Hospital Costs > Cardiac Congenital & Valvular Disorders 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 |
| New York | 8 | 123 | $16,054.60 | $33,905.15 | $53,831.80 | $6,452.62 | $9,910.04 | $12,142.40 | $4,849.23 | $7,928.77 | $10,973.10 |
| Texas | 5 | 73 | $26,066.20 | $31,094.00 | $40,896.30 | $4,423.71 | $7,362.67 | $12,325.40 | $4,080.86 | $5,655.30 | $8,494.28 |
| Florida | 3 | 59 | $19,558.60 | $32,882.58 | $47,996.90 | $5,489.25 | $7,262.93 | $8,889.77 | $4,193.64 | $5,325.34 | $6,961.18 |
| Ohio | 2 | 44 | $17,572.00 | $28,999.56 | $33,284.90 | $5,615.25 | $6,907.55 | $7,392.16 | $4,911.92 | $5,340.71 | $5,501.50 |
| Massachusetts | 3 | 37 | $10,222.60 | $22,792.18 | $32,257.70 | $8,744.91 | $9,241.97 | $10,275.90 | $6,507.17 | $7,215.03 | $7,616.86 |
| Maryland | 2 | 31 | $12,744.60 | $18,888.59 | $22,769.00 | $11,743.40 | $17,463.50 | $21,076.20 | $11,591.40 | $16,215.63 | $19,136.20 |
| New Jersey | 2 | 29 | $27,852.30 | $38,876.98 | $46,659.10 | $5,492.08 | $6,187.13 | $6,677.76 | $4,961.00 | $5,223.62 | $5,409.00 |
| Michigan | 2 | 27 | $11,759.50 | $19,041.17 | $24,866.50 | $5,982.92 | $7,807.70 | $9,267.53 | $4,788.58 | $6,242.30 | $7,405.27 |
| Pennsylvania | 2 | 25 | $30,239.80 | $30,448.67 | $30,714.50 | $5,965.93 | $6,167.80 | $6,424.73 | $4,849.43 | $5,057.92 | $5,323.27 |
| Virginia | 2 | 23 | $18,839.90 | $25,812.13 | $33,418.20 | $7,540.50 | $8,877.72 | $10,336.50 | $5,852.67 | $6,207.05 | $6,593.64 |
| Washington | 1 | 18 | $30,117.80 | $30,117.80 | $30,117.80 | $5,825.44 | $5,825.44 | $5,825.44 | $5,021.89 | $5,021.89 | $5,021.89 |
| Delaware | 1 | 14 | $14,311.10 | $14,311.10 | $14,311.10 | $6,629.36 | $6,629.36 | $6,629.36 | $5,210.57 | $5,210.57 | $5,210.57 |
| Minnesota | 1 | 13 | $17,415.80 | $17,415.80 | $17,415.80 | $7,662.77 | $7,662.77 | $7,662.77 | $5,352.00 | $5,352.00 | $5,352.00 |
| Oklahoma | 1 | 12 | $9,020.08 | $9,020.08 | $9,020.08 | $4,955.75 | $4,955.75 | $4,955.75 | $4,062.67 | $4,062.67 | $4,062.67 |
| North Carolina | 1 | 11 | $20,526.00 | $20,526.00 | $20,526.00 | $7,188.09 | $7,188.09 | $7,188.09 | $5,551.36 | $5,551.36 | $5,551.36 |
| Missouri | 1 | 11 | $19,021.00 | $19,021.00 | $19,021.00 | $6,506.55 | $6,506.55 | $6,506.55 | $5,517.45 | $5,517.45 | $5,517.45 |
| California | 1 | 11 | $56,488.50 | $56,488.50 | $56,488.50 | $16,768.80 | $16,768.80 | $16,768.80 | $13,319.20 | $13,319.20 | $13,319.20 | TOTAL US | 38 | 561 | $9,020.08 | $28.903,85 | $56,488.50 | $4,423.71 | $8.578,69 | $21,076.20 | $4,062.67 | $6.855,75 | $19,136.20 |
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.