Hospital Costs > In Illinois > Presence Saint Francis Hospital, procedure costs

Presence Saint Francis Hospital, procedure costs

355 Ridge Ave, Evanston, IL 60202,

Procedure Costs @ Presence Saint Francis Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc293225 / 18$73.754,402339 / 100$17.135,302272 / 108$13.526,602232 / 99
Renal Failure W Cc105116 / 19$33.068,201833 / 90$8.891,231955 / 95$6.840,741945 / 91
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc83481 / 68$80.540,502215 / 98$21.934,302203 / 106$14.705,202159 / 100
Renal Failure W Mcc70125 / 21$59.142,101750 / 92$14.779,501602 / 94$10.676,801600 / 81
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc59216 / 52$26.890,601994 / 87$7.228,922161 / 100$5.147,982147 / 96
Heart Failure & Shock W Mcc59225 / 56$59.245,302185 / 108$13.835,402115 / 107$10.843,002105 / 97
Kidney & Urinary Tract Infections W/O Mcc54179 / 42$29.488,002196 / 101$7.733,802231 / 103$5.528,412220 / 96
Cellulitis W/O Mcc51138 / 37$27.519,002014 / 103$8.122,862177 / 105$6.025,762169 / 102
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5074 / 13$159.031,001074 / 65$41.502,201047 / 69$36.053,701040 / 64
Simple Pneumonia & Pleurisy W Cc47156 / 50$42.823,402405 / 110$11.305,902300 / 114$6.884,382292 / 100
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc47160 / 37$40.106,202039 / 85$11.827,802041 / 102$7.436,192033 / 93
G.I. Hemorrhage W Cc43175 / 43$37.383,101871 / 94$9.264,161995 / 100$7.249,581991 / 98
Cardiac Arrhythmia & Conduction Disorders W Cc42119 / 30$33.453,301759 / 86$7.848,431786 / 88$5.775,141781 / 86
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc41155 / 28$89.764,501047 / 61$22.042,401121 / 74$13.345,301114 / 68
Chronic Obstructive Pulmonary Disease W Mcc41161 / 45$40.655,701941 / 85$10.511,002126 / 107$8.409,152118 / 100
Heart Failure & Shock W Cc39239 / 63$33.598,202126 / 101$9.549,772337 / 112$7.476,152331 / 106
Respiratory System Diagnosis W Ventilator Support <96 Hours3992 / 18$82.422,501333 / 68$22.804,301295 / 86$15.689,601282 / 73
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc38128 / 41$23.777,101821 / 82$6.737,501952 / 97$4.779,471944 / 87
Septicemia Or Severe Sepsis W Mv 96+ Hours3854 / 5$161.741,00592 / 31$43.713,70613 / 37$38.885,00612 / 36
Red Blood Cell Disorders W/O Mcc38105 / 22$24.766,301237 / 65$8.203,951614 / 95$5.900,131605 / 91
Kidney & Urinary Tract Infections W Mcc36108 / 26$38.753,101466 / 81$10.164,201520 / 85$7.696,921516 / 78
Chronic Obstructive Pulmonary Disease W Cc36143 / 47$37.070,201988 / 100$8.950,642010 / 104$6.744,032003 / 100
Circulatory Disorders Except Ami, W Card Cath W/O Mcc33155 / 33$49.598,901191 / 60$9.738,881367 / 67$7.926,031364 / 79
Simple Pneumonia & Pleurisy W Mcc31174 / 57$55.385,802027 / 96$13.527,202079 / 101$10.514,902076 / 99
Respiratory Infections & Inflammations W Mcc30106 / 36$80.966,101517 / 81$17.359,901392 / 81$13.518,001377 / 75
Seizures W/O Mcc3078 / 16$34.548,701052 / 75$7.859,07890 / 73$5.057,20887 / 60
Hip & Femur Procedures Except Major Joint W Cc29114 / 34$74.175,601618 / 87$16.919,701714 / 91$14.139,001695 / 89
Syncope & Collapse28141 / 35$30.845,901466 / 85$8.457,611310 / 95$4.614,251303 / 73
Diabetes W Cc2765 / 15$34.842,701309 / 78$8.361,191162 / 77$5.615,781157 / 66
G.I. Obstruction W Cc2567 / 26$33.383,601307 / 73$8.377,081442 / 78$6.410,601437 / 83
Peripheral Vascular Disorders W Cc2559 / 20$34.610,80912 / 66$9.625,00967 / 70$6.977,40964 / 66
Medical Back Problems W/O Mcc2497 / 34$28.801,50968 / 54$8.107,461187 / 69$5.934,331183 / 68
G.I. Hemorrhage W Mcc2398 / 30$60.407,001205 / 68$16.413,601202 / 75$12.227,701194 / 70
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs22160 / 50$58.316,001849 / 93$10.760,301742 / 91$7.885,681738 / 87
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc22128 / 33$22.799,701539 / 77$6.172,321554 / 88$3.636,361548 / 86
Transient Ischemia21104 / 33$31.376,401224 / 71$7.987,051302 / 83$4.862,191296 / 75
Acute Myocardial Infarction, Discharged Alive W Mcc19106 / 31$57.451,301277 / 65$19.770,801396 / 84$12.024,101384 / 73
Bronchitis & Asthma W Cc/Mcc1957 / 20$30.659,80729 / 44$10.468,10794 / 61$5.914,53790 / 53
Simple Pneumonia & Pleurisy W/O Cc/Mcc1875 / 31$25.801,801492 / 79$6.612,831593 / 84$4.706,281585 / 86
Respiratory Infections & Inflammations W Cc1870 / 24$41.798,601001 / 49$12.238,601217 / 64$9.844,941212 / 65
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc18108 / 37$38.318,301267 / 73$10.590,901350 / 85$8.386,831347 / 77
Other Digestive System Diagnoses W Cc1879 / 27$37.139,901074 / 65$10.577,901061 / 74$6.711,281057 / 65
Intracranial Hemorrhage Or Cerebral Infarction W Mcc17151 / 43$67.081,401235 / 70$16.014,801264 / 76$12.682,201258 / 71
Heart Failure & Shock W/O Cc/Mcc1793 / 38$29.418,801693 / 101$7.115,291629 / 96$4.794,291616 / 88
Cellulitis W Mcc1642 / 17$34.223,40470 / 25$12.505,40747 / 51$10.396,20745 / 52
Other Circulatory System Diagnoses W Mcc16100 / 30$61.573,80949 / 52$16.679,801061 / 64$14.017,201054 / 63
Signs & Symptoms W/O Mcc1675 / 23$26.325,60936 / 54$6.504,941033 / 54$5.065,621030 / 57
Other Kidney & Urinary Tract Diagnoses W Mcc1685 / 32$54.715,00833 / 48$13.591,40818 / 54$11.035,20815 / 53
Hypertension W/O Mcc1550 / 15$25.398,70551 / 37$6.285,27578 / 37$4.247,73576 / 33
Traumatic Stupor & Coma, Coma <1 Hr W Cc1551 / 13$43.093,10372 / 24$10.665,70404 / 27$8.217,80403 / 26
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1547 / 17$41.204,50736 / 40$7.437,53631 / 38$5.240,00629 / 37
Pulmonary Edema & Respiratory Failure15188 / 56$40.261,001509 / 61$13.662,201752 / 94$8.694,531747 / 82
Renal Failure W/O Cc/Mcc1442 / 12$22.842,00631 / 29$6.282,00706 / 31$4.551,14704 / 28
Chest Pain14137 / 41$29.324,601371 / 71$5.870,071314 / 61$4.299,931307 / 62
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1450 / 9$251.641,00251 / 14$67.278,90163 / 14$56.433,50163 / 7
Major Small & Large Bowel Procedures W Cc1494 / 33$108.081,001281 / 69$22.234,401255 / 63$18.136,901241 / 67
Other Vascular Procedures W Cc1389 / 30$113.568,00937 / 49$21.921,40899 / 45$18.702,90894 / 50
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1387 / 24$124.943,00697 / 38$26.718,20771 / 39$23.226,90766 / 44
Acute Myocardial Infarction, Discharged Alive W Cc1378 / 24$48.334,901159 / 56$9.900,231200 / 59$7.677,851198 / 58
Cardiac Arrhythmia & Conduction Disorders W Mcc13110 / 49$35.724,501184 / 62$11.169,601548 / 91$8.888,541545 / 88
Spinal Fusion Except Cervical W/O Mcc13181 / 38$156.836,001146 / 51$32.587,201156 / 46$29.538,301151 / 52
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1357 / 10$31.706,20390 / 15$8.944,38422 / 18$7.224,77422 / 18
Degenerative Nervous System Disorders W/O Mcc1365 / 25$36.265,10617 / 43$9.296,77639 / 46$6.977,54639 / 44
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc13107 / 41$22.299,201424 / 65$6.450,541658 / 78$4.815,381647 / 84
Other Vascular Procedures W Mcc1384 / 23$135.960,00815 / 46$27.529,70683 / 41$23.323,50680 / 37
Peripheral Vascular Disorders W Mcc1237 / 17$45.492,20388 / 26$12.271,80420 / 31$9.610,33420 / 30
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1242 / 11$36.399,80324 / 23$7.305,42287 / 19$5.293,25287 / 22
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1191 / 35$39.510,001351 / 73$7.837,271341 / 66$5.426,361337 / 73
Endocrine Disorders W Cc1127 / 11$42.908,50247 / 17$10.350,20220 / 16$7.696,45220 / 16
Total 69 procedures2.206discharges

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.