Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath 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 |
| Maryland | 4 | 123 | $57,345.60 | $72,624.00 | $92,952.90 | $52,915.80 | $67,080.43 | $86,669.60 | $50,824.80 | $64,187.07 | $73,347.20 |
| Louisiana | 1 | 13 | $102,598.00 | $102,598.00 | $102,598.00 | $29,891.50 | $29,891.50 | $29,891.50 | $28,877.30 | $28,877.30 | $28,877.30 |
| Delaware | 1 | 11 | $107,219.00 | $107,219.00 | $107,219.00 | $46,785.70 | $46,785.70 | $46,785.70 | $37,767.10 | $37,767.10 | $37,767.10 |
| Mississippi | 1 | 15 | $109,613.00 | $109,613.00 | $109,613.00 | $34,640.40 | $34,640.40 | $34,640.40 | $33,842.70 | $33,842.70 | $33,842.70 |
| Kansas | 4 | 64 | $65,618.40 | $117,413.18 | $195,635.00 | $31,367.20 | $35,694.45 | $42,778.60 | $29,536.20 | $33,133.88 | $42,051.10 |
| Utah | 2 | 37 | $88,060.30 | $119,057.73 | $135,848.00 | $46,276.10 | $47,469.50 | $49,672.70 | $33,382.60 | $34,717.26 | $35,440.20 |
| Minnesota | 2 | 121 | $100,014.00 | $120,450.46 | $165,088.00 | $39,815.50 | $49,471.35 | $53,892.10 | $38,482.70 | $44,126.70 | $46,710.70 |
| North Dakota | 1 | 15 | $122,854.00 | $122,854.00 | $122,854.00 | $36,510.90 | $36,510.90 | $36,510.90 | $35,027.50 | $35,027.50 | $35,027.50 |
| Alabama | 3 | 48 | $98,770.90 | $127,155.16 | $150,672.00 | $31,505.20 | $32,285.50 | $33,325.80 | $28,030.10 | $29,702.67 | $32,112.60 |
| Oregon | 1 | 24 | $127,915.00 | $127,915.00 | $127,915.00 | $47,267.60 | $47,267.60 | $47,267.60 | $46,019.20 | $46,019.20 | $46,019.20 |
| Oklahoma | 1 | 24 | $131,095.00 | $131,095.00 | $131,095.00 | $32,181.20 | $32,181.20 | $32,181.20 | $31,121.20 | $31,121.20 | $31,121.20 |
| Virginia | 1 | 56 | $133,340.00 | $133,340.00 | $133,340.00 | $37,890.60 | $37,890.60 | $37,890.60 | $35,664.50 | $35,664.50 | $35,664.50 |
| Iowa | 1 | 19 | $133,750.00 | $133,750.00 | $133,750.00 | $48,654.50 | $48,654.50 | $48,654.50 | $47,545.10 | $47,545.10 | $47,545.10 |
| Nebraska | 1 | 14 | $137,670.00 | $137,670.00 | $137,670.00 | $38,644.10 | $38,644.10 | $38,644.10 | $32,578.30 | $32,578.30 | $32,578.30 |
| Georgia | 6 | 99 | $105,488.00 | $139,061.98 | $166,016.00 | $36,260.30 | $40,455.98 | $45,144.00 | $28,212.50 | $35,989.90 | $43,015.60 |
| New Hampshire | 2 | 37 | $128,752.00 | $150,763.00 | $202,789.00 | $43,747.30 | $52,294.91 | $55,911.20 | $42,766.80 | $50,437.36 | $53,682.60 |
| North Carolina | 5 | 125 | $135,119.00 | $150,992.65 | $187,593.00 | $36,897.20 | $41,973.44 | $54,245.80 | $35,341.30 | $39,504.80 | $49,348.50 |
| Missouri | 4 | 67 | $135,305.00 | $151,130.75 | $171,276.00 | $35,619.60 | $41,338.71 | $50,018.00 | $34,653.20 | $36,923.71 | $42,522.10 |
| Connecticut | 2 | 76 | $139,768.00 | $153,661.25 | $195,341.00 | $54,444.60 | $56,469.78 | $62,545.30 | $46,833.40 | $48,619.78 | $53,978.90 |
| Washington | 1 | 19 | $155,255.00 | $155,255.00 | $155,255.00 | $44,527.50 | $44,527.50 | $44,527.50 | $43,258.40 | $43,258.40 | $43,258.40 |
| Tennessee | 4 | 66 | $123,347.00 | $160,474.02 | $235,173.00 | $33,199.40 | $40,361.58 | $45,117.00 | $31,855.20 | $37,470.02 | $44,045.60 |
| Michigan | 8 | 136 | $117,050.00 | $160,814.59 | $184,080.00 | $35,765.60 | $51,149.78 | $62,311.90 | $34,698.70 | $46,544.07 | $55,908.20 |
| South Carolina | 3 | 36 | $119,624.00 | $165,187.00 | $207,936.00 | $34,958.30 | $39,964.27 | $48,231.10 | $33,376.00 | $36,270.23 | $39,872.50 |
| Maine | 1 | 26 | $167,870.00 | $167,870.00 | $167,870.00 | $50,770.00 | $50,770.00 | $50,770.00 | $48,611.50 | $48,611.50 | $48,611.50 |
| Washington DC | 1 | 76 | $169,197.00 | $169,197.00 | $169,197.00 | $48,978.20 | $48,978.20 | $48,978.20 | $43,046.50 | $43,046.50 | $43,046.50 |
| Massachusetts | 5 | 145 | $93,200.60 | $171,248.78 | $220,383.00 | $54,488.80 | $58,907.15 | $62,358.10 | $47,827.10 | $53,509.23 | $58,850.70 |
| Colorado | 1 | 13 | $172,535.00 | $172,535.00 | $172,535.00 | $41,763.10 | $41,763.10 | $41,763.10 | $40,744.00 | $40,744.00 | $40,744.00 |
| Wisconsin | 2 | 58 | $113,703.00 | $175,853.31 | $208,564.00 | $38,668.60 | $42,265.17 | $44,158.10 | $34,014.60 | $39,194.26 | $41,920.40 |
| New York | 10 | 523 | $99,260.20 | $179,199.74 | $298,411.00 | $38,632.10 | $58,594.70 | $67,404.80 | $32,056.30 | $51,168.34 | $56,200.80 |
| Ohio | 4 | 173 | $97,551.00 | $181,435.15 | $215,721.00 | $46,215.60 | $48,015.36 | $52,959.10 | $29,461.20 | $42,017.30 | $47,563.90 |
| Texas | 6 | 160 | $167,116.00 | $192,671.31 | $237,207.00 | $37,694.70 | $45,855.32 | $56,232.80 | $36,104.30 | $40,186.80 | $46,090.90 |
| Indiana | 1 | 14 | $193,880.00 | $193,880.00 | $193,880.00 | $42,412.00 | $42,412.00 | $42,412.00 | $32,956.90 | $32,956.90 | $32,956.90 |
| Kentucky | 2 | 31 | $194,353.00 | $204,038.84 | $217,450.00 | $43,167.40 | $47,922.36 | $51,356.50 | $41,746.10 | $43,526.82 | $44,812.90 |
| Illinois | 5 | 68 | $169,995.00 | $205,144.87 | $231,805.00 | $38,366.10 | $50,872.25 | $60,235.30 | $36,805.80 | $44,952.16 | $52,776.50 |
| Arizona | 4 | 61 | $147,835.00 | $213,680.52 | $267,574.00 | $36,549.00 | $42,138.50 | $55,497.00 | $33,770.80 | $39,031.43 | $52,336.80 |
| Florida | 10 | 181 | $124,529.00 | $237,218.68 | $356,756.00 | $34,553.90 | $40,610.76 | $45,991.40 | $31,529.50 | $37,270.20 | $40,654.90 |
| New Jersey | 8 | 195 | $188,168.00 | $253,451.44 | $334,375.00 | $42,260.50 | $51,729.62 | $55,546.60 | $41,084.80 | $46,316.79 | $53,474.60 |
| California | 7 | 139 | $189,376.00 | $345,537.10 | $455,041.00 | $47,611.40 | $54,814.40 | $60,314.40 | $45,520.00 | $52,806.11 | $58,188.80 |
| Pennsylvania | 3 | 56 | $308,096.00 | $354,105.14 | $386,859.00 | $42,667.20 | $59,035.80 | $67,806.30 | $40,325.60 | $47,573.95 | $51,803.40 | TOTAL US | 129 | 3,164 | $57,345.60 | $181.334,32 | $455,041.00 | $29,891.50 | $49.552,48 | $86,669.60 | $28,030.10 | $44.611,70 | $73,347.20 |
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.