Hospital Costs > In Illinois > Advocate Good Shepherd Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 206 | 358 / 35 | $44.854,40 | 1020 / 26 | $14.151,40 | 782 / 43 | $10.731,90 | 769 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 134 | 382 / 54 | $45.608,30 | 1602 / 50 | $11.909,70 | 1111 / 43 | $10.341,90 | 1097 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 108 | 167 / 24 | $20.782,20 | 1483 / 49 | $4.427,49 | 446 / 13 | $3.356,21 | 444 / 16 |
| Heart Failure & Shock W Cc | 98 | 180 / 30 | $23.925,90 | 1579 / 60 | $5.982,91 | 331 / 30 | $4.707,89 | 331 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 91 | 114 / 18 | $44.047,30 | 1720 / 70 | $9.803,00 | 1410 / 60 | $8.513,70 | 1410 / 60 |
| Heart Failure & Shock W Mcc | 91 | 193 / 40 | $40.252,30 | 1672 / 65 | $9.603,27 | 1188 / 50 | $8.568,45 | 1185 / 51 |
| Renal Failure W Cc | 75 | 146 / 33 | $21.623,40 | 1141 / 36 | $6.573,55 | 251 / 61 | $4.476,24 | 250 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 65 | 96 / 17 | $17.883,10 | 846 / 24 | $4.927,28 | 290 / 22 | $3.595,11 | 290 / 12 |
| Renal Failure W Mcc | 61 | 134 / 24 | $45.511,30 | 1459 / 70 | $10.469,50 | 1011 / 61 | $8.952,52 | 1011 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 33 | $32.106,40 | 1596 / 63 | $7.654,05 | 223 / 45 | $5.449,59 | 222 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 43 | $22.833,30 | 1435 / 42 | $5.796,53 | 659 / 13 | $4.784,16 | 656 / 22 |
| G.I. Hemorrhage W Cc | 53 | 165 / 35 | $24.999,70 | 1198 / 41 | $6.076,77 | 324 / 24 | $4.734,42 | 324 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 17 | $22.243,50 | 723 / 25 | $7.464,92 | 191 / 55 | $5.236,33 | 191 / 3 |
| Cellulitis W/O Mcc | 52 | 137 / 36 | $17.828,20 | 1223 / 43 | $5.316,37 | 308 / 32 | $3.696,40 | 305 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 24 | $48.988,50 | 1013 / 34 | $11.532,60 | 707 / 25 | $10.440,00 | 702 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 20 | $84.705,80 | 579 / 12 | $28.492,50 | 383 / 33 | $21.147,20 | 382 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 36 | $29.410,70 | 1112 / 37 | $6.148,45 | 481 / 8 | $5.206,65 | 480 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 43 | $27.713,20 | 1602 / 68 | $6.303,38 | 253 / 50 | $4.264,62 | 253 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 43 | $22.304,90 | 1000 / 23 | $6.501,26 | 521 / 20 | $5.229,10 | 519 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 56 | $17.790,30 | 1318 / 37 | $4.407,26 | 305 / 8 | $3.445,62 | 305 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 20 | $14.614,20 | 944 / 30 | $3.539,89 | 164 / 17 | $2.064,82 | 164 / 7 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 13 | $63.962,10 | 725 / 20 | $16.672,50 | 245 / 27 | $12.626,70 | 243 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 14 | $21.309,40 | 672 / 20 | $5.619,39 | 203 / 46 | $3.210,03 | 201 / 10 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 21 | $54.857,10 | 1106 / 55 | $14.786,30 | 1169 / 70 | $12.004,90 | 1161 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 29 | $23.954,60 | 587 / 23 | $7.910,21 | 230 / 47 | $5.927,15 | 230 / 6 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 41 | $35.508,80 | 1313 / 46 | $8.885,42 | 762 / 69 | $6.663,39 | 762 / 27 |
| Transient Ischemia | 33 | 92 / 23 | $19.175,80 | 596 / 22 | $4.394,97 | 152 / 19 | $2.923,39 | 152 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 29 | $36.130,30 | 550 / 20 | $9.860,39 | 330 / 11 | $8.873,24 | 329 / 17 |
| G.I. Obstruction W Cc | 33 | 59 / 20 | $27.178,70 | 1096 / 53 | $5.476,18 | 345 / 24 | $4.269,64 | 344 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 18 | $40.555,80 | 825 / 28 | $10.585,50 | 607 / 29 | $9.228,91 | 606 / 30 |
| Medical Back Problems W/O Mcc | 33 | 88 / 27 | $22.354,60 | 695 / 27 | $4.849,06 | 282 / 10 | $3.930,76 | 282 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 36 | $76.895,40 | 813 / 36 | $12.870,50 | 809 / 14 | $11.698,90 | 804 / 46 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 36 | $27.624,10 | 405 / 11 | $6.683,93 | 258 / 12 | $5.072,63 | 258 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 26 | $16.997,90 | 1059 / 41 | $4.487,34 | 147 / 44 | $2.892,14 | 145 / 5 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 37 | $49.774,90 | 1067 / 41 | $11.838,30 | 760 / 28 | $11.047,10 | 752 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 49 | $17.615,40 | 1282 / 47 | $4.093,04 | 193 / 12 | $2.997,64 | 193 / 5 |
| Syncope & Collapse | 27 | 142 / 36 | $19.407,00 | 802 / 27 | $4.659,33 | 178 / 26 | $3.129,89 | 177 / 5 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $27.134,70 | 730 / 31 | $6.215,73 | 240 / 18 | $4.687,23 | 240 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 6 | $122.616,00 | 396 / 20 | $35.426,80 | 188 / 24 | $27.822,40 | 188 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 26 | $15.567,70 | 793 / 29 | $4.137,52 | 345 / 5 | $3.088,48 | 343 / 18 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 5 | $123.275,00 | 244 / 5 | $36.414,50 | 166 / 18 | $24.428,70 | 166 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 23 | $37.602,00 | 893 / 46 | $7.034,09 | 258 / 9 | $6.155,55 | 257 / 11 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 5 | $41.914,60 | 197 / 9 | $10.362,60 | 77 / 6 | $5.808,29 | 77 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 11 | $15.893,30 | 222 / 5 | $4.314,48 | 89 / 6 | $3.224,95 | 89 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $28.615,80 | 681 / 21 | $6.714,50 | 673 / 24 | $5.807,30 | 671 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 34 | $19.798,60 | 1247 / 54 | $4.211,80 | 236 / 12 | $3.063,00 | 236 / 9 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 10 | $32.830,80 | 340 / 11 | $8.488,30 | 167 / 18 | $5.084,90 | 167 / 8 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 19 | $18.271,80 | 560 / 18 | $4.686,80 | 73 / 27 | $2.887,65 | 73 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 21 | $25.065,10 | 480 / 21 | $6.863,68 | 151 / 15 | $5.780,74 | 151 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 13 | $56.688,30 | 201 / 5 | $17.669,60 | 188 / 5 | $16.718,00 | 188 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 14 | $62.763,80 | 335 / 9 | $17.946,70 | 350 / 18 | $16.931,10 | 347 / 17 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 27 | $24.206,10 | 633 / 30 | $5.699,56 | 209 / 8 | $4.693,33 | 207 / 12 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 15 | $45.695,20 | 401 / 17 | $10.892,90 | 336 / 15 | $10.356,10 | 335 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 38 | $73.017,40 | 1201 / 62 | $16.221,60 | 1273 / 57 | $15.533,10 | 1260 / 71 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 39 | $85.955,10 | 309 / 9 | $29.882,90 | 452 / 13 | $29.103,60 | 448 / 22 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 9 | $58.661,50 | 192 / 5 | $15.605,90 | 214 / 4 | $14.536,80 | 214 / 10 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 41 | $25.335,10 | 1273 / 71 | $4.649,71 | 396 / 11 | $3.862,88 | 395 / 20 |
| Chest Pain | 17 | 134 / 38 | $12.695,90 | 283 / 6 | $3.542,41 | 301 / 8 | $2.687,82 | 300 / 12 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 6 | $166.393,00 | 152 / 6 | $49.092,10 | 178 / 12 | $41.032,60 | 178 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 27 | $21.233,80 | 517 / 31 | $4.011,25 | 157 / 4 | $3.409,25 | 157 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 14 | $53.177,90 | 387 / 7 | $13.143,00 | 361 / 6 | $11.929,00 | 358 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 11 | $49.105,50 | 328 / 5 | $18.070,60 | 139 / 21 | $10.673,20 | 139 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $117.523,00 | 539 / 16 | $33.562,10 | 731 / 26 | $32.660,10 | 729 / 37 |
| Seizures W/O Mcc | 16 | 92 / 28 | $18.875,60 | 493 / 18 | $5.365,19 | 36 / 33 | $3.027,38 | 36 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 26 | $101.338,00 | 592 / 23 | $24.143,60 | 200 / 29 | $17.813,80 | 200 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 19 | $30.458,20 | 457 / 12 | $6.172,06 | 228 / 4 | $5.042,06 | 228 / 9 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 13 | $34.811,20 | 287 / 14 | $9.271,56 | 286 / 21 | $8.365,56 | 286 / 23 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 9 | $15.633,60 | 79 / 1 | $4.263,60 | 36 / 2 | $3.226,80 | 36 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 33 | $33.417,10 | 482 / 23 | $8.349,60 | 98 / 2 | $7.545,33 | 98 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 40 | $24.628,90 | 680 / 28 | $6.300,53 | 224 / 7 | $5.575,20 | 222 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 19 | $49.865,60 | 212 / 6 | $18.125,10 | 74 / 36 | $13.128,50 | 74 / 1 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $21.854,80 | 492 / 24 | $5.534,40 | 243 / 13 | $4.728,00 | 242 / 15 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 13 | $54.227,20 | 303 / 14 | $11.111,00 | 158 / 4 | $9.925,86 | 158 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $15.037,30 | 528 / 17 | $4.307,86 | 60 / 30 | $2.199,71 | 60 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $133.796,00 | 412 / 23 | $37.326,00 | 302 / 24 | $33.277,00 | 301 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 14 | $29.923,10 | 247 / 10 | $6.556,00 | 69 / 5 | $5.436,00 | 69 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $40.663,10 | 425 / 17 | $9.615,29 | 303 / 14 | $8.497,57 | 302 / 17 |
| Diabetes W Cc | 14 | 78 / 26 | $16.570,50 | 450 / 16 | $4.756,57 | 231 / 5 | $3.890,29 | 231 / 12 |
| Cellulitis W Mcc | 14 | 44 / 19 | $32.732,10 | 435 / 21 | $7.874,57 | 105 / 1 | $7.017,43 | 105 / 4 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $47.993,50 | 1118 / 60 | $8.299,00 | 666 / 19 | $7.695,57 | 662 / 35 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 33 | $49.726,40 | 735 / 36 | $11.835,00 | 255 / 25 | $9.832,46 | 255 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 25 | $20.463,80 | 246 / 11 | $6.808,38 | 61 / 27 | $4.348,69 | 61 / 4 |
| Other Vascular Procedures W Cc | 13 | 89 / 30 | $86.260,70 | 709 / 29 | $17.710,20 | 728 / 29 | $16.595,10 | 724 / 38 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 26 | $21.627,30 | 446 / 17 | $5.129,92 | 142 / 5 | $3.913,92 | 140 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 20 | $13.433,40 | 219 / 3 | $3.608,50 | 61 / 1 | $2.808,50 | 61 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 17 | $92.791,10 | 205 / 4 | $21.449,60 | 231 / 7 | $20.542,90 | 230 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 11 | $46.181,80 | 405 / 12 | $13.028,60 | 179 / 12 | $7.950,50 | 179 / 5 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 19 | $49.301,60 | 374 / 17 | $10.782,60 | 108 / 15 | $8.884,55 | 108 / 3 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 12 | $28.874,50 | 75 / 2 | $7.565,27 | 67 / 5 | $7.126,00 | 67 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $42.169,00 | 184 / 4 | $12.736,90 | 234 / 9 | $11.529,60 | 233 / 14 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 19 | $23.057,30 | 297 / 9 | $5.187,18 | 123 / 3 | $4.302,82 | 123 / 6 |
| Transurethral Procedures W Cc | 11 | 30 / 12 | $27.004,00 | 86 / 3 | $7.483,18 | 116 / 5 | $6.715,18 | 116 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $13.479,10 | 249 / 7 | $4.103,45 | 126 / 4 | $3.003,82 | 126 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 19 | $39.462,00 | 292 / 14 | $15.308,00 | 61 / 33 | $9.380,00 | 61 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $125.640,00 | 369 / 16 | $31.910,80 | 414 / 17 | $31.029,40 | 414 / 21 | Total 95 procedures | 2.921 | 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.