Hospital Costs > In Illinois > Jersey Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $8.530,91 | 19 / 1 | $6.399,55 | 779 / 17 | $6.076,64 | 777 / 39 |
| Cellulitis W/O Mcc | 15 | 174 / 66 | $9.533,07 | 207 / 4 | $5.358,13 | 935 / 35 | $4.227,47 | 929 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 65 | $11.713,40 | 209 / 4 | $5.890,07 | 1420 / 30 | $5.405,80 | 1415 / 72 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 35 | $10.496,30 | 52 / 1 | $7.402,64 | 1287 / 39 | $6.560,36 | 1281 / 57 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $8.328,94 | 113 / 1 | $4.526,35 | 862 / 25 | $3.619,53 | 857 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 78 | $10.242,00 | 232 / 1 | $4.701,55 | 1094 / 25 | $3.820,09 | 1086 / 51 |
| Heart Failure & Shock W Cc | 21 | 257 / 78 | $9.869,14 | 124 / 2 | $6.226,57 | 1087 / 39 | $5.361,05 | 1085 / 47 |
| Heart Failure & Shock W Mcc | 49 | 235 / 61 | $12.129,50 | 54 / 2 | $9.353,73 | 1335 / 45 | $8.761,41 | 1332 / 61 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 42 | $9.204,15 | 197 / 1 | $4.300,31 | 461 / 28 | $3.276,31 | 459 / 27 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $22.697,30 | 57 / 2 | $10.327,40 | 470 / 22 | $9.122,08 | 468 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 73 | $10.161,90 | 311 / 1 | $4.878,89 | 1070 / 32 | $4.006,00 | 1062 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 85 | $25.636,00 | 92 / 1 | $13.491,40 | 1616 / 27 | $12.351,70 | 1579 / 74 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 46 | $10.426,40 | 136 / 1 | $6.176,31 | 1160 / 34 | $5.201,54 | 1156 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 72 | $11.793,30 | 30 / 1 | $9.315,21 | 828 / 49 | $7.685,00 | 828 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 13 | $8.075,57 | 97 / 1 | $4.469,86 | 872 / 26 | $3.565,65 | 868 / 55 | Total 15 procedures | 386 | 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.