Hospital Costs > In Illinois > Saint Anthony Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 284 | 283 / 25 | $56.323,20 | 1557 / 58 | $13.120,10 | 575 / 15 | $10.437,50 | 569 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 232 | 284 / 28 | $47.625,10 | 1691 / 54 | $10.197,20 | 453 / 3 | $9.441,39 | 453 / 7 |
| Heart Failure & Shock W Mcc | 126 | 158 / 22 | $35.039,50 | 1397 / 49 | $8.247,25 | 360 / 6 | $7.496,96 | 360 / 6 |
| Heart Failure & Shock W Cc | 102 | 176 / 28 | $23.371,60 | 1529 / 59 | $5.323,11 | 394 / 2 | $4.779,11 | 394 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 14 | $30.616,60 | 1513 / 54 | $6.427,74 | 358 / 2 | $5.621,78 | 357 / 7 |
| G.I. Hemorrhage W Cc | 85 | 133 / 20 | $25.207,00 | 1211 / 45 | $5.716,67 | 320 / 9 | $4.730,88 | 320 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 83 | 111 / 7 | $84.725,80 | 581 / 13 | $22.512,60 | 454 / 2 | $21.548,40 | 451 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 25 | $23.216,60 | 1470 / 45 | $5.482,09 | 118 / 3 | $4.171,99 | 118 / 2 |
| Renal Failure W Cc | 73 | 148 / 34 | $23.326,80 | 1299 / 46 | $6.196,96 | 237 / 44 | $4.447,67 | 236 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 72 | 107 / 23 | $25.062,90 | 1458 / 56 | $5.334,31 | 307 / 5 | $4.332,19 | 306 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 45 | $23.912,80 | 1796 / 72 | $4.268,71 | 286 / 3 | $3.219,64 | 286 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 19 | $29.774,50 | 1141 / 40 | $6.632,46 | 267 / 31 | $4.926,58 | 267 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 36 | $21.212,50 | 1694 / 62 | $4.241,23 | 278 / 1 | $3.410,73 | 278 / 9 |
| Cellulitis W/O Mcc | 63 | 126 / 30 | $22.530,10 | 1690 / 80 | $4.667,81 | 281 / 1 | $3.661,17 | 278 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 27 | $32.895,60 | 1766 / 67 | $5.894,63 | 266 / 2 | $4.947,92 | 265 / 2 |
| Respiratory Infections & Inflammations W Cc | 59 | 29 / 3 | $30.552,80 | 708 / 25 | $7.350,85 | 106 / 2 | $6.509,63 | 106 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 11 | $64.071,10 | 1448 / 71 | $11.498,00 | 440 / 22 | $9.973,15 | 439 / 16 |
| Respiratory Infections & Inflammations W Mcc | 58 | 78 / 13 | $45.080,40 | 937 / 28 | $10.529,70 | 290 / 3 | $9.987,33 | 290 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 39 | $35.780,90 | 1397 / 41 | $8.184,36 | 620 / 7 | $7.456,35 | 620 / 19 |
| Medical Back Problems W/O Mcc | 54 | 67 / 15 | $36.255,10 | 1174 / 72 | $5.135,70 | 200 / 16 | $3.747,56 | 200 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 28 | $23.737,50 | 1817 / 80 | $3.956,72 | 316 / 4 | $3.154,75 | 316 / 12 |
| Renal Failure W Mcc | 51 | 144 / 30 | $37.769,30 | 1190 / 53 | $8.391,25 | 294 / 5 | $7.726,31 | 294 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 26 | $86.653,30 | 999 / 55 | $11.706,50 | 535 / 3 | $10.720,50 | 532 / 27 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 33 | $34.434,50 | 1267 / 42 | $6.825,81 | 288 / 2 | $6.066,29 | 288 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 23 | $30.111,80 | 965 / 48 | $6.780,63 | 371 / 5 | $6.163,27 | 369 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 23 | $25.909,60 | 975 / 39 | $6.146,00 | 225 / 3 | $5.299,60 | 225 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 32 | $18.570,20 | 912 / 26 | $4.570,03 | 196 / 7 | $3.463,74 | 196 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 26 | $35.697,30 | 541 / 19 | $9.234,49 | 221 / 2 | $8.549,51 | 220 / 8 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 20 | $49.173,80 | 980 / 39 | $9.618,22 | 189 / 3 | $8.845,78 | 189 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 36 | 65 / 12 | $112.033,00 | 686 / 26 | $20.228,60 | 404 / 8 | $19.390,40 | 404 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $23.661,70 | 626 / 25 | $6.142,72 | 129 / 1 | $5.369,39 | 128 / 3 |
| G.I. Obstruction W Cc | 33 | 59 / 20 | $23.805,20 | 914 / 34 | $4.914,52 | 242 / 2 | $4.111,61 | 241 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $19.073,80 | 1228 / 60 | $3.718,06 | 229 / 2 | $3.002,06 | 227 / 15 |
| Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 4 | $58.166,90 | 434 / 9 | $12.886,30 | 336 / 1 | $11.791,30 | 335 / 7 |
| Other Cardiothoracic Procedures W Cc | 31 | 3 / 1 | $162.493,00 | 20 / 1 | $35.718,50 | 7 / 1 | $23.737,40 | 7 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 35 | $42.638,70 | 1021 / 46 | $6.093,90 | 262 / 2 | $5.081,26 | 262 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 12 | $29.525,80 | 635 / 35 | $6.060,60 | 68 / 1 | $5.455,80 | 68 / 2 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 30 | $23.927,10 | 1183 / 60 | $4.478,82 | 258 / 2 | $3.707,39 | 258 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 28 | $54.725,00 | 758 / 31 | $12.615,10 | 323 / 5 | $11.944,20 | 319 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 28 | $15.579,40 | 1069 / 41 | $3.100,89 | 196 / 2 | $2.120,74 | 195 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 27 | 69 / 8 | $65.523,30 | 541 / 17 | $18.158,50 | 59 / 23 | $10.027,00 | 59 / 1 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 22 | $64.389,60 | 734 / 23 | $14.318,90 | 207 / 6 | $12.517,20 | 205 / 5 |
| Syncope & Collapse | 26 | 143 / 37 | $20.627,80 | 917 / 34 | $4.551,92 | 167 / 21 | $3.114,12 | 166 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 24 | $40.874,70 | 845 / 30 | $10.149,80 | 605 / 22 | $9.220,54 | 604 / 29 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 21 | $30.784,20 | 893 / 47 | $5.880,36 | 202 / 17 | $4.676,08 | 200 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 25 | 93 / 9 | $190.351,00 | 397 / 16 | $37.826,30 | 193 / 14 | $30.651,00 | 193 / 6 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 15 | $23.109,20 | 556 / 15 | $6.119,20 | 76 / 17 | $4.236,44 | 76 / 3 |
| Transient Ischemia | 25 | 100 / 29 | $21.265,70 | 758 / 31 | $4.379,12 | 93 / 18 | $2.778,84 | 93 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 29 | $19.271,10 | 1213 / 50 | $3.970,44 | 150 / 2 | $2.925,92 | 150 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 23 | $25.798,20 | 941 / 38 | $4.213,29 | 230 / 3 | $3.255,96 | 228 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 25 | $14.785,60 | 711 / 25 | $5.060,21 | 143 / 54 | $2.801,25 | 142 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 14 | $115.908,00 | 639 / 32 | $19.078,20 | 371 / 4 | $18.477,00 | 369 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 14 | $19.050,60 | 783 / 35 | $3.400,43 | 108 / 1 | $2.350,00 | 108 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 23 | 30 / 7 | $41.952,30 | 340 / 16 | $7.188,09 | 148 / 4 | $6.607,87 | 148 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 25 | $30.976,30 | 415 / 20 | $8.272,17 | 95 / 1 | $7.540,35 | 95 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 4 | $31.114,20 | 293 / 19 | $4.516,23 | 15 / 6 | $2.976,77 | 15 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 16 | $32.421,00 | 829 / 29 | $5.804,24 | 251 / 1 | $5.056,05 | 251 / 6 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 26 | $48.405,10 | 703 / 31 | $14.879,30 | 143 / 53 | $9.350,60 | 143 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 15 | $29.281,80 | 421 / 10 | $7.516,95 | 85 / 21 | $4.604,85 | 85 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 25 | $29.471,40 | 616 / 28 | $6.672,65 | 104 / 1 | $5.706,25 | 104 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 15 | $174.562,00 | 652 / 36 | $34.836,80 | 341 / 15 | $33.804,50 | 340 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 12 | $43.719,70 | 353 / 17 | $12.309,40 | 33 / 23 | $9.151,74 | 33 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 13 | $21.937,10 | 581 / 23 | $3.906,74 | 213 / 2 | $3.273,47 | 214 / 14 |
| Seizures W/O Mcc | 19 | 89 / 26 | $29.135,10 | 922 / 64 | $5.367,00 | 58 / 35 | $3.164,05 | 58 / 4 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 19 | $41.724,20 | 710 / 46 | $7.747,11 | 335 / 21 | $6.918,53 | 333 / 23 |
| Cellulitis W Mcc | 18 | 40 / 15 | $43.457,30 | 661 / 39 | $9.183,28 | 437 / 24 | $8.447,28 | 435 / 32 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 12 | $69.535,10 | 341 / 15 | $10.218,90 | 143 / 1 | $9.212,72 | 143 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 16 | $93.042,90 | 724 / 41 | $15.858,90 | 338 / 11 | $14.783,30 | 337 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 38 | $153.246,00 | 1043 / 62 | $32.062,80 | 663 / 26 | $31.193,50 | 657 / 35 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 11 | $39.951,70 | 342 / 18 | $5.974,24 | 77 / 1 | $5.477,29 | 77 / 5 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 14 | $69.680,10 | 259 / 9 | $11.160,30 | 136 / 1 | $10.377,20 | 134 / 6 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 8 | $50.901,20 | 116 / 4 | $15.160,60 | 130 / 1 | $14.025,50 | 130 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 11 | $115.324,00 | 349 / 16 | $26.258,50 | 57 / 1 | $25.403,40 | 57 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 12 | $107.492,00 | 225 / 4 | $24.038,40 | 73 / 1 | $23.206,40 | 73 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 17 | $69.092,70 | 402 / 14 | $16.364,10 | 159 / 5 | $15.612,10 | 159 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 13 | $85.111,20 | 529 / 29 | $12.505,10 | 342 / 8 | $11.749,20 | 340 / 20 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 13 | $27.724,10 | 369 / 13 | $5.322,40 | 61 / 2 | $4.513,87 | 61 / 3 |
| Other Cardiothoracic Procedures W Mcc | 15 | 3 / 1 | $212.210,00 | 6 / 1 | $47.608,20 | 3 / 1 | $38.622,60 | 3 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $169.236,00 | 911 / 48 | $33.327,00 | 724 / 25 | $32.552,20 | 722 / 36 |
| Extracranial Procedures W Cc | 14 | 32 / 9 | $32.586,60 | 102 / 2 | $8.940,57 | 70 / 1 | $7.898,29 | 70 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 20 | $49.661,60 | 455 / 17 | $9.265,57 | 163 / 1 | $8.145,57 | 163 / 6 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 7 | $125.096,00 | 191 / 10 | $21.901,00 | 149 / 8 | $20.950,20 | 149 / 9 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 13 | $291.094,00 | 379 / 15 | $58.300,60 | 337 / 11 | $57.779,60 | 337 / 12 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 12 | $85.235,90 | 359 / 19 | $15.702,40 | 232 / 5 | $14.753,90 | 232 / 12 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 9 | $19.030,60 | 232 / 10 | $3.625,57 | 55 / 1 | $2.679,29 | 55 / 1 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 19 | $40.598,00 | 328 / 11 | $9.267,77 | 99 / 1 | $8.807,46 | 99 / 4 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 32 | $26.231,20 | 685 / 42 | $5.417,77 | 214 / 8 | $4.674,38 | 213 / 14 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 15 | $90.407,60 | 381 / 17 | $18.757,30 | 207 / 1 | $18.105,00 | 207 / 6 |
| Other Vascular Procedures W Cc | 13 | 89 / 30 | $78.564,30 | 636 / 19 | $14.257,90 | 209 / 2 | $13.418,50 | 209 / 5 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $137.856,00 | 481 / 29 | $23.757,30 | 315 / 17 | $22.960,10 | 315 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $63.819,70 | 521 / 30 | $11.784,80 | 206 / 2 | $11.078,20 | 202 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 22 | $28.492,80 | 490 / 28 | $5.476,67 | 81 / 4 | $4.767,33 | 81 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 10 | $56.527,90 | 185 / 11 | $12.114,80 | 110 / 5 | $11.405,40 | 110 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $50.277,80 | 582 / 31 | $9.138,00 | 143 / 4 | $7.948,00 | 143 / 11 |
| Diabetes W Cc | 12 | 80 / 28 | $32.021,90 | 1237 / 70 | $5.423,83 | 687 / 33 | $4.517,17 | 685 / 44 |
| Major Chest Procedures W Cc | 12 | 62 / 16 | $88.095,20 | 358 / 13 | $14.330,00 | 121 / 3 | $13.628,80 | 121 / 9 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 18 | $51.686,50 | 397 / 18 | $9.760,33 | 74 / 2 | $8.645,67 | 74 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 12 | $43.309,20 | 359 / 9 | $9.178,45 | 201 / 1 | $8.084,64 | 201 / 6 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 10 | $40.374,80 | 188 / 7 | $7.250,64 | 105 / 1 | $6.043,36 | 105 / 6 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $24.030,00 | 220 / 12 | $6.509,55 | 8 / 18 | $2.420,73 | 8 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 15 | $490.654,00 | 265 / 15 | $109.464,00 | 201 / 5 | $108.705,00 | 201 / 10 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 20 | $22.404,00 | 387 / 11 | $5.732,36 | 4 / 9 | $3.323,27 | 4 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 21 | $25.294,10 | 516 / 28 | $4.230,73 | 100 / 2 | $3.298,36 | 100 / 7 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $18.901,90 | 125 / 3 | $4.229,18 | 17 / 1 | $3.356,45 | 17 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $194.059,00 | 621 / 37 | $35.282,50 | 543 / 25 | $34.628,10 | 543 / 29 | Total 105 procedures | 3.697 | 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.