Hospital Costs > In Illinois > Mercy Hospital And Medical Center, 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 | 26 | 65 / 12 | $25.698,40 | 559 / 17 | $9.531,92 | 1256 / 58 | $8.201,88 | 1254 / 59 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 6 | $30.659,10 | 462 / 13 | $14.948,80 | 1496 / 78 | $12.894,00 | 1484 / 77 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 25 | $14.115,90 | 298 / 17 | $7.196,72 | 652 / 43 | $5.308,33 | 651 / 38 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 18 | $20.093,60 | 94 / 1 | $11.098,40 | 622 / 29 | $7.528,50 | 621 / 32 |
| Bone Diseases & Arthropathies W/O Mcc | 25 | 19 / 4 | $11.584,90 | 66 / 2 | $7.078,20 | 218 / 21 | $5.749,32 | 218 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 19 | $18.299,50 | 318 / 13 | $8.225,76 | 919 / 50 | $6.701,43 | 915 / 57 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 10 | $16.716,90 | 165 / 6 | $6.450,23 | 312 / 15 | $4.958,77 | 312 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 37 | $15.974,80 | 620 / 12 | $7.578,67 | 1834 / 86 | $5.952,12 | 1829 / 89 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 37 | $24.355,70 | 617 / 25 | $10.813,40 | 1657 / 88 | $9.633,92 | 1654 / 91 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 28 | $16.553,60 | 1153 / 46 | $6.200,15 | 1725 / 89 | $4.190,04 | 1719 / 92 |
| Cellulitis W Mcc | 12 | 46 / 21 | $21.921,20 | 165 / 2 | $12.877,60 | 727 / 52 | $10.245,50 | 725 / 51 |
| Cellulitis W/O Mcc | 39 | 150 / 48 | $13.999,10 | 732 / 21 | $7.925,62 | 2306 / 102 | $6.544,56 | 2298 / 106 |
| Chest Pain | 36 | 115 / 21 | $12.800,60 | 295 / 7 | $5.988,28 | 1446 / 65 | $4.946,81 | 1438 / 68 |
| Chronic Obstructive Pulmonary Disease W Cc | 65 | 114 / 27 | $18.818,20 | 876 / 25 | $8.621,45 | 2137 / 102 | $7.283,72 | 2130 / 103 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 35 | $22.261,90 | 925 / 24 | $10.412,30 | 2227 / 106 | $8.978,30 | 2219 / 104 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 12 | $15.630,70 | 861 / 26 | $7.172,82 | 1831 / 88 | $5.490,18 | 1820 / 88 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 14 | $41.503,60 | 179 / 5 | $17.757,10 | 736 / 48 | $16.078,10 | 729 / 51 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 54 | 134 / 20 | $33.484,40 | 682 / 30 | $12.008,10 | 1332 / 79 | $7.696,93 | 1329 / 75 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 9 | $26.997,50 | 35 / 1 | $14.325,10 | 204 / 10 | $13.177,10 | 204 / 10 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 10 | $13.497,50 | 80 / 2 | $8.205,90 | 596 / 34 | $6.891,85 | 596 / 38 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 23 | $13.830,20 | 87 / 1 | $8.843,67 | 675 / 42 | $7.521,40 | 675 / 46 |
| Diabetes W Cc | 24 | 68 / 18 | $15.043,90 | 344 / 12 | $7.864,42 | 1325 / 71 | $6.317,62 | 1320 / 73 |
| Diabetes W Mcc | 15 | 42 / 8 | $23.215,50 | 137 / 3 | $11.912,50 | 592 / 34 | $10.528,80 | 591 / 34 |
| Disorders Of The Biliary Tract W Mcc | 12 | 27 / 8 | $24.893,80 | 28 / 1 | $14.653,80 | 147 / 13 | $11.238,90 | 147 / 10 |
| Dysequilibrium | 22 | 43 / 13 | $13.223,70 | 91 / 2 | $6.307,50 | 467 / 27 | $4.762,00 | 467 / 27 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 14 | $219.904,00 | 21 / 2 | $115.266,00 | 218 / 9 | $111.824,00 | 218 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 19 | $23.410,00 | 362 / 8 | $10.700,00 | 1211 / 61 | $9.446,36 | 1206 / 62 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 43 | $15.599,40 | 829 / 16 | $7.406,49 | 2349 / 104 | $5.708,74 | 2334 / 101 |
| G.I. Hemorrhage W Cc | 74 | 144 / 26 | $22.270,40 | 963 / 23 | $9.452,13 | 2072 / 102 | $7.623,11 | 2068 / 102 |
| G.I. Hemorrhage W Mcc | 53 | 68 / 11 | $32.068,80 | 393 / 13 | $15.389,60 | 1332 / 71 | $13.077,10 | 1322 / 74 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $12.891,40 | 208 / 3 | $6.817,69 | 855 / 41 | $5.427,69 | 851 / 42 |
| G.I. Obstruction W Cc | 18 | 74 / 31 | $16.260,60 | 383 / 8 | $8.441,22 | 1428 / 79 | $6.345,33 | 1423 / 82 |
| Heart Failure & Shock W Cc | 133 | 145 / 18 | $19.330,50 | 1094 / 31 | $9.388,83 | 2342 / 111 | $7.503,79 | 2336 / 107 |
| Heart Failure & Shock W Mcc | 97 | 187 / 37 | $25.210,90 | 754 / 20 | $12.652,80 | 2227 / 100 | $11.447,00 | 2217 / 105 |
| Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 17 | $14.036,80 | 728 / 21 | $6.790,67 | 1741 / 91 | $5.278,98 | 1728 / 94 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 42 | $32.927,60 | 332 / 4 | $16.607,30 | 1781 / 90 | $14.773,50 | 1762 / 92 |
| Hypertension W/O Mcc | 16 | 49 / 14 | $13.087,80 | 144 / 5 | $6.183,81 | 656 / 36 | $4.864,94 | 654 / 38 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 34 | $86.315,60 | 316 / 11 | $37.527,70 | 874 / 58 | $33.561,90 | 868 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 19 | $20.461,50 | 505 / 6 | $9.506,80 | 1749 / 83 | $7.951,77 | 1745 / 88 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 37 | $34.114,80 | 490 / 17 | $14.569,10 | 1231 / 66 | $12.315,80 | 1225 / 70 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 33 | $16.333,50 | 328 / 6 | $7.262,54 | 1419 / 62 | $5.933,15 | 1415 / 75 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 23 | $19.101,90 | 518 / 15 | $9.981,72 | 1710 / 82 | $8.768,62 | 1706 / 86 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 38 | $13.541,20 | 719 / 11 | $7.387,29 | 2372 / 98 | $6.040,23 | 2361 / 100 |
| Major Cardiovasc Procedures W Mcc | 15 | 53 / 15 | $98.525,30 | 112 / 1 | $40.104,90 | 448 / 18 | $37.964,50 | 447 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 16 | $88.932,10 | 485 / 13 | $29.327,20 | 810 / 40 | $24.902,80 | 809 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 62 | 502 / 76 | $33.555,40 | 377 / 3 | $18.092,80 | 2343 / 96 | $15.653,00 | 2298 / 104 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 31 | $40.985,00 | 214 / 2 | $21.076,10 | 1234 / 59 | $17.945,40 | 1220 / 66 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $99.793,30 | 380 / 9 | $41.163,60 | 1036 / 50 | $38.475,30 | 1034 / 59 |
| Medical Back Problems W/O Mcc | 15 | 106 / 43 | $13.703,10 | 157 / 2 | $7.778,13 | 1263 / 66 | $6.390,53 | 1259 / 69 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 16 | $19.200,80 | 370 / 11 | $9.811,68 | 1382 / 76 | $8.572,52 | 1379 / 78 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 27 | $14.340,90 | 877 / 29 | $6.795,07 | 2166 / 99 | $5.432,24 | 2158 / 98 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 13 | $13.868,80 | 68 / 2 | $9.018,12 | 415 / 26 | $7.564,24 | 415 / 28 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 19 | $31.445,60 | 252 / 6 | $15.432,20 | 1010 / 58 | $13.616,40 | 1003 / 60 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 17 | $17.814,20 | 274 / 6 | $10.195,20 | 1206 / 72 | $7.465,74 | 1202 / 72 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 20 | $16.826,90 | 146 / 5 | $9.132,47 | 709 / 42 | $7.965,87 | 709 / 46 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 24 | $23.526,50 | 207 / 8 | $13.159,60 | 897 / 53 | $12.063,50 | 893 / 57 |
| Other Vascular Procedures W Cc | 22 | 80 / 21 | $72.053,80 | 543 / 13 | $25.705,70 | 808 / 51 | $17.414,70 | 803 / 41 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 39 | $56.788,40 | 379 / 10 | $19.131,00 | 1266 / 65 | $14.966,50 | 1259 / 77 |
| Peripheral Vascular Disorders W Cc | 35 | 49 / 11 | $24.317,50 | 602 / 35 | $9.114,31 | 1040 / 67 | $7.524,77 | 1037 / 68 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $52.190,10 | 238 / 7 | $21.541,00 | 826 / 44 | $20.167,60 | 822 / 46 |
| Pulmonary Edema & Respiratory Failure | 57 | 146 / 21 | $26.547,90 | 825 / 22 | $11.505,90 | 1904 / 87 | $9.410,32 | 1898 / 90 |
| Pulmonary Embolism W Mcc | 12 | 31 / 14 | $28.244,60 | 138 / 3 | $12.558,80 | 501 / 34 | $11.409,80 | 500 / 36 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 24 | $24.083,80 | 610 / 21 | $9.235,94 | 1167 / 56 | $7.930,69 | 1164 / 60 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 26 | $23.238,20 | 245 / 8 | $11.133,20 | 910 / 58 | $9.927,73 | 906 / 60 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 32 | $12.502,80 | 243 / 5 | $7.588,00 | 1715 / 88 | $6.414,62 | 1706 / 95 |
| Renal Failure W Cc | 135 | 87 / 10 | $16.123,50 | 578 / 13 | $8.880,12 | 2115 / 94 | $7.526,47 | 2105 / 96 |
| Renal Failure W Mcc | 142 | 55 / 6 | $22.761,00 | 354 / 11 | $12.996,30 | 1786 / 83 | $11.702,80 | 1782 / 91 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $12.017,00 | 216 / 6 | $6.229,95 | 767 / 30 | $5.032,80 | 765 / 31 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 30 | $34.748,10 | 580 / 15 | $16.679,90 | 1577 / 79 | $15.041,40 | 1561 / 82 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $18.679,80 | 54 / 1 | $10.371,00 | 402 / 23 | $9.074,08 | 401 / 26 |
| Respiratory Neoplasms W Mcc | 25 | 27 / 7 | $34.522,40 | 167 / 4 | $14.878,40 | 541 / 35 | $13.448,80 | 538 / 37 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 29 | $37.353,80 | 260 / 4 | $19.334,00 | 1409 / 83 | $16.545,90 | 1395 / 77 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $89.771,30 | 174 / 9 | $39.507,40 | 679 / 30 | $36.490,80 | 678 / 36 |
| Seizures W Mcc | 11 | 55 / 21 | $26.834,30 | 121 / 2 | $13.152,00 | 569 / 30 | $11.540,10 | 569 / 33 |
| Seizures W/O Mcc | 18 | 90 / 27 | $13.542,90 | 190 / 5 | $7.076,61 | 1086 / 64 | $6.062,94 | 1084 / 68 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $91.620,20 | 135 / 8 | $47.490,80 | 819 / 43 | $43.820,20 | 818 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 184 | 332 / 40 | $35.133,10 | 1062 / 24 | $15.564,40 | 2353 / 101 | $13.901,40 | 2311 / 102 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 47 | $23.696,40 | 1134 / 31 | $9.532,40 | 2170 / 92 | $7.880,43 | 2161 / 97 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 20 | $13.150,30 | 226 / 2 | $6.664,84 | 1096 / 55 | $5.432,95 | 1093 / 59 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 71 | $14.721,70 | 525 / 8 | $8.972,62 | 2493 / 100 | $7.672,38 | 2484 / 106 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 61 | $21.704,90 | 485 / 7 | $12.597,70 | 2074 / 94 | $10.482,90 | 2072 / 98 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 34 | $12.623,70 | 469 / 9 | $6.850,60 | 1758 / 86 | $5.398,13 | 1750 / 90 |
| Syncope & Collapse | 39 | 130 / 27 | $17.107,40 | 580 / 17 | $7.056,64 | 1664 / 80 | $5.838,64 | 1656 / 89 |
| Transient Ischemia | 38 | 87 / 20 | $15.403,70 | 320 / 6 | $7.477,21 | 1343 / 81 | $4.995,61 | 1336 / 78 | Total 84 procedures | 2.947 | 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.