Hospital Costs > Biopsies Of Musculoskeletal System & Connective Tissue W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Louisiana | 2 | 23 | $33,949.20 | $40,355.63 | $46,228.20 | $12,320.90 | $12,735.63 | $13,115.80 | $9,839.92 | $10,382.11 | $10,973.60 |
| Oklahoma | 1 | 13 | $51,424.60 | $51,424.60 | $51,424.60 | $12,362.60 | $12,362.60 | $12,362.60 | $11,338.60 | $11,338.60 | $11,338.60 |
| Nebraska | 2 | 22 | $50,119.50 | $51,711.15 | $53,302.80 | $12,987.60 | $15,236.85 | $17,486.10 | $10,822.60 | $11,384.45 | $11,946.30 |
| Virginia | 3 | 63 | $58,637.90 | $89,476.75 | $148,411.00 | $13,283.40 | $14,766.33 | $17,720.90 | $10,995.60 | $11,784.42 | $12,306.20 |
| West Virginia | 1 | 13 | $48,085.80 | $48,085.80 | $48,085.80 | $14,501.90 | $14,501.90 | $14,501.90 | $12,511.40 | $12,511.40 | $12,511.40 |
| Alabama | 2 | 29 | $57,470.30 | $67,035.64 | $75,963.30 | $12,562.90 | $13,294.09 | $14,077.50 | $11,675.40 | $12,152.32 | $12,663.30 |
| Delaware | 1 | 23 | $45,939.80 | $45,939.80 | $45,939.80 | $18,127.20 | $18,127.20 | $18,127.20 | $12,997.40 | $12,997.40 | $12,997.40 |
| Kentucky | 5 | 72 | $27,952.00 | $53,802.47 | $75,374.20 | $11,457.20 | $13,037.99 | $14,876.60 | $10,220.00 | $11,885.94 | $13,558.10 |
| Ohio | 6 | 96 | $34,365.30 | $55,571.96 | $87,428.70 | $12,709.80 | $14,032.56 | $15,718.50 | $11,213.70 | $11,885.67 | $13,653.50 |
| Tennessee | 6 | 82 | $38,477.80 | $49,663.00 | $65,797.40 | $10,640.10 | $14,823.78 | $20,660.80 | $9,543.36 | $11,799.58 | $13,936.00 |
| New Mexico | 1 | 14 | $47,721.10 | $47,721.10 | $47,721.10 | $15,552.10 | $15,552.10 | $15,552.10 | $13,987.20 | $13,987.20 | $13,987.20 |
| Georgia | 2 | 32 | $71,450.30 | $76,293.70 | $79,607.60 | $15,022.10 | $16,494.96 | $17,502.70 | $11,065.90 | $12,295.58 | $14,092.80 |
| Indiana | 2 | 26 | $53,007.00 | $60,588.20 | $68,169.40 | $13,600.20 | $14,658.45 | $15,716.70 | $12,435.20 | $13,309.00 | $14,182.80 |
| Texas | 6 | 88 | $80,518.90 | $88,456.38 | $106,749.00 | $12,008.60 | $14,327.98 | $18,454.40 | $10,945.90 | $12,289.68 | $14,288.50 |
| Wisconsin | 2 | 27 | $53,180.80 | $56,813.24 | $60,725.10 | $13,504.40 | $14,841.28 | $16,281.00 | $12,468.90 | $13,364.12 | $14,328.20 |
| Missouri | 2 | 33 | $44,523.10 | $53,851.22 | $66,510.80 | $12,188.80 | $14,857.95 | $16,824.70 | $11,140.20 | $13,043.14 | $14,445.30 |
| Illinois | 5 | 83 | $54,924.60 | $69,211.31 | $90,510.70 | $12,555.20 | $13,759.40 | $16,020.90 | $11,533.70 | $12,623.13 | $14,624.60 |
| New Jersey | 1 | 12 | $89,357.60 | $89,357.60 | $89,357.60 | $16,671.20 | $16,671.20 | $16,671.20 | $15,165.70 | $15,165.70 | $15,165.70 |
| Florida | 16 | 336 | $43,859.50 | $82,160.23 | $135,452.00 | $11,438.00 | $13,239.38 | $17,890.90 | $9,969.45 | $11,532.95 | $16,007.10 |
| Pennsylvania | 4 | 73 | $45,595.80 | $77,104.78 | $115,329.00 | $13,353.00 | $16,424.30 | $18,945.30 | $11,714.70 | $13,470.71 | $16,303.50 |
| Connecticut | 1 | 13 | $53,712.80 | $53,712.80 | $53,712.80 | $17,993.00 | $17,993.00 | $17,993.00 | $16,586.30 | $16,586.30 | $16,586.30 |
| North Carolina | 5 | 82 | $38,490.20 | $43,811.04 | $52,677.60 | $12,724.90 | $15,531.99 | $20,249.00 | $11,331.70 | $13,098.65 | $17,010.50 |
| South Carolina | 2 | 22 | $63,281.50 | $79,726.20 | $96,170.90 | $12,628.70 | $16,722.45 | $20,816.20 | $11,639.60 | $14,377.30 | $17,115.00 |
| Colorado | 1 | 11 | $99,297.60 | $99,297.60 | $99,297.60 | $22,819.30 | $22,819.30 | $22,819.30 | $18,273.90 | $18,273.90 | $18,273.90 |
| Michigan | 11 | 165 | $38,551.70 | $47,782.99 | $73,466.70 | $12,386.40 | $14,898.04 | $21,083.60 | $11,659.80 | $13,644.23 | $18,896.70 |
| Oregon | 1 | 11 | $43,639.40 | $43,639.40 | $43,639.40 | $21,934.70 | $21,934.70 | $21,934.70 | $19,293.50 | $19,293.50 | $19,293.50 |
| Mississippi | 2 | 32 | $48,771.70 | $60,702.37 | $78,139.50 | $12,411.20 | $17,072.51 | $23,885.20 | $11,393.90 | $14,705.00 | $19,544.30 |
| California | 5 | 89 | $62,935.30 | $104,227.50 | $170,519.00 | $13,934.60 | $17,859.51 | $22,256.00 | $12,967.50 | $15,929.09 | $19,620.70 |
| Massachusetts | 9 | 135 | $27,580.20 | $50,986.48 | $79,851.20 | $16,256.90 | $19,890.80 | $23,752.70 | $15,049.20 | $17,776.82 | $20,873.00 |
| New York | 8 | 192 | $37,876.10 | $75,675.24 | $138,976.00 | $13,290.20 | $21,977.05 | $25,690.90 | $12,017.10 | $18,977.19 | $22,003.80 |
| Arkansas | 3 | 34 | $49,390.50 | $62,414.71 | $85,111.20 | $11,633.90 | $17,815.42 | $28,030.70 | $11,084.10 | $15,806.09 | $24,129.30 | TOTAL US | 118 | 1,946 | $27,580.20 | $67.504,83 | $170,519.00 | $10,640.10 | $15.905,38 | $28,030.70 | $9,543.36 | $13.768,42 | $24,129.30 |
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.