Hospital Costs > In Illinois > West Suburban Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 48 | $25.340,80 | 1416 / 60 | $7.513,29 | 1876 / 85 | $6.170,71 | 1871 / 90 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 47 | $36.828,90 | 1217 / 64 | $10.487,00 | 1558 / 87 | $8.940,87 | 1555 / 90 |
Cellulitis W/O Mcc | 14 | 175 / 67 | $23.045,20 | 1743 / 83 | $8.115,71 | 2242 / 104 | $6.286,86 | 2234 / 105 |
Chest Pain | 19 | 132 / 36 | $27.590,00 | 1311 / 69 | $6.144,00 | 1430 / 66 | $4.861,37 | 1422 / 67 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 58 | $28.336,60 | 1644 / 71 | $8.502,39 | 1975 / 97 | $6.606,91 | 1968 / 98 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 55 | $33.923,60 | 1685 / 68 | $9.982,73 | 2165 / 98 | $8.619,07 | 2157 / 102 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 34 | $23.283,20 | 1466 / 69 | $6.983,65 | 1840 / 85 | $5.540,55 | 1829 / 89 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 47 | $56.518,60 | 1338 / 76 | $10.031,10 | 1352 / 70 | $7.809,24 | 1349 / 78 |
Diabetes W Cc | 19 | 73 / 21 | $30.262,40 | 1180 / 63 | $7.969,53 | 1322 / 72 | $6.304,26 | 1317 / 72 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $49.242,50 | 1145 / 64 | $10.850,00 | 1216 / 62 | $9.473,00 | 1211 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 70 | $31.177,70 | 2218 / 103 | $7.317,12 | 2376 / 102 | $5.819,38 | 2361 / 103 |
G.I. Hemorrhage W Cc | 31 | 187 / 53 | $37.219,90 | 1863 / 93 | $9.057,06 | 2042 / 99 | $7.462,29 | 2038 / 101 |
Heart Failure & Shock W Cc | 47 | 231 / 57 | $29.611,80 | 1935 / 85 | $9.048,96 | 2347 / 107 | $7.533,43 | 2341 / 108 |
Heart Failure & Shock W Mcc | 69 | 215 / 51 | $40.260,30 | 1673 / 66 | $12.485,30 | 2128 / 99 | $10.899,90 | 2118 / 98 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 30 | $26.990,20 | 1628 / 95 | $6.817,12 | 1762 / 93 | $5.407,36 | 1749 / 96 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 50 | $75.200,20 | 1636 / 89 | $15.998,80 | 1600 / 87 | $13.339,00 | 1581 / 85 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 30 | $137.466,00 | 900 / 48 | $39.008,30 | 1050 / 63 | $36.135,80 | 1043 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 43 | $37.795,60 | 1447 / 67 | $9.815,13 | 1706 / 85 | $7.643,16 | 1702 / 85 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $46.203,50 | 859 / 38 | $13.500,60 | 912 / 63 | $10.679,10 | 909 / 55 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 45 | $30.179,90 | 1180 / 57 | $9.613,50 | 1635 / 80 | $8.309,83 | 1631 / 84 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 66 | $28.770,00 | 2167 / 100 | $7.486,67 | 2396 / 101 | $6.143,04 | 2385 / 102 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 8 | $90.210,40 | 325 / 18 | $19.838,40 | 332 / 20 | $16.336,40 | 331 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 88 | $81.125,50 | 2228 / 99 | $16.601,40 | 2171 / 83 | $14.473,20 | 2127 / 98 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $119.477,00 | 554 / 17 | $37.923,50 | 899 / 41 | $35.409,20 | 897 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $30.824,40 | 1000 / 53 | $9.917,64 | 1417 / 78 | $8.822,92 | 1414 / 80 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 37 | $25.422,70 | 1910 / 88 | $6.856,50 | 2142 / 100 | $5.354,55 | 2134 / 97 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 31 | $55.722,10 | 860 / 47 | $15.627,50 | 987 / 61 | $13.499,20 | 980 / 59 |
Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $92.665,50 | 302 / 21 | $22.309,70 | 325 / 21 | $20.477,50 | 325 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 22 | $124.143,00 | 693 / 37 | $26.439,20 | 839 / 36 | $24.629,50 | 834 / 47 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 42 | $83.528,20 | 929 / 46 | $16.388,50 | 1234 / 51 | $14.523,50 | 1227 / 75 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 42 | $46.017,30 | 1669 / 76 | $10.979,10 | 1880 / 84 | $9.267,69 | 1875 / 89 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 23 | $34.615,20 | 572 / 32 | $11.064,00 | 903 / 55 | $9.863,29 | 899 / 59 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 32 | $25.303,60 | 1269 / 69 | $7.590,50 | 1665 / 89 | $6.155,54 | 1656 / 92 |
Renal Failure W Cc | 35 | 186 / 58 | $31.580,80 | 1772 / 85 | $8.832,11 | 2054 / 93 | $7.261,31 | 2044 / 94 |
Renal Failure W Mcc | 31 | 164 / 44 | $38.895,20 | 1236 / 59 | $12.746,60 | 1721 / 82 | $11.283,50 | 1719 / 88 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 29 | $63.155,60 | 984 / 43 | $17.634,10 | 1312 / 70 | $15.809,90 | 1299 / 75 |
Seizures W/O Mcc | 16 | 92 / 28 | $35.251,20 | 1067 / 76 | $7.617,50 | 1094 / 70 | $6.128,75 | 1092 / 69 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 79 | $55.553,90 | 1967 / 76 | $15.286,40 | 2271 / 99 | $13.518,80 | 2231 / 98 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 60 | $35.044,40 | 1862 / 73 | $9.699,44 | 2177 / 94 | $7.914,06 | 2168 / 98 |
Signs & Symptoms W/O Mcc | 14 | 77 / 25 | $35.359,80 | 1141 / 63 | $7.119,50 | 1101 / 58 | $5.455,50 | 1098 / 60 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 68 | $31.837,10 | 2050 / 89 | $8.926,44 | 2455 / 98 | $7.473,16 | 2446 / 105 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 67 | $42.137,20 | 1640 / 63 | $12.361,50 | 2080 / 91 | $10.520,60 | 2077 / 100 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 38 | $21.186,50 | 1270 / 61 | $6.898,27 | 1774 / 87 | $5.487,73 | 1766 / 91 |
Syncope & Collapse | 41 | 128 / 25 | $26.944,70 | 1307 / 69 | $7.086,12 | 1610 / 81 | $5.570,83 | 1603 / 86 |
Transient Ischemia | 26 | 99 / 28 | $29.766,80 | 1170 / 66 | $7.175,54 | 1392 / 77 | $5.224,27 | 1385 / 80 | Total 45 procedures | 1.127 | 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.