Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath 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 |
| Alabama | 7 | 128 | $111,277.00 | $193,977.02 | $354,732.00 | $43,870.00 | $49,287.40 | $59,623.00 | $42,302.20 | $47,803.94 | $58,508.30 |
| Alaska | 1 | 14 | $537,926.00 | $537,926.00 | $537,926.00 | $133,150.00 | $133,150.00 | $133,150.00 | $130,549.00 | $130,549.00 | $130,549.00 |
| Arizona | 8 | 145 | $173,208.00 | $279,590.10 | $380,038.00 | $57,735.20 | $66,956.62 | $80,569.60 | $56,581.70 | $61,125.74 | $75,114.00 |
| Arkansas | 4 | 75 | $172,582.00 | $192,820.15 | $221,667.00 | $49,420.50 | $51,168.01 | $53,866.40 | $45,945.30 | $48,996.33 | $52,155.60 |
| California | 20 | 450 | $245,355.00 | $546,000.33 | $960,961.00 | $59,169.40 | $96,455.54 | $153,494.00 | $58,110.80 | $90,475.94 | $144,520.00 |
| Colorado | 2 | 28 | $241,476.00 | $366,873.32 | $475,551.00 | $62,772.80 | $80,456.19 | $95,781.80 | $62,120.40 | $75,181.81 | $86,501.70 |
| Connecticut | 4 | 136 | $185,329.00 | $261,628.57 | $350,232.00 | $81,538.30 | $89,060.98 | $100,983.00 | $73,921.90 | $81,755.08 | $92,820.80 |
| Delaware | 2 | 33 | $172,251.00 | $179,118.27 | $183,582.00 | $61,677.60 | $72,587.84 | $79,679.50 | $60,674.20 | $70,168.68 | $76,340.10 |
| Florida | 27 | 518 | $185,628.00 | $334,473.37 | $572,460.00 | $49,723.50 | $62,697.17 | $91,448.30 | $48,722.80 | $58,826.82 | $85,077.80 |
| Georgia | 9 | 245 | $155,304.00 | $197,504.12 | $306,944.00 | $53,117.20 | $63,365.70 | $72,635.30 | $47,097.20 | $59,349.74 | $66,442.90 |
| Hawaii | 1 | 12 | $213,487.00 | $213,487.00 | $213,487.00 | $95,954.50 | $95,954.50 | $95,954.50 | $64,861.70 | $64,861.70 | $64,861.70 |
| Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Illinois | 9 | 147 | $166,101.00 | $313,751.90 | $579,394.00 | $50,518.50 | $83,681.61 | $116,388.00 | $49,416.00 | $74,125.60 | $106,336.00 |
| Indiana | 9 | 126 | $165,662.00 | $240,025.47 | $389,116.00 | $49,656.10 | $65,579.21 | $84,554.80 | $48,620.70 | $58,810.24 | $73,106.20 |
| Iowa | 2 | 42 | $199,376.00 | $220,746.48 | $246,616.00 | $61,169.90 | $68,924.95 | $75,331.30 | $59,916.10 | $67,211.54 | $73,238.20 |
| Kansas | 5 | 72 | $94,502.50 | $234,680.90 | $356,897.00 | $47,460.20 | $58,778.92 | $72,974.10 | $46,574.90 | $54,357.36 | $72,049.60 |
| Kentucky | 5 | 107 | $142,979.00 | $253,214.41 | $311,106.00 | $52,451.80 | $69,140.81 | $95,168.20 | $51,200.20 | $62,905.53 | $79,126.50 |
| Louisiana | 2 | 28 | $143,050.00 | $195,802.00 | $235,366.00 | $43,334.80 | $50,039.20 | $55,067.50 | $42,425.50 | $48,633.10 | $53,288.80 |
| Maine | 1 | 30 | $217,703.00 | $217,703.00 | $217,703.00 | $78,561.30 | $78,561.30 | $78,561.30 | $71,187.20 | $71,187.20 | $71,187.20 |
| Maryland | 4 | 86 | $72,095.90 | $93,017.81 | $112,522.00 | $66,822.10 | $85,812.33 | $103,679.00 | $58,708.00 | $83,025.32 | $102,519.00 |
| Massachusetts | 7 | 335 | $121,542.00 | $227,189.25 | $302,695.00 | $80,795.60 | $87,400.70 | $98,635.60 | $75,900.00 | $82,838.69 | $95,213.70 |
| Michigan | 12 | 333 | $142,258.00 | $204,778.90 | $289,153.00 | $52,408.20 | $75,006.18 | $102,300.00 | $49,513.60 | $70,446.65 | $94,828.80 |
| Minnesota | 3 | 188 | $162,896.00 | $191,266.63 | $232,168.00 | $61,679.10 | $82,213.83 | $94,989.50 | $59,206.30 | $66,770.05 | $71,860.00 |
| Mississippi | 3 | 46 | $157,491.00 | $261,594.48 | $421,522.00 | $55,673.10 | $61,041.80 | $67,064.90 | $54,766.30 | $59,990.13 | $65,446.20 |
| Missouri | 8 | 212 | $150,974.00 | $225,103.85 | $317,482.00 | $48,702.00 | $64,685.30 | $73,781.10 | $47,862.60 | $62,552.50 | $70,290.60 |
| Montana | 1 | 19 | $186,399.00 | $186,399.00 | $186,399.00 | $56,729.30 | $56,729.30 | $56,729.30 | $55,791.70 | $55,791.70 | $55,791.70 |
| Nebraska | 3 | 61 | $113,125.00 | $195,638.82 | $272,935.00 | $50,369.80 | $62,808.18 | $80,978.60 | $49,523.40 | $59,175.83 | $71,896.70 |
| Nevada | 3 | 40 | $381,546.00 | $502,324.53 | $574,773.00 | $63,579.20 | $64,632.73 | $65,967.80 | $62,533.80 | $63,654.75 | $65,119.80 |
| New Hampshire | 3 | 55 | $203,983.00 | $243,242.55 | $314,523.00 | $61,965.80 | $76,506.43 | $89,987.50 | $61,157.10 | $74,317.79 | $86,245.10 |
| New Jersey | 12 | 363 | $242,310.00 | $397,479.15 | $560,877.00 | $66,071.30 | $77,439.64 | $88,540.70 | $60,679.80 | $69,949.61 | $85,026.20 |
| New Mexico | 0 | 0 | - | - | - | - | - | - | - | - | - |
| New York | 22 | 1,047 | $117,704.00 | $288,744.79 | $574,244.00 | $56,917.60 | $91,211.12 | $132,033.00 | $53,180.00 | $79,962.62 | $121,552.00 |
| North Carolina | 10 | 238 | $163,022.00 | $228,649.56 | $336,978.00 | $55,954.70 | $68,525.23 | $93,885.90 | $52,961.70 | $63,626.62 | $83,080.90 |
| North Dakota | 2 | 32 | $159,099.00 | $163,154.25 | $169,913.00 | $58,665.90 | $59,006.09 | $59,210.20 | $57,663.30 | $57,856.18 | $57,971.90 |
| Ohio | 9 | 317 | $132,502.00 | $272,247.07 | $331,884.00 | $56,375.10 | $72,084.41 | $92,463.50 | $46,073.80 | $62,678.10 | $84,938.10 |
| Oklahoma | 3 | 44 | $176,452.00 | $205,793.75 | $260,672.00 | $48,575.50 | $53,303.28 | $58,410.10 | $47,645.90 | $51,977.25 | $57,040.00 |
| Oregon | 3 | 54 | $181,997.00 | $205,006.81 | $249,289.00 | $76,552.80 | $78,081.28 | $79,120.10 | $64,731.10 | $72,134.50 | $75,604.20 |
| Pennsylvania | 13 | 275 | $184,288.00 | $409,919.80 | $595,011.00 | $50,528.30 | $76,364.89 | $108,125.00 | $38,954.20 | $66,791.07 | $95,149.50 |
| Rhode Island | 1 | 14 | $271,390.00 | $271,390.00 | $271,390.00 | $87,205.60 | $87,205.60 | $87,205.60 | $78,066.50 | $78,066.50 | $78,066.50 |
| South Carolina | 8 | 157 | $183,025.00 | $277,527.87 | $471,700.00 | $54,921.80 | $66,346.27 | $81,234.00 | $50,325.30 | $59,682.78 | $70,692.70 |
| South Dakota | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Tennessee | 9 | 214 | $146,177.00 | $241,629.86 | $330,711.00 | $43,749.20 | $60,968.39 | $72,328.10 | $43,395.40 | $57,549.77 | $65,396.70 |
| Texas | 17 | 453 | $232,540.00 | $307,579.67 | $636,445.00 | $47,463.10 | $66,966.54 | $94,866.00 | $46,620.60 | $59,778.58 | $70,903.30 |
| Utah | 3 | 66 | $139,575.00 | $176,609.73 | $214,788.00 | $64,758.00 | $70,828.69 | $93,596.60 | $59,360.50 | $66,099.85 | $87,591.20 |
| Vermont | 1 | 14 | $172,850.00 | $172,850.00 | $172,850.00 | $85,712.10 | $85,712.10 | $85,712.10 | $81,916.50 | $81,916.50 | $81,916.50 |
| Virginia | 7 | 165 | $193,908.00 | $307,488.72 | $632,659.00 | $52,684.20 | $81,055.80 | $111,676.00 | $51,606.20 | $67,367.83 | $92,061.00 |
| Washington | 3 | 48 | $248,279.00 | $321,840.63 | $438,248.00 | $77,710.60 | $91,084.15 | $108,194.00 | $64,264.40 | $80,970.41 | $101,847.00 |
| Washington DC | 1 | 96 | $238,208.00 | $238,208.00 | $238,208.00 | $75,435.70 | $75,435.70 | $75,435.70 | $65,688.60 | $65,688.60 | $65,688.60 |
| West Virginia | 1 | 30 | $192,588.00 | $192,588.00 | $192,588.00 | $64,249.80 | $64,249.80 | $64,249.80 | $57,731.70 | $57,731.70 | $57,731.70 |
| Wisconsin | 4 | 111 | $171,688.00 | $274,968.25 | $307,063.00 | $66,961.90 | $81,253.55 | $110,592.00 | $52,340.90 | $67,153.82 | $87,853.30 |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 294 | 7,449 | $72,095.90 | $288.746,36 | $960,961.00 | $43,334.80 | $75.748,32 | $153,494.00 | $38,954.20 | $68.789,87 | $144,520.00 |
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.