Hospital Costs > In Illinois > Memorial Hospital Belleville, 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 | 24 | 67 / 14 | $28.000,90 | 650 / 20 | $6.355,38 | 429 / 15 | $5.348,71 | 428 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 6 | $42.133,90 | 906 / 36 | $10.317,10 | 701 / 26 | $9.434,90 | 700 / 34 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 5 | $24.631,60 | 438 / 7 | $4.632,21 | 155 / 5 | $3.456,79 | 154 / 6 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 4 | $35.684,10 | 42 / 2 | $10.961,80 | 32 / 1 | $9.851,69 | 32 / 2 |
| Atherosclerosis W/O Mcc | 22 | 36 / 2 | $16.249,80 | 214 / 9 | $3.864,50 | / 4 | $3.097,95 | / |
| Bronchitis & Asthma W Cc/Mcc | 34 | 42 / 9 | $25.674,70 | 608 / 28 | $5.338,32 | 268 / 8 | $4.271,97 | 265 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 72 | 89 / 13 | $22.549,30 | 1250 / 49 | $4.862,40 | 641 / 16 | $3.956,89 | 638 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 60 | 63 / 11 | $28.021,50 | 855 / 41 | $7.156,12 | 324 / 19 | $6.076,88 | 323 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 21 | $16.575,20 | 1156 / 47 | $3.737,51 | 536 / 32 | $2.476,03 | 532 / 31 |
| Cellulitis W Mcc | 27 | 31 / 7 | $27.532,80 | 319 / 9 | $8.333,59 | 180 / 7 | $7.348,70 | 179 / 9 |
| Cellulitis W/O Mcc | 94 | 95 / 20 | $19.734,20 | 1453 / 63 | $5.196,94 | 767 / 25 | $4.097,79 | 762 / 33 |
| Chest Pain | 69 | 82 / 7 | $18.398,10 | 797 / 30 | $4.241,10 | 430 / 28 | $2.858,35 | 428 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 22 | $24.460,30 | 1414 / 53 | $5.673,03 | 674 / 19 | $4.705,37 | 672 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $29.016,50 | 1407 / 49 | $7.189,94 | 655 / 31 | $5.932,31 | 651 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 20 | $22.421,10 | 1428 / 67 | $4.464,44 | 718 / 23 | $3.505,38 | 716 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 15 | $54.846,40 | 402 / 21 | $12.106,50 | 254 / 5 | $11.320,00 | 249 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 61 | 127 / 16 | $29.551,90 | 494 / 16 | $6.537,92 | 518 / 7 | $5.483,05 | 516 / 30 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 9 | $155.341,00 | 122 / 3 | $35.556,20 | 36 / 1 | $34.436,20 | 36 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 27 | 49 / 3 | $121.505,00 | 234 / 2 | $25.705,50 | 105 / 2 | $23.332,10 | 105 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 18 | $101.174,00 | 261 / 7 | $19.829,00 | 108 / 2 | $18.839,90 | 108 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 12 | $23.280,60 | 305 / 11 | $6.428,72 | 46 / 22 | $3.847,50 | 46 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 24 | $24.087,10 | 362 / 16 | $5.725,14 | 104 / 7 | $4.609,71 | 104 / 10 |
| Diabetes W Cc | 39 | 53 / 7 | $23.020,10 | 888 / 45 | $5.080,05 | 592 / 21 | $4.380,36 | 591 / 33 |
| Diabetes W Mcc | 30 | 27 / 1 | $32.415,40 | 326 / 14 | $8.006,60 | 150 / 3 | $7.240,93 | 150 / 6 |
| Digestive Malignancy W Cc | 12 | 35 / 14 | $27.331,20 | 106 / 3 | $7.442,83 | 105 / 5 | $6.840,17 | 104 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $38.288,50 | 188 / 6 | $10.538,50 | 80 / 3 | $9.662,91 | 80 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 13 | $18.072,20 | 231 / 3 | $5.578,00 | 380 / 6 | $4.977,11 | 379 / 23 |
| Disorders Of Pancreas Except Malignancy W Mcc | 22 | 24 / 2 | $38.603,80 | 122 / 4 | $9.994,73 | 54 / 2 | $9.225,27 | 54 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 8 | $18.671,10 | 225 / 8 | $4.095,40 | 164 / 5 | $3.210,07 | 164 / 10 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $31.713,50 | 235 / 13 | $6.303,18 | 96 / 4 | $5.430,45 | 96 / 8 |
| Dysequilibrium | 12 | 53 / 20 | $19.828,50 | 247 / 10 | $3.952,00 | 146 / 5 | $2.952,00 | 146 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 15 | $28.770,30 | 588 / 26 | $7.085,09 | 302 / 11 | $6.244,15 | 300 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 167 | 108 / 12 | $19.562,20 | 1332 / 38 | $4.787,81 | 790 / 32 | $3.619,72 | 785 / 35 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 9 | $90.521,30 | 163 / 5 | $25.065,10 | 49 / 2 | $23.682,70 | 49 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 12 | $18.071,20 | 438 / 12 | $4.317,35 | 279 / 11 | $3.413,35 | 280 / 16 |
| G.I. Hemorrhage W Cc | 99 | 119 / 14 | $23.892,90 | 1111 / 37 | $6.031,94 | 760 / 22 | $5.143,05 | 758 / 34 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 16 | $36.568,70 | 567 / 22 | $10.055,10 | 330 / 15 | $9.238,88 | 330 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $15.974,70 | 380 / 13 | $4.367,33 | 253 / 7 | $3.279,78 | 251 / 14 |
| G.I. Obstruction W Cc | 32 | 60 / 21 | $24.626,10 | 970 / 38 | $5.556,78 | 305 / 28 | $4.208,47 | 304 / 13 |
| G.I. Obstruction W Mcc | 11 | 31 / 13 | $49.895,50 | 343 / 15 | $10.301,60 | 234 / 13 | $9.530,73 | 234 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $17.051,70 | 665 / 24 | $4.240,09 | 305 / 28 | $2.701,86 | 305 / 19 |
| Heart Failure & Shock W Cc | 140 | 138 / 15 | $24.927,60 | 1663 / 65 | $5.963,73 | 1021 / 27 | $5.306,30 | 1019 / 42 |
| Heart Failure & Shock W Mcc | 269 | 43 / 5 | $33.196,70 | 1294 / 43 | $8.770,18 | 646 / 23 | $7.870,03 | 646 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 13 | $18.982,70 | 1217 / 58 | $4.246,20 | 470 / 25 | $3.286,93 | 468 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 26 | $43.330,40 | 775 / 17 | $11.147,40 | 640 / 13 | $10.329,00 | 637 / 28 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 16 | $62.258,50 | 328 / 8 | $16.920,50 | 211 / 6 | $15.926,60 | 210 / 6 |
| Hypertension W/O Mcc | 14 | 51 / 16 | $16.836,80 | 292 / 14 | $3.947,07 | 209 / 4 | $2.911,64 | 207 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 20 | 16 / 3 | $41.719,60 | 68 / 1 | $13.530,20 | 66 / 1 | $12.563,80 | 66 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 74 | 50 / 4 | $112.567,00 | 651 / 32 | $28.874,30 | 316 / 8 | $28.114,90 | 316 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 32 | $31.045,60 | 1214 / 44 | $6.114,55 | 399 / 7 | $5.110,55 | 398 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 30 | $30.284,00 | 348 / 10 | $11.282,30 | 187 / 38 | $8.466,22 | 186 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $23.277,80 | 799 / 30 | $4.571,61 | 453 / 12 | $3.572,50 | 450 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 65 | 79 / 10 | $28.089,80 | 1101 / 49 | $6.653,03 | 574 / 24 | $5.798,38 | 573 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 21 | $21.894,80 | 1753 / 67 | $4.749,80 | 802 / 24 | $3.825,24 | 797 / 35 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 22 | $35.775,20 | 181 / 3 | $9.630,08 | 289 / 3 | $8.627,42 | 289 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 19 | $56.562,00 | 102 / 1 | $18.976,10 | 229 / 4 | $18.018,80 | 229 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 18 | $36.049,20 | 767 / 46 | $6.988,32 | 396 / 17 | $6.386,14 | 395 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 16 | $40.354,90 | 306 / 16 | $10.605,20 | 124 / 6 | $9.999,50 | 124 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 13 | $37.567,40 | 139 / 1 | $12.795,50 | 307 / 2 | $11.591,30 | 304 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 5 | $54.189,60 | 172 / 4 | $19.665,20 | 139 / 16 | $16.258,60 | 139 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 234 | 330 / 31 | $39.236,60 | 714 / 10 | $12.630,00 | 563 / 10 | $10.417,70 | 558 / 12 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 26 | $59.916,00 | 634 / 15 | $14.651,80 | 499 / 10 | $13.615,60 | 494 / 24 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 16 | $84.071,60 | 231 / 4 | $25.898,60 | 94 / 1 | $24.890,60 | 94 / 2 |
| Medical Back Problems W Mcc | 15 | 24 / 8 | $38.222,40 | 126 / 5 | $9.030,13 | 53 / 2 | $8.221,60 | 53 / 4 |
| Medical Back Problems W/O Mcc | 45 | 76 / 20 | $21.624,80 | 648 / 23 | $5.150,27 | 509 / 17 | $4.239,33 | 508 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 58 | 68 / 8 | $21.925,40 | 521 / 19 | $6.473,55 | 337 / 13 | $5.768,45 | 334 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 37 | $18.937,90 | 1446 / 58 | $4.341,50 | 532 / 23 | $3.330,05 | 530 / 25 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 16 | $29.111,30 | 399 / 16 | $5.772,33 | 138 / 5 | $4.865,67 | 137 / 8 |
| Other Circulatory System Diagnoses W Mcc | 31 | 85 / 17 | $41.808,70 | 530 / 21 | $10.746,50 | 385 / 7 | $10.318,10 | 384 / 15 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $47.112,90 | 88 / 1 | $15.293,50 | 71 / 1 | $14.519,60 | 71 / 2 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 27 | $21.584,20 | 491 / 17 | $5.847,61 | 489 / 15 | $5.177,39 | 486 / 31 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 19 | $34.186,20 | 227 / 5 | $9.384,54 | 102 / 2 | $8.830,69 | 102 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 28 | 75 / 12 | $23.251,60 | 345 / 15 | $5.953,14 | 186 / 10 | $5.130,29 | 186 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 50 | 51 / 7 | $36.716,10 | 560 / 30 | $9.314,00 | 243 / 19 | $8.180,80 | 243 / 14 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 17 | 23 / 6 | $45.115,60 | 65 / 1 | $11.587,00 | 34 / 2 | $10.149,80 | 34 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 14 | 14 / 3 | $40.765,40 | 40 / 1 | $9.763,14 | 28 / 1 | $8.727,71 | 28 / 2 |
| Other Vascular Procedures W Cc | 26 | 76 / 17 | $58.798,50 | 341 / 7 | $14.364,90 | 193 / 3 | $13.343,40 | 193 / 4 |
| Other Vascular Procedures W Mcc | 22 | 75 / 16 | $63.965,70 | 192 / 3 | $19.572,30 | 295 / 9 | $18.695,20 | 294 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 14 | $94.399,80 | 434 / 12 | $26.691,60 | 53 / 38 | $15.758,20 | 53 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 34 | $73.579,20 | 750 / 29 | $11.798,60 | 411 / 6 | $10.425,20 | 411 / 16 |
| Peripheral Vascular Disorders W Cc | 28 | 56 / 17 | $25.080,00 | 650 / 38 | $5.795,32 | 325 / 18 | $4.927,89 | 323 / 24 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 11 | $37.350,10 | 319 / 15 | $8.522,33 | 57 / 8 | $6.664,11 | 57 / 7 |
| Peritoneal Adhesiolysis W Mcc | 14 | 9 / 1 | $83.272,20 | 9 / 1 | $23.802,60 | 15 / 2 | $23.025,40 | 15 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 20 | $44.873,40 | 134 / 3 | $15.213,60 | 238 / 7 | $14.260,50 | 237 / 11 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 10 | $63.235,50 | 95 / 4 | $21.223,90 | 172 / 8 | $20.415,40 | 172 / 11 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $42.631,50 | 190 / 6 | $12.418,00 | 175 / 5 | $11.207,80 | 174 / 7 |
| Pulmonary Edema & Respiratory Failure | 160 | 50 / 1 | $32.097,70 | 1146 / 38 | $7.266,89 | 570 / 17 | $6.413,89 | 570 / 21 |
| Pulmonary Embolism W Mcc | 14 | 29 / 12 | $47.038,40 | 394 / 26 | $8.795,29 | 128 / 5 | $7.844,43 | 128 / 5 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 25 | $28.968,90 | 803 / 34 | $5.746,60 | 378 / 10 | $4.940,20 | 378 / 24 |
| Red Blood Cell Disorders W Mcc | 59 | 13 / 1 | $27.279,50 | 383 / 17 | $7.352,76 | 220 / 12 | $6.614,46 | 220 / 14 |
| Red Blood Cell Disorders W/O Mcc | 64 | 79 / 9 | $20.841,60 | 968 / 41 | $4.939,44 | 462 / 21 | $3.940,44 | 461 / 25 |
| Renal Failure W Cc | 181 | 48 / 5 | $24.112,20 | 1353 / 51 | $5.869,18 | 749 / 25 | $4.962,20 | 742 / 35 |
| Renal Failure W Mcc | 194 | 21 / 1 | $31.390,50 | 842 / 28 | $8.917,75 | 528 / 17 | $8.105,79 | 528 / 20 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $38.268,40 | 933 / 39 | $7.763,79 | 182 / 8 | $6.726,07 | 181 / 7 |
| Respiratory Infections & Inflammations W Mcc | 52 | 84 / 17 | $47.234,50 | 1006 / 35 | $11.161,60 | 484 / 10 | $10.460,30 | 479 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 25 | $73.662,70 | 1211 / 63 | $13.201,00 | 559 / 12 | $12.606,90 | 551 / 24 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 13 | $130.618,00 | 448 / 24 | $29.193,60 | 245 / 5 | $28.425,60 | 245 / 10 |
| Seizures W Mcc | 16 | 50 / 16 | $34.711,20 | 257 / 8 | $9.398,25 | 290 / 8 | $8.794,25 | 290 / 15 |
| Seizures W/O Mcc | 25 | 83 / 20 | $19.965,00 | 554 / 24 | $4.694,56 | 256 / 13 | $3.668,20 | 255 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 34 | 58 / 6 | $148.381,00 | 509 / 25 | $31.928,50 | 132 / 5 | $30.657,70 | 132 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 599 | 45 / 4 | $52.254,60 | 1862 / 66 | $10.903,80 | 986 / 12 | $10.161,70 | 977 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 132 | 75 / 4 | $31.016,80 | 1679 / 58 | $6.397,33 | 770 / 15 | $5.455,24 | 768 / 33 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 24 | $18.625,70 | 578 / 20 | $4.104,93 | 294 / 9 | $3.379,60 | 293 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 37 | $25.220,00 | 1638 / 59 | $6.848,62 | 420 / 61 | $4.583,31 | 417 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 154 | 53 / 3 | $40.467,20 | 1572 / 55 | $8.663,65 | 515 / 22 | $7.342,75 | 515 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 24 | $21.613,60 | 1286 / 63 | $4.398,84 | 617 / 19 | $3.333,88 | 614 / 35 |
| Skin Ulcers W Cc | 13 | 6 / 1 | $21.949,50 | 7 / 3 | $6.055,54 | 4 / 1 | $5.122,62 | 4 / 1 |
| Syncope & Collapse | 89 | 80 / 7 | $21.039,80 | 944 / 36 | $4.630,67 | 469 / 24 | $3.523,21 | 467 / 23 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 8 | $24.551,80 | 198 / 10 | $5.682,67 | 10 / 11 | $3.245,08 | 10 / 2 |
| Transient Ischemia | 43 | 82 / 15 | $23.405,30 | 877 / 39 | $4.372,21 | 461 / 17 | $3.330,35 | 460 / 27 |
| Transurethral Procedures W Cc | 18 | 23 / 6 | $35.326,90 | 183 / 9 | $7.321,33 | 64 / 1 | $6.263,06 | 64 / 7 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 5 | $22.204,10 | 194 / 7 | $4.414,47 | 119 / 4 | $3.311,20 | 119 / 10 | Total 112 procedures | 5.390 | 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.