Hospital Costs > Cervical Spinal Fusion 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 |
| Arkansas | 1 | 12 | $91,453.70 | $91,453.70 | $91,453.70 | $29,258.00 | $29,258.00 | $29,258.00 | $27,664.20 | $27,664.20 | $27,664.20 |
| Tennessee | 1 | 14 | $109,485.00 | $109,485.00 | $109,485.00 | $30,828.30 | $30,828.30 | $30,828.30 | $29,959.70 | $29,959.70 | $29,959.70 |
| Florida | 3 | 40 | $110,660.00 | $145,258.68 | $179,651.00 | $27,689.00 | $30,233.69 | $31,827.20 | $26,258.40 | $28,871.82 | $30,419.60 |
| Illinois | 1 | 18 | $167,087.00 | $167,087.00 | $167,087.00 | $32,850.10 | $32,850.10 | $32,850.10 | $32,242.10 | $32,242.10 | $32,242.10 |
| Ohio | 1 | 15 | $92,237.50 | $92,237.50 | $92,237.50 | $33,738.00 | $33,738.00 | $33,738.00 | $28,239.50 | $28,239.50 | $28,239.50 |
| Georgia | 1 | 11 | $74,643.50 | $74,643.50 | $74,643.50 | $34,226.80 | $34,226.80 | $34,226.80 | $27,914.50 | $27,914.50 | $27,914.50 |
| Texas | 4 | 58 | $95,726.10 | $123,581.42 | $157,887.00 | $30,383.40 | $32,897.37 | $34,392.90 | $26,814.20 | $30,030.03 | $33,243.60 |
| Michigan | 3 | 38 | $73,282.60 | $85,910.08 | $104,946.00 | $33,032.50 | $33,841.83 | $34,759.70 | $31,430.00 | $32,355.36 | $32,844.30 |
| North Carolina | 3 | 46 | $83,557.50 | $111,405.57 | $138,887.00 | $30,671.30 | $35,119.86 | $36,949.80 | $29,189.80 | $30,793.13 | $32,114.80 |
| Missouri | 1 | 20 | $102,992.00 | $102,992.00 | $102,992.00 | $40,340.50 | $40,340.50 | $40,340.50 | $32,983.40 | $32,983.40 | $32,983.40 |
| Arizona | 1 | 21 | $191,417.00 | $191,417.00 | $191,417.00 | $41,945.30 | $41,945.30 | $41,945.30 | $39,123.60 | $39,123.60 | $39,123.60 |
| South Carolina | 1 | 15 | $112,460.00 | $112,460.00 | $112,460.00 | $41,961.00 | $41,961.00 | $41,961.00 | $37,432.10 | $37,432.10 | $37,432.10 |
| Pennsylvania | 2 | 27 | $212,056.00 | $257,866.93 | $324,501.00 | $44,882.10 | $45,988.77 | $46,749.60 | $37,128.00 | $38,051.73 | $38,686.80 |
| Wisconsin | 1 | 13 | $205,536.00 | $205,536.00 | $205,536.00 | $46,820.30 | $46,820.30 | $46,820.30 | $37,378.60 | $37,378.60 | $37,378.60 |
| New Hampshire | 1 | 11 | $116,891.00 | $116,891.00 | $116,891.00 | $53,728.80 | $53,728.80 | $53,728.80 | $50,673.40 | $50,673.40 | $50,673.40 |
| New York | 3 | 41 | $65,411.50 | $173,686.62 | $242,694.00 | $30,408.70 | $46,146.30 | $54,546.70 | $29,093.50 | $43,154.28 | $50,342.50 |
| Connecticut | 1 | 12 | $173,334.00 | $173,334.00 | $173,334.00 | $56,704.80 | $56,704.80 | $56,704.80 | $54,279.00 | $54,279.00 | $54,279.00 |
| Washington | 2 | 25 | $198,900.00 | $223,720.80 | $250,610.00 | $47,356.70 | $54,366.56 | $60,837.20 | $46,196.60 | $50,142.10 | $53,784.10 |
| Maryland | 2 | 30 | $34,899.80 | $56,860.32 | $69,574.30 | $32,169.40 | $52,562.04 | $64,368.30 | $31,177.40 | $50,039.84 | $60,960.20 |
| California | 3 | 45 | $240,016.00 | $364,781.58 | $457,620.00 | $37,289.90 | $63,876.46 | $85,194.10 | $36,641.30 | $60,511.27 | $79,525.90 | TOTAL US | 36 | 512 | $34,899.80 | $157.835,12 | $457,620.00 | $27,689.00 | $41.829,75 | $85,194.10 | $26,258.40 | $38.314,29 | $79,525.90 |
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.