Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O 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 |
| Florida | 10 | 208 | $74,449.90 | $147,152.52 | $224,236.00 | $24,631.60 | $29,935.34 | $39,645.60 | $23,976.80 | $27,555.84 | $34,878.10 |
| California | 10 | 173 | $152,075.00 | $250,002.68 | $323,493.00 | $31,686.10 | $43,604.75 | $57,912.20 | $30,474.60 | $39,750.48 | $53,364.90 |
| Pennsylvania | 8 | 162 | $86,012.10 | $160,946.38 | $237,750.00 | $26,424.10 | $36,673.66 | $46,518.40 | $24,255.90 | $29,491.95 | $38,388.70 |
| New York | 7 | 152 | $89,708.80 | $123,137.39 | $199,522.00 | $28,662.90 | $36,348.33 | $46,759.60 | $26,991.40 | $32,796.32 | $41,077.00 |
| Texas | 7 | 123 | $110,562.00 | $168,538.58 | $342,271.00 | $25,371.80 | $31,471.07 | $43,938.50 | $24,228.60 | $26,335.91 | $35,487.00 |
| New Jersey | 6 | 113 | $99,415.80 | $167,005.24 | $288,730.00 | $35,631.00 | $38,303.82 | $41,428.20 | $33,208.90 | $35,121.58 | $39,399.90 |
| North Carolina | 6 | 160 | $108,540.00 | $152,990.72 | $180,611.00 | $27,671.40 | $36,845.39 | $39,953.50 | $22,404.00 | $33,135.22 | $37,047.80 |
| Massachusetts | 6 | 112 | $57,692.80 | $86,085.89 | $141,268.00 | $38,100.60 | $42,842.74 | $46,814.00 | $31,490.80 | $38,550.39 | $44,416.20 |
| Michigan | 5 | 116 | $82,324.40 | $102,330.08 | $124,990.00 | $31,674.90 | $34,830.68 | $40,836.90 | $25,741.50 | $31,350.49 | $38,364.30 |
| Washington | 4 | 103 | $112,408.00 | $133,339.75 | $230,640.00 | $33,320.00 | $38,088.84 | $48,289.50 | $25,689.40 | $31,545.33 | $42,295.40 |
| Kentucky | 4 | 60 | $73,722.20 | $118,154.62 | $149,927.00 | $26,357.90 | $31,124.34 | $37,090.80 | $21,062.80 | $27,660.32 | $31,625.90 |
| Tennessee | 3 | 47 | $101,433.00 | $137,639.81 | $188,141.00 | $28,403.30 | $31,816.80 | $35,080.00 | $27,364.00 | $30,813.27 | $33,980.40 |
| Ohio | 3 | 66 | $125,845.00 | $139,126.62 | $188,383.00 | $28,473.70 | $32,840.17 | $36,302.60 | $27,264.90 | $28,214.30 | $28,767.20 |
| Virginia | 3 | 102 | $86,262.20 | $127,341.24 | $162,369.00 | $31,990.00 | $38,090.11 | $44,390.40 | $29,716.00 | $33,510.45 | $37,747.20 |
| Alabama | 3 | 38 | $108,377.00 | $119,417.00 | $146,345.00 | $24,740.60 | $26,131.93 | $29,426.80 | $18,035.00 | $21,193.61 | $23,776.40 |
| South Dakota | 2 | 35 | $109,143.00 | $139,747.80 | $160,151.00 | $27,552.30 | $30,908.46 | $33,145.90 | $26,343.10 | $29,614.66 | $31,795.70 |
| Oklahoma | 2 | 34 | $116,401.00 | $132,755.35 | $151,154.00 | $30,912.10 | $31,367.30 | $31,879.40 | $22,023.10 | $23,722.06 | $25,633.40 |
| New Mexico | 2 | 28 | $107,500.00 | $138,376.00 | $169,252.00 | $28,060.20 | $30,805.90 | $33,551.60 | $26,403.30 | $26,834.60 | $27,265.90 |
| West Virginia | 2 | 26 | $83,093.00 | $90,438.43 | $99,008.10 | $26,963.90 | $28,239.08 | $29,332.10 | $24,345.80 | $25,978.15 | $27,377.30 |
| Montana | 2 | 23 | $86,280.60 | $91,638.41 | $97,483.30 | $27,919.20 | $28,112.14 | $28,289.00 | $23,294.30 | $25,253.12 | $27,048.70 |
| Missouri | 2 | 46 | $76,047.50 | $80,103.96 | $85,868.40 | $23,450.40 | $24,956.81 | $27,097.50 | $22,332.80 | $22,536.55 | $22,826.10 |
| Mississippi | 2 | 29 | $95,440.20 | $106,451.11 | $120,003.00 | $25,050.90 | $30,918.97 | $38,141.20 | $21,110.10 | $27,261.66 | $34,832.80 |
| Wisconsin | 2 | 28 | $119,804.00 | $130,925.00 | $145,753.00 | $30,967.10 | $36,899.27 | $41,348.40 | $29,380.20 | $33,886.60 | $37,266.40 |
| Georgia | 2 | 26 | $98,219.10 | $114,107.29 | $135,773.00 | $25,347.90 | $25,731.67 | $26,013.10 | $24,237.00 | $24,602.60 | $24,870.70 |
| Arkansas | 2 | 28 | $107,217.00 | $111,574.29 | $117,384.00 | $23,817.70 | $26,486.84 | $30,045.70 | $22,911.70 | $23,085.44 | $23,317.10 |
| Colorado | 2 | 29 | $195,379.00 | $216,764.38 | $234,140.00 | $29,905.80 | $38,879.98 | $46,171.50 | $28,777.30 | $33,686.54 | $37,675.30 |
| Connecticut | 2 | 26 | $91,396.80 | $106,299.90 | $121,203.00 | $36,869.70 | $42,817.55 | $48,765.40 | $35,399.00 | $35,641.35 | $35,883.70 |
| Indiana | 2 | 43 | $115,218.00 | $159,256.88 | $273,024.00 | $27,447.20 | $30,710.20 | $39,139.60 | $24,644.30 | $28,408.20 | $38,131.60 |
| Illinois | 2 | 35 | $88,132.40 | $122,163.84 | $173,211.00 | $33,372.90 | $36,784.74 | $39,059.30 | $31,759.40 | $34,425.56 | $36,203.00 |
| Maryland | 2 | 60 | $50,670.70 | $55,932.49 | $62,813.30 | $46,888.90 | $51,652.66 | $57,882.20 | $43,815.50 | $49,508.42 | $56,953.00 |
| Arizona | 1 | 11 | $192,679.00 | $192,679.00 | $192,679.00 | $31,860.90 | $31,860.90 | $31,860.90 | $23,575.50 | $23,575.50 | $23,575.50 |
| Utah | 1 | 12 | $102,185.00 | $102,185.00 | $102,185.00 | $32,955.20 | $32,955.20 | $32,955.20 | $25,625.10 | $25,625.10 | $25,625.10 |
| Delaware | 1 | 37 | $83,041.20 | $83,041.20 | $83,041.20 | $37,827.10 | $37,827.10 | $37,827.10 | $32,164.60 | $32,164.60 | $32,164.60 |
| Washington DC | 1 | 25 | $149,098.00 | $149,098.00 | $149,098.00 | $35,692.20 | $35,692.20 | $35,692.20 | $33,595.10 | $33,595.10 | $33,595.10 |
| Alaska | 1 | 19 | $190,901.00 | $190,901.00 | $190,901.00 | $50,919.50 | $50,919.50 | $50,919.50 | $41,133.90 | $41,133.90 | $41,133.90 |
| South Carolina | 1 | 11 | $105,107.00 | $105,107.00 | $105,107.00 | $39,356.50 | $39,356.50 | $39,356.50 | $30,461.50 | $30,461.50 | $30,461.50 |
| Idaho | 1 | 21 | $103,070.00 | $103,070.00 | $103,070.00 | $29,169.90 | $29,169.90 | $29,169.90 | $27,985.50 | $27,985.50 | $27,985.50 |
| North Dakota | 1 | 24 | $80,828.40 | $80,828.40 | $80,828.40 | $29,244.80 | $29,244.80 | $29,244.80 | $27,756.40 | $27,756.40 | $27,756.40 |
| Iowa | 1 | 22 | $97,801.10 | $97,801.10 | $97,801.10 | $28,171.70 | $28,171.70 | $28,171.70 | $26,956.10 | $26,956.10 | $26,956.10 |
| Kansas | 1 | 21 | $167,329.00 | $167,329.00 | $167,329.00 | $31,551.50 | $31,551.50 | $31,551.50 | $30,516.90 | $30,516.90 | $30,516.90 |
| Louisiana | 1 | 24 | $87,212.30 | $87,212.30 | $87,212.30 | $23,013.80 | $23,013.80 | $23,013.80 | $22,107.10 | $22,107.10 | $22,107.10 |
| New Hampshire | 1 | 28 | $89,226.80 | $89,226.80 | $89,226.80 | $42,292.60 | $42,292.60 | $42,292.60 | $37,886.50 | $37,886.50 | $37,886.50 |
| Maine | 1 | 16 | $120,548.00 | $120,548.00 | $120,548.00 | $38,234.20 | $38,234.20 | $38,234.20 | $36,293.20 | $36,293.20 | $36,293.20 |
| Oregon | 1 | 18 | $112,748.00 | $112,748.00 | $112,748.00 | $30,265.20 | $30,265.20 | $30,265.20 | $29,190.60 | $29,190.60 | $29,190.60 | TOTAL US | 129 | 2,520 | $50,670.70 | $138.606,08 | $342,271.00 | $23,013.80 | $35.419,58 | $57,912.20 | $18,035.00 | $31.503,89 | $56,953.00 |
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.