Hospital Costs > Cardiac Congenital & Valvular Disorders 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 | 8 | 104 | $18,870.10 | $62,523.86 | $92,888.50 | $9,714.91 | $15,652.72 | $22,437.40 | $9,366.18 | $13,598.63 | $19,636.50 |
| North Carolina | 3 | 39 | $30,975.90 | $39,417.05 | $45,720.90 | $13,042.50 | $13,213.14 | $13,568.30 | $10,222.90 | $10,367.04 | $10,585.60 |
| Ohio | 2 | 37 | $29,629.20 | $53,491.84 | $71,672.90 | $9,333.50 | $11,823.19 | $13,720.10 | $8,654.00 | $10,286.89 | $11,531.00 |
| Texas | 2 | 37 | $44,354.30 | $45,368.29 | $47,765.00 | $10,387.70 | $12,199.64 | $16,482.40 | $8,291.77 | $9,821.88 | $13,438.50 |
| Tennessee | 3 | 36 | $10,904.10 | $28,829.68 | $43,157.60 | $7,363.93 | $8,920.12 | $11,778.40 | $6,675.93 | $8,136.93 | $11,225.60 |
| Connecticut | 2 | 32 | $29,776.40 | $38,483.62 | $45,255.90 | $12,930.50 | $14,122.61 | $15,049.80 | $11,715.00 | $12,689.53 | $13,447.50 |
| Massachusetts | 2 | 31 | $58,532.70 | $62,269.99 | $64,325.50 | $15,874.10 | $15,929.39 | $15,959.80 | $13,592.00 | $13,610.56 | $13,644.30 |
| Florida | 2 | 24 | $22,901.50 | $34,992.26 | $45,222.90 | $8,260.18 | $11,765.32 | $14,731.20 | $7,317.64 | $10,174.48 | $12,591.80 |
| Pennsylvania | 2 | 23 | $44,387.40 | $130,122.17 | $223,651.00 | $10,590.40 | $23,107.63 | $36,762.80 | $9,370.25 | $17,430.07 | $26,222.60 |
| Missouri | 1 | 18 | $36,507.70 | $36,507.70 | $36,507.70 | $10,513.70 | $10,513.70 | $10,513.70 | $9,483.28 | $9,483.28 | $9,483.28 |
| Maryland | 1 | 17 | $105,516.00 | $105,516.00 | $105,516.00 | $97,226.80 | $97,226.80 | $97,226.80 | $95,977.60 | $95,977.60 | $95,977.60 |
| Michigan | 1 | 16 | $45,642.00 | $45,642.00 | $45,642.00 | $14,788.90 | $14,788.90 | $14,788.90 | $11,995.20 | $11,995.20 | $11,995.20 |
| Washington DC | 1 | 16 | $32,109.50 | $32,109.50 | $32,109.50 | $12,593.40 | $12,593.40 | $12,593.40 | $9,920.88 | $9,920.88 | $9,920.88 |
| New Jersey | 1 | 15 | $53,820.30 | $53,820.30 | $53,820.30 | $11,178.80 | $11,178.80 | $11,178.80 | $10,062.30 | $10,062.30 | $10,062.30 |
| Minnesota | 1 | 14 | $24,098.80 | $24,098.80 | $24,098.80 | $11,997.70 | $11,997.70 | $11,997.70 | $10,781.10 | $10,781.10 | $10,781.10 |
| Louisiana | 1 | 14 | $32,805.40 | $32,805.40 | $32,805.40 | $13,295.80 | $13,295.80 | $13,295.80 | $9,844.29 | $9,844.29 | $9,844.29 |
| New Hampshire | 1 | 13 | $28,802.00 | $28,802.00 | $28,802.00 | $13,481.80 | $13,481.80 | $13,481.80 | $11,579.80 | $11,579.80 | $11,579.80 |
| Georgia | 1 | 13 | $37,555.20 | $37,555.20 | $37,555.20 | $8,382.15 | $8,382.15 | $8,382.15 | $7,620.85 | $7,620.85 | $7,620.85 |
| California | 1 | 12 | $96,306.80 | $96,306.80 | $96,306.80 | $14,357.20 | $14,357.20 | $14,357.20 | $12,338.70 | $12,338.70 | $12,338.70 |
| Illinois | 1 | 12 | $93,532.70 | $93,532.70 | $93,532.70 | $19,755.00 | $19,755.00 | $19,755.00 | $18,278.50 | $18,278.50 | $18,278.50 |
| Alabama | 1 | 11 | $65,706.60 | $65,706.60 | $65,706.60 | $12,774.70 | $12,774.70 | $12,774.70 | $12,086.60 | $12,086.60 | $12,086.60 | TOTAL US | 38 | 534 | $10,904.10 | $54.105,43 | $223,651.00 | $7,363.93 | $16.383,62 | $97,226.80 | $6,675.93 | $14.365,60 | $95,977.60 |
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.