Hospital Costs > Biopsies Of Musculoskeletal System & Connective Tissue W 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 |
| New York | 1 | 47 | $134,671.00 | $134,671.00 | $134,671.00 | $43,557.50 | $43,557.50 | $43,557.50 | $35,553.50 | $35,553.50 | $35,553.50 |
| Texas | 2 | 22 | $85,608.00 | $96,399.50 | $107,191.00 | $24,109.40 | $24,270.85 | $24,432.30 | $20,696.90 | $20,754.75 | $20,812.60 |
| North Carolina | 1 | 18 | $87,424.90 | $87,424.90 | $87,424.90 | $28,988.50 | $28,988.50 | $28,988.50 | $23,832.10 | $23,832.10 | $23,832.10 |
| Florida | 1 | 14 | $67,621.90 | $67,621.90 | $67,621.90 | $17,737.10 | $17,737.10 | $17,737.10 | $16,870.80 | $16,870.80 | $16,870.80 |
| Illinois | 1 | 13 | $104,597.00 | $104,597.00 | $104,597.00 | $18,768.10 | $18,768.10 | $18,768.10 | $18,022.20 | $18,022.20 | $18,022.20 |
| Missouri | 1 | 13 | $52,323.10 | $52,323.10 | $52,323.10 | $23,267.30 | $23,267.30 | $23,267.30 | $20,443.80 | $20,443.80 | $20,443.80 |
| Massachusetts | 1 | 11 | $33,438.20 | $33,438.20 | $33,438.20 | $22,701.20 | $22,701.20 | $22,701.20 | $21,185.00 | $21,185.00 | $21,185.00 | TOTAL US | 8 | 138 | $33,438.20 | $96.945,38 | $134,671.00 | $17,737.10 | $30.053,96 | $43,557.50 | $16,870.80 | $25.549,86 | $35,553.50 |
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.