Hospital Costs > Cesarean Section W 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 |
| New York | 3 | 38 | $12,471.60 | $17,857.64 | $25,604.60 | $9,079.55 | $10,409.15 | $12,376.80 | $7,959.18 | $8,600.00 | $9,353.55 |
| Rhode Island | 1 | 29 | $26,444.10 | $26,444.10 | $26,444.10 | $25,500.70 | $25,500.70 | $25,500.70 | $24,409.60 | $24,409.60 | $24,409.60 |
| Kentucky | 1 | 17 | $29,036.50 | $29,036.50 | $29,036.50 | $8,489.65 | $8,489.65 | $8,489.65 | $7,241.94 | $7,241.94 | $7,241.94 |
| Indiana | 1 | 12 | $30,873.70 | $30,873.70 | $30,873.70 | $9,413.08 | $9,413.08 | $9,413.08 | $6,726.08 | $6,726.08 | $6,726.08 |
| Massachusetts | 2 | 35 | $27,745.20 | $29,371.37 | $32,488.20 | $11,621.20 | $13,014.81 | $15,685.90 | $9,550.39 | $10,130.10 | $11,241.20 |
| Maine | 1 | 13 | $36,363.90 | $36,363.90 | $36,363.90 | $12,480.70 | $12,480.70 | $12,480.70 | $8,476.62 | $8,476.62 | $8,476.62 |
| Oklahoma | 2 | 27 | $36,583.40 | $37,192.76 | $37,849.00 | $9,361.14 | $11,867.33 | $14,566.30 | $8,149.57 | $9,583.53 | $11,127.80 |
| North Carolina | 4 | 52 | $17,102.10 | $31,179.78 | $38,211.70 | $8,017.86 | $9,895.52 | $12,485.00 | $6,169.71 | $7,241.67 | $8,254.33 |
| Missouri | 3 | 41 | $19,318.40 | $28,915.10 | $38,626.50 | $8,704.38 | $9,833.27 | $10,809.60 | $7,867.46 | $8,718.27 | $9,707.09 |
| Michigan | 4 | 66 | $14,749.30 | $24,178.52 | $38,942.80 | $7,784.38 | $9,759.63 | $11,763.30 | $6,068.15 | $7,721.17 | $9,773.45 |
| Virginia | 2 | 27 | $21,358.10 | $31,978.60 | $39,280.20 | $8,204.00 | $9,673.10 | $10,683.10 | $7,041.27 | $7,856.52 | $8,417.00 |
| Kansas | 1 | 19 | $39,527.50 | $39,527.50 | $39,527.50 | $8,850.21 | $8,850.21 | $8,850.21 | $6,453.11 | $6,453.11 | $6,453.11 |
| Louisiana | 3 | 48 | $17,463.50 | $25,747.56 | $40,393.50 | $14,027.40 | $22,932.96 | $38,007.80 | $10,052.60 | $18,918.52 | $33,416.40 |
| Alabama | 1 | 29 | $44,302.00 | $44,302.00 | $44,302.00 | $11,090.90 | $11,090.90 | $11,090.90 | $8,996.52 | $8,996.52 | $8,996.52 |
| Mississippi | 1 | 23 | $45,457.00 | $45,457.00 | $45,457.00 | $14,827.70 | $14,827.70 | $14,827.70 | $12,040.50 | $12,040.50 | $12,040.50 |
| Ohio | 3 | 42 | $30,546.90 | $39,296.38 | $60,358.20 | $11,725.90 | $12,769.23 | $13,572.30 | $8,726.21 | $9,374.69 | $9,736.62 |
| Florida | 3 | 45 | $30,612.90 | $44,486.36 | $61,200.90 | $9,774.43 | $12,535.45 | $17,872.40 | $8,560.00 | $10,246.94 | $13,336.00 |
| Connecticut | 1 | 12 | $67,168.20 | $67,168.20 | $67,168.20 | $18,554.80 | $18,554.80 | $18,554.80 | $16,372.70 | $16,372.70 | $16,372.70 |
| Pennsylvania | 5 | 67 | $26,560.80 | $48,658.84 | $74,364.30 | $8,210.73 | $14,138.20 | $15,844.60 | $6,403.00 | $10,735.42 | $12,606.30 |
| Texas | 3 | 37 | $26,113.10 | $52,155.09 | $87,529.10 | $8,044.73 | $21,077.05 | $31,882.70 | $5,816.64 | $15,985.74 | $25,490.50 |
| California | 1 | 11 | $104,791.00 | $104,791.00 | $104,791.00 | $14,641.90 | $14,641.90 | $14,641.90 | $13,282.10 | $13,282.10 | $13,282.10 | TOTAL US | 46 | 690 | $12,471.60 | $36.519,84 | $104,791.00 | $7,784.38 | $13.473,07 | $38,007.80 | $5,816.64 | $10.861,52 | $33,416.40 |
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.