Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Illinois

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Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Illinois


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Evanston HospitalEvanston28$50,969.40$13,473.00$12,236.90
Adventist La Grange Memorial HospitalLa Grange13$64,305.00$12,395.80$11,122.50
Saint Francis Medical CenterPeoria16$54,783.50$12,491.90$11,585.90
Hinsdale HospitalHinsdale29$68,517.30$13,002.80$11,523.20
Memorial Hospital BellevilleBelleville17$45,115.60$11,587.00$10,149.80
Elmhurst Memorial HospitalElmhurst14$60,173.10$11,296.50$10,521.60
Advocate Condell Medical CenterLibertyville25$67,405.10$12,658.80$11,536.70
Advocate Lutheran General HospitalPark Ridge12$51,088.90$15,021.60$13,617.20
Edward HospitalNaperville13$58,399.40$11,697.60$10,838.90
Alexian Brothers Medical Center 1Elk Grove Villa24$59,025.30$11,931.50$10,915.10
Northwestern Memorial HospitalChicago14$67,948.70$21,830.10$12,180.70
Advocate Good Samaritan HospitalDowners Grove23$47,880.40$11,700.80$10,842.30
Total 12 hospitals228

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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