Hospital Costs > Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Maine | 2 | 42 | $26,861.30 | $28,153.41 | $29,220.80 | $12,249.30 | $13,114.21 | $14,161.20 | $11,130.80 | $11,731.02 | $12,457.60 |
| North Dakota | 3 | 62 | $14,324.10 | $21,880.93 | $30,519.60 | $11,452.00 | $12,245.25 | $13,201.30 | $10,205.60 | $10,585.34 | $10,947.60 |
| Idaho | 1 | 27 | $32,734.90 | $32,734.90 | $32,734.90 | $14,064.30 | $14,064.30 | $14,064.30 | $11,813.30 | $11,813.30 | $11,813.30 |
| Maryland | 16 | 319 | $11,920.90 | $19,815.93 | $33,973.30 | $11,097.00 | $18,358.72 | $31,603.80 | $9,396.50 | $16,296.56 | $26,868.70 |
| Delaware | 1 | 60 | $35,684.70 | $35,684.70 | $35,684.70 | $15,467.00 | $15,467.00 | $15,467.00 | $12,986.00 | $12,986.00 | $12,986.00 |
| Montana | 2 | 27 | $28,307.30 | $33,949.16 | $40,025.00 | $12,038.50 | $12,667.17 | $13,344.20 | $9,489.77 | $10,257.24 | $10,969.90 |
| New Hampshire | 3 | 55 | $33,038.40 | $42,181.06 | $46,874.20 | $13,279.50 | $16,501.39 | $18,274.00 | $10,939.00 | $12,536.95 | $15,208.80 |
| Oregon | 8 | 184 | $35,784.60 | $41,419.31 | $47,964.80 | $13,251.00 | $15,260.85 | $19,703.40 | $10,793.00 | $12,936.04 | $17,422.80 |
| Rhode Island | 1 | 24 | $48,855.50 | $48,855.50 | $48,855.50 | $18,920.20 | $18,920.20 | $18,920.20 | $15,667.90 | $15,667.90 | $15,667.90 |
| Nebraska | 4 | 77 | $38,573.70 | $44,117.08 | $49,930.10 | $11,123.90 | $12,754.38 | $14,431.50 | $10,092.70 | $11,396.77 | $12,398.80 |
| Wisconsin | 8 | 170 | $32,071.20 | $40,600.45 | $52,611.20 | $11,038.20 | $15,484.95 | $19,402.10 | $9,935.64 | $11,688.44 | $13,270.70 |
| West Virginia | 4 | 61 | $34,206.80 | $44,676.85 | $54,865.40 | $10,428.90 | $13,404.42 | $16,757.20 | $8,824.18 | $10,778.55 | $13,144.10 |
| Wyoming | 2 | 43 | $43,733.50 | $51,182.93 | $55,173.70 | $11,050.50 | $11,656.81 | $12,788.60 | $9,916.82 | $10,551.73 | $11,736.90 |
| Iowa | 11 | 189 | $29,065.60 | $38,724.90 | $55,737.10 | $10,139.10 | $13,089.28 | $21,785.60 | $8,029.55 | $9,776.21 | $14,173.10 |
| Arkansas | 4 | 76 | $23,477.10 | $37,331.15 | $56,122.20 | $9,778.64 | $10,551.36 | $11,734.00 | $8,171.33 | $9,243.22 | $10,648.70 |
| South Dakota | 5 | 82 | $43,887.20 | $49,321.63 | $59,979.30 | $10,472.40 | $12,684.91 | $14,708.30 | $9,125.60 | $10,618.31 | $13,616.20 |
| Michigan | 18 | 476 | $21,199.10 | $38,709.46 | $63,031.60 | $11,553.90 | $14,254.38 | $18,490.10 | $10,054.60 | $12,201.46 | $15,888.70 |
| Minnesota | 15 | 553 | $21,549.40 | $43,650.18 | $63,079.40 | $11,559.40 | $15,580.26 | $20,819.30 | $10,057.90 | $12,298.67 | $17,158.90 |
| North Carolina | 14 | 365 | $22,866.20 | $45,701.10 | $65,010.00 | $9,850.94 | $13,954.63 | $19,948.80 | $8,662.71 | $11,205.07 | $16,731.60 |
| Utah | 5 | 82 | $29,418.30 | $38,375.85 | $65,869.50 | $12,346.30 | $14,725.68 | $18,613.00 | $9,216.70 | $11,790.37 | $16,410.80 |
| Connecticut | 6 | 102 | $31,136.90 | $51,297.23 | $67,771.20 | $14,429.10 | $18,436.32 | $20,780.70 | $10,858.90 | $14,580.42 | $16,916.70 |
| Mississippi | 4 | 75 | $33,834.60 | $52,347.01 | $72,086.20 | $10,737.30 | $10,979.04 | $11,323.80 | $7,702.78 | $9,311.89 | $9,956.33 |
| South Carolina | 9 | 161 | $49,117.30 | $60,584.54 | $72,300.30 | $10,468.50 | $13,482.94 | $17,434.70 | $9,264.09 | $11,221.50 | $13,481.50 |
| Louisiana | 7 | 150 | $39,618.10 | $48,581.42 | $73,472.10 | $9,687.52 | $11,150.90 | $16,794.60 | $7,757.64 | $8,951.41 | $12,463.50 |
| Kentucky | 10 | 200 | $30,646.10 | $50,105.30 | $74,985.70 | $10,441.50 | $13,052.01 | $21,197.70 | $9,302.65 | $11,112.74 | $14,498.70 |
| Indiana | 7 | 161 | $33,513.20 | $52,796.14 | $75,962.50 | $11,186.10 | $13,752.75 | $18,308.50 | $8,893.60 | $11,311.65 | $14,831.20 |
| Alaska | 2 | 37 | $56,302.80 | $66,032.97 | $76,303.70 | $17,231.40 | $20,222.17 | $23,379.10 | $11,761.30 | $13,927.25 | $15,979.20 |
| Washington | 12 | 272 | $38,629.90 | $63,338.82 | $77,878.60 | $13,231.60 | $15,719.10 | $22,834.50 | $11,086.00 | $13,015.69 | $17,950.60 |
| Washington DC | 2 | 42 | $71,838.80 | $73,621.97 | $78,079.90 | $19,196.40 | $20,126.83 | $20,499.00 | $11,352.10 | $13,152.60 | $13,872.80 |
| Kansas | 10 | 307 | $23,232.90 | $43,598.87 | $78,109.10 | $9,758.91 | $11,411.43 | $14,422.40 | $8,414.38 | $9,813.67 | $12,866.80 |
| Tennessee | 15 | 302 | $16,348.30 | $44,544.21 | $78,172.10 | $10,115.30 | $12,313.58 | $18,377.90 | $7,415.71 | $10,254.13 | $16,148.80 |
| Missouri | 13 | 259 | $22,535.90 | $45,402.46 | $87,173.80 | $9,529.50 | $11,985.66 | $15,474.70 | $8,578.64 | $10,536.30 | $14,444.30 |
| Oklahoma | 10 | 214 | $22,097.00 | $46,118.44 | $87,418.00 | $9,434.79 | $11,358.29 | $14,353.20 | $8,017.55 | $9,600.09 | $13,634.70 |
| Ohio | 22 | 453 | $18,057.90 | $52,360.35 | $89,719.80 | $9,980.17 | $13,634.08 | $19,488.20 | $8,138.67 | $11,235.19 | $16,875.90 |
| Massachusetts | 16 | 371 | $20,399.60 | $46,265.68 | $96,755.20 | $12,941.90 | $18,055.55 | $25,229.50 | $11,665.30 | $15,606.96 | $22,123.70 |
| Texas | 44 | 985 | $26,593.10 | $58,562.20 | $98,204.00 | $9,967.89 | $12,711.45 | $25,365.90 | $7,727.36 | $10,569.11 | $16,350.30 |
| Arizona | 17 | 362 | $27,644.80 | $59,288.62 | $98,309.50 | $10,692.50 | $14,883.30 | $20,531.50 | $8,412.65 | $12,641.09 | $17,798.90 |
| New Mexico | 3 | 43 | $39,119.40 | $73,877.66 | $99,218.40 | $11,940.50 | $13,165.47 | $15,894.30 | $10,833.30 | $12,076.43 | $14,924.20 |
| New York | 19 | 550 | $22,143.60 | $58,469.38 | $99,575.10 | $10,468.30 | $18,406.68 | $23,154.10 | $9,257.67 | $14,354.41 | $18,853.80 |
| Illinois | 32 | 645 | $31,534.10 | $61,378.51 | $105,530.00 | $10,667.70 | $15,661.15 | $30,677.10 | $8,606.38 | $11,556.07 | $17,168.60 |
| Nevada | 5 | 124 | $45,106.80 | $75,878.66 | $113,390.00 | $12,822.40 | $13,855.33 | $15,313.60 | $9,666.55 | $11,366.85 | $12,203.40 |
| Alabama | 11 | 236 | $21,344.40 | $60,270.84 | $118,944.00 | $9,606.81 | $11,361.60 | $16,188.30 | $8,472.15 | $9,614.44 | $12,296.60 |
| Pennsylvania | 22 | 560 | $31,526.30 | $67,566.14 | $120,069.00 | $9,836.49 | $15,399.58 | $21,874.90 | $8,571.73 | $12,249.91 | $17,018.80 |
| New Jersey | 14 | 262 | $56,208.70 | $80,147.66 | $120,285.00 | $11,502.30 | $15,658.10 | $37,546.50 | $9,541.15 | $12,089.30 | $14,842.30 |
| Colorado | 12 | 235 | $47,777.50 | $85,746.91 | $141,166.00 | $10,825.20 | $14,211.76 | $18,819.90 | $9,609.23 | $12,174.58 | $15,602.90 |
| Georgia | 18 | 336 | $31,604.20 | $48,315.80 | $154,615.00 | $9,610.46 | $12,809.62 | $15,918.60 | $7,852.00 | $10,320.91 | $12,965.20 |
| Florida | 43 | 946 | $35,136.50 | $85,620.10 | $155,785.00 | $9,897.75 | $12,516.95 | $26,417.30 | $8,039.36 | $10,398.92 | $20,632.70 |
| Virginia | 17 | 361 | $24,725.20 | $61,717.51 | $198,239.00 | $10,388.10 | $14,750.15 | $21,787.60 | $9,354.00 | $11,712.60 | $15,818.50 |
| California | 48 | 1,042 | $40,217.50 | $110,176.86 | $225,233.00 | $12,926.00 | $18,146.62 | $27,995.30 | $10,752.80 | $15,507.21 | $23,804.00 | TOTAL US | 577 | 12,767 | $11,920.90 | $59.808,24 | $225,233.00 | $9,434.79 | $14.596,52 | $37,546.50 | $7,415.71 | $11.992,13 | $26,868.70 |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.