Hospital Costs > Combined Anterior/Posterior Spinal Fusion 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 |
| Alabama | 3 | 45 | $69,585.50 | $146,984.25 | $326,337.00 | $31,041.80 | $31,773.47 | $32,439.60 | $24,740.30 | $29,183.11 | $31,168.30 |
| Iowa | 1 | 16 | $113,960.00 | $113,960.00 | $113,960.00 | $33,930.10 | $33,930.10 | $33,930.10 | $32,757.40 | $32,757.40 | $32,757.40 |
| Indiana | 1 | 13 | $121,850.00 | $121,850.00 | $121,850.00 | $35,345.50 | $35,345.50 | $35,345.50 | $34,407.40 | $34,407.40 | $34,407.40 |
| Utah | 1 | 18 | $159,327.00 | $159,327.00 | $159,327.00 | $37,292.40 | $37,292.40 | $37,292.40 | $36,225.70 | $36,225.70 | $36,225.70 |
| Kansas | 3 | 84 | $82,654.80 | $99,743.30 | $176,224.00 | $29,521.90 | $31,379.98 | $39,042.90 | $28,456.20 | $30,287.34 | $37,925.40 |
| Arizona | 2 | 31 | $148,408.00 | $167,407.35 | $177,857.00 | $37,397.30 | $39,093.49 | $40,026.40 | $33,023.40 | $34,142.77 | $36,178.00 |
| Missouri | 3 | 119 | $61,103.90 | $72,763.12 | $75,440.80 | $32,083.00 | $33,948.86 | $40,386.50 | $30,875.40 | $32,345.00 | $39,108.20 |
| Louisiana | 2 | 59 | $101,450.00 | $164,436.47 | $182,237.00 | $39,273.00 | $40,610.98 | $40,989.10 | $25,157.60 | $28,763.77 | $29,782.90 |
| Minnesota | 2 | 40 | $74,410.70 | $91,652.39 | $110,709.00 | $40,272.80 | $40,776.11 | $41,332.40 | $39,117.70 | $39,553.32 | $40,034.80 |
| Ohio | 1 | 35 | $154,847.00 | $154,847.00 | $154,847.00 | $44,978.00 | $44,978.00 | $44,978.00 | $32,776.20 | $32,776.20 | $32,776.20 |
| Oklahoma | 4 | 83 | $113,202.00 | $132,974.46 | $148,568.00 | $33,398.80 | $37,727.43 | $45,813.90 | $28,826.30 | $31,660.40 | $32,960.90 |
| Kentucky | 3 | 57 | $85,824.70 | $156,492.69 | $207,828.00 | $34,552.30 | $41,766.08 | $47,250.80 | $33,234.60 | $36,523.21 | $38,333.90 |
| Georgia | 4 | 90 | $78,604.40 | $153,605.72 | $228,294.00 | $37,733.60 | $42,225.03 | $48,102.70 | $28,854.00 | $34,327.97 | $47,005.20 |
| Maryland | 1 | 14 | $52,405.00 | $52,405.00 | $52,405.00 | $48,299.60 | $48,299.60 | $48,299.60 | $47,090.50 | $47,090.50 | $47,090.50 |
| Tennessee | 3 | 70 | $110,725.00 | $149,975.21 | $216,235.00 | $34,133.80 | $42,057.03 | $48,833.20 | $30,505.10 | $35,358.16 | $41,984.80 |
| Delaware | 1 | 20 | $93,355.80 | $93,355.80 | $93,355.80 | $49,292.60 | $49,292.60 | $49,292.60 | $41,101.40 | $41,101.40 | $41,101.40 |
| New York | 4 | 88 | $49,769.10 | $96,110.04 | $128,504.00 | $37,564.10 | $43,750.12 | $51,969.90 | $28,920.40 | $37,411.28 | $45,450.30 |
| South Carolina | 1 | 35 | $277,087.00 | $277,087.00 | $277,087.00 | $52,864.00 | $52,864.00 | $52,864.00 | $43,669.00 | $43,669.00 | $43,669.00 |
| North Carolina | 3 | 131 | $101,637.00 | $182,967.98 | $203,205.00 | $37,088.70 | $46,725.26 | $53,087.20 | $35,648.60 | $43,346.64 | $50,316.40 |
| Virginia | 5 | 106 | $88,781.60 | $137,011.56 | $216,284.00 | $37,821.20 | $43,857.97 | $53,227.50 | $30,473.50 | $33,679.87 | $42,834.00 |
| Nevada | 3 | 49 | $170,918.00 | $197,233.02 | $220,856.00 | $42,919.30 | $46,675.89 | $54,435.90 | $29,117.50 | $33,141.50 | $39,184.50 |
| Oregon | 4 | 70 | $83,262.10 | $105,973.32 | $126,295.00 | $40,128.90 | $44,460.78 | $54,906.00 | $38,298.60 | $41,084.78 | $52,753.70 |
| West Virginia | 1 | 17 | $202,618.00 | $202,618.00 | $202,618.00 | $56,236.10 | $56,236.10 | $56,236.10 | $37,195.00 | $37,195.00 | $37,195.00 |
| Pennsylvania | 1 | 17 | $184,103.00 | $184,103.00 | $184,103.00 | $56,288.70 | $56,288.70 | $56,288.70 | $47,815.60 | $47,815.60 | $47,815.60 |
| Colorado | 4 | 83 | $146,918.00 | $199,181.51 | $299,591.00 | $42,177.30 | $48,095.02 | $56,358.20 | $41,002.80 | $45,813.00 | $50,543.40 |
| Washington | 7 | 135 | $99,281.70 | $142,071.00 | $179,192.00 | $40,022.70 | $44,914.41 | $56,992.60 | $37,815.90 | $39,965.54 | $44,331.90 |
| Texas | 15 | 248 | $73,174.60 | $154,711.17 | $249,797.00 | $33,571.80 | $42,191.24 | $60,771.20 | $27,641.60 | $35,249.87 | $59,668.90 |
| Massachusetts | 3 | 57 | $61,905.50 | $80,243.98 | $86,042.50 | $45,006.30 | $60,924.94 | $66,105.40 | $43,833.00 | $58,885.45 | $64,047.50 |
| Florida | 11 | 185 | $93,485.90 | $199,012.76 | $311,374.00 | $34,711.40 | $42,770.46 | $72,089.80 | $30,655.80 | $36,543.00 | $43,524.30 |
| California | 15 | 353 | $128,128.00 | $300,871.14 | $743,961.00 | $41,480.40 | $57,832.48 | $108,360.00 | $31,685.40 | $49,159.42 | $73,363.20 | TOTAL US | 112 | 2,368 | $49,769.10 | $170.087,78 | $743,961.00 | $29,521.90 | $45.022,05 | $108,360.00 | $24,740.30 | $38.848,96 | $73,363.20 |
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.