Hospital Costs > In Illinois > Mt Sinai Hospital Medical Center, procedure costs

Mt Sinai Hospital Medical Center, procedure costs

15Th Street At California, Chicago, IL 60608,

Procedure Costs @ Mt Sinai Hospital Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Heart Failure & Shock W Cc55223 / 55$29.866,601948 / 87$12.991,202715 / 119$11.658,902709 / 121
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc47228 / 59$22.010,601628 / 56$10.766,302691 / 114$9.522,322676 / 115
Chest Pain47104 / 13$19.770,10904 / 38$9.575,571671 / 80$8.270,471662 / 80
Renal Failure W Cc43178 / 51$26.880,501540 / 70$12.479,802394 / 105$11.219,602384 / 107
Kidney & Urinary Tract Infections W/O Mcc42191 / 53$31.117,402260 / 108$11.177,702682 / 112$9.925,672671 / 113
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc41475 / 90$70.478,602291 / 98$19.928,902709 / 112$18.117,502664 / 113
Heart Failure & Shock W Mcc41243 / 67$45.436,101859 / 77$17.860,002513 / 115$14.620,302502 / 115
Renal Failure W Mcc31164 / 44$37.055,701154 / 50$16.613,702072 / 97$15.404,302068 / 98
Diabetes W Cc3062 / 12$30.498,401189 / 64$11.553,001578 / 85$9.942,331573 / 86
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc28138 / 49$19.521,201511 / 60$10.420,102499 / 112$8.778,612490 / 113
Syncope & Collapse27142 / 36$20.892,90936 / 35$10.625,401901 / 99$9.310,561893 / 100
Cellulitis W/O Mcc27162 / 56$22.067,001663 / 78$11.120,402587 / 117$9.937,962579 / 118
Respiratory System Diagnosis W Ventilator Support <96 Hours26105 / 30$69.737,201141 / 56$23.309,901753 / 87$21.863,501739 / 92
Circulatory Disorders Except Ami, W Card Cath W/O Mcc25163 / 41$62.255,701414 / 81$14.781,601626 / 85$13.403,201623 / 87
Cardiac Arrhythmia & Conduction Disorders W Cc25136 / 44$29.633,801617 / 76$11.340,602128 / 97$9.491,562123 / 98
Simple Pneumonia & Pleurisy W Cc25178 / 68$28.058,601843 / 73$12.625,802776 / 117$11.401,102767 / 118
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2341 / 4$246.319,00244 / 13$79.968,50387 / 16$76.090,70386 / 19
Septicemia Or Severe Sepsis W Mv 96+ Hours2369 / 12$119.808,00312 / 17$45.748,00786 / 41$42.831,70785 / 45
Seizures W/O Mcc2286 / 23$25.699,80796 / 47$10.353,301275 / 79$9.152,271273 / 81
Acute Myocardial Infarction, Discharged Alive W Cc2269 / 15$49.194,201176 / 57$13.337,201411 / 63$11.946,801409 / 64
Chronic Obstructive Pulmonary Disease W Cc21158 / 60$31.954,301808 / 89$12.504,802403 / 113$10.863,502396 / 114
Medical Back Problems W/O Mcc21100 / 37$19.804,00501 / 15$11.448,901471 / 76$10.173,201466 / 78
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs21161 / 51$38.268,101465 / 69$13.554,202034 / 93$11.831,202030 / 94
Acute Myocardial Infarction, Discharged Alive W Mcc20105 / 30$49.420,901128 / 52$18.513,501749 / 83$17.155,701736 / 84
G.I. Hemorrhage W Cc19199 / 62$36.431,501835 / 90$13.070,902388 / 108$11.740,502384 / 110
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc19177 / 46$79.786,40863 / 41$21.057,201457 / 71$19.860,601449 / 82
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc18108 / 37$21.354,60480 / 16$12.795,901667 / 90$11.953,601663 / 91
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 8$22.139,30574 / 26$9.956,47898 / 39$8.620,06897 / 39
Other Kidney & Urinary Tract Diagnoses W Cc1786 / 18$30.562,10535 / 33$12.731,40840 / 49$11.425,10840 / 50
Pulmonary Edema & Respiratory Failure17186 / 54$34.754,901284 / 44$14.665,902180 / 97$13.524,302174 / 98
Red Blood Cell Disorders W/O Mcc16127 / 42$17.971,80712 / 28$12.372,101943 / 104$9.388,061934 / 104
Chronic Obstructive Pulmonary Disease W Mcc16186 / 67$35.490,801772 / 75$14.151,302524 / 115$12.668,102516 / 115
Signs & Symptoms W/O Mcc1675 / 23$21.332,20719 / 30$10.024,901312 / 65$8.979,941309 / 67
Hip & Femur Procedures Except Major Joint W Cc16127 / 47$64.729,801459 / 72$20.273,401993 / 96$18.437,201971 / 98
Heart Failure & Shock W/O Cc/Mcc1694 / 39$21.650,101390 / 73$10.306,901994 / 104$9.091,441981 / 105
Peripheral Vascular Disorders W Cc1668 / 29$31.510,20850 / 58$12.608,101237 / 73$11.057,201234 / 75
Intracranial Hemorrhage Or Cerebral Infarction W Mcc15153 / 45$64.726,801199 / 66$19.297,501544 / 78$17.266,301537 / 80
Transient Ischemia15110 / 39$27.295,101068 / 54$11.408,301634 / 87$8.229,071626 / 87
G.I. Hemorrhage W Mcc15106 / 37$52.973,801065 / 53$18.861,101598 / 79$17.464,601588 / 79
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc15105 / 39$18.262,301131 / 44$10.411,802085 / 101$9.019,402073 / 101
Other Vascular Procedures W Cc1488 / 29$113.828,00940 / 50$26.828,601100 / 52$24.853,801095 / 56
Hypertension W/O Mcc1451 / 16$24.835,80534 / 35$9.887,57773 / 42$8.569,71771 / 42
Other Vascular Procedures W Mcc1483 / 22$103.569,00621 / 32$33.026,10937 / 48$31.364,30934 / 50
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 13$128.225,00434 / 22$44.300,90819 / 35$41.318,20818 / 39
Infectious & Parasitic Diseases W O.R. Procedure W Mcc13111 / 43$148.145,001009 / 60$45.402,401315 / 76$42.333,001305 / 77
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc13137 / 42$22.996,301552 / 80$9.283,691968 / 97$7.342,001962 / 98
Respiratory Signs & Symptoms1333 / 7$27.173,90206 / 13$10.256,50310 / 16$9.154,15310 / 17
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1356 / 15$95.875,90482 / 25$19.567,80550 / 27$17.892,20548 / 31
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1387 / 24$103.459,00529 / 19$30.206,80949 / 48$28.830,50944 / 50
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc12552 / 95$92.040,802389 / 105$22.384,702617 / 107$20.449,902571 / 109
Renal Failure W/O Cc/Mcc1145 / 15$21.130,70585 / 22$9.840,09853 / 34$8.411,36851 / 35
Dysequilibrium1154 / 21$17.973,30199 / 6$9.721,64561 / 31$8.344,73561 / 31
Simple Pneumonia & Pleurisy W Mcc11194 / 73$49.872,701915 / 86$16.832,502468 / 106$15.199,502462 / 108
Other Circulatory System Diagnoses W Mcc11105 / 35$53.976,90833 / 41$19.910,501288 / 69$18.071,401280 / 71
Total 54 procedures1.173discharges

DATA

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.