Hospital Costs > In Illinois > Macneal 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 | 13 | 78 / 24 | $34.026,10 | 881 / 34 | $8.372,92 | 1081 / 50 | $7.042,62 | 1079 / 54 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 27 | $33.797,20 | 570 / 18 | $13.354,50 | 1360 / 71 | $11.830,10 | 1349 / 71 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 29 | $14.609,70 | 322 / 20 | $6.764,93 | 494 / 37 | $4.438,64 | 493 / 28 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 11 | $16.732,40 | 123 / 7 | $6.607,17 | 188 / 18 | $5.118,67 | 188 / 19 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 25 | $15.055,90 | 194 / 6 | $7.533,64 | 768 / 46 | $5.795,14 | 764 / 50 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 10 | $15.736,30 | 146 / 5 | $5.904,00 | 273 / 12 | $4.375,38 | 273 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 37 | $26.074,00 | 1459 / 63 | $7.329,94 | 1808 / 84 | $5.849,73 | 1803 / 88 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 37 | $23.253,30 | 541 / 20 | $9.677,24 | 1258 / 81 | $7.775,24 | 1255 / 79 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 39 | $18.416,80 | 1302 / 59 | $5.117,94 | 1373 / 78 | $3.252,19 | 1368 / 76 |
| Cellulitis W Mcc | 16 | 42 / 17 | $31.674,90 | 415 / 20 | $12.238,40 | 639 / 50 | $9.590,88 | 637 / 49 |
| Cellulitis W/O Mcc | 52 | 137 / 36 | $16.934,80 | 1117 / 36 | $7.307,90 | 2045 / 93 | $5.667,50 | 2037 / 96 |
| Chest Pain | 24 | 127 / 33 | $22.049,50 | 1059 / 52 | $5.557,67 | 1327 / 55 | $4.358,88 | 1320 / 63 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 43 | $17.048,70 | 705 / 17 | $7.771,75 | 1742 / 90 | $5.948,08 | 1735 / 86 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 34 | $22.958,20 | 970 / 26 | $9.541,14 | 1988 / 93 | $7.935,16 | 1980 / 92 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $15.604,10 | 858 / 25 | $6.269,95 | 1606 / 76 | $4.662,09 | 1595 / 82 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $50.976,40 | 338 / 19 | $16.267,50 | 680 / 43 | $14.859,00 | 673 / 48 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 43 | $41.593,00 | 994 / 44 | $9.047,55 | 1277 / 59 | $7.351,27 | 1274 / 73 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 11 | $242.972,00 | 313 / 13 | $47.947,00 | 131 / 9 | $39.479,50 | 131 / 5 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 18 | $30.673,80 | 476 / 28 | $7.663,42 | 502 / 30 | $6.044,58 | 502 / 33 |
| Degenerative Nervous System Disorders W/O Mcc | 32 | 46 / 11 | $22.145,50 | 302 / 15 | $8.624,09 | 584 / 39 | $6.614,41 | 584 / 38 |
| Depressive Neuroses | 12 | 38 / 2 | $7.922,42 | 28 / 1 | $6.184,25 | 116 / 2 | $5.475,08 | 116 / 2 |
| Diabetes W Cc | 27 | 65 / 15 | $19.846,40 | 687 / 23 | $7.057,04 | 1224 / 61 | $5.842,81 | 1219 / 70 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $23.943,20 | 438 / 15 | $7.934,38 | 751 / 35 | $6.477,77 | 748 / 45 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $27.034,50 | 46 / 2 | $14.175,80 | 187 / 11 | $11.526,90 | 187 / 9 |
| Dysequilibrium | 14 | 51 / 19 | $18.315,80 | 203 / 7 | $5.784,21 | 422 / 21 | $4.413,79 | 422 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 18 | $26.968,10 | 522 / 21 | $9.700,69 | 1049 / 53 | $8.372,55 | 1044 / 58 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 88 | 187 / 32 | $22.914,70 | 1708 / 66 | $6.851,49 | 2172 / 97 | $5.175,06 | 2158 / 97 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 10 | $112.580,00 | 301 / 13 | $32.386,90 | 381 / 21 | $30.350,30 | 381 / 19 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 18 | $18.776,00 | 467 / 14 | $6.507,43 | 784 / 34 | $5.121,14 | 783 / 38 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 13 | $20.418,40 | 389 / 18 | $6.886,42 | 645 / 34 | $5.360,21 | 643 / 38 |
| G.I. Hemorrhage W Cc | 49 | 169 / 37 | $23.246,40 | 1055 / 33 | $8.582,90 | 1668 / 94 | $6.294,20 | 1664 / 83 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 31 | $30.396,20 | 335 / 9 | $13.610,40 | 1093 / 63 | $11.677,20 | 1085 / 64 |
| G.I. Obstruction W Cc | 13 | 79 / 36 | $22.969,10 | 863 / 30 | $7.749,69 | 1382 / 72 | $6.170,15 | 1377 / 80 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $20.544,90 | 843 / 42 | $5.737,47 | 1103 / 56 | $4.311,73 | 1100 / 63 |
| Heart Failure & Shock W Cc | 83 | 195 / 37 | $20.144,50 | 1199 / 39 | $8.318,63 | 2137 / 97 | $6.817,70 | 2131 / 96 |
| Heart Failure & Shock W Mcc | 69 | 215 / 51 | $25.287,00 | 764 / 21 | $11.677,20 | 1875 / 90 | $9.966,06 | 1870 / 87 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 30 | $14.922,90 | 845 / 29 | $6.093,80 | 1701 / 87 | $5.084,44 | 1688 / 92 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 27 | $55.597,80 | 1228 / 49 | $15.084,40 | 1561 / 83 | $13.116,20 | 1542 / 83 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 21 | $69.499,60 | 410 / 15 | $22.772,30 | 741 / 41 | $21.119,70 | 738 / 42 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 31 | $85.287,50 | 303 / 8 | $34.229,80 | 767 / 43 | $32.214,20 | 761 / 48 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 32 | $32.860,50 | 1273 / 49 | $9.213,11 | 1648 / 80 | $7.416,16 | 1644 / 83 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 35 | $45.573,10 | 848 / 37 | $13.472,90 | 1132 / 62 | $11.714,20 | 1126 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 26 | $24.534,30 | 878 / 34 | $6.872,00 | 1199 / 60 | $4.852,80 | 1195 / 68 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 37 | $23.388,50 | 813 / 29 | $9.482,71 | 1454 / 79 | $7.477,95 | 1450 / 76 |
| Kidney & Urinary Tract Infections W/O Mcc | 100 | 133 / 20 | $19.673,80 | 1539 / 47 | $6.828,71 | 2200 / 95 | $5.451,97 | 2189 / 95 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 23 | $59.253,10 | 573 / 26 | $13.194,90 | 742 / 34 | $11.591,80 | 738 / 38 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 8 | $64.939,40 | 204 / 8 | $18.879,00 | 356 / 18 | $17.116,90 | 355 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 12 | $48.514,80 | 405 / 18 | $10.005,90 | 488 / 15 | $8.408,42 | 487 / 22 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 17 | $59.605,20 | 352 / 13 | $14.732,70 | 440 / 22 | $12.815,20 | 437 / 24 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $97.328,60 | 559 / 19 | $24.955,00 | 738 / 33 | $23.252,60 | 737 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 20 | $84.132,00 | 524 / 21 | $24.291,60 | 702 / 38 | $22.147,30 | 699 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 138 | 426 / 52 | $60.576,90 | 1715 / 64 | $16.630,00 | 1968 / 84 | $13.490,10 | 1926 / 90 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 28 | $86.233,30 | 1071 / 48 | $19.017,80 | 910 / 46 | $15.294,40 | 902 / 53 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 21 | $146.829,00 | 788 / 34 | $36.067,20 | 792 / 33 | $33.475,60 | 790 / 43 |
| Medical Back Problems W/O Mcc | 35 | 86 / 26 | $21.501,30 | 637 / 22 | $7.498,23 | 1025 / 64 | $5.319,11 | 1022 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 21 | $21.809,50 | 514 / 18 | $10.430,80 | 1243 / 83 | $7.845,21 | 1240 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 74 | 92 / 16 | $16.943,20 | 1200 / 43 | $6.359,31 | 2079 / 93 | $5.098,31 | 2071 / 94 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 16 | $26.564,00 | 299 / 22 | $8.969,86 | 323 / 25 | $6.570,29 | 323 / 23 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 32 | $27.572,30 | 163 / 4 | $14.302,10 | 956 / 48 | $13.163,90 | 949 / 56 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 27 | $24.151,40 | 630 / 28 | $8.392,78 | 1104 / 64 | $6.905,11 | 1100 / 68 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 21 | $27.661,40 | 122 / 1 | $12.319,40 | 374 / 24 | $10.626,30 | 373 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 18 | $23.177,60 | 341 / 14 | $8.174,71 | 594 / 39 | $6.892,82 | 594 / 40 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 18 | $28.700,20 | 348 / 15 | $12.101,60 | 791 / 47 | $10.759,40 | 788 / 50 |
| Other Vascular Procedures W Cc | 28 | 74 / 15 | $88.162,80 | 732 / 32 | $19.293,20 | 821 / 40 | $17.591,20 | 816 / 45 |
| Other Vascular Procedures W Mcc | 20 | 77 / 18 | $137.574,00 | 821 / 47 | $25.990,10 | 702 / 35 | $23.682,80 | 699 / 38 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 37 | $87.099,50 | 1006 / 56 | $15.744,60 | 1177 / 49 | $13.773,60 | 1170 / 72 |
| Peripheral Vascular Disorders W Cc | 26 | 58 / 19 | $26.097,80 | 679 / 41 | $8.144,54 | 951 / 57 | $6.908,46 | 948 / 65 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 18 | $22.063,40 | 81 / 3 | $10.754,40 | 419 / 28 | $9.607,64 | 419 / 29 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 17 | $70.458,80 | 496 / 22 | $18.453,80 | 633 / 37 | $17.089,40 | 632 / 40 |
| Pleural Effusion W Mcc | 12 | 18 / 4 | $33.519,70 | 65 / 2 | $12.176,10 | 150 / 7 | $10.993,20 | 150 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $16.470,70 | 364 / 9 | $5.876,27 | 710 / 31 | $4.871,18 | 709 / 34 |
| Psychoses | 87 | 202 / 18 | $12.641,00 | 128 / 7 | $8.764,95 | 447 / 25 | $7.223,07 | 447 / 25 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 38 | $25.608,20 | 769 / 20 | $10.121,20 | 1804 / 76 | $8.943,33 | 1799 / 86 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 26 | $35.907,10 | 981 / 44 | $8.546,07 | 1101 / 53 | $7.219,79 | 1098 / 59 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 22 | $25.115,90 | 316 / 13 | $10.162,10 | 787 / 53 | $8.932,20 | 783 / 53 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 23 | $19.584,00 | 866 / 37 | $7.030,57 | 1562 / 85 | $5.692,20 | 1553 / 88 |
| Renal Failure W Cc | 71 | 150 / 36 | $21.315,60 | 1103 / 34 | $8.144,93 | 1872 / 85 | $6.600,46 | 1862 / 87 |
| Renal Failure W Mcc | 29 | 166 / 46 | $29.641,30 | 741 / 25 | $11.843,40 | 1536 / 80 | $10.411,30 | 1534 / 76 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 15 | $27.860,40 | 602 / 14 | $10.970,50 | 1128 / 56 | $9.233,25 | 1123 / 59 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 37 | $32.745,40 | 506 / 11 | $14.618,80 | 1323 / 72 | $13.059,90 | 1308 / 71 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 27 | $44.085,00 | 443 / 13 | $17.548,80 | 1355 / 68 | $16.120,90 | 1342 / 76 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 8 | $96.860,60 | 232 / 12 | $39.623,10 | 558 / 31 | $33.732,10 | 557 / 30 |
| Seizures W Mcc | 16 | 50 / 16 | $30.708,20 | 184 / 5 | $10.922,90 | 389 / 23 | $9.518,69 | 389 / 24 |
| Seizures W/O Mcc | 32 | 76 / 15 | $18.974,70 | 499 / 19 | $6.732,12 | 963 / 60 | $5.381,22 | 961 / 64 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 17 | $105.731,00 | 221 / 11 | $43.505,00 | 693 / 36 | $40.886,00 | 692 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 181 | 335 / 41 | $37.794,00 | 1203 / 30 | $14.435,60 | 2131 / 90 | $12.916,00 | 2094 / 91 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 25 | $27.434,90 | 1458 / 43 | $9.484,75 | 1997 / 91 | $7.292,10 | 1989 / 90 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 14 | $17.499,60 | 510 / 16 | $6.381,32 | 1005 / 53 | $4.952,04 | 1002 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 42 | $20.761,30 | 1208 / 28 | $8.230,18 | 2285 / 94 | $6.839,39 | 2277 / 99 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 41 | $32.055,30 | 1174 / 33 | $12.662,00 | 1924 / 96 | $9.784,17 | 1924 / 92 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 18 | $14.678,60 | 699 / 24 | $6.412,91 | 1607 / 82 | $4.754,06 | 1599 / 87 |
| Syncope & Collapse | 51 | 118 / 21 | $19.345,70 | 795 / 26 | $6.518,84 | 1555 / 77 | $5.332,37 | 1548 / 85 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 6 | $24.545,00 | 197 / 9 | $7.104,86 | 262 / 16 | $5.850,14 | 261 / 18 |
| Transient Ischemia | 28 | 97 / 27 | $20.641,20 | 709 / 28 | $6.348,21 | 1303 / 70 | $4.872,39 | 1297 / 76 | Total 94 procedures | 2.895 | 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.