Hospital Costs > Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O 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 |
| Maryland | 8 | 238 | $23,922.60 | $28,303.43 | $39,872.70 | $22,240.00 | $27,148.79 | $37,327.10 | $18,200.40 | $22,743.93 | $32,160.80 |
| New York | 16 | 461 | $27,526.90 | $87,805.20 | $143,348.00 | $20,975.90 | $33,586.78 | $44,313.60 | $17,923.40 | $23,618.76 | $33,968.80 |
| Massachusetts | 4 | 94 | $34,858.50 | $58,341.77 | $117,487.00 | $26,003.00 | $28,776.22 | $33,669.80 | $21,295.00 | $24,773.31 | $31,322.50 |
| Minnesota | 5 | 107 | $35,739.80 | $42,811.18 | $50,390.80 | $20,671.30 | $23,990.12 | $29,726.20 | $19,120.90 | $21,283.22 | $24,579.00 |
| Michigan | 4 | 81 | $38,014.30 | $52,428.26 | $79,050.20 | $23,394.80 | $25,369.00 | $27,771.70 | $14,179.40 | $16,753.82 | $19,556.90 |
| Pennsylvania | 22 | 629 | $42,721.20 | $83,234.60 | $281,514.00 | $18,425.70 | $23,890.23 | $31,567.00 | $17,225.40 | $20,475.94 | $27,334.50 |
| Indiana | 9 | 330 | $43,338.90 | $68,332.46 | $130,850.00 | $20,564.50 | $22,578.69 | $33,021.70 | $15,575.80 | $18,727.85 | $26,582.10 |
| West Virginia | 1 | 41 | $43,627.60 | $43,627.60 | $43,627.60 | $18,043.00 | $18,043.00 | $18,043.00 | $16,353.00 | $16,353.00 | $16,353.00 |
| Ohio | 8 | 141 | $44,118.00 | $67,425.40 | $106,793.00 | $17,732.10 | $22,262.03 | $28,129.30 | $9,711.09 | $15,823.04 | $18,319.90 |
| Texas | 19 | 455 | $44,301.30 | $90,172.66 | $275,111.00 | $18,367.00 | $23,742.03 | $32,724.20 | $15,522.00 | $18,651.94 | $22,955.50 |
| Missouri | 7 | 157 | $44,645.50 | $61,408.93 | $116,135.00 | $18,510.50 | $22,609.40 | $28,046.80 | $15,163.80 | $19,377.78 | $24,690.80 |
| Iowa | 3 | 87 | $44,663.00 | $73,242.11 | $96,555.50 | $18,494.90 | $20,089.93 | $21,664.40 | $15,756.40 | $17,022.10 | $18,372.50 |
| New Hampshire | 2 | 65 | $45,400.00 | $73,030.65 | $127,036.00 | $22,802.30 | $30,087.29 | $33,814.50 | $19,559.90 | $23,123.21 | $24,946.30 |
| Arkansas | 1 | 14 | $46,487.60 | $46,487.60 | $46,487.60 | $18,574.90 | $18,574.90 | $18,574.90 | $17,377.20 | $17,377.20 | $17,377.20 |
| North Carolina | 8 | 204 | $46,703.50 | $67,902.05 | $110,350.00 | $19,499.30 | $23,611.78 | $29,072.70 | $15,128.50 | $19,396.30 | $23,018.90 |
| Washington | 7 | 123 | $48,230.70 | $94,348.92 | $168,986.00 | $25,570.80 | $29,069.59 | $32,840.20 | $19,930.30 | $20,927.16 | $22,241.30 |
| Virginia | 9 | 191 | $48,526.00 | $114,163.89 | $270,983.00 | $19,991.50 | $24,031.09 | $37,413.60 | $16,632.10 | $18,642.07 | $26,009.00 |
| Montana | 2 | 38 | $49,058.80 | $51,048.83 | $52,659.80 | $22,999.30 | $23,314.02 | $23,702.80 | $19,159.40 | $19,592.94 | $19,943.90 |
| Utah | 4 | 70 | $49,407.70 | $61,417.25 | $73,906.10 | $23,091.70 | $24,101.37 | $25,225.70 | $16,662.20 | $19,328.84 | $22,519.50 |
| Rhode Island | 1 | 31 | $51,096.60 | $51,096.60 | $51,096.60 | $23,273.10 | $23,273.10 | $23,273.10 | $19,377.80 | $19,377.80 | $19,377.80 |
| Florida | 15 | 347 | $51,097.60 | $114,105.58 | $222,109.00 | $18,777.00 | $21,837.20 | $31,234.10 | $15,864.10 | $17,940.16 | $22,521.70 |
| Tennessee | 9 | 379 | $51,924.80 | $68,328.17 | $89,868.30 | $17,789.60 | $21,722.10 | $25,311.70 | $14,884.30 | $15,926.07 | $17,574.40 |
| Arizona | 2 | 74 | $52,508.70 | $66,787.90 | $118,550.00 | $20,451.80 | $21,122.18 | $23,552.30 | $16,931.10 | $17,910.88 | $21,462.60 |
| New Jersey | 14 | 416 | $57,483.50 | $85,240.90 | $152,054.00 | $20,819.00 | $26,347.73 | $29,679.60 | $18,330.20 | $22,943.10 | $27,839.90 |
| Nebraska | 2 | 39 | $58,686.40 | $69,934.46 | $74,933.60 | $19,201.10 | $23,242.17 | $25,038.20 | $17,960.90 | $22,025.30 | $23,831.70 |
| Illinois | 5 | 130 | $60,466.30 | $71,086.33 | $91,714.60 | $24,976.10 | $28,178.58 | $32,065.40 | $15,717.80 | $20,455.28 | $22,798.50 |
| Vermont | 2 | 42 | $60,657.30 | $63,239.87 | $65,373.30 | $31,323.10 | $31,451.74 | $31,558.00 | $24,301.20 | $24,387.70 | $24,492.40 |
| Mississippi | 1 | 21 | $60,679.10 | $60,679.10 | $60,679.10 | $19,843.30 | $19,843.30 | $19,843.30 | $17,411.30 | $17,411.30 | $17,411.30 |
| South Dakota | 1 | 12 | $62,708.30 | $62,708.30 | $62,708.30 | $20,087.60 | $20,087.60 | $20,087.60 | $18,986.20 | $18,986.20 | $18,986.20 |
| Louisiana | 3 | 116 | $62,819.40 | $78,287.07 | $89,557.90 | $17,850.90 | $18,671.08 | $21,636.40 | $15,116.50 | $15,628.08 | $17,869.50 |
| North Dakota | 2 | 50 | $63,313.40 | $66,491.86 | $73,246.10 | $21,057.20 | $22,709.40 | $23,486.90 | $18,223.80 | $18,714.68 | $19,757.80 |
| Georgia | 3 | 48 | $64,150.40 | $83,437.27 | $104,387.00 | $21,208.80 | $23,822.38 | $25,726.40 | $16,947.90 | $18,442.76 | $20,155.80 |
| New Mexico | 2 | 65 | $64,940.00 | $78,761.08 | $99,492.70 | $25,515.60 | $29,101.36 | $34,480.00 | $18,839.10 | $21,429.58 | $25,315.30 |
| Oregon | 1 | 17 | $65,904.20 | $65,904.20 | $65,904.20 | $27,984.80 | $27,984.80 | $27,984.80 | $19,958.30 | $19,958.30 | $19,958.30 |
| Colorado | 6 | 220 | $67,943.40 | $89,581.82 | $113,072.00 | $21,512.80 | $24,094.47 | $26,558.60 | $15,531.20 | $19,128.96 | $22,075.80 |
| Wisconsin | 2 | 51 | $68,080.80 | $72,040.62 | $79,300.30 | $23,301.90 | $24,438.33 | $25,058.20 | $17,695.80 | $17,860.24 | $18,161.70 |
| Kansas | 2 | 26 | $71,724.60 | $74,128.06 | $76,932.10 | $21,477.40 | $22,174.44 | $22,771.90 | $16,440.20 | $16,445.51 | $16,451.70 |
| Kentucky | 4 | 79 | $72,716.70 | $89,378.57 | $140,729.00 | $19,044.90 | $23,663.71 | $29,634.60 | $16,008.60 | $18,401.95 | $23,835.40 |
| Hawaii | 1 | 29 | $73,624.10 | $73,624.10 | $73,624.10 | $29,881.00 | $29,881.00 | $29,881.00 | $19,378.00 | $19,378.00 | $19,378.00 |
| Wyoming | 1 | 12 | $74,481.40 | $74,481.40 | $74,481.40 | $41,109.00 | $41,109.00 | $41,109.00 | $33,728.70 | $33,728.70 | $33,728.70 |
| Connecticut | 2 | 58 | $77,470.00 | $78,941.70 | $82,804.90 | $35,615.80 | $36,332.84 | $36,606.00 | $26,423.10 | $28,385.51 | $29,133.10 |
| Alaska | 2 | 40 | $89,325.50 | $114,955.84 | $133,900.00 | $33,934.10 | $61,754.84 | $82,318.00 | $24,256.00 | $24,874.21 | $25,710.60 |
| Alabama | 1 | 15 | $99,369.00 | $99,369.00 | $99,369.00 | $18,500.10 | $18,500.10 | $18,500.10 | $16,161.50 | $16,161.50 | $16,161.50 |
| California | 9 | 324 | $105,958.00 | $187,546.73 | $266,543.00 | $23,942.50 | $30,920.99 | $45,794.70 | $18,739.80 | $27,005.34 | $38,454.90 |
| South Carolina | 2 | 41 | $113,245.00 | $122,307.85 | $126,058.00 | $19,125.80 | $19,476.98 | $19,622.30 | $17,962.70 | $18,008.86 | $18,120.40 |
| Oklahoma | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Nevada | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Maine | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Delaware | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Washington DC | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 234 | 6,208 | $23,922.60 | $84.132,26 | $281,514.00 | $17,732.10 | $25.441,41 | $82,318.00 | $9,711.09 | $20.255,07 | $38,454.90 |
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.