Hospital Costs > In Illinois > Rockford Memorial Hospital, 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 | 27 | 98 / 23 | $43.022,10 | 934 / 39 | $11.601,30 | 1079 / 54 | $10.572,50 | 1074 / 57 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 32 | $20.610,60 | 502 / 29 | $6.538,55 | 176 / 35 | $3.465,36 | 176 / 10 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 4 | $155.478,00 | 147 / 5 | $38.857,50 | 160 / 5 | $37.983,60 | 160 / 6 |
| Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 9 | $16.733,60 | 124 / 8 | $5.432,29 | 153 / 11 | $4.568,29 | 153 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 22 | $16.466,50 | 253 / 8 | $6.137,47 | 655 / 28 | $5.282,88 | 651 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 34 | $21.913,20 | 1201 / 39 | $6.306,14 | 1163 / 75 | $4.460,16 | 1159 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 24 | $27.053,50 | 792 / 39 | $9.983,35 | 994 / 83 | $7.131,52 | 991 / 65 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 43 | $15.476,50 | 1050 / 38 | $6.073,08 | 849 / 86 | $2.708,92 | 845 / 53 |
| Cellulitis W Mcc | 15 | 43 / 18 | $29.806,50 | 381 / 16 | $9.655,87 | 519 / 34 | $8.853,73 | 517 / 40 |
| Cellulitis W/O Mcc | 62 | 127 / 31 | $16.393,50 | 1043 / 32 | $6.146,50 | 1670 / 71 | $4.925,76 | 1663 / 79 |
| Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 5 | $68.407,90 | 559 / 18 | $21.215,50 | 210 / 25 | $11.141,20 | 210 / 4 |
| Chest Pain | 18 | 133 / 37 | $17.935,20 | 764 / 27 | $4.734,11 | 1202 / 44 | $3.994,56 | 1195 / 57 |
| Chronic Obstructive Pulmonary Disease W Cc | 86 | 93 / 14 | $20.039,90 | 1006 / 33 | $6.793,86 | 1571 / 70 | $5.632,38 | 1565 / 81 |
| Chronic Obstructive Pulmonary Disease W Mcc | 100 | 102 / 15 | $28.404,70 | 1366 / 46 | $8.536,84 | 1570 / 78 | $6.939,36 | 1562 / 74 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 21 | $15.787,90 | 876 / 30 | $5.475,45 | 1337 / 64 | $4.133,09 | 1326 / 68 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $57.519,90 | 429 / 24 | $15.099,70 | 623 / 38 | $13.963,10 | 617 / 45 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 34 | $33.597,20 | 690 / 31 | $8.510,12 | 886 / 51 | $6.095,56 | 883 / 53 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 12 | $25.222,30 | 361 / 14 | $6.366,67 | 452 / 20 | $5.692,89 | 452 / 29 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 25 | $46.667,20 | 742 / 52 | $9.018,15 | 732 / 43 | $8.134,38 | 732 / 50 |
| Diabetes W Cc | 26 | 66 / 16 | $20.250,00 | 712 / 27 | $6.053,08 | 1082 / 49 | $5.358,92 | 1078 / 60 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $29.498,60 | 89 / 2 | $11.282,50 | 158 / 8 | $10.622,10 | 158 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $21.675,80 | 356 / 10 | $6.583,00 | 668 / 26 | $5.924,33 | 665 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $21.270,70 | 261 / 5 | $8.191,19 | 806 / 35 | $7.435,19 | 801 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 41 | $17.091,20 | 1013 / 24 | $5.558,69 | 1856 / 70 | $4.559,01 | 1842 / 84 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 14 | $29.092,60 | 411 / 8 | $7.348,00 | 639 / 19 | $6.256,95 | 637 / 35 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 16 | $14.084,00 | 158 / 2 | $5.641,81 | 504 / 27 | $4.587,81 | 502 / 31 |
| G.I. Hemorrhage W Cc | 42 | 176 / 44 | $26.088,10 | 1297 / 50 | $7.326,43 | 1768 / 76 | $6.520,31 | 1764 / 86 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 25 | $42.698,80 | 797 / 30 | $12.477,60 | 1133 / 59 | $11.850,80 | 1125 / 67 |
| G.I. Obstruction W Cc | 26 | 66 / 25 | $19.495,00 | 616 / 17 | $6.373,12 | 1216 / 57 | $5.620,50 | 1212 / 73 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $12.782,80 | 349 / 10 | $4.768,91 | 939 / 48 | $3.776,91 | 936 / 56 |
| Headaches W/O Mcc | 13 | 30 / 5 | $16.605,20 | 60 / 1 | $5.126,62 | 149 / 5 | $4.289,69 | 149 / 12 |
| Heart Failure & Shock W Cc | 99 | 179 / 29 | $23.210,90 | 1510 / 55 | $7.177,77 | 1758 / 84 | $6.072,54 | 1753 / 83 |
| Heart Failure & Shock W Mcc | 86 | 198 / 42 | $45.626,70 | 1863 / 79 | $11.150,80 | 1993 / 83 | $10.356,00 | 1986 / 89 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 20 | $14.925,70 | 846 / 30 | $5.215,06 | 1291 / 76 | $4.080,86 | 1281 / 70 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 27 | $57.882,70 | 1300 / 59 | $14.147,00 | 1158 / 78 | $11.485,50 | 1144 / 63 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 17 | $109.184,00 | 747 / 41 | $22.589,40 | 768 / 39 | $21.685,60 | 765 / 43 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 15 | $50.055,90 | 579 / 29 | $11.122,10 | 627 / 32 | $10.006,90 | 625 / 40 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 23 | $130.357,00 | 843 / 45 | $37.297,00 | 854 / 57 | $33.277,30 | 848 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 27 | $34.561,20 | 1340 / 56 | $8.267,19 | 1278 / 70 | $6.294,21 | 1275 / 69 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 16 | $62.020,90 | 1165 / 60 | $13.747,10 | 1284 / 64 | $12.859,60 | 1278 / 72 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 17 | $29.551,50 | 1086 / 52 | $6.243,37 | 1058 / 54 | $4.463,57 | 1054 / 63 |
| Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 18 | $25.578,50 | 957 / 36 | $7.745,62 | 1273 / 66 | $6.936,02 | 1269 / 72 |
| Kidney & Urinary Tract Infections W/O Mcc | 88 | 145 / 26 | $17.815,00 | 1324 / 38 | $5.690,08 | 1887 / 72 | $4.798,44 | 1876 / 81 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 11 | $60.454,50 | 400 / 15 | $10.043,50 | 336 / 5 | $9.162,00 | 336 / 13 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 17 | $126.405,00 | 239 / 5 | $35.015,10 | 194 / 12 | $30.461,60 | 194 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 19 | $37.929,40 | 792 / 48 | $9.647,48 | 905 / 48 | $8.538,57 | 903 / 53 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 17 | $29.686,90 | 135 / 3 | $11.746,70 | 288 / 17 | $11.187,90 | 287 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $89.509,50 | 571 / 27 | $22.019,40 | 543 / 29 | $19.820,00 | 540 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 161 | 403 / 44 | $48.804,90 | 1234 / 35 | $15.602,40 | 1100 / 67 | $11.220,60 | 1076 / 43 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 28 | 45 / 4 | $44.411,60 | 210 / 11 | $10.208,60 | 181 / 5 | $6.797,89 | 181 / 11 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 29 | $74.404,40 | 924 / 39 | $19.873,80 | 877 / 51 | $15.102,90 | 869 / 50 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 22 | $129.001,00 | 643 / 22 | $33.172,60 | 693 / 22 | $32.171,70 | 691 / 32 |
| Medical Back Problems W/O Mcc | 44 | 77 / 21 | $20.145,90 | 539 / 16 | $6.182,73 | 864 / 49 | $4.895,91 | 861 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 17 | $22.137,90 | 535 / 22 | $7.912,09 | 872 / 55 | $6.735,05 | 869 / 55 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 72 | 94 / 18 | $15.199,50 | 981 / 32 | $5.444,44 | 1698 / 81 | $4.315,86 | 1693 / 78 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 6 | $19.582,90 | 125 / 3 | $6.754,92 | 263 / 8 | $5.850,92 | 263 / 10 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 20 | $39.769,30 | 480 / 18 | $13.084,00 | 887 / 40 | $12.593,40 | 881 / 49 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $58.817,70 | 149 / 2 | $17.116,30 | 170 / 8 | $16.453,00 | 170 / 9 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 19 | $24.620,70 | 656 / 31 | $6.843,96 | 918 / 44 | $6.194,48 | 914 / 60 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 15 | $27.081,40 | 323 / 13 | $6.438,71 | 413 / 19 | $5.919,86 | 413 / 25 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 8 | $42.142,40 | 161 / 5 | $11.362,00 | 192 / 9 | $10.677,60 | 192 / 12 |
| Other Vascular Procedures W Cc | 26 | 76 / 17 | $78.619,00 | 637 / 20 | $17.571,10 | 474 / 28 | $14.783,00 | 471 / 19 |
| Other Vascular Procedures W Mcc | 24 | 73 / 14 | $100.277,00 | 605 / 31 | $21.613,50 | 518 / 21 | $20.897,10 | 515 / 27 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 8 | $66.697,50 | 421 / 12 | $11.607,50 | 354 / 9 | $10.630,10 | 353 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 18 | $111.433,00 | 603 / 26 | $21.847,20 | 600 / 20 | $20.816,80 | 596 / 34 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 27 | $77.611,70 | 828 / 37 | $15.285,60 | 994 / 47 | $12.474,90 | 987 / 62 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 29 | $18.960,10 | 357 / 15 | $6.829,50 | 698 / 46 | $5.849,50 | 695 / 53 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 17 | $21.603,60 | 74 / 2 | $8.943,58 | 244 / 14 | $8.034,25 | 244 / 20 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 3 | $32.749,30 | 413 / 5 | $10.711,40 | 535 / 16 | $8.667,74 | 533 / 15 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $18.372,40 | 457 / 15 | $4.909,50 | 601 / 26 | $4.253,50 | 600 / 30 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 11 | $19.737,00 | 125 / 2 | $6.615,18 | 267 / 6 | $6.504,64 | 267 / 13 |
| Pulmonary Edema & Respiratory Failure | 51 | 152 / 26 | $41.837,00 | 1562 / 67 | $10.133,70 | 1223 / 77 | $7.260,06 | 1221 / 54 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 22 | $23.118,30 | 557 / 16 | $8.069,00 | 663 / 48 | $5.483,78 | 660 / 40 |
| Red Blood Cell Disorders W/O Mcc | 29 | 114 / 29 | $23.699,20 | 1160 / 55 | $6.158,93 | 1476 / 71 | $5.411,93 | 1467 / 81 |
| Renal Failure W Cc | 54 | 167 / 43 | $22.633,10 | 1247 / 44 | $6.837,89 | 1633 / 69 | $5.987,52 | 1624 / 78 |
| Renal Failure W Mcc | 52 | 143 / 29 | $33.210,40 | 959 / 36 | $10.999,60 | 1538 / 69 | $10.419,90 | 1536 / 77 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 19 | $28.631,10 | 634 / 19 | $9.217,08 | 971 / 43 | $8.559,75 | 966 / 51 |
| Respiratory Infections & Inflammations W Mcc | 48 | 88 / 21 | $46.878,40 | 996 / 33 | $12.976,30 | 1131 / 58 | $12.195,60 | 1117 / 63 |
| Respiratory Neoplasms W Cc | 12 | 35 / 15 | $23.285,70 | 105 / 5 | $7.977,75 | 186 / 17 | $6.632,75 | 185 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 23 | $46.818,20 | 535 / 19 | $14.654,30 | 877 / 34 | $13.642,00 | 869 / 44 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 15 | $93.706,80 | 409 / 22 | $23.747,50 | 511 / 19 | $23.097,70 | 509 / 25 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 10 | $74.460,50 | 291 / 13 | $24.193,80 | 197 / 16 | $14.745,20 | 197 / 8 |
| Seizures W/O Mcc | 29 | 79 / 17 | $18.843,70 | 489 / 17 | $6.053,66 | 709 / 52 | $4.509,79 | 706 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 161 | 355 / 45 | $59.351,20 | 2075 / 81 | $14.657,50 | 2261 / 94 | $13.445,40 | 2221 / 96 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 29 | $24.801,70 | 1233 / 34 | $7.660,05 | 1547 / 71 | $6.342,18 | 1540 / 75 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 26 | $20.387,60 | 674 / 26 | $5.257,69 | 942 / 44 | $4.698,92 | 939 / 50 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 25 | $23.207,40 | 1468 / 44 | $7.055,26 | 1728 / 76 | $5.755,80 | 1720 / 79 |
| Simple Pneumonia & Pleurisy W Mcc | 84 | 121 / 20 | $41.059,80 | 1597 / 58 | $10.229,30 | 1763 / 72 | $9.283,08 | 1763 / 85 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 14 | $20.756,80 | 1248 / 58 | $5.324,39 | 1384 / 65 | $4.176,72 | 1376 / 77 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 13 | $109.453,00 | 828 / 31 | $27.086,20 | 779 / 24 | $23.916,70 | 775 / 37 |
| Syncope & Collapse | 33 | 136 / 32 | $18.311,20 | 709 / 23 | $5.460,67 | 1248 / 62 | $4.473,52 | 1241 / 69 |
| Transient Ischemia | 22 | 103 / 32 | $27.300,50 | 1071 / 56 | $5.298,50 | 1104 / 56 | $4.252,68 | 1098 / 65 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 16 | $26.758,30 | 192 / 4 | $6.920,92 | 167 / 8 | $6.014,25 | 167 / 12 | Total 93 procedures | 3.169 | 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.