Hospital Costs > In Illinois > Riverside 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 Mcc | 17 | 108 / 33 | $47.659,40 | 1073 / 43 | $13.557,80 | 546 / 72 | $9.116,71 | 545 / 24 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 25 | $24.158,80 | 558 / 25 | $6.274,50 | 627 / 33 | $5.178,29 | 623 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 25 | $17.106,30 | 758 / 19 | $5.725,08 | 1422 / 61 | $4.847,69 | 1417 / 75 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 29 | $24.527,60 | 626 / 26 | $8.381,97 | 1132 / 62 | $7.442,06 | 1129 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 17 | $11.826,60 | 563 / 12 | $4.478,79 | 1336 / 65 | $3.211,29 | 1331 / 73 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 15 | $100.533,00 | 75 / 1 | $31.605,50 | 200 / 4 | $30.849,00 | 200 / 8 |
| Cellulitis W Mcc | 19 | 39 / 14 | $24.537,30 | 233 / 5 | $9.485,53 | 481 / 29 | $8.648,37 | 479 / 38 |
| Cellulitis W/O Mcc | 59 | 130 / 33 | $14.688,40 | 819 / 25 | $6.627,92 | 1631 / 84 | $4.877,20 | 1624 / 77 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 9 | $86.471,30 | 246 / 6 | $20.189,80 | 259 / 6 | $19.046,80 | 258 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 8 | $55.119,00 | 408 / 8 | $15.269,70 | 526 / 14 | $13.048,10 | 523 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 33 | $18.949,70 | 895 / 27 | $6.695,33 | 1441 / 66 | $5.428,78 | 1436 / 74 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 37 | $24.640,10 | 1099 / 32 | $8.112,09 | 1654 / 65 | $7.105,13 | 1646 / 79 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 33 | $19.430,50 | 1223 / 52 | $5.301,00 | 1485 / 59 | $4.389,57 | 1474 / 77 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $48.703,50 | 296 / 15 | $13.985,10 | 525 / 30 | $13.099,40 | 519 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 59 | 129 / 17 | $28.511,10 | 445 / 14 | $8.272,98 | 1018 / 50 | $6.374,00 | 1015 / 61 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 9 | $96.563,90 | 27 / 1 | $29.808,30 | 28 / 1 | $29.054,50 | 28 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 42 | 46 / 4 | $70.038,20 | 72 / 1 | $20.140,00 | 133 / 3 | $19.311,80 | 132 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 16 | $17.230,80 | 141 / 5 | $6.886,17 | 490 / 28 | $6.058,38 | 490 / 35 |
| Diabetes W Mcc | 13 | 44 / 10 | $26.779,10 | 216 / 7 | $9.303,77 | 331 / 18 | $8.287,92 | 331 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $21.043,10 | 336 / 7 | $6.399,00 | 518 / 22 | $5.349,73 | 516 / 30 |
| Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 8 | $46.745,00 | 178 / 7 | $12.544,20 | 171 / 7 | $11.265,20 | 171 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $19.304,20 | 237 / 11 | $5.646,58 | 239 / 18 | $3.536,50 | 238 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $29.446,60 | 614 / 27 | $8.081,43 | 516 / 32 | $6.657,57 | 513 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 47 | $19.636,80 | 1338 / 39 | $5.638,91 | 1678 / 74 | $4.315,90 | 1665 / 75 |
| G.I. Hemorrhage W Cc | 88 | 130 / 19 | $25.356,80 | 1229 / 47 | $7.055,03 | 1598 / 64 | $6.157,17 | 1594 / 81 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 39 | $33.557,00 | 448 / 16 | $11.486,60 | 884 / 44 | $10.798,20 | 879 / 53 |
| G.I. Obstruction W Cc | 20 | 72 / 29 | $22.003,60 | 801 / 26 | $7.148,90 | 1032 / 70 | $5.176,05 | 1029 / 61 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $16.066,10 | 597 / 20 | $4.620,73 | 855 / 42 | $3.545,86 | 852 / 52 |
| Heart Failure & Shock W Cc | 58 | 220 / 52 | $21.371,10 | 1338 / 47 | $7.074,93 | 1723 / 79 | $6.028,40 | 1718 / 82 |
| Heart Failure & Shock W Mcc | 113 | 171 / 27 | $24.297,90 | 685 / 19 | $9.932,32 | 1505 / 58 | $9.058,27 | 1501 / 66 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 42 | $13.584,50 | 678 / 17 | $5.039,08 | 1355 / 71 | $4.161,69 | 1344 / 75 |
| Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 14 | $43.696,20 | 791 / 18 | $12.656,70 | 1217 / 58 | $11.684,70 | 1202 / 70 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 8 | $36.313,40 | 327 / 8 | $10.958,40 | 606 / 31 | $9.824,90 | 604 / 39 |
| Hypertension W/O Mcc | 12 | 53 / 18 | $14.880,50 | 218 / 10 | $4.696,67 | 448 / 21 | $3.565,00 | 446 / 24 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 39 | $116.382,00 | 702 / 34 | $34.210,80 | 865 / 42 | $33.410,10 | 859 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 22 | $22.794,30 | 650 / 15 | $7.147,00 | 1216 / 50 | $6.173,06 | 1213 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 40 | $28.878,80 | 308 / 8 | $11.459,30 | 879 / 42 | $10.533,40 | 877 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $20.384,30 | 605 / 15 | $5.462,45 | 1064 / 40 | $4.476,21 | 1060 / 64 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 24 | $21.041,00 | 637 / 21 | $7.755,18 | 1220 / 67 | $6.801,90 | 1216 / 69 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 44 | $15.141,80 | 959 / 24 | $5.937,92 | 1643 / 82 | $4.486,13 | 1632 / 72 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $117.456,00 | 197 / 3 | $33.014,60 | 270 / 6 | $32.098,70 | 270 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $94.577,90 | 532 / 16 | $21.964,60 | 566 / 18 | $20.947,00 | 566 / 34 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 25 | $21.839,00 | 349 / 11 | $7.642,93 | 551 / 30 | $6.787,60 | 549 / 36 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 18 | $62.191,50 | 500 / 13 | $14.614,30 | 565 / 15 | $13.395,10 | 562 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $53.290,80 | 160 / 3 | $18.570,10 | 286 / 9 | $17.515,90 | 284 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 303 | 266 / 19 | $40.056,60 | 761 / 12 | $14.771,60 | 1645 / 54 | $12.419,90 | 1608 / 77 |
| Major Small & Large Bowel Procedures W Cc | 36 | 72 / 15 | $47.047,70 | 335 / 4 | $18.026,10 | 718 / 42 | $14.417,20 | 711 / 40 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $108.935,00 | 470 / 12 | $33.852,40 | 750 / 29 | $32.945,00 | 748 / 40 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 11 | $30.694,30 | 148 / 1 | $11.268,60 | 383 / 9 | $9.062,83 | 383 / 12 |
| Medical Back Problems W/O Mcc | 20 | 101 / 38 | $19.603,90 | 492 / 14 | $6.889,00 | 707 / 58 | $4.574,50 | 704 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 39 | $16.965,80 | 242 / 5 | $7.517,75 | 795 / 42 | $6.573,94 | 792 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 36 | $17.032,50 | 1211 / 44 | $5.444,40 | 1588 / 80 | $4.159,16 | 1583 / 70 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 26 | $34.994,70 | 345 / 11 | $12.576,80 | 715 / 36 | $11.685,50 | 713 / 43 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 23 | $20.138,60 | 417 / 12 | $6.867,78 | 876 / 46 | $6.036,48 | 872 / 57 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 21 | $25.861,60 | 268 / 10 | $10.382,10 | 604 / 37 | $9.561,00 | 602 / 41 |
| Other Vascular Procedures W Cc | 20 | 82 / 23 | $81.890,50 | 668 / 26 | $19.292,40 | 510 / 39 | $15.035,80 | 507 / 24 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 25 | $92.524,00 | 407 / 11 | $24.577,20 | 392 / 30 | $18.646,40 | 390 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 33 | $65.242,60 | 572 / 20 | $15.183,10 | 802 / 45 | $11.664,70 | 797 / 45 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 15 | $57.818,50 | 239 / 6 | $12.980,50 | 263 / 18 | $10.186,90 | 263 / 16 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 20 | $65.139,10 | 226 / 6 | $13.095,10 | 340 / 11 | $12.285,70 | 336 / 18 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 25 | $21.405,10 | 472 / 22 | $6.354,50 | 570 / 33 | $5.473,55 | 568 / 43 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 16 | $73.277,40 | 541 / 26 | $17.116,70 | 527 / 28 | $16.119,90 | 526 / 35 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $23.808,10 | 616 / 31 | $4.870,43 | 580 / 25 | $4.165,36 | 579 / 29 |
| Psychoses | 195 | 121 / 13 | $16.149,30 | 215 / 12 | $7.203,83 | 317 / 18 | $6.092,78 | 317 / 18 |
| Pulmonary Edema & Respiratory Failure | 63 | 140 / 17 | $26.953,30 | 855 / 23 | $8.479,10 | 1339 / 56 | $7.471,40 | 1335 / 64 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 23 | $24.740,90 | 634 / 23 | $6.870,35 | 805 / 33 | $5.831,41 | 802 / 49 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 33 | $18.180,00 | 733 / 30 | $5.833,44 | 1154 / 65 | $4.728,68 | 1146 / 65 |
| Renal Failure W Cc | 73 | 148 / 34 | $18.811,40 | 863 / 23 | $6.857,75 | 1518 / 70 | $5.779,25 | 1509 / 72 |
| Renal Failure W Mcc | 56 | 139 / 27 | $32.279,60 | 907 / 30 | $10.372,20 | 1316 / 57 | $9.701,11 | 1316 / 68 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 14 | $23.834,30 | 419 / 8 | $9.431,38 | 975 / 47 | $8.572,10 | 970 / 52 |
| Respiratory Infections & Inflammations W Mcc | 54 | 82 / 16 | $40.558,50 | 809 / 25 | $13.105,00 | 1133 / 59 | $12.201,90 | 1119 / 64 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $36.715,80 | 246 / 3 | $15.061,60 | 971 / 43 | $14.008,00 | 962 / 52 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $78.128,60 | 105 / 3 | $32.532,80 | 410 / 18 | $30.911,50 | 410 / 22 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 13 | $91.917,10 | 397 / 20 | $21.483,10 | 388 / 12 | $20.622,50 | 387 / 18 |
| Seizures W/O Mcc | 18 | 90 / 27 | $16.758,80 | 358 / 12 | $5.577,33 | 747 / 43 | $4.590,72 | 744 / 53 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $98.591,40 | 174 / 9 | $37.109,20 | 454 / 23 | $35.906,60 | 453 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 188 | 328 / 39 | $35.988,40 | 1099 / 25 | $12.720,30 | 1626 / 68 | $11.275,60 | 1594 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 26 | $23.069,70 | 1078 / 27 | $7.652,98 | 1575 / 70 | $6.393,11 | 1568 / 77 |
| Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 29 | $20.262,20 | 1154 / 24 | $6.910,84 | 1824 / 64 | $5.883,34 | 1816 / 80 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 40 | $28.365,50 | 931 / 25 | $9.835,98 | 1514 / 62 | $8.704,63 | 1514 / 72 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 31 | $15.434,70 | 782 / 28 | $5.214,89 | 1451 / 62 | $4.305,89 | 1443 / 79 |
| Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 23 | $81.789,60 | 551 / 11 | $24.662,70 | 734 / 14 | $23.502,20 | 730 / 36 |
| Syncope & Collapse | 24 | 145 / 39 | $19.510,30 | 809 / 28 | $5.363,46 | 1158 / 58 | $4.316,42 | 1151 / 62 |
| Transient Ischemia | 26 | 99 / 28 | $18.235,00 | 524 / 17 | $5.187,04 | 969 / 50 | $3.993,46 | 964 / 58 | Total 84 procedures | 3.128 | 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.