Hospital Costs > In Illinois > Thorek Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 333 | 4 / 1 | $4.208,32 | 9 / 2 | $6.218,56 | 702 / 31 | $5.720,76 | 701 / 42 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 52 | 8 / 1 | $2.366,02 | 5 / 1 | $4.737,27 | 75 / 8 | $4.156,96 | 74 / 8 |
| Cellulitis W/O Mcc | 36 | 153 / 50 | $12.192,50 | 496 / 10 | $7.503,58 | 2160 / 97 | $5.973,97 | 2152 / 100 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 24 | 67 / 9 | $13.277,90 | 25 / 3 | $8.916,46 | 210 / 13 | $7.676,12 | 210 / 13 |
| Chest Pain | 13 | 138 / 42 | $13.009,20 | 312 / 8 | $5.702,54 | 1464 / 59 | $5.057,62 | 1456 / 69 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 60 | $13.414,50 | 360 / 5 | $8.107,52 | 1802 / 93 | $6.108,00 | 1795 / 89 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 49 | $17.302,90 | 503 / 8 | $9.229,76 | 2119 / 89 | $8.378,73 | 2111 / 99 |
| Diabetes W Cc | 11 | 81 / 29 | $18.951,50 | 619 / 21 | $7.125,18 | 1268 / 63 | $6.025,55 | 1263 / 71 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 76 | $12.045,10 | 402 / 5 | $6.580,33 | 2356 / 93 | $5.723,00 | 2341 / 102 |
| G.I. Hemorrhage W Cc | 12 | 206 / 69 | $16.476,80 | 438 / 7 | $8.051,00 | 1936 / 90 | $7.043,00 | 1932 / 96 |
| Heart Failure & Shock W Mcc | 18 | 266 / 82 | $23.002,20 | 601 / 16 | $11.103,80 | 2049 / 82 | $10.568,70 | 2040 / 92 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 71 | $13.573,80 | 728 / 12 | $6.687,00 | 2276 / 91 | $5.681,00 | 2265 / 97 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 96 | $47.715,80 | 1174 / 30 | $19.498,70 | 1933 / 102 | $13.369,90 | 1891 / 89 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 58 | $13.248,50 | 722 / 19 | $6.325,65 | 2179 / 92 | $5.467,29 | 2171 / 99 |
| Psychoses | 241 | 91 / 10 | $18.040,20 | 275 / 17 | $8.283,49 | 469 / 24 | $7.495,05 | 469 / 27 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 37 | $14.208,40 | 372 / 8 | $6.979,57 | 1427 / 83 | $5.275,95 | 1418 / 77 |
| Renal Failure W Cc | 24 | 197 / 65 | $17.326,50 | 710 / 17 | $7.884,33 | 2118 / 83 | $7.535,00 | 2108 / 97 |
| Renal Failure W Mcc | 16 | 179 / 56 | $18.664,90 | 177 / 4 | $11.268,10 | 1540 / 70 | $10.423,60 | 1538 / 78 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $54.253,00 | 20 / 1 | $32.892,60 | 160 / 8 | $31.138,50 | 160 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 86 | $37.398,90 | 1177 / 28 | $14.621,80 | 2030 / 91 | $12.470,70 | 1993 / 87 |
| Syncope & Collapse | 11 | 158 / 51 | $15.396,50 | 430 / 10 | $6.480,27 | 1638 / 75 | $5.712,27 | 1630 / 87 | Total 21 procedures | 1.000 | 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.