Hospital Costs > In Illinois > Mc Donough District Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 66 | $13.994,90 | 731 / 20 | $5.777,53 | 1415 / 52 | $4.640,33 | 1408 / 66 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 64 | $15.185,80 | 528 / 11 | $6.700,18 | 1114 / 67 | $5.067,18 | 1110 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 64 | $20.740,40 | 784 / 18 | $8.073,67 | 1721 / 63 | $7.255,62 | 1713 / 82 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $11.877,40 | 433 / 7 | $4.898,35 | 1205 / 42 | $3.949,65 | 1196 / 63 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 82 | $14.799,70 | 725 / 9 | $5.048,71 | 1227 / 45 | $3.912,43 | 1216 / 61 |
| G.I. Hemorrhage W Cc | 18 | 200 / 63 | $23.758,30 | 1102 / 36 | $7.683,28 | 1344 / 89 | $5.749,33 | 1341 / 67 |
| G.I. Obstruction W Cc | 16 | 76 / 33 | $14.380,20 | 245 / 4 | $6.032,44 | 911 / 44 | $4.967,25 | 909 / 56 |
| Heart Failure & Shock W Cc | 23 | 255 / 77 | $13.909,30 | 455 / 7 | $6.752,17 | 1674 / 65 | $5.956,96 | 1669 / 79 |
| Heart Failure & Shock W Mcc | 16 | 268 / 84 | $17.923,80 | 307 / 5 | $10.107,30 | 1628 / 63 | $9.340,62 | 1623 / 76 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 36 | $11.416,50 | 401 / 6 | $4.944,79 | 962 / 66 | $3.698,63 | 954 / 59 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 41 | $37.350,20 | 511 / 8 | $13.950,50 | 1513 / 76 | $12.836,50 | 1495 / 82 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 43 | $19.636,30 | 554 / 17 | $7.716,67 | 1254 / 65 | $6.899,93 | 1250 / 70 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 64 | $12.635,40 | 595 / 7 | $5.812,66 | 1361 / 79 | $4.214,93 | 1352 / 66 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 92 | $40.779,60 | 794 / 14 | $15.967,90 | 1752 / 75 | $12.698,80 | 1712 / 85 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 45 | $10.886,80 | 416 / 4 | $4.807,67 | 1338 / 55 | $3.921,12 | 1333 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 41 | $15.358,20 | 602 / 10 | $6.690,00 | 1705 / 56 | $5.724,28 | 1697 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 64 | $25.460,00 | 736 / 16 | $10.240,00 | 1850 / 75 | $9.544,35 | 1850 / 89 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 25 | $12.866,50 | 499 / 13 | $4.760,17 | 1111 / 41 | $3.793,04 | 1105 / 69 | Total 18 procedures | 399 | 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.