Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O 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 |
| Louisiana | 7 | 237 | $117,605.00 | $171,478.40 | $271,936.00 | $37,544.50 | $47,051.88 | $53,651.40 | $36,848.00 | $42,291.55 | $46,176.70 |
| Alabama | 10 | 361 | $104,725.00 | $183,523.12 | $280,723.00 | $35,038.20 | $45,436.63 | $48,940.80 | $31,303.20 | $43,409.84 | $46,845.60 |
| Arkansas | 3 | 109 | $153,427.00 | $186,946.75 | $209,630.00 | $41,174.90 | $45,720.18 | $48,747.50 | $40,428.20 | $44,766.52 | $47,714.40 |
| North Dakota | 2 | 50 | $117,752.00 | $136,489.16 | $153,785.00 | $46,605.40 | $48,509.64 | $50,267.40 | $45,754.80 | $47,407.31 | $48,932.70 |
| South Dakota | 2 | 45 | $139,813.00 | $172,657.11 | $190,778.00 | $43,741.40 | $49,128.89 | $52,101.30 | $42,989.40 | $48,038.82 | $50,824.70 |
| Kansas | 6 | 162 | $89,545.10 | $202,841.71 | $321,281.00 | $42,423.40 | $49,516.96 | $52,142.50 | $40,714.10 | $46,506.06 | $51,084.00 |
| Idaho | 2 | 30 | $153,660.00 | $155,292.57 | $156,541.00 | $51,359.80 | $52,760.54 | $53,831.70 | $50,158.20 | $51,631.87 | $52,758.80 |
| Montana | 3 | 87 | $123,716.00 | $162,069.02 | $205,932.00 | $46,914.90 | $50,871.46 | $54,339.60 | $45,803.00 | $49,906.67 | $53,303.10 |
| Nebraska | 5 | 181 | $107,818.00 | $152,828.49 | $197,769.00 | $43,550.80 | $49,305.26 | $64,335.70 | $42,871.20 | $45,692.71 | $53,771.80 |
| Missouri | 12 | 545 | $128,648.00 | $190,387.70 | $353,494.00 | $44,202.90 | $54,021.03 | $62,789.90 | $40,097.50 | $49,671.74 | $55,784.30 |
| Vermont | 1 | 71 | $98,395.00 | $98,395.00 | $98,395.00 | $58,565.40 | $58,565.40 | $58,565.40 | $55,832.40 | $55,832.40 | $55,832.40 |
| Tennessee | 11 | 480 | $120,769.00 | $208,677.05 | $332,704.00 | $39,970.90 | $50,757.69 | $57,138.70 | $38,473.00 | $47,151.49 | $56,326.80 |
| West Virginia | 2 | 58 | $162,978.00 | $168,380.31 | $185,359.00 | $52,363.30 | $54,402.16 | $60,810.00 | $49,170.90 | $51,126.29 | $57,271.80 |
| Delaware | 2 | 60 | $111,640.00 | $127,685.40 | $180,406.00 | $56,481.80 | $56,997.14 | $58,690.40 | $51,164.70 | $52,682.35 | $57,668.90 |
| Nevada | 6 | 128 | $186,978.00 | $406,763.05 | $599,603.00 | $54,355.70 | $61,236.51 | $73,448.90 | $46,814.80 | $51,906.20 | $57,953.30 |
| Washington DC | 2 | 111 | $234,058.00 | $237,133.46 | $262,506.00 | $68,027.30 | $68,227.58 | $69,879.90 | $58,461.50 | $58,463.08 | $58,476.10 |
| Iowa | 3 | 114 | $160,122.00 | $187,797.29 | $199,027.00 | $45,065.80 | $55,212.26 | $68,687.00 | $44,226.40 | $51,258.24 | $58,733.10 |
| Georgia | 12 | 597 | $155,877.00 | $192,859.98 | $267,997.00 | $42,986.60 | $53,462.34 | $65,856.60 | $40,418.60 | $49,713.04 | $58,756.90 |
| New Mexico | 3 | 48 | $114,662.00 | $172,575.23 | $228,895.00 | $48,644.30 | $56,266.45 | $70,725.60 | $47,236.90 | $50,459.30 | $60,517.60 |
| Kentucky | 7 | 261 | $131,361.00 | $211,411.50 | $247,345.00 | $47,062.60 | $56,836.90 | $78,312.70 | $44,055.90 | $51,019.54 | $60,998.20 |
| South Carolina | 10 | 292 | $163,912.00 | $223,740.85 | $384,886.00 | $43,084.10 | $54,325.97 | $66,612.50 | $42,191.40 | $50,004.37 | $61,557.30 |
| Indiana | 12 | 412 | $132,906.00 | $212,047.93 | $365,567.00 | $43,017.90 | $55,050.86 | $64,292.00 | $39,261.80 | $50,732.75 | $61,956.60 |
| Florida | 36 | 1,263 | $151,518.00 | $260,300.44 | $466,480.00 | $40,691.70 | $53,148.32 | $68,976.90 | $37,643.70 | $48,569.11 | $62,977.50 |
| Michigan | 19 | 696 | $107,300.00 | $156,559.27 | $194,950.00 | $42,615.50 | $59,349.88 | $74,684.80 | $41,805.80 | $54,663.64 | $64,116.40 |
| Colorado | 9 | 209 | $186,264.00 | $268,900.71 | $337,596.00 | $46,716.70 | $58,526.54 | $70,261.00 | $44,739.10 | $54,351.55 | $64,594.10 |
| Maine | 2 | 70 | $150,355.00 | $168,339.06 | $187,381.00 | $59,658.00 | $63,432.53 | $67,429.10 | $54,613.00 | $59,624.11 | $64,930.00 |
| Oklahoma | 7 | 202 | $148,816.00 | $195,573.75 | $302,603.00 | $40,554.90 | $47,969.67 | $70,054.60 | $39,740.00 | $45,238.07 | $65,042.60 |
| New Jersey | 14 | 699 | $138,566.00 | $318,698.98 | $481,964.00 | $51,608.70 | $61,847.11 | $70,795.60 | $46,077.50 | $58,532.05 | $66,491.70 |
| Rhode Island | 1 | 69 | $195,353.00 | $195,353.00 | $195,353.00 | $69,829.70 | $69,829.70 | $69,829.70 | $66,564.10 | $66,564.10 | $66,564.10 |
| Virginia | 11 | 521 | $123,717.00 | $231,067.60 | $493,186.00 | $47,499.40 | $63,901.41 | $75,883.80 | $39,569.40 | $53,796.60 | $66,883.90 |
| North Carolina | 15 | 580 | $141,662.00 | $190,019.15 | $253,121.00 | $42,830.90 | $59,056.79 | $74,410.30 | $41,286.10 | $52,608.49 | $67,050.30 |
| Mississippi | 5 | 119 | $135,949.00 | $158,589.54 | $227,347.00 | $42,126.70 | $49,332.10 | $72,635.10 | $41,214.40 | $47,643.97 | $67,351.70 |
| Hawaii | 2 | 43 | $204,158.00 | $222,995.91 | $258,160.00 | $73,539.10 | $78,446.58 | $87,607.20 | $58,974.50 | $64,621.77 | $67,647.10 |
| Utah | 5 | 150 | $84,765.00 | $157,372.43 | $244,365.00 | $48,710.80 | $59,900.55 | $74,754.00 | $47,421.10 | $53,300.56 | $67,983.90 |
| Ohio | 13 | 835 | $149,781.00 | $216,185.43 | $314,256.00 | $42,554.80 | $58,038.90 | $75,075.10 | $41,415.90 | $51,098.43 | $68,009.40 |
| Wisconsin | 14 | 370 | $114,721.00 | $196,906.32 | $272,075.00 | $45,923.10 | $62,946.91 | $90,424.80 | $38,979.40 | $56,017.35 | $68,362.70 |
| Texas | 25 | 1,157 | $146,262.00 | $239,263.68 | $516,116.00 | $39,990.90 | $55,309.85 | $80,651.90 | $39,001.40 | $50,209.22 | $68,568.00 |
| Oregon | 8 | 305 | $148,420.00 | $163,395.59 | $204,053.00 | $61,273.00 | $66,102.84 | $72,228.20 | $54,646.10 | $61,605.67 | $68,770.30 |
| Connecticut | 5 | 306 | $157,969.00 | $201,987.15 | $263,878.00 | $59,281.20 | $71,474.73 | $78,259.60 | $57,876.20 | $66,160.89 | $69,639.50 |
| Minnesota | 11 | 529 | $132,838.00 | $157,925.58 | $250,422.00 | $47,500.20 | $62,866.69 | $74,594.50 | $46,574.20 | $58,323.14 | $70,483.10 |
| Arizona | 14 | 360 | $125,095.00 | $215,602.76 | $336,892.00 | $43,289.70 | $55,055.95 | $76,944.90 | $40,442.10 | $51,989.77 | $71,142.30 |
| Washington | 13 | 407 | $156,339.00 | $248,213.91 | $383,110.00 | $48,266.90 | $66,735.19 | $83,489.00 | $41,973.30 | $60,230.08 | $73,039.80 |
| Massachusetts | 9 | 577 | $98,502.10 | $182,872.59 | $245,072.00 | $65,032.70 | $73,805.25 | $80,095.70 | $55,151.10 | $69,089.40 | $75,361.60 |
| Illinois | 18 | 695 | $114,382.00 | $232,626.39 | $354,926.00 | $44,726.60 | $60,009.06 | $81,075.60 | $43,794.30 | $55,807.62 | $75,366.20 |
| New Hampshire | 3 | 129 | $204,610.00 | $244,550.71 | $269,570.00 | $55,163.90 | $67,504.01 | $81,570.80 | $54,485.90 | $64,354.37 | $75,657.30 |
| Pennsylvania | 25 | 973 | $112,741.00 | $310,998.41 | $585,459.00 | $42,033.70 | $60,810.94 | $89,399.70 | $38,726.80 | $54,627.18 | $76,407.90 |
| Maryland | 7 | 249 | $61,936.30 | $84,482.10 | $97,528.90 | $57,159.80 | $77,256.69 | $89,593.50 | $51,965.40 | $73,023.39 | $84,487.70 |
| New York | 21 | 1,537 | $83,957.10 | $237,133.49 | $386,113.00 | $44,737.10 | $73,706.45 | $91,607.20 | $38,131.10 | $66,163.28 | $85,376.50 |
| Alaska | 2 | 41 | $379,646.00 | $405,627.76 | $468,417.00 | $81,128.20 | $88,880.75 | $92,088.70 | $80,322.80 | $87,719.21 | $90,779.80 |
| California | 42 | 1,323 | $221,697.00 | $438,155.61 | $818,491.00 | $47,287.50 | $78,795.07 | $112,790.00 | $37,833.70 | $73,084.56 | $105,012.00 | TOTAL US | 479 | 18,853 | $61,936.30 | $235.076,19 | $818,491.00 | $35,038.20 | $61.188,58 | $112,790.00 | $31,303.20 | $56.007,78 | $105,012.00 |
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.