Hospital Costs > In Illinois > Westlake Community Hospital, 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 | 99 | 40 / 9 | $15.964,50 | 380 / 22 | $6.246,91 | 660 / 32 | $5.356,87 | 659 / 39 |
Psychoses | 75 | 211 / 19 | $57.419,60 | 596 / 32 | $9.883,20 | 391 / 29 | $6.702,73 | 391 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 88 | $59.828,40 | 2083 / 83 | $14.127,10 | 2081 / 88 | $12.669,00 | 2044 / 89 |
Heart Failure & Shock W Cc | 24 | 254 / 76 | $27.759,00 | 1842 / 78 | $8.440,54 | 2336 / 98 | $7.472,50 | 2330 / 105 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 49 | $43.016,40 | 1587 / 79 | $8.829,30 | 1712 / 79 | $7.678,17 | 1708 / 86 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 60 | $39.717,60 | 2061 / 107 | $8.162,05 | 2030 / 94 | $6.817,33 | 2023 / 101 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 37 | $129.442,00 | 828 / 44 | $36.360,40 | 925 / 51 | $34.378,40 | 919 / 57 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 72 | $24.798,20 | 1966 / 81 | $6.705,89 | 2296 / 92 | $5.752,74 | 2285 / 98 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 46 | $95.931,10 | 1119 / 66 | $15.594,40 | 1215 / 48 | $14.284,10 | 1208 / 74 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 42 | $64.791,30 | 1200 / 67 | $13.209,30 | 1149 / 60 | $11.799,20 | 1143 / 67 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 74 | $39.056,40 | 2298 / 104 | $8.321,17 | 2374 / 95 | $7.132,83 | 2365 / 103 |
Transient Ischemia | 16 | 109 / 38 | $32.819,10 | 1274 / 76 | $6.360,19 | 1237 / 71 | $4.618,69 | 1231 / 70 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 21 | $115.907,00 | 638 / 31 | $23.544,10 | 722 / 26 | $22.343,40 | 718 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 59 | $27.300,50 | 2016 / 97 | $6.307,93 | 2180 / 91 | $5.468,20 | 2172 / 100 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 31 | $54.916,10 | 848 / 45 | $13.946,70 | 899 / 46 | $12.712,10 | 893 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 68 | $42.014,90 | 1988 / 91 | $9.406,60 | 2090 / 92 | $8.239,80 | 2082 / 97 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 14 | 35 / 10 | $13.322,70 | 91 / 10 | $4.488,36 | 72 / 7 | $4.011,07 | 71 / 7 |
Heart Failure & Shock W Mcc | 14 | 270 / 86 | $52.381,80 | 2048 / 96 | $11.918,40 | 2163 / 91 | $11.073,70 | 2153 / 101 |
G.I. Hemorrhage W Cc | 14 | 204 / 67 | $59.734,10 | 2305 / 110 | $8.688,07 | 2004 / 97 | $7.281,21 | 2000 / 100 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 49 | $56.053,30 | 1330 / 75 | $8.699,00 | 1209 / 53 | $7.052,00 | 1206 / 70 |
Syncope & Collapse | 13 | 156 / 49 | $32.107,20 | 1507 / 89 | $6.498,54 | 1548 / 76 | $5.315,92 | 1541 / 84 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 63 | $52.179,60 | 2300 / 104 | $9.072,85 | 2179 / 88 | $7.921,77 | 2170 / 99 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 51 | $71.915,70 | 1424 / 74 | $15.101,90 | 1419 / 74 | $13.709,50 | 1404 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 42 | $37.415,20 | 1238 / 70 | $9.108,00 | 1313 / 68 | $8.199,85 | 1310 / 75 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 83 | $22.266,20 | 1657 / 60 | $6.501,17 | 2231 / 91 | $5.327,83 | 2216 / 99 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $60.669,10 | 887 / 54 | $12.432,50 | 847 / 51 | $11.314,80 | 844 / 56 |
Medical Back Problems W/O Mcc | 11 | 110 / 47 | $35.647,80 | 1160 / 71 | $7.435,64 | 1265 / 63 | $6.393,91 | 1261 / 70 |
Cellulitis W/O Mcc | 11 | 178 / 70 | $31.531,00 | 2183 / 114 | $7.295,27 | 2162 / 92 | $5.974,55 | 2154 / 101 | Total 28 procedures | 611 | 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.