Hospital Costs > Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Alabama | 14 | 373 | $15,129.20 | $33,412.64 | $80,782.70 | $5,504.76 | $6,483.62 | $8,432.62 | $4,042.33 | $4,859.29 | $5,854.90 |
| Oklahoma | 13 | 427 | $16,408.50 | $30,380.71 | $73,052.60 | $5,652.68 | $6,366.76 | $13,359.30 | $4,177.04 | $4,903.90 | $11,568.20 |
| Louisiana | 8 | 154 | $18,888.70 | $30,907.41 | $40,406.00 | $5,529.29 | $6,799.90 | $8,642.00 | $3,367.25 | $4,926.35 | $5,598.27 |
| Arkansas | 7 | 174 | $8,070.65 | $21,098.08 | $33,262.30 | $5,247.74 | $6,747.94 | $10,781.70 | $3,524.47 | $5,020.59 | $8,099.62 |
| Kansas | 13 | 441 | $18,832.80 | $29,528.21 | $45,684.40 | $4,996.00 | $6,651.32 | $8,223.46 | $3,790.67 | $5,145.95 | $7,072.12 |
| Wyoming | 2 | 75 | $21,598.30 | $42,872.73 | $47,333.50 | $6,300.39 | $6,657.66 | $8,361.54 | $5,158.71 | $5,184.19 | $5,305.69 |
| Tennessee | 21 | 543 | $11,805.50 | $25,632.59 | $83,751.30 | $5,718.20 | $7,155.26 | $11,067.90 | $4,506.89 | $5,535.39 | $8,187.12 |
| Texas | 60 | 1,523 | $15,852.80 | $40,157.95 | $123,835.00 | $5,820.09 | $7,994.58 | $15,744.10 | $2,921.84 | $5,539.73 | $13,339.40 |
| North Dakota | 2 | 41 | $11,980.90 | $13,615.28 | $16,767.30 | $7,107.19 | $7,197.54 | $7,371.79 | $5,162.07 | $5,542.83 | $6,277.14 |
| South Carolina | 13 | 311 | $18,596.50 | $43,225.19 | $64,712.80 | $5,833.28 | $7,870.22 | $11,792.70 | $4,199.78 | $5,547.59 | $8,109.58 |
| Missouri | 18 | 484 | $14,630.30 | $29,756.26 | $67,475.00 | $5,521.77 | $7,485.51 | $11,985.00 | $4,308.68 | $5,556.90 | $7,274.52 |
| Florida | 61 | 1,491 | $24,358.90 | $53,652.08 | $117,957.00 | $5,751.92 | $7,703.75 | $16,979.30 | $4,178.89 | $5,582.36 | $13,748.40 |
| South Dakota | 4 | 76 | $24,803.00 | $31,519.87 | $38,033.40 | $6,304.88 | $7,498.47 | $9,351.25 | $4,726.61 | $5,656.08 | $7,291.08 |
| Iowa | 10 | 223 | $18,984.70 | $26,803.58 | $38,575.70 | $5,826.04 | $7,094.66 | $10,924.20 | $4,551.94 | $5,664.47 | $9,515.61 |
| Mississippi | 8 | 141 | $18,866.80 | $39,600.07 | $60,367.60 | $6,416.62 | $7,572.35 | $12,528.00 | $4,244.44 | $5,728.90 | $10,529.10 |
| Montana | 4 | 70 | $19,724.70 | $25,330.38 | $33,508.50 | $7,718.25 | $8,072.30 | $8,984.31 | $5,431.00 | $5,762.89 | $6,499.00 |
| Indiana | 12 | 305 | $21,620.30 | $32,555.77 | $56,109.40 | $6,148.56 | $7,943.12 | $15,168.30 | $4,759.48 | $5,764.15 | $7,908.59 |
| Kentucky | 13 | 281 | $16,654.10 | $31,396.49 | $45,216.50 | $6,213.00 | $7,910.56 | $13,757.30 | $4,625.56 | $5,785.09 | $7,288.93 |
| Ohio | 27 | 698 | $12,779.20 | $33,048.53 | $63,196.50 | $5,933.94 | $8,116.98 | $12,260.10 | $4,258.36 | $5,854.02 | $10,308.30 |
| Nebraska | 6 | 144 | $22,944.00 | $29,228.34 | $37,620.30 | $6,142.61 | $7,443.91 | $10,086.80 | $4,685.23 | $5,883.44 | $7,083.68 |
| Illinois | 35 | 788 | $20,093.60 | $38,911.85 | $74,618.80 | $6,292.88 | $9,269.82 | $14,554.20 | $4,348.62 | $5,926.39 | $10,088.90 |
| North Carolina | 20 | 600 | $14,953.40 | $29,813.34 | $56,561.90 | $6,000.56 | $7,740.86 | $11,402.30 | $4,660.57 | $5,967.29 | $8,201.08 |
| Georgia | 21 | 561 | $17,393.20 | $34,134.17 | $79,099.10 | $5,875.53 | $7,608.44 | $10,460.00 | $4,004.00 | $5,977.07 | $8,549.71 |
| Virginia | 19 | 594 | $16,485.80 | $33,087.79 | $86,202.70 | $5,987.62 | $8,499.65 | $14,096.30 | $4,450.09 | $6,011.98 | $9,354.81 |
| Wisconsin | 13 | 252 | $20,573.10 | $29,403.03 | $41,541.30 | $6,652.31 | $9,133.76 | $13,289.10 | $3,384.58 | $6,110.03 | $7,640.07 |
| Maine | 4 | 87 | $11,297.70 | $15,660.69 | $21,230.40 | $7,103.72 | $7,952.87 | $8,937.83 | $4,905.50 | $6,179.95 | $7,046.44 |
| Nevada | 7 | 176 | $27,043.20 | $45,852.05 | $83,378.30 | $7,456.40 | $8,383.87 | $12,273.70 | $5,471.83 | $6,258.62 | $6,985.54 |
| Michigan | 23 | 742 | $15,953.10 | $23,676.66 | $47,250.60 | $6,840.98 | $8,398.89 | $12,421.60 | $4,387.00 | $6,273.99 | $8,340.24 |
| Pennsylvania | 34 | 967 | $8,403.64 | $41,465.65 | $84,574.70 | $5,732.18 | $8,647.52 | $13,114.80 | $3,883.86 | $6,285.81 | $9,814.71 |
| Utah | 6 | 134 | $19,653.60 | $23,205.67 | $38,598.50 | $7,491.10 | $8,309.78 | $10,947.60 | $5,694.35 | $6,299.76 | $8,751.78 |
| New Hampshire | 6 | 119 | $24,811.30 | $31,729.42 | $54,454.10 | $6,908.91 | $8,272.01 | $10,974.40 | $5,378.31 | $6,364.85 | $8,565.14 |
| New Jersey | 20 | 511 | $33,043.50 | $48,046.11 | $90,851.10 | $6,655.08 | $8,589.44 | $11,208.50 | $5,475.08 | $6,548.16 | $9,076.85 |
| Colorado | 13 | 272 | $28,232.40 | $45,957.97 | $86,922.80 | $6,078.16 | $8,402.09 | $11,511.10 | $4,572.69 | $6,592.69 | $9,966.61 |
| Idaho | 4 | 103 | $20,614.20 | $25,713.55 | $41,296.70 | $7,230.83 | $8,458.76 | $9,159.47 | $5,640.92 | $6,623.51 | $7,312.00 |
| Washington | 22 | 530 | $15,810.20 | $40,331.44 | $59,737.50 | $7,397.18 | $9,298.66 | $12,651.50 | $4,888.47 | $6,625.18 | $10,428.10 |
| Minnesota | 9 | 530 | $20,546.80 | $27,025.41 | $51,394.80 | $7,515.36 | $9,151.53 | $12,705.90 | $4,553.67 | $6,629.00 | $9,585.83 |
| Arizona | 20 | 516 | $24,065.10 | $42,396.77 | $64,408.20 | $6,241.11 | $8,609.33 | $12,284.40 | $4,480.80 | $6,673.07 | $10,137.40 |
| Oregon | 12 | 318 | $19,775.90 | $25,735.09 | $35,390.50 | $6,798.00 | $9,225.17 | $15,284.00 | $4,977.15 | $6,724.53 | $10,270.70 |
| New Mexico | 4 | 63 | $27,227.10 | $40,666.19 | $58,019.60 | $7,167.65 | $8,129.17 | $9,215.19 | $5,302.35 | $6,728.49 | $8,033.19 |
| Delaware | 1 | 83 | $14,226.50 | $14,226.50 | $14,226.50 | $8,634.98 | $8,634.98 | $8,634.98 | $6,773.00 | $6,773.00 | $6,773.00 |
| West Virginia | 4 | 77 | $22,308.90 | $24,933.96 | $27,761.90 | $6,972.32 | $8,986.05 | $11,838.10 | $5,647.16 | $6,836.83 | $7,863.14 |
| Hawaii | 1 | 13 | $33,011.80 | $33,011.80 | $33,011.80 | $13,224.20 | $13,224.20 | $13,224.20 | $7,596.15 | $7,596.15 | $7,596.15 |
| Washington DC | 3 | 98 | $40,338.30 | $43,780.02 | $56,412.10 | $10,422.10 | $11,327.38 | $11,687.50 | $7,133.63 | $7,731.06 | $8,128.00 |
| Connecticut | 6 | 135 | $16,518.60 | $32,020.08 | $45,082.70 | $8,141.82 | $10,107.73 | $12,512.00 | $6,128.10 | $7,844.82 | $8,775.73 |
| Rhode Island | 1 | 21 | $28,402.00 | $28,402.00 | $28,402.00 | $11,077.60 | $11,077.60 | $11,077.60 | $8,026.71 | $8,026.71 | $8,026.71 |
| California | 75 | 2,044 | $30,809.10 | $67,718.30 | $141,992.00 | $7,308.73 | $10,163.39 | $15,895.60 | $5,309.29 | $8,034.04 | $13,128.20 |
| Massachusetts | 23 | 739 | $10,451.80 | $27,458.29 | $61,894.10 | $7,850.37 | $10,152.95 | $14,186.60 | $5,679.72 | $8,166.38 | $12,444.50 |
| New York | 29 | 970 | $10,862.10 | $35,599.37 | $71,001.60 | $6,482.09 | $11,235.59 | $16,353.70 | $5,114.23 | $8,216.00 | $11,975.30 |
| Alaska | 3 | 74 | $42,132.80 | $51,343.14 | $57,836.30 | $9,155.71 | $10,954.42 | $17,043.00 | $7,946.29 | $9,081.73 | $11,426.00 |
| Maryland | 18 | 475 | $9,102.81 | $13,795.85 | $24,081.20 | $8,409.65 | $12,799.86 | $22,264.30 | $6,294.06 | $11,135.17 | $20,567.80 | TOTAL US | 772 | 20,567 | $8,070.65 | $38.335,17 | $141,992.00 | $4,996.00 | $8.648,11 | $22,264.30 | $2,921.84 | $6.463,11 | $20,567.80 |
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.