Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Illinois

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Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Illinois


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Advocate Lutheran General HospitalPark Ridge12$166,101.00$64,293.10$62,296.10
Centegra Health System - Mc Henry HospitalMchenry11$181,942.00$50,518.50$49,416.00
Loyola University Medical CenterMaywood14$203,161.00$84,672.30$67,431.60
St Johns HospitalSpringfield16$241,146.00$77,471.90$55,857.20
Advocate Christ Hospital & Medical CenterOak Lawn25$285,624.00$86,612.80$74,197.60
Northwestern Memorial HospitalChicago18$324,169.00$75,960.80$71,439.10
Rush University Medical CenterChicago20$362,503.00$98,265.90$91,920.70
Alexian Brothers Medical Center 1Elk Grove Villa15$395,224.00$79,258.20$72,462.80
The University Of Chicago Medical CenterChicago16$579,394.00$116,388.00$106,336.00
Total 9 hospitals147

DATA

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.





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