Hospital Costs > In Illinois > The Carle Foundation Hospital, procedure costs

The Carle Foundation Hospital, procedure costs

611 West Park Street, Urbana, IL 61801,

Procedure Costs @ The Carle Foundation Hospital
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 Cc2467 / 14$30.091,70740 / 25$8.653,00776 / 52$6.070,21774 / 38
Acute Myocardial Infarction, Discharged Alive W Mcc3689 / 17$53.096,701206 / 58$11.722,101152 / 57$10.851,401147 / 62
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1119 / 5$100.150,00180 / 9$39.478,9070 / 9$10.747,5069 / 4
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc1319 / 2$83.349,20129 / 5$20.222,40132 / 4$19.347,90132 / 5
Atherosclerosis W/O Mcc1147 / 11$23.042,90375 / 15$4.718,55 / 13$3.838,09 /
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc3554 / 4$30.864,30313 / 9$8.005,60455 / 14$6.248,23454 / 26
Bronchitis & Asthma W Cc/Mcc1759 / 22$28.414,60669 / 39$6.306,65716 / 35$5.551,88712 / 46
Cardiac Arrhythmia & Conduction Disorders W Cc56105 / 22$26.222,801466 / 64$5.832,161400 / 66$4.811,051395 / 72
Cardiac Arrhythmia & Conduction Disorders W Mcc3885 / 25$39.576,501310 / 71$9.063,241361 / 73$8.151,741358 / 80
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc48102 / 14$19.221,701355 / 63$5.163,981356 / 80$3.233,041351 / 75
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc459 / 1$146.836,00127 / 4$36.821,5097 / 5$32.619,3097 / 3
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc2296 / 12$176.036,00369 / 13$33.750,30272 / 10$32.629,10272 / 14
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc2690 / 9$192.681,00198 / 6$46.194,90101 / 2$45.113,20101 / 2
Cellulitis W Mcc1840 / 15$39.543,90584 / 34$14.662,70402 / 55$8.334,50400 / 26
Cellulitis W/O Mcc68121 / 29$26.289,501949 / 98$6.101,491784 / 68$5.123,811776 / 85
Cervical Spinal Fusion W/O Cc/Mcc2183 / 8$49.565,50334 / 6$15.456,50488 / 15$12.661,40485 / 19
Chest Pain29122 / 28$19.781,60906 / 39$5.267,90862 / 49$3.349,00857 / 42
Chronic Obstructive Pulmonary Disease W Cc38141 / 45$29.260,901683 / 75$6.685,291552 / 64$5.601,131546 / 79
Chronic Obstructive Pulmonary Disease W Mcc50152 / 39$37.909,001856 / 79$8.208,661696 / 67$7.193,941688 / 80
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2298 / 32$21.375,701361 / 59$6.161,231241 / 75$4.001,501232 / 65
Circulatory Disorders Except Ami, W Card Cath W Mcc2667 / 15$64.941,00532 / 32$13.982,90487 / 29$12.819,70481 / 34
Circulatory Disorders Except Ami, W Card Cath W/O Mcc83105 / 9$45.287,001081 / 52$9.552,96983 / 65$6.306,57980 / 58
Cirrhosis & Alcoholic Hepatitis W Mcc1527 / 7$44.616,70132 / 7$11.474,00108 / 6$10.470,50108 / 5
Complications Of Treatment W Cc1339 / 13$26.549,80177 / 5$6.973,23189 / 11$6.300,08189 / 15
Coronary Bypass W Cardiac Cath W Mcc1145 / 11$195.882,00226 / 9$44.350,10210 / 5$42.906,20210 / 12
Coronary Bypass W/O Cardiac Cath W Mcc1643 / 6$137.622,0092 / 4$31.743,2042 / 2$30.550,7042 / 3
Coronary Bypass W/O Cardiac Cath W/O Mcc1969 / 11$130.102,00403 / 14$29.392,20339 / 20$22.343,50338 / 17
Cranial & Peripheral Nerve Disorders W/O Mcc1949 / 11$30.275,60471 / 27$6.392,79421 / 21$5.496,37421 / 27
Craniotomy & Endovascular Intracranial Procedures W Mcc2474 / 8$126.441,00287 / 10$35.635,00256 / 13$28.224,30256 / 10
Diabetes W Cc2666 / 16$36.456,901338 / 83$7.619,961130 / 67$5.482,001126 / 63
Diabetes W Mcc1542 / 8$38.156,70433 / 21$9.977,20468 / 25$9.147,60468 / 31
Digestive Malignancy W Mcc1324 / 7$76.740,30113 / 9$15.650,3083 / 5$14.642,9083 / 7
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1852 / 7$26.817,10317 / 6$6.435,22264 / 11$5.776,28264 / 13
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 11$45.636,30265 / 13$13.119,20119 / 15$10.087,20119 / 6
Disorders Of Pancreas Except Malignancy W Cc2140 / 10$39.247,70785 / 42$6.903,05622 / 30$5.741,67619 / 35
Disorders Of Pancreas Except Malignancy W Mcc1234 / 9$49.306,30188 / 8$11.504,40125 / 5$10.604,80125 / 6
Disorders Of The Biliary Tract W Cc1341 / 11$34.212,80262 / 16$7.415,23240 / 11$6.450,46240 / 15
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1665 / 12$385.174,00164 / 6$109.928,00200 / 6$108.047,00200 / 9
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3462 / 15$41.649,80990 / 53$8.456,79832 / 43$7.538,68827 / 51
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc114161 / 23$27.353,302026 / 91$6.046,311840 / 85$4.538,801827 / 83
Extracranial Procedures W Cc2026 / 5$52.345,00249 / 9$10.717,80233 / 15$9.608,45233 / 16
Extracranial Procedures W/O Cc/Mcc2573 / 11$37.704,50590 / 20$7.341,76628 / 18$6.209,36626 / 34
G.I. Hemorrhage W Cc90128 / 17$29.771,701542 / 65$7.311,811641 / 73$6.230,661637 / 82
G.I. Hemorrhage W Mcc3784 / 19$49.309,90990 / 41$12.377,201071 / 57$11.591,401063 / 62
G.I. Obstruction W Cc2666 / 25$30.364,201211 / 65$7.825,231082 / 73$5.264,881079 / 64
G.I. Obstruction W/O Cc/Mcc1556 / 22$20.160,80826 / 40$5.565,13759 / 55$3.357,60756 / 45
Heart Failure & Shock W Cc125153 / 21$32.799,602091 / 100$7.288,091820 / 90$6.187,941815 / 84
Heart Failure & Shock W Mcc122162 / 23$48.572,201953 / 89$11.084,001678 / 81$9.425,761673 / 80
Heart Failure & Shock W/O Cc/Mcc4466 / 13$21.138,701371 / 70$5.758,571089 / 84$3.832,341080 / 64
Hip & Femur Procedures Except Major Joint W Cc4994 / 18$56.066,501242 / 52$12.995,701199 / 64$11.627,001185 / 67
Hip & Femur Procedures Except Major Joint W Mcc2438 / 9$88.830,50613 / 28$20.534,80581 / 30$19.154,50578 / 31
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1442 / 14$50.476,10586 / 32$16.297,9066 / 42$7.512,4366 / 5
Hypertension W/O Mcc1154 / 19$21.478,50447 / 27$4.818,73467 / 24$3.615,55465 / 27
Infectious & Parasitic Diseases W O.R. Procedure W Cc1917 / 4$83.346,80251 / 12$16.644,20208 / 9$15.550,00208 / 10
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5173 / 12$147.800,001005 / 58$37.922,90959 / 60$34.737,20953 / 60
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs73109 / 18$37.900,601453 / 68$7.472,891332 / 57$6.410,631329 / 75
Intracranial Hemorrhage Or Cerebral Infarction W Mcc11259 / 2$49.810,30960 / 49$12.033,00832 / 51$10.329,00830 / 50
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc5250 / 5$34.647,701231 / 66$8.004,481160 / 67$4.718,311156 / 66
Kidney & Urinary Tract Infections W Mcc4698 / 20$34.309,201341 / 68$7.985,461277 / 71$6.939,651273 / 73
Kidney & Urinary Tract Infections W/O Mcc54179 / 42$28.255,402142 / 98$6.733,351644 / 93$4.486,371633 / 73
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1343 / 21$50.220,60467 / 19$11.129,50586 / 24$10.103,20584 / 33
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1327 / 9$59.534,50172 / 6$16.102,10235 / 11$15.049,50234 / 15
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1837 / 11$78.464,30477 / 27$13.582,60402 / 17$12.334,60399 / 23
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1433 / 8$43.916,30257 / 6$10.189,30326 / 6$9.022,50326 / 12
Lymphoma & Non-Acute Leukemia W Mcc1224 / 7$61.947,8029 / 3$20.286,0032 / 4$19.288,6032 / 3
Major Cardiovasc Procedures W Mcc1949 / 13$147.133,00333 / 10$33.878,70292 / 7$32.688,50292 / 11
Major Cardiovasc Procedures W/O Mcc2576 / 18$129.382,00788 / 37$27.875,40675 / 38$22.257,30674 / 37
Major Chest Procedures W Cc1163 / 17$79.479,20324 / 11$16.971,50271 / 12$15.605,40269 / 18
Major Chest Procedures W Mcc1435 / 8$123.021,00158 / 4$36.545,60120 / 6$29.546,10120 / 6
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1261 / 28$30.582,50667 / 39$7.993,25694 / 41$7.313,17692 / 47
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1838 / 13$49.997,90423 / 28$16.800,20316 / 37$11.362,20315 / 32
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1340 / 12$35.692,00279 / 12$8.282,77236 / 12$7.304,23236 / 12
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1185 / 18$53.398,60391 / 8$14.495,90559 / 13$13.316,50556 / 20
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1649 / 15$100.693,00659 / 36$21.550,40577 / 25$20.294,30574 / 34
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc238326 / 30$50.280,301298 / 38$15.555,801548 / 66$12.193,501513 / 68
Major Joint/Limb Reattachment Procedure Of Upper Extremities2841 / 5$64.287,80235 / 10$18.223,60270 / 14$15.209,70270 / 14
Major Small & Large Bowel Procedures W Cc2979 / 19$64.274,00732 / 22$17.429,80770 / 36$14.615,60762 / 43
Major Small & Large Bowel Procedures W Mcc1867 / 22$165.455,00895 / 44$36.442,00898 / 35$35.407,30896 / 48
Medical Back Problems W/O Mcc5368 / 16$30.289,901020 / 59$6.306,47872 / 50$4.915,68869 / 55
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3294 / 26$40.996,701320 / 78$8.179,691151 / 61$7.503,381148 / 67
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc62104 / 25$27.980,202047 / 104$5.988,812070 / 87$5.059,062062 / 93
Nervous System Neoplasms W Mcc1533 / 8$38.416,30154 / 8$9.082,47115 / 12$7.792,67115 / 10
Nonspecific Cerebrovascular Disorders W Mcc1437 / 3$42.213,90213 / 8$10.299,80110 / 9$8.999,50110 / 3
O.R. Procedures For Obesity W/O Cc/Mcc1859 / 6$61.700,70329 / 7$12.175,70185 / 6$8.714,50185 / 5
Other Circulatory System Diagnoses W Cc1650 / 12$35.575,80492 / 24$6.693,06354 / 16$5.811,38353 / 20
Other Circulatory System Diagnoses W Mcc3185 / 17$82.188,801162 / 71$20.439,501121 / 70$14.722,501113 / 68
Other Circulatory System O.R. Procedures1144 / 12$105.211,00339 / 23$20.589,30273 / 16$18.974,40273 / 17
Other Digestive System Diagnoses W Cc2572 / 21$37.410,401079 / 67$6.955,80921 / 51$6.203,48917 / 61
Other Digestive System Diagnoses W Mcc2735 / 9$51.083,70473 / 20$10.856,80274 / 14$9.890,56274 / 15
Other Disorders Of Nervous System W Cc1244 / 17$33.508,50422 / 24$6.464,08265 / 20$5.138,08265 / 19
Other Kidney & Urinary Tract Diagnoses W Cc1687 / 19$42.316,80678 / 49$7.149,75496 / 32$6.247,25496 / 35
Other Kidney & Urinary Tract Diagnoses W Mcc3863 / 14$38.911,30613 / 34$10.169,00571 / 32$9.435,53569 / 39
Other Resp System O.R. Procedures W Mcc2043 / 8$109.197,00385 / 19$22.894,40267 / 10$21.810,20266 / 12
Other Vascular Procedures W Cc3765 / 9$102.992,00863 / 43$19.032,40855 / 37$18.010,60850 / 47
Other Vascular Procedures W Mcc3562 / 8$150.006,00867 / 49$29.220,80880 / 43$28.066,10877 / 47
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2575 / 13$104.775,00542 / 21$24.464,00481 / 28$19.488,30477 / 24
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc56140 / 20$86.559,10996 / 54$14.340,70941 / 39$12.205,30934 / 60
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc1935 / 4$130.413,00204 / 13$21.577,70139 / 7$20.623,20139 / 8
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc5540 / 3$78.647,80326 / 15$14.022,90285 / 15$11.756,70282 / 15
Peripheral Vascular Disorders W Cc2064 / 25$33.334,60888 / 62$6.897,70800 / 50$6.192,85797 / 57
Peripheral Vascular Disorders W Mcc2029 / 9$55.156,10459 / 33$11.077,00457 / 29$10.359,00457 / 31
Permanent Cardiac Pacemaker Implant W Cc2552 / 10$77.157,50588 / 30$17.256,70538 / 31$16.205,60537 / 36
Permanent Cardiac Pacemaker Implant W Mcc2527 / 4$104.122,00350 / 17$26.612,80313 / 25$22.873,90313 / 19
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 6$36.873,40514 / 13$9.598,88539 / 10$8.694,56537 / 16
Postoperative & Post-Traumatic Infections W Mcc1231 / 7$90.093,80200 / 10$16.125,50168 / 6$15.311,00168 / 9
Postoperative & Post-Traumatic Infections W/O Mcc1242 / 10$33.538,00319 / 14$6.856,67254 / 8$6.365,08254 / 12
Pulmonary Edema & Respiratory Failure63140 / 17$39.345,201483 / 58$8.744,291353 / 67$7.502,021349 / 65
Pulmonary Embolism W Mcc1330 / 13$35.499,10256 / 6$9.647,23289 / 20$8.837,92289 / 23
Pulmonary Embolism W/O Mcc3440 / 8$33.409,30928 / 38$7.663,29881 / 45$6.057,88878 / 52
Red Blood Cell Disorders W Mcc2150 / 17$39.867,80679 / 43$8.897,48666 / 47$8.160,62662 / 49
Red Blood Cell Disorders W/O Mcc41102 / 20$28.635,601439 / 81$6.358,071304 / 76$5.001,491295 / 72
Renal Failure W Cc44177 / 50$25.673,201470 / 60$7.305,551554 / 79$5.852,411545 / 73
Renal Failure W Mcc56139 / 27$34.466,101026 / 43$10.071,101197 / 49$9.423,821197 / 57
Respiratory Infections & Inflammations W Mcc23113 / 42$60.064,301264 / 56$17.262,801218 / 80$12.607,401203 / 67
Respiratory Neoplasms W Cc1235 / 15$50.480,40392 / 28$9.980,83129 / 22$6.234,83128 / 9
Respiratory Neoplasms W Mcc1636 / 14$58.475,80444 / 26$28.862,40170 / 40$9.279,81170 / 7
Respiratory System Diagnosis W Ventilator Support <96 Hours4289 / 16$62.699,80972 / 42$16.541,00939 / 61$13.875,90930 / 51
Revision Of Hip Or Knee Replacement W Cc1571 / 13$81.219,90303 / 11$21.685,00399 / 15$20.781,50398 / 19
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1554 / 10$69.146,70258 / 10$24.801,60290 / 17$15.812,50289 / 13
Seizures W Mcc2541 / 8$46.534,90436 / 23$10.501,70384 / 20$9.461,44384 / 23
Seizures W/O Mcc4464 / 9$27.445,90864 / 52$5.650,66757 / 46$4.627,61754 / 54
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc303215 / 14$50.014,301786 / 63$13.282,401670 / 79$11.384,301638 / 67
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc75132 / 18$35.640,401889 / 74$7.612,561663 / 67$6.515,281656 / 79
Signs & Symptoms W/O Mcc1675 / 23$35.028,401132 / 60$5.232,12783 / 43$4.245,88780 / 41
Simple Pneumonia & Pleurisy W Cc46157 / 51$31.673,702043 / 87$6.983,071888 / 69$5.972,481880 / 83
Simple Pneumonia & Pleurisy W Mcc58147 / 37$51.859,801959 / 89$10.239,601730 / 74$9.213,361730 / 83
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 35$19.710,401180 / 53$6.475,931112 / 83$3.793,791106 / 70
Spinal Fusion Except Cervical W/O Mcc53141 / 16$91.794,60652 / 19$28.248,90639 / 31$22.730,40635 / 27
Syncope & Collapse46123 / 22$29.493,401417 / 79$7.553,371407 / 89$4.868,371400 / 78
Transient Ischemia4481 / 14$30.242,001183 / 67$5.261,911042 / 54$4.124,481037 / 63
Traumatic Stupor & Coma, Coma <1 Hr W Cc1848 / 10$43.762,70386 / 26$7.997,83217 / 19$6.340,33217 / 18
Traumatic Stupor & Coma, Coma <1 Hr W Mcc2328 / 4$44.074,30115 / 3$12.624,20129 / 6$11.721,10129 / 8
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc2826 / 3$25.931,00248 / 14$6.603,71188 / 18$4.253,50188 / 18
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1432 / 5$28.268,20114 / 3$8.750,3694 / 10$5.338,7994 / 6
Total 134 procedures4.627discharges

DATA

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.