Hospital Costs > Combined Anterior/Posterior Spinal Fusion 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 |
| Iowa | 1 | 12 | $111,545.00 | $111,545.00 | $111,545.00 | $42,310.00 | $42,310.00 | $42,310.00 | $37,184.10 | $37,184.10 | $37,184.10 |
| Louisiana | 1 | 18 | $127,535.00 | $127,535.00 | $127,535.00 | $47,212.20 | $47,212.20 | $47,212.20 | $37,294.20 | $37,294.20 | $37,294.20 |
| Nebraska | 1 | 37 | $182,389.00 | $182,389.00 | $182,389.00 | $61,388.50 | $61,388.50 | $61,388.50 | $38,906.80 | $38,906.80 | $38,906.80 |
| Missouri | 2 | 82 | $81,252.00 | $92,968.76 | $101,694.00 | $40,872.30 | $42,529.81 | $44,755.60 | $38,841.40 | $39,035.48 | $39,296.10 |
| Alabama | 1 | 11 | $242,127.00 | $242,127.00 | $242,127.00 | $68,294.60 | $68,294.60 | $68,294.60 | $43,733.20 | $43,733.20 | $43,733.20 |
| Arkansas | 1 | 18 | $224,922.00 | $224,922.00 | $224,922.00 | $55,495.90 | $55,495.90 | $55,495.90 | $46,382.80 | $46,382.80 | $46,382.80 |
| Kansas | 2 | 61 | $81,755.00 | $156,848.77 | $196,273.00 | $36,251.60 | $45,375.27 | $50,165.20 | $35,153.00 | $42,856.28 | $46,900.50 |
| West Virginia | 1 | 14 | $214,732.00 | $214,732.00 | $214,732.00 | $52,874.40 | $52,874.40 | $52,874.40 | $46,986.20 | $46,986.20 | $46,986.20 |
| Utah | 1 | 15 | $86,311.10 | $86,311.10 | $86,311.10 | $52,161.70 | $52,161.70 | $52,161.70 | $47,245.20 | $47,245.20 | $47,245.20 |
| Oklahoma | 2 | 40 | $158,610.00 | $206,142.55 | $231,737.00 | $46,678.90 | $55,101.54 | $59,636.80 | $45,469.80 | $46,980.73 | $47,794.30 |
| Georgia | 3 | 66 | $162,936.00 | $179,156.00 | $230,264.00 | $47,755.10 | $60,555.49 | $70,916.00 | $39,294.00 | $44,506.83 | $48,112.50 |
| Ohio | 2 | 48 | $217,711.00 | $221,684.52 | $235,050.00 | $54,789.70 | $56,423.52 | $61,919.10 | $46,864.60 | $47,310.01 | $48,808.20 |
| Tennessee | 2 | 62 | $125,772.00 | $228,146.48 | $263,755.00 | $45,041.70 | $57,959.46 | $62,452.60 | $35,799.10 | $49,117.95 | $53,750.60 |
| Kentucky | 2 | 51 | $228,927.00 | $244,431.67 | $252,184.00 | $56,485.70 | $57,325.17 | $57,744.90 | $50,966.90 | $52,451.87 | $55,421.80 |
| Delaware | 1 | 29 | $127,470.00 | $127,470.00 | $127,470.00 | $61,831.40 | $61,831.40 | $61,831.40 | $55,644.70 | $55,644.70 | $55,644.70 |
| Montana | 1 | 12 | $199,157.00 | $199,157.00 | $199,157.00 | $59,611.40 | $59,611.40 | $59,611.40 | $58,337.00 | $58,337.00 | $58,337.00 |
| Minnesota | 5 | 168 | $77,278.20 | $132,603.51 | $156,765.00 | $51,356.40 | $54,466.33 | $61,304.20 | $36,012.70 | $50,282.16 | $59,701.10 |
| Arizona | 3 | 52 | $205,964.00 | $246,684.23 | $298,113.00 | $51,485.70 | $62,198.88 | $69,653.60 | $36,041.50 | $48,547.47 | $60,609.90 |
| Pennsylvania | 5 | 108 | $118,286.00 | $206,657.54 | $360,345.00 | $43,118.30 | $58,669.25 | $72,733.20 | $35,083.20 | $50,126.54 | $60,672.00 |
| Wisconsin | 1 | 11 | $152,212.00 | $152,212.00 | $152,212.00 | $78,959.50 | $78,959.50 | $78,959.50 | $61,142.80 | $61,142.80 | $61,142.80 |
| Florida | 11 | 220 | $102,897.00 | $279,338.04 | $411,808.00 | $43,315.90 | $57,097.98 | $84,678.70 | $38,729.10 | $47,832.81 | $61,345.40 |
| Virginia | 3 | 55 | $131,767.00 | $182,866.02 | $267,739.00 | $48,706.70 | $60,869.25 | $83,575.60 | $36,696.00 | $47,936.62 | $61,866.30 |
| Nevada | 2 | 34 | $233,074.00 | $253,699.29 | $268,137.00 | $52,861.10 | $67,341.98 | $77,478.60 | $40,031.40 | $53,332.87 | $62,643.90 |
| Connecticut | 1 | 17 | $156,070.00 | $156,070.00 | $156,070.00 | $75,944.60 | $75,944.60 | $75,944.60 | $64,144.10 | $64,144.10 | $64,144.10 |
| Oregon | 3 | 43 | $129,065.00 | $147,494.30 | $157,549.00 | $49,810.70 | $61,423.40 | $73,546.90 | $48,775.30 | $57,566.55 | $65,499.20 |
| Illinois | 2 | 30 | $251,464.00 | $308,810.43 | $342,011.00 | $70,200.10 | $72,758.66 | $77,178.00 | $65,298.00 | $65,920.63 | $66,281.10 |
| North Carolina | 6 | 117 | $123,672.00 | $215,884.84 | $264,687.00 | $45,311.60 | $58,273.89 | $72,983.60 | $36,183.30 | $53,427.50 | $67,322.80 |
| New York | 4 | 146 | $48,879.80 | $210,128.53 | $333,242.00 | $46,907.60 | $72,223.57 | $98,249.90 | $45,052.80 | $59,018.80 | $70,980.50 |
| South Carolina | 2 | 26 | $282,320.00 | $340,802.00 | $399,284.00 | $53,541.20 | $63,387.35 | $73,233.50 | $52,140.80 | $62,128.35 | $72,115.90 |
| Washington | 6 | 94 | $150,979.00 | $232,008.21 | $310,054.00 | $52,249.60 | $68,878.96 | $94,102.10 | $44,632.00 | $60,408.64 | $73,111.70 |
| Colorado | 5 | 88 | $167,919.00 | $285,275.89 | $557,613.00 | $50,863.20 | $66,409.68 | $88,947.50 | $26,457.40 | $56,830.89 | $76,710.50 |
| Texas | 14 | 240 | $103,822.00 | $216,688.10 | $434,418.00 | $42,835.30 | $55,704.49 | $104,236.00 | $36,737.60 | $48,421.78 | $78,127.40 |
| Massachusetts | 3 | 52 | $108,733.00 | $165,769.67 | $281,852.00 | $78,762.40 | $80,043.15 | $81,794.50 | $73,557.90 | $76,286.55 | $79,655.20 |
| Maryland | 2 | 39 | $38,029.20 | $55,373.38 | $99,522.20 | $35,442.50 | $51,310.45 | $91,701.60 | $29,943.10 | $47,053.66 | $90,607.80 |
| California | 19 | 559 | $169,852.00 | $400,990.60 | $866,823.00 | $53,091.90 | $77,133.00 | $115,153.00 | $46,139.40 | $71,153.85 | $105,412.00 |
| Indiana | 1 | 15 | $457,571.00 | $457,571.00 | $457,571.00 | $245,437.00 | $245,437.00 | $245,437.00 | $244,547.00 | $244,547.00 | $244,547.00 | TOTAL US | 122 | 2,690 | $38,029.20 | $247.213,47 | $866,823.00 | $35,442.50 | $64.184,37 | $245,437.00 | $26,457.40 | $56.423,77 | $244,547.00 |
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.