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Guide to Deliveries in Illinois Hospitals 1999 Illinois Health Care Cost Containment Council George H. Ryan Governor Lenell Gwin-Beaty Executive Director Table of Contents Welcome to the 1999 Guide to Hospital Deliveries in Illinois Illinois Regional Health Service Area(HSA) Map I. II. III. IV. V. VI. VII. Introduction ............................................................................................................................................................................. 2 Source of Data .......................................................................................................................................................................... 2 Becoming an Effective Consumer of Health Care ................................................................................................................ 5 Why Hospital Charges Vary .................................................................................................................................................. 7 Delivery Guide Results: 1999 .................................................................................................................................................. 9 Deliveries in Illinois - Summary of State Trends: 1990-1999 ............................................................................................ 15 Explanation of Terms ............................................................................................................................................................ 19 VIII. Hospital Comments ................................................................................................................................................................ 20 IX. About the Hospital Table (A) ................................................................................................................................................ 20 Illinois’ Regional Perinatal Network .................................................................................................................................... 21 1999 Hospital Specific Table (Table A) ...................................................................................................................... A1 - A35 IHCCCC Contact Information Welcome to the 1999 Guide to Deliveries in Illinois Hospitals: The Illinois Health Care Cost Containment Council (IHCCCC) was created in 1984 to collect and disseminate information about the costs of hospital care in our state. The Council represents consumers, businesses, insurance companies, hospitals and physicians. Again this year, we are providing hospital inpatient charge and utilization information on deliveries to consumers through the Guide to Deliveries in Illinois Hospitals for 1999. This report focuses on the delivering of babies in Illinois hospitals. We hope that Illinois’ expecting mothers and other interested parties will find this information useful, and we encourage anyone to contact us with suggestions on how our services can be improved. Illinois Health Care Cost Containment Council: Chairman - Frank Gramm, TrustMark Insurance Company James Chao, Metro Provider Service Corporation Malcolm Chester, M.P.C. Consulting Lois Frels, Ph.D., Frels & Associates Andrew Melczer, Ph.D., Illinois State Medical Society Michael Pittman, PitGam Enterprises Steve Scheer, Illinois Hospitals & HealthSystems Association Cheryl L. Segal, Hogan, Marren, McCahill, Ltd. William W. Tipton, M.D., American Academy of Orthopedic Surgeons Four seats are currently vacant. Executive Director - Lenell Gwin-Beaty Council Offices: 4500 S. 6th Street Road, Suite 194 Springfield, Illinois 62703 (217) 786-7001 160 N. LaSalle Street, Suite S-200 Chicago, Illinois 60601 (312) 793-1440 Web Address: www.state.il.us/agency/hcccc/ Illinois Regional Health Services Area (HSA) Map For health planning purposes, the state is divided into 11 different Health Service Areas (HSA). The 11 HSAs are configured to form five regions. Listed below are the five regions, including HSAs and counties. Chicago, Illinois Region HSA 6 Chicago, Illinois HSA 4 Champaign, Clark, Coles, Cumberland, Dewitt, Douglas, Edgar, Ford, Iroquois, Livingston, Macon, McLean, Moultrie, Piatt, Shelby and Vermillion counties Suburban Chicago Region Southern Illinois Region HSA 7 Suburban Cook and DuPage counties HSA 8 Kane, Lake and McHenry counties HSA 9 Grundy, Kankakee, Kane and Will counties HSA 5 Alexander, Bond, Clay, Crawford, Edwards, Effingham, Fayette, Franklin, Gallatin, Hamilton, Hardin, Jackson, Jasper, Jefferson, Johnson, Lawrence, Massac, Marion, Perry, Pope, Pulaski, Randolph, Richland, Saline, Union, Wabash, Washington, Wayne, White and Williamson counties HSA 11 Clinton, Madison, Monroe and St. Clair counties Northwest Illinois Region HSA 1 Boone, Carroll, DeKalb, JoDaviess, Lee, Ogle, Stephenson, Whiteside and Winnebago counties HSA 10 Henry, Mercer and Rock Island counties Central Illinois Region HSA 2 Bureau, Fulton, Henderson, Knox, LaSalle, Marshall, McDonough, Peoria, Putnam, Stark, Tazewell, Warren and Woodford counties HSA 3 Adams, Brown, Calhoun, Cass, Christian, Greene, Hancock, Jersey, Logan, Macoupin, Mason, Menard, Montgomery, Morgan, Pike, Sangamon, Schuyler and Scott counties I. Introduction The delivery of a baby is the most common reason for hospitalization in Illinois. In 1999, deliveries accounted for 11 percent of all inpatient hospitalizations statewide. The Council’s mandate requires the agency to periodically supply state government officials and residents with information on Cesarean section deliveries. The Guide to Deliveries in Illinois Hospitals for 1999 fulfills that mandate by reporting, by hospital, information on both Cesarean section and vaginal deliveries. Also, the purpose of this guide is to inform expectant parents on which hospitals are performing Cesarean and vaginal deliveries and the amount, on average, they are charging for those services. It presents statistics by age group, payer type, hospital health service area, and a trend section covering the years 1990 through 1999. A hospital table at the end of the report lists the number of discharges for deliveries, the average charge and the average length of stay (LOS) at each hospital. This guide does NOT intend to rate any one hospital over another. II. Source of Data By state law (Public Act 88-535), hospitals in the State of Illinois provide the Illinois Health Care Cost Containment Council (IHCCCC) records for all inpatient discharges. The data source for this report was the Council’s Illinois Uniform Billing (UB-92) database covering the years 1990 through 1999. Data are maintained in computerized files by the Council. The UB-92 database includes approximately 1.5 million discharge records per year among Illinois’ approximately 220 acute care hospitals. The Council’s data are edited using the federal Health Care Financing Administration’s (HCFA) Medicare Code Edits. Hospitals consistently, on a statewide basis, have a data submission compliance rate of 99 percent. In other words, the Council's database contains quality, validated data for 99 percent of the inpatient discharges that occur in the state. Coding Classification for Delivery Hospitalizations Delivery hospitalization records compiled for this report were identified using the Diagnosis Related Group (DRG) classification of each discharge. The DRG system, developed by HCFA, classifies patients into clinically cohesive groups that demonstrate similar consumption of hospital resources and length of stay patterns. 2 The six DRGs used for this report were: Vaginal Deliveries DRG 372 DRG 373 DRG 374 DRG 375 Vaginal Deliveries WITH Complicating Diagnoses Vaginal Deliveries WITHOUT Complicating Diagnoses Vaginal Deliveries WITH Sterilization and/or D and C Vaginal Deliveries WITH O.R. Procedure except Sterilization Cesarean Section Deliveries DRG 370 Cesarean Section WITH Complication and/or Comorbidity DRG 371 Cesarean Section WITHOUT Complication and/or Comorbidity Data Considerations The Council asks that the following points be considered while viewing this guide: U The monetary data in this report are based on hospital charges, rather than payments. Actual payments made to the hospital are likely to be less than the initial charge. Also, the charges are hospital charges only and do not include physician or other professional fees that may be charged. These data reflect actual charges and lengths of stay for each hospitalization. The charges and lengths of stay are then totaled, and an average for each hospital or region is derived. While charges and lengths of stay are affected by the severity of illness of the patient, these data have not been adjusted for any differences across hospitals. Thus, each hospital’s data may include discharges that are considered outliers due to extreme charges and/or lengths of stay. These data reflect inpatient hospital deliveries, which represent the mother’s hospitalization. Newborns’ hospital stays are represented by other DRGs not included in this report. A single discharge in this report may possibly represent the birth of multiple babies in the case of twins, triplets, etc. Also, these data include only inpatient deliveries occurring within a hospital. Numbers for births occurring outside of the hospital and information on who attends births are presented in Tables 1 and 2 on Pages 4 and 5. These numbers, obtained from the Illinois Department of Public Health Center for Health Statistics, represent babies born to Illinois residents inside or outside of Illinois. No data for 1999 is currently available. U U 3 Table 1 : Attendance at Births to Illinois Residents: 1998 Hospital Births Attended by: M.D., D.O. Certified Nursing Midwife Midwife Other Non-Hospital Births Attended by: M.D., D.O. Certified Nursing Midwife Midwife Other Total Births to Illinois Residents S OURCE : IDPH Center for Health Statistics 604 181 73 358 182,503 Number of Births (babies) 175,074 3,686 2,020 507 4 Table 2 : Place of Delivery for Illinois Residents: 1998 Place of Birth: Hospital Mother’s Address Named Place Address (not mother’s) En route to Hospital Doctor’s Office/Clinic Not Classifiable Total Births to Illinois Residents Source: IDPH Center for Health Statistics Number of Births (babies) 181,287 1,077 10 34 76 3 16 182,503 III. Becoming an Effective Consumer of Health Care Listed below are some things individuals can do to make themselves more effective consumers of health care: General Tips U Take advantage of telephone nursing services provided by health care providers, insurance companies, health maintenance organizations (HMO), etc. Such services allow the consumer to speak to a nurse and ask questions about appropriate medical care, find a physician or obtain health information. Prepare ahead of time for doctor’s appointments. Write out a list of questions and concerns and bring it to the appointment. If 5 U unclear about anything, ask the doctor for further explanation. U U Before services/treatments are done, ask questions about the care, the costs and alternate treatment options available. Always review your insurance policy and benefits package to decide what steps need to be followed to insure proper coverage. Also look to see what percentage of the cost will have to be absorbed by yourself. Not all health plans offer complete, total coverage of care or payments. For instance, it may be necessary to call your insurer when you are pregnant to maximize your benefits. When the health care bill arrives, check it carefully and contact the provider’s billing department if an error is suspected. This review should be done whether the claim is submitted to the insurance company or not. Obtain educational materials from your doctor and/or hospital. For example, find out what types of prenatal classes are offered at the hospital. Many hospitals offer classes about Lamaze, breast-feeding, parenting, vaginal births after a cesarean section (VBAC) and sibling preparation. Join an organized patient group. Ask the doctor or area hospital about support groups. Such a group can provide you with more information and support. Other resources you can use to find this information are the telephone directory, the newspaper, the Internet or a local bulletin board. U U U Prenatal Care Tips Expectant mothers can benefit from proper prenatal care. It may improve the chances of having a healthy baby and going through a normal, vaginal delivery. This can in turn reduce the cost of delivery. The following are some basic prenatal care tips offered by the American College of Obstetricians and Gynecologists: U Nutrition. First, when attempting to become pregnant, talk to your doctor about taking some prenatal vitamins, which are a good nutritional supplement during pregnancy. Without a proper diet during pregnancy, the growth of the baby could be adversely affected. Choose a diet that gives needed calories and nutrients. Eat a variety of foods from the Food Guide Pyramid, which was developed by the U.S. Department of Agriculture. Consider eating smaller meals more frequently throughout the day, remembering to drink plenty of water and other non-caffeine liquids. Your physician can help develop a specific diet plan. Weight Gain. Once pregnant, extra calories will be needed each day to stay healthy and help the baby grow. This means gaining a certain amount of weight, depending on your weight before pregnancy. The doctor should discuss proper weight gain with you along with nutrition. 6 U U Exercise. Proper exercise can help prepare you for delivery and lessen some discomforts during pregnancy. It can even give you more energy and make you feel better. Some good activities in moderation include walking, swimming and prenatal exercise classes. Although exercise is important, discuss options with your doctor before engaging in any exercise while pregnant. Doctor’s visits. It is important to make all prenatal care visits with your doctor. If an appointment is missed, reschedule another one right away. Don’t wait until next month’s visit. Concerns during pregnancy. You may have certain concerns during pregnancy that you should think about or deal with. Here are some topics you may want to discuss with your doctor: * * * * * Breast-feeding Home life Work Travel Domestic abuse * Elective delivery (doctor/hospital or certified midwife) * Emotional changes * Sexually transmitted diseases U U IV. Why Hospital Charges Vary The charges in this report should be used only as a guide since they vary depending upon a variety of factors. Listed in this section are some common reasons why hospital charges may vary. Type of Payer Charges paid to the hospital vary depending upon who pays the bill: Patients with insurance coverage. Patients with insurance pay discounted, capitated or customary and usual fees negotiated by their insurance company, HMO or PPO. Many policies only provide partial coverage. Patients covered by government programs. Medicaid and sometimes Medicare reimburse hospitals at preestablished rates for services rendered. Patients who are under insured or lack insurance and do not qualify for Medicaid. The unpaid portion of a bill is absorbed by the hospital and paid, in part, through rates charged to those who have coverage. 7 Cross Subsidization Charges may vary among hospitals because of cross subsidization, which is used to help fund care for government-assisted patients, the under insured and uninsured. Cross subsidization, or cost-shifting, means that charges to patients may reflect an amount to help pay for part of the uncompensated care provided by the hospital to the indigent population. The amount that needs to be subsidized will vary from hospital to hospital, depending on the number of indigent patients that particular hospital serves. Other Hospital Level Factors Technology. Not only is medical technology very expensive, but employing highly-trained personnel to administer “state-of-the-art” technology is also costly. Thus, the level of technology in which a hospital invests will affect charges. Types of services offered. Hospitals often offer different levels of care and may “specialize” in one or more types of services. For instance, Level III perinatal centers (hospitals) specialize in high-risk deliveries, and may show higher average charges than other hospitals with obstetrical services because of the expense in handling severe cases. (see page 21 for an explanation of Illinois’ Perinatal Network) Research and teaching hospitals. Although many benefits are returned to the community, providing research and medical training is costly and can influence a hospital’s charges. Business costs. Hospitals must pay for new equipment, construction, maintenance/renovations and malpractice insurance. Increased costs associated with these activities may be reflected in patient charges. Pricing practices. Some facilities charge a flat fee, which includes one charge for all services for a given procedure. Others charge according to actual time, services, consultation and supplies required for the individual patient. Miscellaneous Factors Patient severity of illness. Two people admitted to the hospital for the same condition may require different levels of care due complications, comorbidities and other related difficulties. Length of hospital stay. Longer hospital stays are likely to result in higher charges. 8 Physician practice/treatment patterns. The kinds of diagnostic tests ordered, treatments preferred, etc., vary somewhat from physician to physician and explain, in part, the difference in charges among patients. Geographic area. Labor and other costs vary by geographic area within the state (urban vs. rural) and may influence charges. V. Delivery Guide Results: 1999 Illinois State Totals ‘ ‘ ‘ Discharges .................. 173,121 Average Charge .......... $6,124 Average LOS .............. 2.4 days There were 173,121 deliveries in Illinois during 1999. The average charge per discharge for all deliveries was $6,124, and the average length of stay (LOS) was 2.4 days. Total charges in 1999 reached nearly $1.1 billion, and total patient days totaled 416,703. The delivery of babies is the most common reason for hospitalization in Illinois, accounting for 11 percent of all inpatient discharges, five percent of total charges, and five percent of total patient days. Age Group Comparisons The most deliveries occurred among mothers age 25-34 at 89,071 discharges (51%). The average charge among this age group was $6,140, and the average LOS was 2.4 days. The next highest number of deliveries occurred with the 18-24 age group at 52,909 discharges. The average charge for this group was $5,827, and the average LOS was 2.2 days. The highest average charge and longest average LOS occurred with the 45 and older age group at $8,370 and 3.3 days respectively. This age group also had the highest Cesarean section rate at 46 percent. The lowest C-section rate occurred among those under age 18 at 12.5 percent. The trend shows that the C-section rate rises with age. The rates for the five age groups were 12.5% (<18), 15.6% (18-24), 21.8% (25-34), 27.3% (35-44), and 46.1% (45+). SEE TABLE 3 BELOW. 9 Table 3: Inpatient Deliveries in Illinois Hospitals by Age Group & Delivery Type: 1999 All Deliveries Age Group Discharge s <18 18 - 24 25 - 34 35 - 44 45 + TOTAL 7,463 52,909 89,071 23,500 178 173,121 Average LOS (days) 2.3 2.2 2.4 2.6 3.3 2.4 Average Charge Discharg es 6,533 44,662 69,662 17,089 96 138,042 Vaginal Deliveries Average LOS (days) 2.1 2.0 2.0 2.1 2.1 2.1 Average Charge Dischar ges 930 8,247 19,409 6,411 82 35,079 Average LOS (days) 4.0 3.7 3.7 3.9 4.7 3.8 Cesarean Section Deliveries Average Charge $11,684 $10,331 $9,964 $10,188 $11,191 $10,140 $6,192 $5,827 $6,140 $6,691 $8,370 $6,124 $5,410 $4,995 $5,075 $5,379 $5,961 $5,112 Diagnosis Related Group (DRG) Comparisons Among the six delivery DRGs, the most discharges occurred with Vaginal Delivery WITHOUT Complicating Diagnoses(DRG 373) at 114,749 discharges, or 66% of all deliveries. This DRG had the lowest average charge at $4,684 and the shortest average LOS at 1.9 days. The second most occurring DRG was Cesarean Section WITHOUT Complication and/or Comorbidity(DRG 371) at 25,827 discharges. This type of delivery had an average charge of $9,048 and an average LOS of 3.4 days. The highest average charge occurred with Vaginal Delivery WITH O.R. Procedure Except Sterilization(DRG 375) at $13,908. This is higher than the average charge of $13,186 for Cesarean Section with Complication and/or Comorbidity(DRG 370); however, DRG 375 had only 112 discharges. The longest average LOS occurred with DRG 370 at 4.7 days. SEE TABLE 4 ON THE NEXT PAGE. 10 Table 4: Inpatient Deliveries in Illinois Hospitals by Diagnosis Related Group(DRG): 1999 DRG Code 372 373 374 375 370 371 DRG Description Vaginal Delivery WITH Complicating Diagnoses Vaginal Delivery WITHOUT Complicating Diagnoses Vaginal Delivery WITH Sterilization and/or D & C Vaginal Delivery WITH O.R. Procedure Except Sterilization Cesarean Section WITH Complication and/or Comorbidity Cesarean Section WITHOUT Complication and/or Comorbidity Total Deliveries Number of Discharges 16,817 114,749 6,364 112 9,252 25,827 173,121 Average LOS(days) 2.6 1.9 2.2 3.5 4.7 3.4 2.4 Average Charge($) $6,686 $4,684 $8,328 $13,908 $13,186 $9,048 $6,124 Payer Type Comparisons In 1999, commercial insurance and HMOs were charged most frequently for hospital deliveries, accounting for 101,020 discharges, or 58.4 percent of all deliveries. The average charge for this payer type was $6,213, and the average LOS was 2.4 days. Medicaid accounted for the next highest number of discharges at 53,469 (30.9%). The average charge to Medicaid for deliveries was $6,204, and the average LOS for Medicaid was 2.3 days. The other payer types by number of discharges are self pay (5,684), selfadministered (4,953), Medicare (525), and other (7,470). SEE TABLE 5 ON THE NEXT PAGE. 11 Table 5: Inpatient Deliveries in Illinois Hospitals by Payer Type: 1999 Payer Type Medicare Medicaid Commercial/HMO Self-administered Self Pay Other TOTAL Number of Discharges 525 53,469 101,020 4,953 5,684 7,470 173,121 Average LOS (days) 2.7 2.3 2.4 2.3 2.1 2.4 2.4 Average Charges ($) $6,732 $6,204 $6,213 $5,510 $5,087 $5,499 $6,124 Health Service Area (HSA) Comparisons Hospitals located in suburban Cook and DuPage counties (HSA 7) had the most delivery discharges in 1999 at 54,291. The next highest number of deliveries occurred in the city of Chicago (HSA 6) with 47,677 discharges. Together, these two areas had 59% of all deliveries in the state during this year. The least number of deliveries occurred in HSA 10 at 2,467 discharges. There are only five hospitals in HSA 10. S EE FIGURE 1 BELOW. TO REFER THE COUNTIES IN A PARTICULAR HEALTH S ERVICE AREA , SEE THE MAP ON PAGE 1. Figure 1: 12 The average hospital charge for all deliveries in 1999 was $6,124. The highest average charges occurred in the two HSAs with the most discharges (HSAs 6 and 7). The average charge in HSA 6 was $7,692, and HSA 7 had an average charge of $6,714. The lowest average charge occurred in HSA 5 at $3,915, almost half of the Chicago average charge. SEE FIGURE 2 BELOW, AND REFER TO PAGE 1 FOR HEALTH SERVICE AREA AND COUNTY LOCATION . Figure 2: There was little differences in average LOS for deliveries this year across the state. The average LOS for the state as a whole was 2.4 days. The longest average LOS occurred in HSA 2 at 2.7 days, while the shortest LOS occurred in HSA 8 at 2.1 days. SEE FIGURE 3 ON THE NEXT PAGE, AND REFER TO PAGE 1 FOR HEALTH SERVICE AREA AND COUNTY LOCATION . 13 Figure 3: The Cesarean section rate for the state was 20.3% in 1999. The rate varied among the regions of the state during this year. The highest rate occurred in HSA 1 at 23.1%, followed by HSA 2 at 22.8%. Historically, HSA 11 has had the highest Cesarean section rate in the state, but this year it was third highest at 22.4%. The lowest rate occurred in the city of Chicago (HSA 6) at 18.7%, followed by HSA 10 at 19.5%. S EE FIGURE 4 BELOW, AND REFER TO PAGE 1 TO HEALTH S ERVICE AREA AND COUNTY LOCATION . Figure 4: 14 VI. Deliveries in Illinois - Summary of State Trends: 1990-1999 Discharges There were 173,121 total inpatient deliveries at Illinois hospitals in 1999, a decrease of 320 from 1997 when there were 173,441. Inpatient discharges for deliveries had decreased steadily from 1990 to 1999, with increases occurring only in 1991 and 1998. Discharges have decreased, on average, about 4% per year from 1990 to 1999. SEE FIGURE 5 BELOW. There were 138,042 vaginal deliveries in 1999, a decrease of 1,653 from 1998. Except for an increase in 1998, the number of vaginal deliveries has been decreasing steadily from a high point of 142,073 in 1994. Prior to that, vaginal deliveries had been increasing since 1990. While vaginal deliveries decreased about 1.2% in 1999, Cesarean section deliveries increased nearly four percent that year. In 1999, there were 35,079 Cesarean discharges, an increase of 1,333 from the previous year. The number of Cesarean deliveries decreased gradually from 1990 to 1997. Noticeable increases occurred in both 1998 and 1999. Figure 5: 15 Average Charges ($) The average charge for all deliveries in 1999 was $6,124, an 8% increase from 1998 when it was $5,669. Average charges for deliveries have risen steadily since 1990. The average annual percent increase in average charges for deliveries has been about 9.1% from 1990, when the average charge was $3,367. SEE FIGURE 6 BELOW. The average charge for vaginal deliveries was $5,112 in 1999, an 8.1% increase from the previous year. Charges for vaginal deliveries have also risen steadily since 1990, increasing, on average, 10.4% per year. In 1990, the average charge for a vaginal delivery was $2,640. The average charge for Cesarean section deliveries was almost twice that of vaginal deliveries, reaching $10,140 in 1999. This amount represents a 6.1% increase from 1998, when the average charge was $9,554. While slowing down in recent years, the average charge for Cesarean deliveries has increased, on average, 8.4% per year since 1990, when it was $5,783. Figure 6: Illinois Deliveries: 1990-1999 Average Charges ($) $12,000 $9,554 $7,929 $8,235 $8,689 $9,095 $10,140 $10,000 $7,617 $6,899 $5,783 $7,039 $8,000 $6,124 $4,372 $4,440 $4,618 $4,928 $5,292 $5,669 $6,000 $3,367 $3,950 $4,097 $4,000 $3,085 $3,271 $3,497 $3,549 $3,707 $4,012 $4,394 $4,731 $5,112 $2,000 $2,640 $0 1990 1991 1992 Total 1993 1994 Vaginal 1995 1996 Cesarean 1997 1998 1999 16 Average Length of Stay(LOS) The average LOS for all deliveries in 1999 was 2.4 days, no change from the previous year. This represents the fourth year in a row that the average LOS has increased or stayed the same. The lengths of hospital stays for deliveries had been decreasing steadily until 1996, the year that Illinois passed minimum length of stay legislation. SEE FIGURE 7 BELOW. Public Act 89-513, effective September 1996, requires insurance companies to allow mothers to stay in the hospital at least 48 hours following a vaginal delivery and 96 hours after a Cesarean section. The average lengths of stay reported in this guide represent the time period beginning at admission, not delivery. The average LOS for vaginal deliveries was 2.1 days in 1999, an increase of one-tenth of a day from the previous year. Vaginal deliveries reached a low point of 1.6 days in 1995 before gradually rising each year to 1999. The average LOS for a vaginal delivery in 1990 was 2.3 days. The average LOS for Cesarean section deliveries was 3.8 days in 1999, the same as the two previous years. Cesarean deliveries saw dramatic decreases in LOS from 1990 to 1995, dropping a full day to a low of 3.6 days. The average LOS in 1990 was 4.6 days. Figure 7: Illinois Deliveries: 1990-1999 Average Length of Stay (days) 5.0 4.6 4.4 4.2 3.9 3.7 3.6 3.7 3.8 3.8 3.8 4.0 3.0 2.8 2.7 2.6 2.4 2.1 2.0 2.1 2.3 2.4 2.4 2.0 2.3 2.3 2.2 1.9 1.7 1.6 1.7 1.9 2.0 2.1 1.0 0.0 1990 1991 1992 1993 Total 1994 Vaginal 1995 1996 Cesarean 1997 1998 1999 17 Cesarean Section Delivery Rate The Illinois Cesarean section rate in 1999 was 20.3%, a significant increase from the previous year when it was 19.5%. The Cesarean section rate had dropped significantly from 1990 to 1997 (23.1% and 19.3% respectively), only to increase again the following year. SEE FIGURE 8 BELOW. The U.S. rate followed a similar pattern in the 1990's, dropping from 22.7% in 1990 to 20.7% in 1996. In 1997 the national rate began to increase as the Illinois rate did in 1998. By 1999, it had reached 22%, according to the U.S. Centers for Disease Control and Prevention’s preliminary report. The Illinois rate was actually above the national rate in 1990, before dropping below for good in 1992. Figure 8: * The national cesarean section rates presented in Figure 8 were obtained from the CDC National Center for Health Statistics. 18 VII. ‘ Explanation of Terms General Terms Average Charge per Day ($) The average dollar amount patients within a given DRG are charged per day for a hospital stay. Diagnosis Related Group (DRG) The Diagnosis Related Group (DRG) system organizes ICD-9-CM diagnosis and procedure codes into a complex, comprehensive system. A DRG is one of approximately 500 groups that classify patients into clinically cohesive groups that demonstrate similar consumption of hospital resources and length of stay patterns. Average Length of Stay (LOS) The average number of days patients within a given DRG stay in the hospital. ‘ Obstetrical Terms International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) ICD-9-CM is a system designed for the indexing of hospital records by disease and operations, and for data storage and retrieval. It is also used to classify morbidity and mortality information for statistical purposes. Total Deliveries Includes both vaginal and cesarean deliveries. (DRGs 370, 371, 372, 373, 374 and 376) Vaginal Deliveries without Complicating Diagnoses Includes normal vaginal deliveries without complicating diagnoses. (DRG 373) Health Services Area (HSA) An HSA is one of 11 areas of the state designated by the federal government for health planning purposes. Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure Includes vaginal deliveries with complicating diagnoses, or followed by tubal ligation, dilation & curettage or other operating room procedure. (DRGs 372, 374 and 375) Complication and/or Comorbidity Some DRGs will include complication and/or comorbidity in their titles. Complication is defined as a condition that arises during a hospital stay that prolongs the length of stay by at least one day in approximately 75 percent of the cases. Comorbidity is defined as a preexisting condition that, because of its presence with a specific diagnosis, causes an increase in length of stay by at least one day in approximately 75 percent of the cases. Cesarean Deliveries and Cesarean Percentage A delivery by means of incision into the uterus. The cesarean percentage shows cesarean deliveries as a percentage of all deliveries. (DRGs 370 and 371) Primary Cesarean and Primary Cesarean Percentage Average Charge ($) The average dollar amount patients within a given DRG are charged for a hospital stay. Actual payments are likely to be less than charges. A cesarean section performed on a woman who has not had a previous cesarean. The primary cesarean percentage shows primary cesarean deliveries as a percent of all deliveries. (Primary cesarean deliveries are identified by the absence of ICD-9 diagnosis code 654.2, which indicates the presence of a uterine scar from a previous cesarean delivery). 19 Repeat Cesarean and Repeat Cesarean Percentage A cesarean section performed on a woman who has had a previous cesarean. The repeat cesarean percentage shows repeat cesarean deliveries as a percentage of all deliveries. (Repeat cesarean deliveries are identified by the presence of ICD-9 diagnosis code 654.2, which indicates the presence of a uterine scar from a previous cesarean delivery). About Table A The hospital-specific table (A) presents charge and length of stay information from hospitals that reported inpatient discharges for deliveries, occurring in 1999, to the Council. While a few hospitals without obstetrical services reported deliveries, only data from those with obstetrical services are shown in this report. Hospitals in the table without obstetrical services are listed with a zero (0) next to their names. To protect patient confidentiality, the Council has suppressed certain low numbers in this guide. Those deliveries reported from hospitals without obstetrical services are very few and are most likely emergency deliveries. For discharge numbers of three or less, all numbers have been masked with asterisks. For discharge numbers of four through six, the discharge number has been masked but leaving all other information; caution should be exercised for these charges and lengths of stay because the averages are based on low numbers. The hospitals are listed alphabetically by region and Health Service Area (HSA). Earlier in this report, an HSA map page identified the regions which grouped the hospitals that perform child deliveries. The five regions in order are: Chicago, Illinois Region (HSA 6) Suburban Chicago Region (HSA 7, 8, 9) Northwest Illinois Region (HSA 1, 10) Central Illinois Region (HSA 2, 3, 4) Southern Illinois Region (HSA 5, 11) Listed in the table for each hospital are the average charge, average charge per day, average length of stay (LOS) and number of discharges for deliveries. Across the top of the tables are deliveries broken down by type. In the tables, the six delivery Diagnosis Related Groups (DRG) are grouped into the following column headings: ö Total Deliveries DRG 370 - 375 Vaginal Birth After Cesarean Section (VBAC) A vaginal delivery occurring after a previous cesarean section. In this report, VBAC deliveries are reported by the actual number of discharges and as a proportion of all deliveries to women who had a previous cesarean. To calculate the VBAC rate, multiply the proportion by 100. (VBACs are vaginal deliveries identified by the presence of ICD-9 diagnosis code 654.2) VIII. Hospital Comments All hospitals included in this report were given the opportunity to review their own information for accuracy. One hospital responded and submitted written comments to the Council’s Springfield office. They were: ” Glenbrook Hospital, Glenview Their comments are on file and can be obtained by contacting the Council’s Research Unit at (217) 786-7001. IX. About the Hospital Table (Table A) Before you turn to the hospital table found on the following pages, please take a moment to read the following which will assist you in the use and interpretation of the table. Should any terms not be familiar, please refer to the Explanation of Terms (Section VII) on pages 19 and 20. 20 ö Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Delivery without Complicating Diagnoses resources. The statewide system consists of 10 regional networks (six in Chicago and four downstate), each coordinated by a designated regional perinatal center comprised of one or more Level III hospitals. Hospitals in the table with an asterisk (*) next to their names are regional perinatal centers for that network. Hospitals within each network are designated by the level of care they can provide. The levels are as follows: Level I: Level II: Provides routine uncomplicated care. Refers highrisk mothers and infants to specialized facilities. Provides routine care. Provides care for most common conditions encountered in mothers and infants. Provides routine care. Provides care for most common conditions encountered in mothers and infants. Provides some aspect of high-risk care, usually neonatality services. Provides full range of care from routine to very advanced intensive care. ö Vaginal Deliveries with Complicating Diagnoses or Operating Room Procedure DRG 372 Vaginal Delivery with Complicating Diagnoses DRG 374 Vaginal Delivery with Sterilization and/or D&C DRG 375 Vaginal Delivery with O.R. Procedure Except Sterilization ö Cesarean Section Deliveries DRG 370 Cesarean Section with Complication and/or Comorbidity DRG 371 Cesarean Section without Complication and/or Comorbidity Other column headings include total, primary and repeat cesarean section rates, and vaginal births after cesarean (VBAC). Refer to Section VII for further explanation of these columns. Please note that with the data entries for Roseland Community Hospital, Chicago, the average charges have been masked due to a hospital system conversion problem with calendar year 1999 data reported by Roseland Community Hospital. The data could not be corrected in time once the quarterly verification process was completed. The Illinois Regional Perinatal Network All Illinois hospitals that provide maternity and newborn care belong to a regional perinatal network developed by the Illinois Department of Public Health. Every hospital with obstetrical services belongs to this network. Established in the mid-1970's, this system has three main objectives: 1. To assure that women and infants have access to quality pregnancy-related health services, despite financial status. To reduce maternal, fetal and neonatal mortality and morbidity. To make efficient use of available health care Level II+: Level III: Each network has established rules for consultation, referral and transfer of patients to facilities with the appropriate level of care. Each hospital’s perinatal designation is listed next to its name in Table A. It is important to remember the Level III hospitals routinely handle high-risk deliveries, requiring costlier, more intensive services than normal deliveries. This is one reason that Level III facilities may show higher average charges when compared to other hospitals. 2. 3. Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Illinois Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago, Illinois Region Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 6 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Bethany Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Cook County Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $6,124 $2,544 2.4 173,121 $4,684 $2,400 2.0 114,749 $7,169 $2,804 2.6 23,293 $10,140 $2,670 3.8 35,079 20.3% $10,858 $2,646 4.1 21,647 12.5% $8,981 $2,717 3.3 13,432 7.8% $5,559 $2,624 2.1 7,203 0.34 $7,673 $3,114 2.5 47,677 $5,802 $2,972 2.0 31,624 $9,077 $3,283 2.8 7,145 $13,191 $3,266 4.0 8,908 18.7% $13,740 $3,162 4.3 5,682 11.9% $12,224 $3,494 3.5 3,226 6.8% $7,011 $3,089 2.2 1,988 0.38 $7,673 $3,114 2.5 47,677 $5,802 $2,972 2.0 31,624 $9,077 $3,283 2.8 7,145 $13,191 $3,266 4.0 8,908 18.7% $13,740 $3,162 4.3 5,682 11.9% $12,224 $3,494 3.5 3,226 6.8% $7,011 $3,089 2.2 1,988 0.38 $6,063 $2,997 2.0 880 Chicago $6,849 $1,811 3.8 1,514 $4,856 $2,860 1.7 619 $7,215 $3,188 2.3 156 $11,461 $3,200 3.6 105 11.9% $11,929 $3,128 3.8 59 6.7% $10,861 $3,308 3.3 46 5.2% $5,661 $3,075 1.8 44 0.48 $5,358 $1,807 3.0 664 $6,500 $1,815 3.6 558 A1 $10,906 $1,811 6.0 292 19.3% $11,362 $1,813 6.3 223 14.7% $9,432 $1,802 5.2 69 4.6% $6,899 $1,808 3.8 65 0.48 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Holy Cross Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Illinois Masonic Medical Ctr. - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Jackson Park Hosp. & Med. Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Louis A. Weiss Memorial Hosp. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Mercy Hospital & Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $6,016 $3,065 2.0 1,308 Chicago $13,388 $5,522 2.4 3,742 Chicago $5,354 $2,440 2.2 417 Chicago $7,036 $3,422 2.1 482 Chicago $6,543 $3,612 1.8 2,627 $5,251 $3,532 1.5 2,044 $7,497 $3,238 2.3 181 A2 $12,683 $3,919 3.2 402 $13,292 $3,754 3.5 274 $11,377 $4,399 2.6 128 $5,891 $3,585 1.6 154 $4,981 $2,979 1.7 317 $9,110 $3,934 2.3 57 $11,973 $3,930 3.0 108 $12,794 $3,775 3.4 54 $11,152 $4,124 2.7 54 $6,362 $3,248 1.9 24 $3,155 $1,701 1.9 240 $6,428 $3,138 2.0 83 $10,018 $3,139 3.2 94 $10,456 $3,095 3.4 45 $9,615 $3,183 3.0 49 $5,210 $2,758 1.8 9 $9,701 $5,355 1.8 2,293 $13,991 $5,852 2.4 681 $23,863 $5,570 4.3 768 $24,992 $5,294 4.7 480 $21,981 $6,182 3.6 288 $12,412 $6,268 1.9 151 $4,279 $2,801 1.5 957 $8,509 $4,028 2.1 80 $11,413 $3,304 3.5 271 $11,664 $3,289 3.5 185 $10,872 $3,339 3.3 86 $4,855 $2,988 1.6 48 20.7% 14.1% 6.6% 0.35 20.5% 12.8% 7.7% 0.34 22.5% 10.8% 11.8% 0.15 22.4% 11.2% 11.2% 0.30 15.3% 10.4% 4.9% 0.54 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Michael Reese Medical Ctr. - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Mt. Sinai Hospital Medical Ctr. - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Northwestern Memorial Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Norwegian-American Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Our Lady of the Resurrection - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $9,936 $3,834 2.6 1,093 Chicago $7,690 $3,283 2.3 3,366 Chicago $6,812 $2,726 2.5 6,785 Chicago $4,760 $1,789 2.7 2,553 Chicago **** **** **** **** **** **** **** **** **** **** **** **** A3 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $3,203 $1,447 2.2 1,569 $6,132 $2,404 2.6 360 $7,885 $2,050 3.8 624 $8,315 $2,011 4.1 320 $7,433 $2,098 3.5 304 $4,219 $1,798 2.3 107 $6,080 $2,892 2.1 4,739 $7,634 $2,834 2.7 1,005 $9,356 $2,271 4.1 1,041 $9,775 $2,274 4.3 756 $8,242 $2,263 3.6 285 $6,865 $2,828 2.4 262 $5,769 $3,334 1.7 2,097 $8,506 $3,358 2.5 599 $12,974 $3,172 4.1 670 $13,557 $3,116 4.3 423 $11,974 $3,286 3.6 247 $6,856 $3,288 2.0 106 $6,805 $3,614 1.9 768 $13,908 $4,006 3.5 123 $19,418 $4,090 4.7 202 $21,222 $4,010 5.3 120 $16,780 $4,246 4.0 82 $7,830 $4,101 1.9 33 18.5% 11.0% 7.5% 0.28 19.9% 12.6% 7.3% 0.30 15.3% 11.1% 4.2% 0.47 24.4% 12.5% 11.9% 0.26 0.0% 0.0% 0.0% 0.00 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Provident Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Ravenswood Hospital Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Resurrection Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Roseland Community Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Rush-Presby.-St. Lukes Med. Ctr. - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $4,030 $1,459 2.8 884 Chicago $5,661 $2,853 2.0 1,663 Chicago $6,444 $2,713 2.4 1,305 Chicago **** **** 2.5 478 Chicago $11,397 $3,399 3.4 2,182 $8,124 $3,308 2.5 1,043 $10,951 $3,477 3.1 456 A4 $16,693 $3,436 4.9 683 $17,798 $3,439 5.2 457 $14,459 $3,429 4.2 226 $10,616 $3,269 3.2 81 **** **** 2.1 302 **** **** 2.3 78 **** **** 3.7 98 **** **** 3.8 47 **** **** 3.6 51 **** **** 2.1 16 $5,080 $2,609 1.9 941 $8,701 $3,240 2.7 92 $10,398 $2,772 3.8 272 $10,703 $2,737 3.9 199 $9,565 $2,885 3.3 73 $5,538 $2,678 2.0 59 $4,464 $2,737 1.6 1,116 $6,664 $3,233 2.1 213 $9,022 $2,897 3.1 334 $9,670 $2,876 3.4 177 $8,291 $2,925 2.8 157 $5,423 $2,920 1.8 63 $3,263 $1,370 2.4 592 $4,734 $1,519 3.1 174 $6,840 $1,650 4.1 118 $7,404 $1,710 4.3 82 $5,556 $1,492 3.7 36 $3,608 $1,488 2.4 59 13.3% 9.3% 4.1% 0.62 20.1% 10.6% 9.4% 0.28 20.8% 15.2% 5.6% 0.44 20.5% 9.8% 10.7% 0.23 31.3% 20.9% 10.4% 0.26 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Saint Joseph Health Ctr. Hosp. - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Anthony Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Bernard Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Elizabeth's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Mary of Nazareth Hospital Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $6,037 $2,685 2.2 2,125 Chicago $5,558 $2,286 2.4 2,052 Chicago $4,400 $1,632 2.7 1,121 Chicago $4,283 $2,179 2.0 900 Chicago $5,874 $2,668 2.2 1,687 $4,645 $2,576 1.8 1,245 $7,103 $2,736 2.6 131 A5 $10,276 $2,830 3.6 311 $11,219 $2,918 3.8 205 $8,453 $2,627 3.2 106 $5,190 $2,527 2.0 56 $3,380 $2,051 1.6 672 $4,986 $2,110 2.4 91 $8,248 $2,528 3.3 137 $8,505 $2,509 3.4 90 $7,758 $2,567 3.0 47 $4,156 $2,200 1.8 36 $3,653 $1,511 2.4 897 $5,738 $1,700 3.4 56 $7,945 $2,007 4.0 168 $9,077 $2,079 4.4 74 $7,054 $1,938 3.6 94 $4,883 $1,806 2.7 27 $4,865 $2,194 2.2 1,585 $6,279 $2,311 2.7 201 $9,145 $2,621 3.5 266 $9,565 $2,604 3.7 165 $8,459 $2,653 3.2 101 $5,329 $2,385 2.2 77 $5,055 $2,778 1.8 1,548 $7,375 $2,529 2.9 213 $9,427 $2,562 3.7 364 $10,134 $2,561 4.0 251 $7,857 $2,566 3.1 113 $5,493 $2,775 1.9 49 17.1% 11.8% 5.3% 0.30 13.0% 8.0% 4.9% 0.43 15.0% 6.6% 8.4% 0.22 15.2% 10.0% 5.2% 0.43 18.4% 12.2% 6.3% 0.34 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Swedish Covenant Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Trinity Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges University of Chicago Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges University of Illinois Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Suburban Chicago Region Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Chicago $5,156 $2,900 1.8 1,676 Chicago $5,593 $2,879 1.9 1,700 Chicago $11,521 $3,774 3.1 3,081 Chicago $5,298 $1,851 2.9 2,054 $3,996 $1,732 2.3 1,278 $6,193 $1,917 3.2 486 $9,537 $2,033 4.7 290 $10,503 $2,080 5.0 190 $7,701 $1,920 4.0 100 $5,754 $1,958 2.9 129 $7,810 $3,416 2.3 1,699 $12,504 $4,032 3.1 732 $20,115 $4,021 5.0 650 $21,283 $3,934 5.4 430 $17,832 $4,241 4.2 220 $10,680 $3,818 2.7 158 $3,956 $2,604 1.5 1,152 $6,746 $3,084 2.2 203 $10,384 $3,233 3.2 345 $10,743 $3,192 3.4 197 $9,907 $3,295 3.0 148 $4,671 $2,814 1.6 100 $3,626 $2,410 1.5 1,246 $7,094 $3,573 2.0 135 $10,732 $3,782 2.8 295 $11,044 $3,575 3.1 179 $10,249 $4,186 2.4 116 $4,182 $2,509 1.6 75 17.6% 10.7% 6.9% 0.39 20.3% 11.6% 8.7% 0.40 21.1% 14.0% 7.1% 0.41 14.1% 9.3% 4.9% 0.56 $6,287 $2,666 2.4 79,313 $4,886 $2,541 1.9 53,066 $7,151 $2,950 2.4 10,127 A6 $10,356 $2,763 3.7 16,120 20.3% $11,170 $2,781 4.0 9,884 12.5% $9,066 $2,728 3.3 6,236 7.9% $5,604 $2,740 2.0 3,520 0.36 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Health Service Area 7 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Alexian Bros. Medical Center - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Central DuPage Hospital - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Christ Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Edward Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Elk Grove Vill. $6,713 $2,737 2.5 54,291 $5,199 $2,627 2.0 36,014 $7,511 $2,987 2.5 7,241 $11,131 $2,810 4.0 11,036 20.3% $12,039 $2,828 4.3 6,823 12.6% $9,660 $2,775 3.5 4,213 7.8% $5,990 $2,811 2.1 2,424 0.36 $4,851 $2,164 2.2 2,847 Winfield $5,722 $2,242 2.6 3,271 Oak Lawn $7,709 $2,628 2.9 3,732 Naperville $5,851 $2,465 2.4 3,074 $4,022 $2,148 1.9 2,056 $5,466 $2,174 2.5 313 $8,013 $2,193 3.7 478 16.8% $8,570 $2,168 4.0 277 9.7% $7,245 $2,237 3.2 201 7.1% $4,466 $2,156 2.0 113 0.35 $4,636 $2,161 2.1 2,211 $6,442 $2,631 2.4 402 $8,935 $2,244 4.0 658 20.1% $9,905 $2,341 4.2 394 12.0% $7,488 $2,074 3.6 264 8.1% $5,135 $2,321 2.2 151 0.36 $5,847 $2,682 2.2 2,391 $8,839 $2,877 3.1 420 $12,030 $2,492 4.8 921 24.7% $13,846 $2,398 5.8 538 14.4% $9,479 $2,709 3.5 383 10.3% $6,706 $2,945 2.2 141 0.26 $4,740 $2,303 2.1 2,082 $5,852 $2,445 2.4 438 A7 $10,028 $2,831 3.5 554 18.0% $10,588 $2,861 3.7 350 11.4% $9,066 $2,772 3.3 204 6.6% $5,210 $2,414 2.1 196 0.49 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Elmhurst Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Evanston Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges F.G. McGaw/Loyola Univ. Med. Ctr. - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Glenbrook Hospital - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges GlenOaks Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Elmhurst $5,122 $2,176 2.4 1,772 Evanston $6,607 $2,551 2.6 3,703 Maywood $11,070 $2,804 3.9 1,771 Glenview $8,726 $1,973 4.4 19 Glendale Hts. $5,454 $3,353 1.6 538 $4,038 $3,034 1.3 393 $6,403 $3,542 1.8 52 A8 $10,908 $3,932 2.8 93 $11,168 $3,961 2.8 61 $10,412 $3,874 2.7 32 $4,217 $3,344 1.2 23 $9,188 $1,682 5.5 13 $6,614 $3,779 1.8 **** **** **** **** **** **** **** **** **** $0 $0 0.0 0 **** **** **** **** $7,507 $3,050 2.5 930 $12,253 $2,915 4.2 366 $17,134 $2,571 6.7 475 $17,946 $2,566 7.0 319 $15,474 $2,584 6.0 156 $8,423 $2,954 2.8 101 $5,631 $2,663 2.1 2,484 $7,036 $2,717 2.6 538 $9,827 $2,272 4.3 681 $10,636 $2,287 4.7 435 $8,396 $2,240 3.7 246 $6,180 $2,954 2.0 163 $4,066 $2,035 2.0 1,256 $5,489 $2,275 2.4 182 $8,891 $2,430 3.7 334 $9,133 $2,380 3.8 203 $8,515 $2,518 3.4 131 $4,493 $2,260 1.9 80 18.8% 11.5% 7.4% 0.37 18.4% 11.7% 6.6% 0.39 26.8% 18.0% 8.8% 0.39 10.5% 10.5% 0.0% 1.00 17.3% 11.3% 5.9% 0.41 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Good Samaritan Hospital - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Gottlieb Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Hinsdale Hospital - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Holy Family Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Ingalls Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Downers Grove $5,419 $2,382 2.3 2,085 Melrose Park $7,630 $3,578 2.1 1,247 Hinsdale $6,482 $2,714 2.4 3,033 Des Plaines $6,492 $3,060 2.1 841 Harvey $5,969 $2,947 2.0 1,781 $4,742 $2,920 1.6 1,144 $6,629 $3,216 2.1 245 A9 $9,136 $2,879 3.2 392 $9,804 $2,868 3.4 232 $8,168 $2,898 2.8 160 $5,315 $2,855 1.8 65 $5,481 $3,177 1.7 641 $8,162 $3,465 2.4 45 $10,188 $2,761 3.7 155 $10,777 $2,789 3.9 110 $8,749 $2,678 3.3 45 $7,642 $3,821 2.0 17 $5,167 $2,621 2.0 2,018 $7,205 $2,922 2.5 457 $10,647 $2,776 3.8 558 $11,182 $2,897 3.9 321 $9,922 $2,610 3.8 237 $5,987 $2,758 2.1 141 $4,949 $2,883 1.7 740 $7,676 $3,425 2.2 278 $16,239 $4,854 3.3 229 $17,148 $4,844 3.5 139 $14,835 $4,872 3.0 90 $6,418 $3,384 1.8 58 $3,891 $2,090 1.9 1,296 $5,026 $2,375 2.1 320 $9,909 $2,813 3.5 469 $10,379 $2,882 3.6 288 $9,161 $2,696 3.4 181 $4,642 $2,223 2.0 103 22.5% 13.8% 8.7% 0.36 18.4% 11.1% 7.2% 0.39 18.4% 10.6% 7.8% 0.37 18.4% 13.1% 5.4% 0.27 22.0% 13.0% 9.0% 0.28 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City La Grange Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Little Company of Mary Hosp. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Lutheran General Hospital - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges MacNeal Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Northwest Community Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges La Grange $5,874 $2,651 2.2 849 Evergreen Park $7,628 $2,962 2.6 1,525 Park Ridge $6,139 $2,096 2.9 4,019 Berwyn $10,432 $4,728 2.2 2,182 Arlington Hts. $4,486 $2,087 2.1 2,724 $3,735 $2,030 1.8 1,889 $4,821 $2,290 2.1 296 A10 $6,934 $2,129 3.3 539 $7,513 $2,175 3.5 333 $5,998 $2,042 2.9 206 $4,261 $2,107 2.0 136 $7,691 $4,188 1.8 1,400 $11,791 $5,188 2.3 407 $19,190 $5,460 3.5 375 $20,710 $5,527 3.7 233 $16,697 $5,328 3.1 142 $9,669 $4,969 1.9 129 $4,680 $2,030 2.3 2,394 $6,295 $2,357 2.7 559 $9,334 $2,089 4.5 1,066 $10,236 $2,142 4.8 698 $7,621 $1,966 3.9 368 $5,435 $2,092 2.5 179 $6,238 $3,006 2.1 1,101 $10,257 $3,651 2.8 68 $11,426 $2,803 4.1 356 $12,583 $2,831 4.4 216 $9,640 $2,748 3.5 140 $6,533 $3,115 2.0 31 $4,991 $2,633 1.9 612 $6,974 $3,134 2.2 71 $8,659 $2,553 3.4 166 $9,110 $2,711 3.4 100 $7,975 $2,318 3.4 66 $5,516 $2,727 2.0 45 19.6% 11.8% 7.8% 0.40 23.3% 14.2% 9.2% 0.18 26.5% 17.4% 9.2% 0.32 17.2% 10.7% 6.5% 0.47 19.8% 12.2% 7.6% 0.39 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Oak Park Hospital - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Palos Community Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Rush North Shore Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges South Suburban Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. James Hospital & Health Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Oak Park **** **** **** **** Palos Heights $7,297 $3,147 2.3 2,251 Skokie $7,013 $2,848 2.5 545 Hazel Crest $5,683 $2,673 2.1 1,345 Olympia Fields $7,434 $3,342 2.2 562 $5,636 $3,077 1.8 374 $8,415 $3,795 2.2 69 A11 $12,517 $3,615 3.5 119 $13,896 $3,681 3.8 71 $10,478 $3,492 3.0 48 $6,613 $3,444 1.9 25 $4,507 $2,616 1.7 880 $6,855 $3,200 2.1 176 $8,551 $2,555 3.3 289 $9,324 $2,528 3.7 141 $7,816 $2,587 3.0 148 $4,904 $2,811 1.7 47 $5,436 $2,649 2.1 365 $7,850 $3,375 2.3 43 $10,951 $3,043 3.6 137 $11,738 $3,062 3.8 90 $9,444 $2,999 3.1 47 $5,946 $2,896 2.0 19 $6,453 $3,180 2.0 1,705 $7,617 $3,170 2.4 144 $10,763 $3,060 3.5 402 $11,176 $3,033 3.7 263 $9,983 $3,118 3.2 139 $6,787 $3,191 2.1 87 **** **** **** **** $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 0.0% 0.0% 0.0% 0.00 17.9% 11.7% 6.2% 0.38 25.1% 16.5% 8.6% 0.28 21.5% 10.5% 11.0% 0.24 21.2% 12.6% 8.5% 0.34 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City St. Alexius Medical Center - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Francis Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Francis Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. James Hospital & Health Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges West Suburban Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Hoffman Estates $6,722 $3,074 2.2 2,390 Blue Island $8,161 $3,616 2.3 1,103 Evanston $7,424 $2,945 2.5 1,028 Chicago Heights $5,010 $2,283 2.2 1,110 Oak Park $9,748 $3,968 2.5 2,228 $6,235 $3,162 2.0 1,204 $9,831 $3,888 2.5 617 A12 $20,014 $5,292 3.8 407 $20,822 $5,242 4.0 286 $18,104 $5,435 3.3 121 $9,051 $3,905 2.3 85 $3,997 $2,153 1.9 689 $4,935 $2,231 2.2 246 $9,106 $2,599 3.5 175 $10,039 $2,617 3.8 97 $7,946 $2,572 3.1 78 $4,454 $2,282 1.9 62 $6,533 $2,988 2.2 762 $7,781 $3,018 2.6 109 $11,500 $2,803 4.1 157 $11,838 $2,746 4.3 106 $10,798 $2,945 3.7 51 $6,735 $2,886 2.3 12 $6,466 $3,598 1.8 753 $8,484 $3,932 2.2 108 $13,292 $3,562 3.7 242 $14,519 $3,550 4.1 135 $11,744 $3,580 3.3 107 $7,197 $3,951 1.8 56 $5,184 $2,927 1.8 1,709 $7,485 $3,277 2.3 215 $12,009 $3,276 3.7 466 $12,622 $3,334 3.8 307 $10,825 $3,152 3.4 159 $5,921 $2,995 1.9 130 19.5% 12.8% 6.7% 0.44 21.9% 12.2% 9.7% 0.34 15.3% 10.3% 5.0% 0.19 15.8% 8.7% 7.0% 0.44 18.3% 12.8% 5.4% 0.41 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Westlake Community Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 8 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Condell Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Copley Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Delnor Community Hosp.-Geneva - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Melrose Park $5,641 $3,070 1.8 715 $3,898 $2,607 1.5 521 $6,497 $3,102 2.1 53 $11,762 $3,911 3.0 141 $12,365 $3,889 3.2 78 $11,016 $3,943 2.8 63 $4,280 $3,007 1.4 26 19.7% 10.9% 8.8% 0.29 $5,220 $2,460 2.1 19,797 Libertyville $5,993 $2,875 2.1 1,683 Aurora $6,166 $2,955 2.1 2,149 Geneva $4,686 $1,972 2.4 1,513 $4,080 $2,299 1.8 13,529 $6,147 $2,818 2.2 2,237 $8,531 $2,623 3.3 4,031 20.4% $9,109 $2,647 3.4 2,452 12.4% $7,634 $2,581 3.0 1,579 8.0% $4,642 $2,560 1.8 862 0.35 $4,838 $2,844 1.7 1,100 $7,599 $3,745 2.0 171 $8,411 $2,686 3.1 412 24.5% $8,944 $2,691 3.3 260 15.4% $7,501 $2,676 2.8 152 9.0% $5,135 $3,109 1.6 66 0.30 $5,252 $3,061 1.7 1,433 $7,608 $3,340 2.3 306 $8,283 $2,557 3.2 410 19.1% $8,819 $2,559 3.4 267 12.4% $7,280 $2,551 2.9 143 6.7% $5,829 $3,335 1.7 107 0.42 $3,657 $1,846 2.0 957 $5,367 $2,292 2.3 196 A13 $7,049 $2,048 3.4 360 23.8% $7,791 $2,142 3.6 212 14.0% $5,986 $1,893 3.2 148 9.8% $4,166 $2,054 2.0 71 0.32 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Good Shepherd Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Harvard Memorial Hospital, Inc. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Highland Park Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Lake Forest Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Memorial Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Barrington $5,919 $2,421 2.4 1,920 Harvard $6,056 $3,204 1.9 227 Highland Park $5,039 $2,122 2.4 1,756 Lake Forest $5,690 $2,511 2.3 2,379 Woodstock $5,443 $2,372 2.3 598 $3,763 $1,988 1.9 382 $5,930 $2,583 2.3 71 A14 $9,631 $2,873 3.4 145 $10,433 $2,901 3.6 84 $8,528 $2,827 3.0 61 $4,183 $2,148 1.9 19 $4,354 $2,245 1.9 1,624 $6,127 $2,761 2.2 183 $9,343 $2,910 3.2 572 $10,234 $3,002 3.4 313 $8,265 $2,783 3.0 259 $4,710 $2,355 2.0 95 $3,985 $1,930 2.1 1,258 $5,880 $2,531 2.3 204 $8,966 $2,398 3.7 294 $9,540 $2,409 4.0 175 $8,122 $2,380 3.4 119 $4,802 $2,271 2.1 79 $4,186 $2,626 1.6 160 $7,231 $3,989 1.8 32 $13,531 $4,082 3.3 35 $14,955 $4,154 3.6 20 $11,634 $3,966 2.9 15 $4,370 $3,220 1.3 14 $4,927 $2,368 2.1 1,212 $5,822 $2,666 2.2 294 $8,894 $2,405 3.7 414 $9,718 $2,488 3.9 252 $7,612 $2,254 3.4 162 $5,337 $2,685 1.9 79 21.6% 13.1% 8.4% 0.32 15.4% 8.8% 6.6% 0.48 16.7% 10.0% 6.8% 0.39 24.0% 13.2% 10.9% 0.26 24.2% 14.0% 10.2% 0.23 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Northern Illinois Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena Mercy Ctr. for Health Care - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena St. Therese Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena St. Joseph Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Sherman Hospital Association - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges McHenry $5,278 $2,270 2.3 948 Aurora $4,116 $2,428 1.7 1,266 Waukegan $4,162 $2,386 1.7 1,257 Elgin $4,534 $2,469 1.8 1,111 Elgin $4,541 $2,426 1.9 1,876 $3,482 $2,242 1.6 1,317 $6,052 $2,984 2.0 249 A15 $7,824 $2,524 3.1 310 $7,964 $2,388 3.3 191 $7,600 $2,791 2.7 119 $4,719 $2,625 1.7 79 $3,622 $2,365 1.5 822 $5,142 $2,421 2.1 105 $8,258 $2,723 3.0 184 $8,590 $2,661 3.2 123 $7,588 $2,875 2.6 61 $3,779 $2,575 1.4 62 $3,099 $2,118 1.5 956 $4,648 $2,423 1.9 85 $8,672 $2,973 2.9 216 $9,103 $3,063 3.0 141 $7,860 $2,793 2.8 75 $3,380 $2,173 1.5 45 $3,113 $2,138 1.5 974 $4,409 $2,055 2.1 103 $9,126 $3,402 2.7 189 $9,396 $3,345 2.8 136 $8,432 $3,575 2.4 53 $3,483 $2,173 1.6 73 $4,000 $2,040 2.0 655 $6,543 $2,661 2.5 109 $9,077 $2,561 3.5 184 $9,789 $2,623 3.7 97 $8,283 $2,485 3.3 87 $4,787 $2,486 1.9 40 19.4% 10.2% 9.2% 0.31 14.9% 10.7% 4.2% 0.57 17.2% 11.2% 6.0% 0.37 16.6% 11.1% 5.5% 0.50 16.5% 10.2% 6.3% 0.39 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Victory Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 9 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Morris Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena St. Joseph Medical Ctr. - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena St. Mary's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Waukegan $4,962 $2,446 2.0 1,114 $3,690 $2,213 1.7 679 $6,028 $3,061 2.0 129 $7,335 $2,568 2.9 306 $7,833 $2,496 3.1 181 $6,615 $2,702 2.4 125 $4,523 $2,665 1.6 33 27.5% 16.2% 11.2% 0.20 $5,907 $2,606 2.3 5,225 Morris $3,721 $1,818 2.0 384 Joliet $6,479 $2,705 2.4 2,023 Kankakee $4,994 $2,224 2.2 576 $4,789 $2,486 1.9 3,523 $6,595 $2,934 2.2 649 $9,222 $2,699 3.4 1,053 20.2% $9,735 $2,682 3.6 609 11.7% $8,517 $2,726 3.1 444 8.5% $5,154 $2,561 2.0 234 0.34 $3,116 $1,730 1.8 296 $4,419 $1,940 2.3 18 $6,102 $2,014 3.0 70 18.2% $6,400 $2,013 3.2 39 10.2% $5,726 $2,017 2.8 31 8.1% $3,431 $1,805 1.9 20 0.39 $5,528 $2,778 2.0 1,435 $6,789 $2,752 2.5 137 $9,412 $2,569 3.7 451 22.3% $9,875 $2,489 4.0 273 13.5% $8,701 $2,722 3.2 178 8.8% $5,545 $2,804 1.9 89 0.33 $3,919 $1,993 2.0 357 $4,665 $2,110 2.2 114 A16 $9,005 $2,789 3.2 105 18.2% $9,367 $2,825 3.3 76 13.2% $8,056 $2,685 3.0 29 5.0% $4,176 $1,965 2.1 24 0.45 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Riverside Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Silver Cross Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Northwest Illinois Region Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 1 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges CGH Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Kankakee $5,779 $2,683 2.2 1,039 Joliet $6,190 $2,778 2.2 1,203 $4,701 $2,569 1.8 775 $7,495 $3,316 2.3 173 $9,829 $2,877 3.4 255 $10,495 $2,971 3.5 126 $9,177 $2,779 3.3 129 $5,336 $2,697 1.9 46 $4,508 $2,328 1.9 660 $6,967 $3,300 2.1 207 $9,225 $3,034 3.0 172 $9,988 $3,100 3.2 95 $8,284 $2,939 2.8 77 $5,424 $2,594 2.0 55 16.6% 9.1% 7.4% 0.41 21.2% 10.5% 10.7% 0.26 $4,492 $1,805 2.5 9,850 $3,187 $1,586 2.0 6,241 $5,087 $2,053 2.5 1,421 $7,828 $2,029 3.9 2,188 22.2% $8,533 $1,997 4.3 1,345 13.7% $6,702 $2,097 3.2 843 8.6% $3,720 $1,818 2.0 416 0.33 $4,595 $1,811 2.5 7,383 Sterling $3,444 $1,863 1.8 693 $3,141 $1,577 2.0 4,649 $5,148 $2,017 2.6 1,027 $8,219 $2,048 4.0 1,707 23.1% $8,998 $2,008 4.5 1,059 14.3% $6,947 $2,137 3.3 648 8.8% $3,723 $1,816 2.0 301 0.31 $2,803 $1,752 1.6 480 $4,258 $2,480 1.7 67 A17 $5,176 $1,898 2.7 146 21.1% $5,599 $1,907 2.9 94 13.6% $4,411 $1,880 2.3 52 7.5% $3,577 $2,129 1.6 25 0.32 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Freeport Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Katherine Shaw Bethea Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Kishwaukee Community Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Rochelle Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Rockford Memorial Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Freeport $4,546 $1,957 2.3 585 Dixon $4,108 $1,888 2.2 313 De Kalb $4,693 $2,108 2.2 784 Rochelle **** **** **** **** Rockford $5,684 $1,767 3.2 2,364 $3,615 $1,606 2.3 1,336 $5,464 $1,789 3.1 410 A18 $10,303 $1,904 5.4 618 $11,442 $1,861 6.1 400 $8,213 $2,023 4.1 218 $3,974 $1,787 2.2 103 $0 $0 0.0 0 **** **** **** **** $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $3,134 $1,740 1.8 503 $5,102 $2,249 2.3 97 $8,738 $2,597 3.4 184 $9,255 $2,553 3.6 120 $7,771 $2,703 2.9 64 $3,789 $1,812 2.0 22 $2,957 $1,593 1.9 194 $4,795 $2,367 2.0 39 $6,564 $2,170 3.0 80 $6,922 $2,103 3.3 48 $6,027 $2,296 2.6 32 $2,912 $1,553 1.8 8 $3,420 $1,714 2.0 372 $4,963 $2,185 2.3 81 $7,464 $2,275 3.3 132 $7,857 $2,236 3.5 74 $6,964 $2,334 3.0 58 $4,165 $2,139 1.9 19 22.6% 12.6% 9.9% 0.24 25.6% 15.3% 10.2% 0.20 23.5% 15.3% 8.2% 0.25 0.0% 0.0% 0.0% 0.00 26.1% 16.9% 9.2% 0.32 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City St. Anthony Hospital Med. Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges SwedishAmerican Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Valley West Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 10 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Hammond-Henry District Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Rockford $3,279 $1,412 2.3 853 Rockford $4,291 $1,881 2.3 1,715 Sandwich $4,210 $1,876 2.2 74 $2,493 $1,342 1.9 49 $5,880 $2,395 2.5 11 $8,906 $2,597 3.4 14 $9,552 $2,581 3.7 10 $7,290 $2,651 2.8 **** **** **** **** **** $2,965 $1,528 1.9 1,125 $5,669 $2,444 2.3 244 $7,631 $2,272 3.4 346 $8,269 $2,254 3.7 196 $6,797 $2,301 3.0 150 $3,916 $1,946 2.0 80 $2,625 $1,284 2.0 590 $2,944 $1,316 2.2 76 $5,479 $1,696 3.2 187 $5,856 $1,713 3.4 117 $4,847 $1,663 2.9 70 $2,748 $1,391 1.9 42 21.9% 13.7% 8.2% 0.37 20.2% 11.4% 8.7% 0.34 18.9% 13.5% 5.4% 0.33 $4,186 $1,789 2.3 2,467 Geneseo $3,889 $1,624 2.4 147 $3,322 $1,611 2.1 1,592 $4,928 $2,157 2.3 394 $6,438 $1,947 3.3 481 19.5% $6,813 $1,944 3.5 286 11.6% $5,887 $1,952 3.0 195 7.9% $3,711 $1,824 2.0 115 0.37 $2,376 $1,174 2.0 83 $4,723 $2,228 2.1 25 A19 $6,575 $1,957 3.4 39 26.5% $6,838 $1,880 3.6 22 15.0% $6,234 $2,078 3.0 17 11.6% $3,216 $1,608 2.0 7 0.29 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Illini Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Kewanee Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Mercer County Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Trinity Medical Center-West - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Central Illinois Region Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Silvis $3,403 $1,625 2.1 500 Kewanee $4,527 $2,296 2.0 175 Aledo $6,134 $2,481 2.5 36 Rock Island $4,376 $1,787 2.4 1,609 $3,687 $1,692 2.2 1,044 $5,019 $2,124 2.4 262 $6,192 $1,793 3.5 303 $6,627 $1,797 3.7 182 $5,538 $1,787 3.1 121 $4,149 $1,886 2.2 65 $4,011 $1,918 2.1 22 $8,408 $3,363 2.5 **** $9,894 $2,998 3.3 10 $11,008 $2,897 3.8 **** $8,779 $3,135 2.8 **** $0 $0 0.0 0 $2,611 $1,603 1.6 113 $6,315 $3,217 2.0 27 $9,332 $3,024 3.1 35 $9,936 $3,011 3.3 20 $8,526 $3,045 2.8 15 $4,041 $2,273 1.7 9 $2,602 $1,408 1.8 330 $4,002 $1,843 2.2 76 $5,728 $1,979 2.9 94 $5,935 $2,038 2.9 57 $5,408 $1,887 2.9 37 $2,889 $1,610 1.7 34 18.8% 11.4% 7.4% 0.47 20.0% 11.4% 8.6% 0.37 27.8% 13.9% 13.9% 0.00 18.8% 11.3% 7.5% 0.34 $4,091 $1,652 2.5 23,805 $3,036 $1,511 2.0 15,664 $4,947 $1,871 2.6 2,957 A20 $6,788 $1,791 3.8 5,184 21.8% $7,341 $1,767 4.2 3,188 13.4% $5,905 $1,839 3.2 1,996 8.4% $3,673 $1,717 2.1 819 0.29 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Health Service Area 2 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Community Hospital of Ottawa -II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Galesburg Cottage Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Graham Hospital Association - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Illinois Valley Community Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Ottawa $4,096 $1,526 2.7 8,040 $2,854 $1,345 2.1 5,275 $5,317 $1,831 2.9 935 $7,052 $1,683 4.2 1,830 22.8% $7,734 $1,646 4.7 1,079 13.4% $6,072 $1,755 3.5 751 9.3% $3,202 $1,531 2.0 219 0.22 $3,722 $1,430 2.6 335 Galesburg $3,498 $1,753 2.0 583 Canton $5,709 $2,035 2.8 261 Peru $4,246 $1,746 2.4 503 $2,675 $1,206 2.2 224 $5,165 $1,887 2.7 38 $6,182 $1,665 3.7 73 21.8% $6,660 $1,724 3.9 44 13.1% $5,457 $1,566 3.5 29 8.7% $3,853 $1,605 2.4 **** 0.14 $2,418 $1,410 1.7 397 $5,439 $2,465 2.2 92 $6,159 $2,075 3.0 94 16.1% $6,587 $2,016 3.3 45 7.7% $5,767 $2,140 2.7 49 8.4% $3,268 $1,566 2.0 23 0.31 $3,852 $1,690 2.3 136 $6,372 $2,339 2.7 47 $8,547 $2,267 3.8 78 29.9% $9,381 $2,213 4.2 46 17.6% $7,349 $2,375 3.1 32 12.3% **** **** **** **** 0.08 $2,825 $1,398 2.0 336 $4,777 $2,063 2.3 38 A21 $7,790 $2,203 3.5 129 25.6% $8,078 $2,205 3.7 71 14.1% $7,438 $2,201 3.4 58 11.5% $3,492 $1,862 1.8 8 0.12 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City McDonough District Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Mendota Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Methodist Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Pekin Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Perry Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Macomb $4,315 $1,791 2.4 311 Mendota $4,076 $1,681 2.4 120 Peoria $4,060 $1,712 2.4 1,646 Pekin $3,154 $1,673 1.9 419 Princeton $4,675 $1,922 2.4 139 $3,227 $1,498 2.2 98 $5,840 $2,642 2.2 19 A22 $10,119 $2,619 3.9 22 $10,522 $2,550 4.1 16 $9,046 $2,856 3.2 **** $4,665 $2,332 2.0 **** $2,388 $1,553 1.5 305 $4,196 $2,212 1.9 58 $6,253 $1,659 3.8 56 $6,719 $1,628 4.1 32 $5,631 $1,710 3.3 24 $2,546 $1,550 1.6 14 $2,949 $1,459 2.0 1,052 $4,788 $1,993 2.4 246 $6,904 $2,029 3.4 348 $7,580 $2,013 3.8 178 $6,195 $2,049 3.0 170 $3,669 $1,725 2.1 63 $2,369 $1,230 1.9 67 $4,678 $2,237 2.1 11 $6,642 $2,007 3.3 42 $6,977 $2,070 3.4 27 $6,040 $1,887 3.2 15 **** **** **** **** $3,034 $1,584 1.9 153 $4,758 $2,139 2.2 49 $5,913 $1,857 3.2 109 $5,911 $1,792 3.3 74 $5,916 $2,010 2.9 35 **** **** **** **** 35.0% 23.8% 11.3% 0.05 35.0% 22.5% 12.5% 0.06 21.1% 10.8% 10.3% 0.27 13.4% 7.6% 5.7% 0.36 15.8% 11.5% 4.3% 0.40 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Proctor Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Francis Medical Center - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Margaret's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Mary's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Mary's Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Peoria $3,758 $1,516 2.5 625 Peoria $4,643 $1,327 3.5 2,264 Spring Valley $4,140 $1,649 2.5 259 Streator $3,013 $1,113 2.7 252 Galesburg $2,603 $1,180 2.2 323 $1,929 $1,026 1.9 257 $2,723 $1,167 2.3 9 A23 $5,623 $1,541 3.6 57 $5,768 $1,519 3.8 44 $5,131 $1,627 3.2 13 **** **** **** **** $2,212 $1,035 2.1 190 $3,134 $1,128 2.8 9 $5,867 $1,238 4.7 53 $5,521 $1,380 4.0 29 $6,285 $1,117 5.6 24 $2,204 $1,102 2.0 8 $2,926 $1,385 2.1 196 $3,563 $1,357 2.6 8 $8,553 $2,188 3.9 55 $9,102 $2,051 4.4 32 $7,789 $2,454 3.2 23 **** **** **** **** $3,219 $1,294 2.5 1,476 $6,768 $1,491 4.5 232 $7,535 $1,311 5.7 556 $8,760 $1,322 6.6 358 $5,321 $1,280 4.2 198 $3,047 $1,357 2.2 57 $2,605 $1,231 2.1 388 $4,116 $1,659 2.5 79 $6,410 $1,903 3.4 158 $6,633 $1,853 3.6 83 $6,163 $1,967 3.1 75 $2,703 $1,299 2.0 25 25.3% 13.3% 12.0% 0.25 24.6% 15.8% 8.7% 0.22 21.2% 12.4% 8.9% 0.11 21.0% 11.5% 9.5% 0.25 17.6% 13.6% 4.0% 0.18 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Health Service Area 3 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Abraham Lincoln Memorial Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Blessing Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Hillsboro Area Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Illini Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Lincoln $4,320 $1,713 2.5 6,252 $3,278 $1,600 2.0 3,929 $5,050 $1,937 2.6 1,013 $6,882 $1,777 3.9 1,310 21.0% $7,446 $1,761 4.2 827 13.2% $5,918 $1,812 3.3 483 7.7% $4,394 $1,773 2.4 207 0.30 $4,933 $2,085 2.4 235 Quincy $2,568 $1,114 2.3 1,133 Hillsboro $5,206 $2,075 2.5 57 Pittsfield $3,709 $1,677 2.2 109 $3,666 $1,840 2.0 121 $5,186 $2,233 2.3 62 $7,578 $2,304 3.3 52 22.1% $7,849 $2,261 3.5 34 14.5% $7,066 $2,399 2.9 18 7.7% $4,819 $2,282 2.1 9 0.33 $2,038 $1,024 2.0 735 $2,893 $1,262 2.3 182 $4,098 $1,207 3.4 216 19.1% $4,378 $1,228 3.6 126 11.1% $3,705 $1,174 3.2 90 7.9% $2,609 $1,148 2.2 11 0.10 $3,478 $1,739 2.0 29 $5,926 $2,765 2.1 7 $7,351 $2,205 3.3 21 36.8% $7,782 $2,122 3.7 12 21.1% $6,777 $2,345 2.9 9 15.8% **** **** **** **** 0.10 $2,453 $1,290 1.9 51 $3,330 $1,611 2.1 30 A24 $6,400 $2,185 2.9 28 25.7% $6,567 $2,089 3.1 21 19.3% $5,901 $2,582 2.3 7 6.4% $3,031 $1,684 1.8 **** 0.41 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Jersey Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Memorial Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Passavant Area Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Sarah Culbertson Memorial Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Jerseyville $4,033 $1,880 2.1 186 Carthage $3,116 $1,320 2.4 114 Springfield $4,801 $2,105 2.3 1,720 Jacksonville $3,768 $1,857 2.0 420 Rushville $3,272 $1,366 2.4 119 $1,955 $958 2.0 76 $3,791 $1,706 2.2 18 A25 $6,900 $1,916 3.6 25 $7,200 $1,895 3.8 15 $6,450 $1,954 3.3 10 **** **** **** **** $2,738 $1,659 1.7 266 $4,992 $2,324 2.1 54 $5,844 $1,967 3.0 100 $6,024 $1,902 3.2 54 $5,633 $2,056 2.7 46 $3,896 $2,097 1.8 14 $3,884 $1,995 1.9 1,023 $5,457 $2,462 2.2 356 $6,866 $2,050 3.3 341 $7,254 $2,013 3.6 204 $6,289 $2,117 3.0 137 $4,300 $2,082 2.0 61 $2,108 $1,030 2.0 87 $3,865 $1,391 2.8 9 $7,616 $2,077 3.7 18 $7,984 $2,075 3.8 13 $6,659 $2,081 3.2 **** $1,833 $1,145 1.6 **** $3,173 $1,680 1.9 117 $4,848 $2,197 2.2 29 $5,959 $2,090 2.9 40 $6,658 $2,253 3.0 22 $5,104 $1,875 2.7 18 **** **** **** **** 21.5% 11.8% 9.7% 0.05 15.8% 11.4% 4.4% 0.50 19.8% 11.9% 8.0% 0.30 23.8% 12.9% 11.0% 0.23 21.0% 12.6% 8.4% 0.09 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City St. Francis Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. John's Hospital - III* Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Vincent Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 4 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges BroMenn Regional Medical Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Litchfield $3,691 $1,780 2.1 298 Springfield $5,266 $1,630 3.2 1,747 Taylorville $5,312 $2,753 1.9 114 $4,027 $2,685 1.5 80 $5,083 $1,955 2.6 **** $8,897 $2,965 3.0 29 $9,380 $2,993 3.1 15 $8,380 $2,933 2.9 14 $3,349 $2,392 1.4 **** $3,879 $1,620 2.4 1,117 $6,532 $1,720 3.8 241 $8,467 $1,603 5.3 389 $9,123 $1,612 5.7 279 $6,802 $1,575 4.3 110 $4,935 $1,621 3.0 93 $2,869 $1,588 1.8 227 $3,539 $1,726 2.1 20 $7,409 $2,262 3.3 51 $8,075 $2,247 3.6 32 $6,287 $2,297 2.7 19 **** **** **** **** 17.1% 10.7% 6.4% 0.05 22.3% 16.0% 6.3% 0.45 25.4% 13.2% 12.3% 0.26 $3,935 $1,733 2.3 9,513 Normal $4,538 $1,956 2.3 1,284 $3,038 $1,605 1.9 6,460 $4,500 $1,845 2.4 1,009 $6,492 $1,920 3.4 2,044 21.5% $6,944 $1,903 3.6 1,282 13.5% $5,732 $1,956 2.9 762 8.0% $3,557 $1,789 1.9 393 0.34 $3,488 $1,709 2.0 849 $5,280 $2,316 2.3 161 A26 $7,356 $2,293 3.2 274 21.3% $7,949 $2,359 3.4 171 13.3% $6,372 $2,166 2.9 103 8.0% $4,252 $2,044 2.0 63 0.37 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Carle Foundation Hospital - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Decatur Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Gibson Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Iroquois Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Paris Community Hospital - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Urbana $3,569 $1,271 2.8 1,800 Decatur $3,880 $1,578 2.5 1,077 Gibson City $3,856 $1,732 2.2 106 Watseka $4,564 $1,947 2.3 169 Paris **** **** **** **** $0 $0 0.0 0 $0 $0 0.0 0 A27 **** **** **** **** **** **** **** **** $0 $0 0.0 0 $0 $0 0.0 0 $2,297 $1,399 1.6 92 $5,073 $2,536 2.0 19 $7,993 $2,239 3.6 58 $8,790 $2,150 4.1 34 $6,863 $2,422 2.8 24 $0 $0 0.0 0 $2,564 $1,334 1.9 64 $4,636 $2,035 2.3 18 $6,718 $2,239 3.0 24 $7,296 $2,169 3.4 11 $6,229 $2,313 2.7 13 **** **** **** **** $2,937 $1,450 2.0 621 $4,271 $1,749 2.4 188 $5,790 $1,667 3.5 268 $5,857 $1,639 3.6 173 $5,670 $1,720 3.3 95 $3,878 $1,636 2.3 46 $2,812 $1,268 2.2 1,220 $4,268 $1,331 3.2 179 $5,559 $1,255 4.4 401 $5,903 $1,197 4.9 256 $4,951 $1,399 3.5 145 $3,183 $1,336 2.3 63 22.3% 14.2% 8.1% 0.30 24.9% 16.1% 8.8% 0.32 22.6% 10.4% 12.3% 0.18 34.3% 20.1% 14.2% 0.00 0.0% 0.0% 0.0% 0.00 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Provena Covenant Medical Ctr. - III Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Provena United Samaritan Logan - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Sarah Bush Lincoln Health Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. James Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Joseph's Hospital Med. Ctr. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Urbana $4,163 $1,889 2.2 1,282 Danville $4,002 $2,527 1.6 977 Mattoon $3,833 $2,069 1.9 944 Pontiac $3,652 $1,610 2.3 325 Bloomington $3,876 $1,819 2.1 865 $3,200 $1,696 1.9 603 $4,058 $1,895 2.1 78 A28 $6,012 $2,056 2.9 184 $6,601 $2,129 3.1 120 $4,908 $1,892 2.6 64 $3,418 $1,835 1.8 29 $2,718 $1,392 2.0 230 $3,469 $1,697 2.0 23 $6,695 $2,000 3.3 72 $7,362 $2,015 3.7 46 $5,516 $1,964 2.8 26 $2,546 $1,654 1.5 13 $2,892 $1,829 1.6 645 $4,858 $2,521 1.9 82 $6,245 $2,373 2.6 217 $6,727 $2,389 2.8 136 $5,434 $2,341 2.3 81 $3,563 $2,099 1.6 33 $3,321 $2,516 1.3 731 $4,438 $2,631 1.7 83 $6,836 $2,521 2.7 163 $7,393 $2,642 2.8 84 $6,244 $2,383 2.6 79 $3,439 $2,770 1.2 58 $2,986 $1,623 1.8 893 $4,533 $1,668 2.7 138 $8,147 $2,534 3.2 251 $8,876 $2,494 3.6 163 $6,798 $2,635 2.6 88 $3,540 $1,732 2.0 46 19.6% 12.7% 6.9% 0.34 16.7% 8.6% 8.1% 0.42 23.0% 14.4% 8.6% 0.28 22.2% 14.2% 8.0% 0.33 21.3% 13.9% 7.4% 0.31 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City St. Mary's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Southern Illinois Region Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 5 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Clay County Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Crawford Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Decatur $3,535 $1,525 2.3 683 $2,967 $1,455 2.0 512 $3,873 $1,631 2.4 40 $5,654 $1,668 3.4 131 $5,980 $1,711 3.5 87 $5,010 $1,574 3.2 44 $3,248 $1,456 2.2 39 19.2% 12.7% 6.4% 0.46 $4,330 $1,875 2.3 12,476 $3,339 $1,686 2.0 8,154 $4,787 $2,008 2.4 1,643 $7,064 $2,165 3.3 2,679 21.5% $7,554 $2,140 3.5 1,548 12.4% $6,394 $2,206 2.9 1,131 9.1% $3,966 $1,922 2.0 460 0.28 $3,882 $1,782 2.2 6,151 Flora $2,980 $1,560 1.9 89 Robinson $3,250 $1,784 1.8 314 $2,958 $1,600 1.8 4,122 $4,502 $1,931 2.3 769 $6,527 $2,062 3.2 1,260 20.5% $7,107 $2,055 3.5 792 12.9% $5,545 $2,076 2.7 468 7.6% $3,586 $1,793 2.0 193 0.29 $2,478 $1,403 1.8 64 $3,210 $1,520 2.1 9 $4,856 $2,045 2.4 16 18.0% $5,061 $1,786 2.8 **** 6.7% $4,734 $2,254 2.1 10 11.2% **** **** **** **** 0.16 $2,761 $1,717 1.6 204 $4,430 $2,239 2.0 46 A29 $3,962 $1,657 2.4 64 20.4% $4,186 $1,674 2.5 32 10.2% $3,738 $1,638 2.3 32 10.2% **** **** **** **** 0.08 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Edward A. Utlaut Memorial Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Fairfield Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Good Samaritan Reg. Health Ctr. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Harrisburg Medical Center - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Lawrence County Memorial Hosp. - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Greenville $3,730 $1,631 2.3 189 Fairfield $3,597 $1,934 1.9 121 Mount Vernon $4,352 $2,492 1.7 623 Harrisburg **** **** **** **** Lawrenceville $2,783 $1,229 2.3 53 $1,877 $994 1.9 36 $3,392 $1,507 2.3 **** A30 $5,106 $1,543 3.3 13 $5,305 $1,577 3.4 11 **** **** **** **** $0 $0 0.0 0 **** **** **** **** $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $3,214 $2,168 1.5 448 $3,879 $2,285 1.7 43 $8,367 $3,146 2.7 132 $8,449 $3,092 2.7 97 $8,138 $3,312 2.5 35 $3,296 $2,472 1.3 15 $2,557 $1,683 1.5 81 $4,427 $2,162 2.0 21 $7,117 $2,292 3.1 19 $7,329 $2,268 3.2 13 $6,660 $2,350 2.8 **** **** **** **** **** $2,783 $1,367 2.0 113 $4,002 $1,794 2.2 26 $5,727 $1,988 2.9 50 $6,365 $2,046 3.1 27 $4,977 $1,908 2.6 23 **** **** **** **** 26.5% 14.3% 12.2% 0.11 15.7% 10.7% 5.0% 0.33 21.2% 15.6% 5.6% 0.30 0.0% 0.0% 0.0% 0.00 24.5% 20.8% 3.8% 0.00 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Marion Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Marshall Browning Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Memorial Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Pinckneyville Community Hosp. - 0 Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Marion $3,753 $1,954 1.9 491 DuQuoin $5,534 $2,459 2.3 16 Carbondale $4,327 $1,799 2.4 2,104 Chester $3,345 $1,228 2.7 108 Pinckneyville **** **** **** **** **** **** **** **** $0 $0 0.0 0 A31 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $0 $0 0.0 0 $2,037 $859 2.4 73 $4,968 $1,794 2.8 13 $6,725 $1,740 3.9 22 $7,049 $1,672 4.2 14 $6,158 $1,894 3.3 8 $0 $0 0.0 0 $3,409 $1,724 2.0 1,376 $5,112 $1,942 2.6 307 $6,757 $1,857 3.6 421 $7,490 $1,818 4.1 271 $5,434 $1,959 2.8 150 $3,968 $1,904 2.0 95 $4,239 $2,008 2.1 9 **** **** **** **** $9,443 $3,147 3.0 **** **** **** **** **** **** **** **** **** $0 $0 0.0 0 $2,417 $1,439 1.7 321 $4,718 $2,554 1.8 59 $7,104 $2,673 2.7 111 $7,249 $2,648 2.7 76 $6,790 $2,732 2.5 35 $2,470 $1,976 1.2 **** 22.6% 15.5% 7.1% 0.10 25.0% 12.5% 12.5% 0.00 20.0% 12.9% 7.1% 0.38 20.4% 13.0% 7.4% 0.00 0.0% 0.0% 0.0% 0.00 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Richland Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Sparta Community Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Anthony's Memorial Hosp. - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Joseph Memorial Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Mary's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Olney $4,377 $2,112 2.1 291 Sparta $4,014 $1,487 2.7 123 Effingham $3,034 $1,280 2.4 698 Murphysboro $2,949 $1,436 2.1 190 Centralia $3,633 $1,853 2.0 535 $2,626 $1,652 1.6 399 $4,275 $1,526 2.8 25 A32 $7,108 $2,287 3.1 111 $7,756 $2,296 3.4 61 $6,319 $2,273 2.8 50 $3,145 $1,797 1.7 16 $2,350 $1,238 1.9 148 $3,049 $1,334 2.3 21 $7,066 $2,432 2.9 21 $8,005 $2,317 3.5 11 $6,034 $2,623 2.3 10 $2,574 $1,287 2.0 **** $2,647 $1,227 2.2 482 $2,854 $1,243 2.3 81 $4,523 $1,426 3.2 135 $4,940 $1,422 3.5 76 $3,986 $1,434 2.8 59 $2,941 $1,357 2.1 30 $2,799 $1,199 2.3 75 $4,183 $1,619 2.6 12 $6,490 $1,854 3.5 36 $7,096 $1,817 3.9 21 $5,641 $1,923 2.9 15 **** **** **** **** $3,191 $1,837 1.7 156 $5,060 $2,415 2.1 74 $6,583 $2,268 2.9 61 $7,063 $2,302 3.1 44 $5,339 $2,161 2.5 17 $4,662 $2,331 2.0 **** 21.0% 15.1% 5.8% 0.19 29.3% 17.1% 12.2% 0.16 19.3% 10.9% 8.5% 0.33 11.1% 5.8% 5.3% 0.28 20.7% 11.4% 9.3% 0.24 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Unity St. Clement Health Service - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Washington County Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Health Service Area 11 Totals Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Alton Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Anderson Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Red Bud $3,729 $1,756 2.1 154 Nashville $4,551 $2,322 2.0 50 $3,161 $2,045 1.5 33 $6,248 $2,603 2.4 **** $7,668 $2,629 2.9 12 $8,280 $2,760 3.0 9 **** **** **** **** **** **** **** **** $2,937 $1,637 1.8 102 $3,440 $1,720 2.0 20 $6,432 $1,979 3.3 32 $6,959 $2,029 3.4 21 $5,425 $1,865 2.9 11 $3,310 $1,576 2.1 10 20.8% 13.6% 7.1% 0.47 24.0% 18.0% 6.0% 0.25 $4,766 $1,956 2.4 6,325 Alton $4,661 $2,093 2.2 678 Maryville $4,633 $1,674 2.8 1,074 $3,730 $1,763 2.1 4,032 $5,039 $2,073 2.4 874 $7,542 $2,251 3.4 1,419 22.4% $8,022 $2,225 3.6 756 12.0% $6,994 $2,286 3.1 663 10.5% $4,240 $2,011 2.1 267 0.28 $3,505 $1,876 1.9 387 $5,134 $2,313 2.2 132 $7,082 $2,279 3.1 159 23.5% $7,655 $2,251 3.4 80 11.8% $6,502 $2,314 2.8 79 11.7% $4,083 $2,178 1.8 24 0.23 $3,656 $1,440 2.5 712 $4,936 $1,903 2.6 128 A33 $7,438 $2,094 3.6 234 21.8% $8,146 $2,025 4.0 134 12.5% $6,489 $2,222 2.9 100 9.3% $4,143 $1,909 2.1 47 0.31 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Memorial Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Anthony's Health Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Elizabeth Medical Center - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Elizabeth's Hospital - II+ Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges St. Joseph's Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Belleville $4,612 $1,915 2.4 1,490 Alton $5,254 $2,500 2.1 737 Granite City $6,008 $2,869 2.1 276 Belleville $4,299 $1,622 2.7 778 Breese $3,951 $1,941 2.0 396 $3,370 $1,864 1.8 286 $4,249 $1,912 2.2 54 A34 $6,629 $2,196 3.0 56 $6,872 $2,128 3.2 35 $6,223 $2,333 2.7 21 $4,248 $2,124 2.0 13 $3,268 $1,487 2.2 533 $4,760 $1,542 3.1 92 $7,612 $1,918 4.0 153 $8,229 $1,905 4.3 97 $6,544 $1,949 3.4 56 $3,968 $1,676 2.3 30 $4,806 $2,624 1.8 178 $5,583 $2,844 2.0 27 $9,183 $3,276 2.8 71 $9,574 $3,282 2.9 48 $8,368 $3,262 2.6 23 $5,256 $2,766 1.9 10 $4,366 $2,354 1.9 516 $5,682 $2,549 2.2 83 $8,319 $2,820 2.9 138 $8,775 $2,854 3.1 81 $7,671 $2,767 2.8 57 $5,022 $2,511 2.0 26 $3,638 $1,767 2.1 873 $4,783 $2,040 2.3 261 $6,874 $2,077 3.3 356 $6,792 $1,961 3.5 179 $6,957 $2,206 3.2 177 $4,124 $1,986 2.0 92 23.9% 12.0% 11.9% 0.34 18.7% 11.0% 7.7% 0.31 25.7% 17.4% 8.3% 0.30 19.7% 12.5% 7.2% 0.34 14.1% 8.8% 5.3% 0.38 Table A Inpatient Deliveries at Illinois Hospitals by Region Year Ending December 31, 1999 Total Deliveries DRGs 370 -375 Vaginal Deliveries without Complicating Diagnoses DRG 373 Vaginal Deliveries with Complicating Diagnoses or O.R. Procedure DRGs 372, 374, 375 Cesarean Section Deliveries DRGs 370 -371 Cesarean Section Rate(%) Primary Cesarean Section Deliveries Primary Cesarean Section Rate(%) Repeat Cesarean Section Deliveries Repeat Cesarean Section Rate(%) Vaginal Birth After Cesarean Section VBAC VBAC Proportion(%) Hospital / Area City Touchette Regional Hospital - II Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Wood River Township Hospital - I Average Charge ($) Average Charge per Day ($) Average LOS (days) Discharges Centreville $5,161 $1,968 2.6 765 Wood River $5,710 $2,226 2.6 131 $4,107 $1,928 2.1 54 $5,174 $2,053 2.5 25 $7,633 $2,512 3.0 52 $8,426 $2,652 3.2 17 $7,249 $2,439 3.0 35 **** **** **** 26.7% **** $3,785 $1,676 2.3 493 $5,927 $2,345 2.5 72 $8,277 $2,328 3.6 200 $9,328 $2,477 3.8 85 $7,500 $2,206 3.4 115 $4,127 $1,801 2.2 24 26.1% 11.1% 15.0% 0.17 39.7% 13.0% 0.02 * Level III hospitals with an asterisk(*) are designated regional perinatal centers for that network. A35 How to reach IHCCCC To obtain additional copy’s of the Illinois Guide to Deliveries report for 1999, please write or call the Council’s offices at: NF 4500 South Sixth Street Road, Suite 194 Springfield, IL 62703 (217) 786-7001 160 North LaSalle Street, Suite S-200 Chicago, IL 60601 (312) 793-1440 Also feel free to visit the Council’s Internet web page at http://www.state.il.us/agency/hcccc/ NF L Printed by the Authority of the State of Illinois
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