Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O 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 |
| Arkansas | 3 | 147 | $104,420.00 | $120,585.50 | $127,816.00 | $27,795.20 | $29,294.67 | $30,043.20 | $25,169.80 | $27,225.89 | $28,127.50 |
| New Mexico | 2 | 50 | $130,946.00 | $149,979.00 | $169,012.00 | $32,397.70 | $35,635.30 | $38,872.90 | $29,372.10 | $30,365.30 | $31,358.50 |
| Oklahoma | 7 | 267 | $96,453.00 | $143,097.07 | $199,957.00 | $27,585.50 | $32,789.28 | $38,942.00 | $25,728.70 | $28,172.83 | $31,515.20 |
| South Dakota | 2 | 79 | $113,261.00 | $120,845.43 | $136,306.00 | $30,161.90 | $31,059.85 | $32,890.30 | $29,183.80 | $30,048.91 | $31,812.40 |
| Alabama | 11 | 357 | $73,513.60 | $135,567.88 | $203,700.00 | $24,235.20 | $29,631.12 | $34,222.30 | $19,873.80 | $27,471.14 | $32,102.70 |
| Louisiana | 10 | 269 | $93,486.50 | $135,444.56 | $274,834.00 | $26,944.20 | $30,806.54 | $36,978.00 | $24,095.60 | $27,646.36 | $32,798.10 |
| Montana | 4 | 116 | $98,466.80 | $120,760.67 | $171,240.00 | $30,707.20 | $33,220.78 | $39,860.00 | $29,683.90 | $30,790.06 | $33,445.80 |
| North Dakota | 4 | 105 | $74,114.10 | $94,825.49 | $99,904.10 | $32,080.80 | $33,319.03 | $38,390.30 | $28,200.20 | $30,400.61 | $33,908.00 |
| Kansas | 8 | 259 | $61,893.80 | $143,584.84 | $243,248.00 | $27,460.20 | $34,075.21 | $37,511.30 | $25,216.40 | $29,720.90 | $33,977.30 |
| Delaware | 1 | 76 | $85,591.60 | $85,591.60 | $85,591.60 | $38,391.50 | $38,391.50 | $38,391.50 | $35,001.60 | $35,001.60 | $35,001.60 |
| Georgia | 13 | 512 | $109,193.00 | $137,904.82 | $207,869.00 | $28,620.00 | $33,607.80 | $38,888.80 | $27,774.70 | $30,581.48 | $35,300.90 |
| Maine | 3 | 134 | $79,091.00 | $101,146.43 | $117,124.00 | $31,610.00 | $38,379.15 | $41,944.40 | $27,221.40 | $34,173.43 | $37,242.60 |
| West Virginia | 4 | 109 | $101,201.00 | $115,903.33 | $131,526.00 | $33,809.80 | $37,704.34 | $44,133.40 | $29,073.00 | $32,858.45 | $37,406.60 |
| Oregon | 7 | 230 | $95,478.50 | $116,664.53 | $129,300.00 | $35,933.30 | $39,116.86 | $45,436.80 | $31,469.10 | $34,185.22 | $37,599.30 |
| Nevada | 6 | 130 | $136,615.00 | $279,475.75 | $430,535.00 | $34,983.50 | $38,303.98 | $43,613.80 | $32,439.80 | $34,021.72 | $37,789.20 |
| Mississippi | 6 | 196 | $95,612.20 | $110,735.50 | $158,094.00 | $27,692.50 | $30,678.14 | $45,379.40 | $25,172.30 | $28,226.49 | $38,093.20 |
| Tennessee | 12 | 482 | $71,550.50 | $148,113.02 | $209,655.00 | $27,944.20 | $34,198.67 | $39,922.20 | $24,662.00 | $31,649.99 | $38,229.60 |
| Hawaii | 1 | 34 | $134,095.00 | $134,095.00 | $134,095.00 | $52,041.90 | $52,041.90 | $52,041.90 | $38,265.30 | $38,265.30 | $38,265.30 |
| Missouri | 15 | 507 | $91,046.00 | $127,591.54 | $206,131.00 | $28,086.60 | $34,922.65 | $50,935.50 | $22,712.30 | $29,555.74 | $38,278.70 |
| Wisconsin | 18 | 682 | $74,690.20 | $126,732.88 | $174,120.00 | $27,240.30 | $37,738.00 | $51,335.90 | $26,176.80 | $33,526.40 | $39,385.20 |
| Vermont | 1 | 75 | $85,033.00 | $85,033.00 | $85,033.00 | $43,835.60 | $43,835.60 | $43,835.60 | $39,938.50 | $39,938.50 | $39,938.50 |
| Nebraska | 7 | 280 | $71,365.90 | $113,405.42 | $207,778.00 | $28,745.60 | $33,038.00 | $46,536.80 | $27,026.50 | $31,327.04 | $40,163.90 |
| Iowa | 5 | 170 | $123,035.00 | $136,997.76 | $153,322.00 | $30,075.20 | $34,828.10 | $49,411.60 | $27,335.30 | $31,519.12 | $40,624.20 |
| Virginia | 14 | 605 | $80,996.70 | $151,915.65 | $368,719.00 | $28,008.50 | $38,788.73 | $49,568.50 | $26,664.90 | $33,128.01 | $40,805.10 |
| South Carolina | 10 | 327 | $108,828.00 | $171,806.89 | $309,190.00 | $28,651.80 | $35,989.27 | $45,705.20 | $25,674.40 | $31,614.40 | $40,859.20 |
| Ohio | 15 | 915 | $69,700.80 | $151,636.37 | $211,682.00 | $32,158.90 | $39,094.93 | $45,070.80 | $27,202.80 | $32,410.16 | $41,104.30 |
| Minnesota | 13 | 717 | $69,135.40 | $111,823.93 | $170,160.00 | $32,840.60 | $41,440.51 | $47,973.50 | $30,472.30 | $36,750.89 | $41,123.10 |
| Kentucky | 9 | 282 | $88,689.50 | $155,579.84 | $180,731.00 | $28,730.30 | $38,410.78 | $48,071.50 | $24,907.90 | $34,220.87 | $41,469.40 |
| Indiana | 16 | 629 | $90,818.50 | $147,210.17 | $278,692.00 | $28,192.20 | $34,308.80 | $52,214.30 | $25,652.50 | $31,493.63 | $41,739.40 |
| Michigan | 19 | 801 | $87,048.50 | $113,418.54 | $137,456.00 | $29,364.90 | $40,251.96 | $49,004.20 | $28,485.00 | $36,162.65 | $41,864.60 |
| Idaho | 4 | 98 | $92,419.70 | $109,318.83 | $134,459.00 | $33,497.20 | $35,298.40 | $42,642.40 | $25,673.60 | $32,141.70 | $41,882.10 |
| Florida | 38 | 1,424 | $105,519.00 | $187,353.08 | $338,144.00 | $26,615.70 | $34,192.23 | $46,504.30 | $25,389.80 | $31,083.71 | $42,010.20 |
| New Hampshire | 4 | 187 | $109,529.00 | $149,158.26 | $203,193.00 | $35,726.30 | $42,804.67 | $49,003.40 | $33,902.50 | $37,999.07 | $42,201.30 |
| Washington DC | 2 | 112 | $153,864.00 | $165,674.17 | $167,225.00 | $42,446.20 | $42,796.96 | $45,468.10 | $38,066.10 | $38,572.73 | $42,430.90 |
| Rhode Island | 1 | 73 | $137,516.00 | $137,516.00 | $137,516.00 | $46,027.90 | $46,027.90 | $46,027.90 | $42,718.20 | $42,718.20 | $42,718.20 |
| North Carolina | 16 | 715 | $97,907.50 | $145,953.26 | $189,818.00 | $29,908.80 | $38,942.48 | $48,396.90 | $25,154.00 | $35,298.34 | $43,708.50 |
| Colorado | 8 | 268 | $129,606.00 | $194,877.45 | $254,389.00 | $31,292.80 | $39,300.83 | $48,335.00 | $26,568.60 | $35,771.55 | $43,932.90 |
| Arizona | 15 | 419 | $101,115.00 | $173,545.56 | $255,641.00 | $30,505.40 | $36,420.10 | $51,788.70 | $29,309.50 | $33,074.70 | $44,329.80 |
| New Jersey | 13 | 836 | $115,421.00 | $225,761.75 | $449,661.00 | $35,273.60 | $42,076.34 | $47,545.20 | $34,021.90 | $38,580.80 | $44,745.80 |
| Utah | 6 | 149 | $86,906.00 | $121,661.49 | $169,451.00 | $33,293.90 | $38,882.17 | $50,826.30 | $28,704.40 | $32,457.99 | $45,815.70 |
| Connecticut | 8 | 387 | $106,619.00 | $135,344.22 | $190,270.00 | $42,452.90 | $47,052.68 | $50,960.30 | $37,036.40 | $42,827.75 | $46,050.80 |
| Illinois | 23 | 994 | $100,533.00 | $168,128.01 | $270,683.00 | $29,242.80 | $38,846.34 | $50,835.60 | $27,876.20 | $34,754.66 | $47,061.40 |
| Pennsylvania | 30 | 1,345 | $101,694.00 | $204,370.32 | $386,188.00 | $27,978.80 | $40,215.64 | $59,951.40 | $25,823.90 | $34,972.04 | $47,821.90 |
| Washington | 14 | 676 | $106,598.00 | $182,031.52 | $273,194.00 | $35,716.70 | $43,608.49 | $52,969.10 | $29,252.50 | $38,490.62 | $48,525.40 |
| Texas | 25 | 1,114 | $106,435.00 | $178,828.71 | $400,250.00 | $27,777.70 | $37,133.47 | $61,158.70 | $24,710.40 | $32,098.53 | $48,726.80 |
| Alaska | 1 | 28 | $250,984.00 | $250,984.00 | $250,984.00 | $56,719.10 | $56,719.10 | $56,719.10 | $53,235.00 | $53,235.00 | $53,235.00 |
| New York | 24 | 1,462 | $73,673.20 | $150,504.05 | $279,877.00 | $30,782.20 | $47,373.12 | $64,011.00 | $21,519.80 | $40,810.42 | $54,819.90 |
| Massachusetts | 13 | 701 | $53,719.30 | $121,600.26 | $174,675.00 | $40,818.90 | $49,773.98 | $59,218.80 | $34,293.70 | $45,695.84 | $56,174.80 |
| California | 40 | 1,635 | $170,969.00 | $309,893.01 | $519,994.00 | $34,347.90 | $50,754.40 | $86,768.10 | $33,157.60 | $46,700.56 | $66,873.20 |
| Maryland | 9 | 558 | $43,813.10 | $60,294.04 | $80,293.50 | $40,937.00 | $55,797.47 | $74,311.30 | $33,185.20 | $51,645.27 | $68,632.20 | TOTAL US | 540 | 22,723 | $43,813.10 | $164.123,55 | $519,994.00 | $24,235.20 | $40.125,19 | $86,768.10 | $19,873.80 | $35.813,47 | $68,632.20 |
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.