Hospital Costs > In Illinois > Methodist Medical Center Of Illinois, 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 | 18 | 73 / 19 | $32.458,80 | 833 / 30 | $7.333,44 | 693 / 41 | $5.846,94 | 691 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 31 | $42.807,90 | 923 / 38 | $11.243,60 | 709 / 46 | $9.473,84 | 708 / 35 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 3 | $79.599,20 | 124 / 4 | $16.720,50 | 84 / 3 | $15.139,40 | 84 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 28 | $23.184,50 | 512 / 24 | $6.231,09 | 156 / 31 | $3.957,00 | 153 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 32 | $22.326,00 | 1231 / 44 | $5.703,59 | 1151 / 60 | $4.445,77 | 1147 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 37 | $36.439,80 | 1207 / 63 | $8.245,80 | 827 / 58 | $6.845,96 | 824 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 27 | $15.044,10 | 997 / 33 | $4.241,27 | 1070 / 55 | $2.881,13 | 1065 / 60 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 11 | $208.759,00 | 426 / 18 | $33.940,60 | 240 / 11 | $31.918,30 | 240 / 12 |
| Cellulitis W/O Mcc | 63 | 126 / 30 | $19.812,70 | 1460 / 65 | $6.093,97 | 1404 / 67 | $4.630,78 | 1397 / 63 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 15 | $68.745,70 | 564 / 19 | $13.752,60 | 434 / 7 | $12.318,50 | 433 / 14 |
| Chest Pain | 26 | 125 / 31 | $23.339,80 | 1133 / 56 | $4.497,12 | 765 / 35 | $3.225,00 | 760 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 35 | $22.150,70 | 1220 / 45 | $6.838,34 | 884 / 72 | $4.856,85 | 881 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 40 | $38.015,60 | 1862 / 80 | $8.367,35 | 1277 / 70 | $6.553,38 | 1271 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 21 | $19.308,40 | 1215 / 51 | $5.186,70 | 1182 / 53 | $3.925,21 | 1173 / 61 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 34 | $27.994,20 | 425 / 12 | $7.329,41 | 614 / 30 | $5.599,81 | 612 / 39 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 17 | $25.937,40 | 375 / 16 | $6.279,92 | 229 / 18 | $4.762,08 | 229 / 14 |
| Diabetes W Cc | 25 | 67 / 17 | $22.480,00 | 850 / 39 | $5.971,04 | 775 / 47 | $4.660,92 | 772 / 46 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $39.109,40 | 781 / 41 | $6.860,17 | 404 / 29 | $5.019,83 | 403 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 23 | $35.171,90 | 804 / 37 | $8.180,55 | 580 / 34 | $6.824,82 | 575 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 98 | 177 / 27 | $22.426,60 | 1668 / 61 | $5.441,51 | 1325 / 62 | $3.987,32 | 1314 / 66 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 7 | $79.685,80 | 234 / 12 | $17.432,80 | 141 / 9 | $15.759,80 | 140 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 17 | $47.165,90 | 744 / 32 | $6.877,28 | 446 / 12 | $5.586,22 | 445 / 24 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 18 | $16.436,00 | 242 / 8 | $5.495,64 | 378 / 25 | $4.134,14 | 378 / 27 |
| G.I. Hemorrhage W Cc | 90 | 128 / 17 | $30.090,80 | 1561 / 67 | $7.312,70 | 1168 / 74 | $5.540,10 | 1166 / 60 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 25 | $46.292,20 | 907 / 36 | $11.831,30 | 805 / 49 | $10.552,70 | 802 / 47 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $22.213,90 | 637 / 33 | $5.102,36 | 383 / 25 | $3.529,82 | 380 / 26 |
| G.I. Obstruction W Cc | 27 | 65 / 24 | $23.103,70 | 873 / 31 | $6.344,78 | 841 / 56 | $4.871,33 | 839 / 52 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $19.827,20 | 810 / 37 | $4.671,58 | 745 / 44 | $3.340,68 | 742 / 43 |
| Heart Failure & Shock W Cc | 93 | 185 / 34 | $28.291,20 | 1870 / 81 | $6.988,83 | 1355 / 74 | $5.605,65 | 1351 / 61 |
| Heart Failure & Shock W Mcc | 61 | 223 / 55 | $48.454,70 | 1946 / 88 | $10.306,00 | 1241 / 72 | $8.632,77 | 1238 / 53 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 25 | $22.017,50 | 1402 / 74 | $4.996,03 | 839 / 68 | $3.588,43 | 835 / 54 |
| Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 13 | $60.304,90 | 1358 / 61 | $12.578,60 | 932 / 55 | $10.858,10 | 919 / 48 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $48.406,00 | 548 / 25 | $10.588,20 | 451 / 26 | $9.029,25 | 449 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 22 | $137.502,00 | 901 / 49 | $30.660,40 | 356 / 21 | $28.405,60 | 356 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 26 | $28.555,70 | 1050 / 32 | $7.026,87 | 732 / 46 | $5.467,32 | 731 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $46.436,40 | 866 / 39 | $11.092,60 | 662 / 35 | $9.775,32 | 661 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 20 | $26.070,00 | 951 / 39 | $5.468,19 | 781 / 41 | $3.973,33 | 777 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 33 | $30.375,40 | 1191 / 59 | $7.669,12 | 682 / 62 | $5.921,04 | 681 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 86 | 147 / 27 | $19.717,60 | 1544 / 48 | $5.541,50 | 1362 / 70 | $4.215,05 | 1353 / 67 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 10 | $73.667,10 | 264 / 12 | $15.809,70 | 166 / 10 | $13.908,60 | 165 / 8 |
| Major Cardiovasc Procedures W/O Mcc | 40 | 61 / 10 | $117.393,00 | 723 / 31 | $23.158,30 | 294 / 24 | $18.485,30 | 294 / 13 |
| Major Chest Procedures W Cc | 13 | 61 / 15 | $96.073,50 | 393 / 17 | $17.451,90 | 98 / 13 | $13.262,60 | 98 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 22 | $27.549,20 | 573 / 27 | $8.027,78 | 505 / 42 | $6.654,72 | 503 / 34 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 17 | $38.554,20 | 272 / 10 | $11.695,50 | 164 / 16 | $10.296,20 | 164 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 9 | $62.226,20 | 502 / 14 | $13.685,00 | 424 / 8 | $12.330,30 | 421 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 198 | 366 / 37 | $56.095,20 | 1552 / 55 | $14.295,30 | 1133 / 47 | $11.275,70 | 1107 / 44 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 19 | 50 / 7 | $73.591,70 | 303 / 13 | $19.115,30 | 107 / 16 | $13.064,90 | 107 / 1 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 17 | $82.904,50 | 1042 / 46 | $15.725,50 | 497 / 19 | $13.614,00 | 492 / 23 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $130.436,00 | 656 / 23 | $30.001,60 | 320 / 13 | $27.674,70 | 318 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 7 | $56.795,80 | 544 / 18 | $10.146,40 | 318 / 6 | $8.689,41 | 318 / 9 |
| Medical Back Problems W/O Mcc | 36 | 85 / 25 | $22.970,60 | 726 / 32 | $5.751,33 | 568 / 35 | $4.349,06 | 566 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 32 | $47.244,20 | 1446 / 89 | $9.069,62 | 1123 / 67 | $7.392,75 | 1120 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 22 | $21.266,00 | 1670 / 74 | $5.264,10 | 1149 / 76 | $3.770,30 | 1146 / 58 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 17 | $22.754,20 | 252 / 6 | $6.137,73 | 176 / 10 | $5.017,55 | 175 / 10 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 34 | $42.166,40 | 542 / 23 | $10.899,50 | 280 / 8 | $9.909,92 | 280 / 11 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 22 | $36.038,40 | 1048 / 62 | $6.896,42 | 704 / 47 | $5.564,79 | 700 / 49 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 23 | $29.217,00 | 505 / 29 | $14.211,40 | 41 / 50 | $4.466,91 | 41 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 7 | $22.650,70 | 147 / 2 | $5.649,64 | 86 / 6 | $4.193,45 | 86 / 5 |
| Other Vascular Procedures W Cc | 29 | 73 / 14 | $88.149,80 | 730 / 31 | $15.755,70 | 395 / 11 | $14.365,50 | 393 / 11 |
| Other Vascular Procedures W Mcc | 12 | 85 / 24 | $91.772,30 | 511 / 21 | $19.761,80 | 256 / 11 | $18.363,80 | 255 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 6 | $67.135,80 | 424 / 13 | $10.964,50 | 263 / 5 | $9.535,31 | 262 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 22 | $78.147,70 | 837 / 39 | $15.147,60 | 388 / 44 | $10.367,60 | 388 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 12 | $65.690,70 | 316 / 13 | $11.442,30 | 255 / 7 | $10.128,20 | 255 / 14 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 20 | $96.965,70 | 445 / 24 | $21.063,60 | 96 / 26 | $10.004,40 | 95 / 2 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 24 | $18.607,50 | 343 / 13 | $6.537,14 | 413 / 38 | $5.129,48 | 411 / 28 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 17 | $53.384,20 | 449 / 32 | $9.598,25 | 232 / 23 | $7.902,50 | 232 / 18 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $30.134,60 | 334 / 25 | $4.937,69 | 218 / 13 | $3.859,15 | 218 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $72.439,10 | 529 / 22 | $13.750,30 | 343 / 14 | $12.259,70 | 342 / 19 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $16.351,60 | 359 / 8 | $4.624,17 | 383 / 21 | $3.548,50 | 382 / 22 |
| Pulmonary Edema & Respiratory Failure | 85 | 118 / 9 | $43.233,60 | 1610 / 72 | $8.612,99 | 1187 / 61 | $7.209,87 | 1185 / 52 |
| Pulmonary Embolism W Mcc | 17 | 26 / 9 | $37.277,50 | 280 / 9 | $9.568,59 | 160 / 19 | $8.049,65 | 160 / 9 |
| Pulmonary Embolism W/O Mcc | 30 | 44 / 10 | $27.815,90 | 760 / 32 | $6.856,70 | 558 / 32 | $5.286,43 | 555 / 32 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 22 | $35.059,80 | 583 / 33 | $8.452,00 | 408 / 39 | $7.149,07 | 406 / 29 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 26 | $21.644,80 | 1039 / 46 | $5.667,41 | 818 / 55 | $4.311,16 | 813 / 46 |
| Renal Failure W Cc | 57 | 164 / 41 | $25.110,50 | 1430 / 54 | $6.722,81 | 1207 / 67 | $5.389,68 | 1199 / 56 |
| Renal Failure W Mcc | 29 | 166 / 46 | $33.099,80 | 951 / 35 | $10.354,80 | 488 / 56 | $8.043,86 | 488 / 16 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $60.715,10 | 1279 / 60 | $13.239,00 | 880 / 61 | $11.347,90 | 870 / 40 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 19 | $67.864,10 | 488 / 33 | $12.248,20 | 310 / 26 | $10.287,60 | 310 / 24 |
| Respiratory Signs & Symptoms | 13 | 33 / 7 | $31.089,60 | 244 / 17 | $5.110,23 | 117 / 8 | $3.808,38 | 117 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 38 | $64.450,20 | 1021 / 48 | $14.504,40 | 736 / 31 | $13.075,70 | 728 / 35 |
| Seizures W/O Mcc | 19 | 89 / 26 | $24.824,60 | 767 / 43 | $5.597,37 | 284 / 45 | $3.718,05 | 283 / 19 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $165.838,00 | 610 / 35 | $43.284,70 | 198 / 34 | $31.759,00 | 198 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 309 | 209 / 12 | $48.381,00 | 1731 / 58 | $12.068,70 | 1137 / 48 | $10.377,00 | 1121 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 118 | 89 / 8 | $27.287,20 | 1450 / 42 | $8.665,78 | 1032 / 87 | $5.691,99 | 1029 / 42 |
| Signs & Symptoms W/O Mcc | 29 | 62 / 13 | $22.443,00 | 792 / 41 | $5.191,90 | 615 / 40 | $3.889,97 | 614 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 27 | $26.793,50 | 1756 / 67 | $6.716,02 | 1112 / 57 | $5.163,67 | 1108 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 54 | $42.129,80 | 1639 / 62 | $10.237,90 | 1093 / 73 | $7.978,83 | 1093 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 28 | $20.565,40 | 1238 / 57 | $5.293,29 | 1033 / 64 | $3.706,00 | 1027 / 65 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 26 | $101.112,00 | 746 / 26 | $29.651,90 | 310 / 37 | $20.611,20 | 309 / 6 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 5 | $56.290,50 | 175 / 5 | $9.495,45 | 70 / 1 | $7.962,64 | 70 / 2 |
| Syncope & Collapse | 39 | 130 / 27 | $21.543,10 | 992 / 39 | $5.270,31 | 873 / 51 | $3.914,10 | 869 / 54 |
| Transient Ischemia | 22 | 103 / 32 | $22.469,10 | 824 / 35 | $5.149,27 | 558 / 48 | $3.430,18 | 555 / 35 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 15 | $22.626,20 | 117 / 1 | $7.316,46 | 163 / 12 | $5.982,38 | 163 / 11 | Total 93 procedures | 3.221 | 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.