Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/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 |
| Virginia | 1 | 12 | $115,460.00 | $115,460.00 | $115,460.00 | $35,140.20 | $35,140.20 | $35,140.20 | $33,230.90 | $33,230.90 | $33,230.90 |
| North Carolina | 2 | 33 | $119,906.00 | $150,860.42 | $179,994.00 | $32,086.80 | $40,856.84 | $49,111.00 | $30,465.30 | $38,236.98 | $45,551.50 |
| Washington DC | 1 | 12 | $158,314.00 | $158,314.00 | $158,314.00 | $41,054.40 | $41,054.40 | $41,054.40 | $38,787.60 | $38,787.60 | $38,787.60 |
| New York | 2 | 23 | $91,650.70 | $108,751.38 | $124,427.00 | $34,010.70 | $45,112.37 | $55,288.90 | $32,517.50 | $39,285.97 | $45,490.40 |
| New Jersey | 1 | 19 | $157,962.00 | $157,962.00 | $157,962.00 | $46,186.30 | $46,186.30 | $46,186.30 | $36,558.90 | $36,558.90 | $36,558.90 |
| Massachusetts | 1 | 15 | $79,021.50 | $79,021.50 | $79,021.50 | $54,371.70 | $54,371.70 | $54,371.70 | $51,337.60 | $51,337.60 | $51,337.60 |
| Maryland | 1 | 12 | $60,545.20 | $60,545.20 | $60,545.20 | $55,794.30 | $55,794.30 | $55,794.30 | $54,789.00 | $54,789.00 | $54,789.00 | TOTAL US | 9 | 126 | $60,545.20 | $124.429,42 | $179,994.00 | $32,086.80 | $44.943,19 | $55,794.30 | $30,465.30 | $40.887,07 | $54,789.00 |
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.