Hospital Costs > In Illinois > Richland Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 51 | $20.525,00 | 360 / 11 | $7.532,18 | 693 / 36 | $6.647,82 | 690 / 44 |
| Cellulitis W/O Mcc | 22 | 167 / 60 | $16.939,90 | 1120 / 37 | $6.015,64 | 1078 / 65 | $4.332,59 | 1072 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 49 | $19.409,00 | 943 / 30 | $6.028,35 | 1123 / 41 | $5.074,94 | 1119 / 55 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 66 | $22.162,10 | 915 / 23 | $7.268,89 | 1251 / 36 | $6.527,56 | 1245 / 54 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 72 | $16.951,70 | 993 / 22 | $5.510,77 | 960 / 69 | $3.734,97 | 952 / 41 |
| G.I. Hemorrhage W Cc | 20 | 198 / 61 | $19.918,60 | 745 / 16 | $6.287,05 | 1080 / 33 | $5.442,25 | 1078 / 52 |
| Heart Failure & Shock W Cc | 18 | 260 / 79 | $21.335,70 | 1334 / 46 | $6.345,33 | 1293 / 43 | $5.543,56 | 1289 / 56 |
| Heart Failure & Shock W Mcc | 21 | 263 / 79 | $22.598,70 | 574 / 11 | $9.145,57 | 1273 / 35 | $8.685,38 | 1270 / 54 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 40 | $15.329,20 | 887 / 34 | $4.582,00 | 965 / 51 | $3.700,93 | 957 / 60 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 47 | $19.715,40 | 89 / 1 | $10.719,30 | 730 / 25 | $9.975,92 | 729 / 43 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 40 | $18.211,60 | 447 / 12 | $6.984,78 | 817 / 35 | $6.113,67 | 816 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 71 | $13.332,20 | 687 / 8 | $5.080,20 | 1054 / 50 | $3.995,40 | 1046 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 90 | $50.629,20 | 1321 / 41 | $13.046,20 | 1458 / 14 | $11.941,50 | 1425 / 64 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 52 | $13.056,50 | 688 / 17 | $4.678,83 | 1154 / 46 | $3.776,17 | 1151 / 59 |
| Renal Failure W Cc | 17 | 204 / 70 | $13.683,00 | 357 / 5 | $6.183,71 | 1244 / 43 | $5.439,71 | 1236 / 59 |
| Renal Failure W Mcc | 14 | 181 / 58 | $18.300,00 | 163 / 3 | $9.288,36 | 731 / 26 | $8.426,64 | 731 / 33 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 19 | $28.597,50 | 633 / 18 | $8.615,33 | 730 / 30 | $7.810,00 | 725 / 40 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 38 | $30.955,80 | 413 / 7 | $12.191,10 | 941 / 40 | $11.544,30 | 931 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 59 | 457 / 82 | $26.036,40 | 590 / 11 | $11.281,30 | 1223 / 26 | $10.509,10 | 1202 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 60 | $22.746,90 | 1422 / 41 | $6.225,79 | 1519 / 41 | $5.534,39 | 1513 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 55 | $24.061,20 | 640 / 15 | $8.905,15 | 1202 / 34 | $8.137,15 | 1202 / 52 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 31 | $14.671,70 | 697 / 23 | $5.879,89 | 647 / 77 | $3.363,94 | 644 / 38 | Total 22 procedures | 513 | 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.