | 30 | 62 / 12 | $42.389,20 | 1449 / 86 | $7.087,23 | 892 / 62 | $4.884,40 | 888 / 55 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 33 | $58.612,10 | 1667 / 96 | $8.001,83 | 985 / 50 | $7.109,69 | 982 / 64 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 21 | $34.420,40 | 1718 / 96 | $8.030,14 | 940 / 94 | $3.626,83 | 935 / 61 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 19 | $75.965,10 | 1111 / 66 | $22.823,10 | 581 / 72 | $11.071,50 | 579 / 34 |
| Red Blood Cell Disorders W Mcc | 27 | 44 / 11 | $66.069,10 | 1000 / 65 | $8.366,33 | 534 / 35 | $7.596,56 | 532 / 41 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 45 | $36.737,50 | 1374 / 50 | $8.045,00 | 1318 / 40 | $7.439,37 | 1314 / 62 |
| Diabetes W/O Cc/Mcc | 27 | 11 / 1 | $22.516,60 | 207 / 8 | $4.212,85 | 126 / 3 | $3.319,22 | 126 / 4 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 28 | $73.471,10 | 1377 / 79 | $11.223,60 | 785 / 38 | $10.507,80 | 782 / 44 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 22 | $45.906,00 | 1215 / 77 | $7.292,33 | 633 / 59 | $5.454,79 | 629 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $83.600,20 | 1392 / 78 | $14.928,40 | 744 / 69 | $10.022,20 | 743 / 45 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 17 | $28.360,10 | 991 / 56 | $4.904,18 | 765 / 33 | $4.190,00 | 762 / 39 |
| Hypertension W/O Mcc | 22 | 43 / 8 | $24.627,70 | 530 / 34 | $4.512,05 | 452 / 17 | $3.575,32 | 450 / 25 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 13 | $183.377,00 | 685 / 40 | $36.859,70 | 415 / 21 | $35.294,20 | 414 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $190.020,00 | 711 / 37 | $30.200,00 | 307 / 7 | $29.292,40 | 307 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 16 | $108.694,00 | 800 / 52 | $18.774,60 | 418 / 49 | $12.314,90 | 412 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 37 | $44.953,80 | 1607 / 87 | $7.367,62 | 1216 / 49 | $6.793,14 | 1212 / 68 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 19 | $39.155,00 | 874 / 60 | $6.042,38 | 618 / 26 | $5.120,48 | 614 / 39 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 10 | $28.719,60 | 441 / 24 | $6.107,60 | 349 / 15 | $5.203,60 | 349 / 23 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $33.983,10 | 777 / 34 | $4.538,25 | 427 / 18 | $3.394,25 | 426 / 18 |
| Dysequilibrium | 19 | 46 / 15 | $40.379,60 | 510 / 31 | $5.420,11 | 142 / 19 | $2.948,47 | 142 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 24 | $32.775,80 | 730 / 45 | $5.136,53 | 210 / 18 | $3.555,05 | 210 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 37 | $191.679,00 | 1232 / 74 | $33.135,10 | 764 / 32 | $32.141,70 | 758 / 47 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $36.519,90 | 891 / 45 | $4.977,83 | 598 / 23 | $4.040,94 | 594 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $39.549,20 | 1352 / 74 | $5.364,83 | 979 / 38 | $4.294,61 | 975 / 55 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 18 | 26 / 5 | $26.102,70 | 170 / 11 | $6.374,61 | 90 / 13 | $3.876,67 | 90 / 9 |
| G.I. Obstruction W Cc | 18 | 74 / 31 | $36.649,00 | 1386 / 82 | $6.092,78 | 1179 / 48 | $5.490,11 | 1176 / 71 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 15 | $25.296,80 | 517 / 29 | $5.344,59 | 440 / 23 | $4.346,94 | 438 / 29 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $30.280,30 | 755 / 39 | $4.604,35 | 458 / 19 | $3.757,29 | 457 / 25 |
| Cellulitis W Mcc | 17 | 41 / 16 | $73.313,60 | 883 / 57 | $9.948,76 | 591 / 37 | $9.306,88 | 589 / 45 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $69.116,80 | 1400 / 72 | $12.700,70 | 1102 / 52 | $12.078,20 | 1088 / 60 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $188.158,00 | 954 / 48 | $17.146,40 | 544 / 29 | $16.240,40 | 543 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $52.219,20 | 1194 / 66 | $8.012,25 | 753 / 29 | $7.254,25 | 748 / 47 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 33 | $70.707,10 | 958 / 58 | $11.448,10 | 795 / 43 | $10.805,90 | 792 / 51 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 23 | $37.088,60 | 631 / 45 | $6.688,67 | 399 / 24 | $5.639,07 | 399 / 29 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 19 | $97.418,40 | 798 / 39 | $10.845,10 | 536 / 19 | $9.797,60 | 534 / 29 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $66.739,80 | 1309 / 68 | $8.875,29 | 911 / 38 | $8.339,29 | 906 / 49 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 12 | $344.527,00 | 599 / 26 | $53.232,40 | 417 / 22 | $29.302,30 | 417 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 23 | $227.219,00 | 990 / 51 | $22.310,40 | 651 / 23 | $21.277,20 | 647 / 35 |
| Respiratory Signs & Symptoms | 14 | 32 / 6 | $33.713,20 | 259 / 18 | $4.883,93 | 130 / 6 | $3.937,64 | 130 / 8 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 27 | $52.597,50 | 1185 / 64 | $6.784,62 | 779 / 31 | $5.760,62 | 776 / 45 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $59.790,20 | 444 / 31 | $7.907,08 | 218 / 15 | $6.883,08 | 217 / 19 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 7 | $46.261,20 | 300 / 20 | $5.830,38 | 199 / 13 | $4.993,46 | 199 / 16 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 8 | $27.602,00 | 251 / 15 | $4.810,69 | 211 / 6 | $3.981,15 | 211 / 12 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 17 | $72.243,60 | 516 / 36 | $11.131,30 | 371 / 17 | $10.853,20 | 370 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 27 | $44.162,90 | 884 / 55 | $7.902,00 | 677 / 40 | $7.254,62 | 675 / 46 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 15 | $81.031,30 | 844 / 41 | $13.919,60 | 454 / 39 | $9.043,38 | 452 / 27 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $40.728,50 | 800 / 43 | $15.510,70 | 194 / 49 | $4.478,33 | 194 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 23 | $74.720,20 | 881 / 40 | $7.129,00 | 604 / 15 | $6.123,67 | 602 / 31 |
| Other Vascular Procedures W Cc | 12 | 90 / 31 | $124.387,00 | 992 / 56 | $16.122,10 | 528 / 16 | $15.119,40 | 525 / 26 |
| Seizures W Mcc | 12 | 54 / 20 | $69.322,20 | 633 / 34 | $9.987,50 | 310 / 15 | $8.976,83 | 310 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $34.008,60 | 1173 / 65 | $6.911,25 | 650 / 63 | $3.161,50 | 648 / 39 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 35 | $156.194,00 | 1459 / 73 | $16.695,80 | 967 / 29 | $15.589,20 | 956 / 56 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 11 | $23.304,20 | 194 / 20 | $8.320,67 | 106 / 23 | $3.994,33 | 106 / 12 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 10 | $352.126,00 | 390 / 18 | $45.537,50 | 170 / 6 | $40.645,50 | 170 / 7 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 6 | $41.456,00 | 283 / 12 | $5.577,25 | 129 / 4 | $4.571,92 | 129 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 11 | $63.281,30 | 816 / 23 | $30.047,90 | 205 / 26 | $7.291,82 | 204 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $59.336,20 | 1294 / 62 | $7.199,55 | 838 / 36 | $6.216,27 | 836 / 43 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 13 | $28.126,80 | 318 / 23 | $4.825,55 | 184 / 11 | $3.725,91 | 184 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $115.628,00 | 393 / 24 | $25.464,00 | 115 / 24 | $13.357,10 | 115 / 4 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 12 | $342.857,00 | 378 / 20 | $101.899,00 | 115 / 22 | $53.805,70 | 115 / 5 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 12 | $34.819,70 | 402 / 25 | $5.923,82 | 177 / 20 | $3.267,64 | 177 / 13 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 11 | $89.581,90 | 491 / 17 | $16.137,40 | 208 / 17 | $7.953,18 | 208 / 8 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $288.371,00 | 238 / 9 | $34.703,00 | 124 / 3 | $34.045,50 | 124 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 39 | $84.004,00 | 1590 / 83 | $11.382,10 | 1114 / 50 | $10.727,50 | 1109 / 61 | Total 97 procedures | 3.163 | 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.