Hospital Costs > In Illinois > St Margarets 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 Cc | 14 | 147 / 53 | $22.424,60 | 1241 / 47 | $4.428,50 | 261 / 2 | $3.564,50 | 261 / 8 |
| Cellulitis W/O Mcc | 13 | 176 / 68 | $22.822,80 | 1713 / 81 | $4.752,38 | 537 / 3 | $3.917,92 | 534 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 54 | $22.261,70 | 1236 / 46 | $5.269,26 | 308 / 4 | $4.334,15 | 307 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 67 | $27.668,00 | 1324 / 44 | $6.558,88 | 312 / 4 | $5.576,88 | 311 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 28 | $19.159,10 | 1198 / 48 | $4.017,00 | 250 / 3 | $3.091,46 | 250 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 80 | $26.441,20 | 1969 / 85 | $4.185,68 | 355 / 2 | $3.291,37 | 354 / 10 |
| G.I. Hemorrhage W Cc | 16 | 202 / 65 | $24.224,10 | 1142 / 38 | $5.582,19 | 412 / 3 | $4.824,19 | 411 / 12 |
| Heart Failure & Shock W Cc | 35 | 243 / 66 | $25.551,60 | 1710 / 68 | $5.519,46 | 437 / 5 | $4.828,26 | 437 / 15 |
| Heart Failure & Shock W Mcc | 13 | 271 / 87 | $32.767,00 | 1269 / 42 | $8.422,31 | 561 / 11 | $7.770,00 | 561 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 41 | $18.174,30 | 1165 / 51 | $3.768,50 | 289 / 4 | $3.082,79 | 287 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 48 | $44.737,40 | 832 / 21 | $11.068,30 | 468 / 9 | $10.020,80 | 467 / 17 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $38.623,40 | 375 / 12 | $9.241,17 | 138 / 6 | $7.923,25 | 138 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 56 | $27.003,50 | 927 / 27 | $6.075,33 | 469 / 6 | $5.192,13 | 468 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 60 | $18.756,30 | 1431 / 44 | $4.351,12 | 246 / 5 | $3.363,00 | 246 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 107 | 457 / 61 | $47.490,00 | 1166 / 29 | $13.670,70 | 613 / 33 | $10.483,50 | 606 / 17 |
| Medical Back Problems W/O Mcc | 14 | 107 / 44 | $18.489,90 | 424 / 12 | $4.713,07 | 244 / 1 | $3.853,64 | 244 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 26 | $18.396,40 | 1364 / 52 | $3.940,41 | 145 / 3 | $2.914,34 | 145 / 3 |
| Renal Failure W Cc | 12 | 209 / 74 | $23.291,90 | 1297 / 45 | $5.398,17 | 451 / 4 | $4.699,50 | 448 / 19 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 25 | $38.795,90 | 941 / 42 | $8.757,47 | 821 / 33 | $8.051,59 | 816 / 43 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 9 | $47.608,60 | 95 / 3 | $15.593,50 | 162 / 3 | $14.393,50 | 162 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 61 | $23.121,70 | 1083 / 29 | $6.005,40 | 568 / 6 | $5.282,20 | 566 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 51 | $26.254,00 | 1721 / 64 | $5.510,78 | 400 / 4 | $4.562,61 | 397 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 30 | $21.037,70 | 1262 / 59 | $3.941,26 | 433 / 2 | $3.176,63 | 431 / 24 | Total 23 procedures | 575 | 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.