Hospital Costs > Combined Anterior/Posterior 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 |
| Oklahoma | 1 | 11 | $248,980.00 | $248,980.00 | $248,980.00 | $73,760.90 | $73,760.90 | $73,760.90 | $72,328.80 | $72,328.80 | $72,328.80 |
| Kentucky | 1 | 17 | $281,714.00 | $281,714.00 | $281,714.00 | $76,036.70 | $76,036.70 | $76,036.70 | $74,450.20 | $74,450.20 | $74,450.20 |
| Minnesota | 2 | 35 | $189,969.00 | $200,348.43 | $209,089.00 | $75,992.20 | $79,599.43 | $82,637.10 | $72,933.10 | $73,779.13 | $74,783.80 |
| Missouri | 1 | 14 | $261,016.00 | $261,016.00 | $261,016.00 | $85,795.20 | $85,795.20 | $85,795.20 | $85,022.50 | $85,022.50 | $85,022.50 |
| Texas | 2 | 30 | $179,158.00 | $223,810.53 | $249,662.00 | $75,784.90 | $93,167.43 | $103,231.00 | $57,043.40 | $71,047.48 | $79,155.10 |
| North Carolina | 2 | 26 | $324,036.00 | $325,627.38 | $327,484.00 | $84,941.40 | $94,169.68 | $104,936.00 | $73,612.40 | $84,770.74 | $97,788.80 |
| Florida | 2 | 39 | $310,486.00 | $504,338.62 | $708,394.00 | $76,194.40 | $100,693.00 | $126,481.00 | $67,162.60 | $95,536.13 | $125,403.00 |
| Pennsylvania | 1 | 26 | $380,101.00 | $380,101.00 | $380,101.00 | $103,230.00 | $103,230.00 | $103,230.00 | $91,704.90 | $91,704.90 | $91,704.90 |
| Washington | 2 | 27 | $343,380.00 | $350,164.56 | $357,471.00 | $99,217.40 | $112,695.56 | $125,211.00 | $84,089.90 | $95,853.06 | $106,776.00 |
| California | 4 | 72 | $318,094.00 | $553,431.89 | $684,503.00 | $82,615.10 | $116,561.06 | $141,545.00 | $78,169.90 | $112,017.98 | $136,506.00 | TOTAL US | 18 | 297 | $179,158.00 | $377.873,19 | $708,394.00 | $73,760.90 | $98.925,00 | $141,545.00 | $57,043.40 | $90.683,10 | $136,506.00 |
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.