Hospital Costs > Coronary Bypass W Cardiac Cath W/O 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 |
| Florida | 42 | 1,146 | $89,350.70 | $187,644.66 | $442,967.00 | $21,962.50 | $28,684.56 | $39,621.10 | $20,781.20 | $24,592.02 | $30,140.80 |
| Texas | 44 | 982 | $88,911.90 | $173,227.89 | $360,562.00 | $25,071.50 | $30,480.86 | $65,915.60 | $19,600.70 | $26,252.63 | $64,859.50 |
| New York | 29 | 799 | $70,393.00 | $142,847.42 | $282,395.00 | $28,297.40 | $40,974.23 | $62,628.70 | $25,919.70 | $34,082.73 | $51,688.10 |
| North Carolina | 19 | 677 | $93,457.60 | $124,636.57 | $173,980.00 | $25,776.90 | $31,861.25 | $48,358.80 | $22,671.40 | $27,294.53 | $35,157.10 |
| Pennsylvania | 32 | 651 | $49,757.10 | $151,381.77 | $279,504.00 | $24,397.80 | $31,855.56 | $61,219.60 | $21,011.20 | $26,822.74 | $38,766.20 |
| Ohio | 29 | 623 | $59,006.50 | $144,721.05 | $249,846.00 | $26,635.90 | $33,700.71 | $47,158.50 | $16,189.30 | $25,915.20 | $38,003.20 |
| California | 35 | 615 | $155,651.00 | $278,393.75 | $474,497.00 | $31,430.30 | $40,310.67 | $57,534.80 | $27,996.70 | $36,585.65 | $53,972.10 |
| Alabama | 21 | 558 | $57,155.40 | $150,358.23 | $394,936.00 | $22,313.20 | $25,128.53 | $29,735.00 | $19,079.60 | $22,355.83 | $25,861.30 |
| Tennessee | 19 | 554 | $67,987.90 | $123,435.94 | $263,643.00 | $23,822.00 | $28,313.26 | $36,363.90 | $21,264.50 | $24,512.61 | $33,470.80 |
| Michigan | 18 | 531 | $76,248.20 | $103,252.55 | $146,749.00 | $26,314.30 | $32,042.58 | $36,298.80 | $24,548.90 | $28,322.73 | $34,300.40 |
| Illinois | 26 | 488 | $118,917.00 | $166,792.61 | $344,527.00 | $24,940.00 | $36,629.63 | $77,638.30 | $21,091.30 | $27,291.15 | $32,655.50 |
| South Carolina | 15 | 467 | $81,758.60 | $174,779.75 | $374,444.00 | $25,755.80 | $31,468.04 | $42,544.20 | $22,205.40 | $25,587.18 | $38,685.80 |
| Missouri | 17 | 441 | $84,342.80 | $116,319.70 | $251,689.00 | $24,245.90 | $29,193.28 | $38,848.70 | $20,116.90 | $24,953.29 | $32,339.90 |
| Georgia | 15 | 437 | $101,284.00 | $131,906.38 | $197,568.00 | $25,894.80 | $30,110.29 | $34,960.10 | $22,129.80 | $25,768.98 | $29,142.70 |
| New Jersey | 12 | 395 | $136,256.00 | $213,418.97 | $292,252.00 | $31,929.50 | $38,233.39 | $41,871.10 | $30,118.50 | $33,291.54 | $37,277.30 |
| Virginia | 15 | 392 | $84,800.80 | $145,797.40 | $333,506.00 | $25,119.50 | $31,390.40 | $40,892.10 | $23,292.80 | $26,319.14 | $28,125.80 |
| Kentucky | 14 | 391 | $64,024.50 | $122,700.21 | $192,220.00 | $25,044.60 | $29,929.30 | $37,232.10 | $21,285.50 | $27,106.15 | $36,015.70 |
| Arkansas | 13 | 372 | $52,058.50 | $103,455.33 | $171,410.00 | $23,575.10 | $26,150.82 | $28,828.60 | $22,249.90 | $23,855.32 | $26,384.90 |
| Indiana | 17 | 355 | $86,191.50 | $133,986.09 | $212,131.00 | $25,292.20 | $32,198.45 | $51,153.40 | $20,979.30 | $26,292.28 | $35,514.20 |
| Maryland | 9 | 353 | $38,074.60 | $45,737.67 | $62,421.50 | $35,211.90 | $42,500.98 | $59,349.90 | $32,152.90 | $39,590.08 | $55,729.50 |
| Massachusetts | 12 | 348 | $48,466.80 | $103,136.43 | $210,651.00 | $35,699.90 | $43,710.06 | $49,673.10 | $34,214.60 | $38,894.66 | $44,894.10 |
| Wisconsin | 15 | 338 | $77,385.20 | $121,550.92 | $159,617.00 | $27,124.50 | $34,270.50 | $47,135.80 | $23,284.80 | $28,947.50 | $35,400.40 |
| Mississippi | 11 | 290 | $84,109.10 | $138,668.95 | $276,593.00 | $23,854.10 | $28,159.06 | $37,387.10 | $22,357.20 | $24,471.37 | $30,491.70 |
| Washington | 12 | 282 | $104,710.00 | $170,334.90 | $253,018.00 | $30,162.20 | $38,590.48 | $56,583.10 | $25,206.40 | $30,231.99 | $39,618.00 |
| West Virginia | 6 | 260 | $71,991.90 | $100,386.38 | $125,674.00 | $26,482.20 | $31,112.13 | $39,562.40 | $21,848.50 | $26,916.25 | $35,469.10 |
| Louisiana | 12 | 248 | $81,625.00 | $136,231.32 | $210,828.00 | $23,530.00 | $27,031.33 | $29,015.50 | $20,943.70 | $23,182.76 | $25,588.30 |
| Kansas | 10 | 242 | $51,370.60 | $129,975.72 | $218,437.00 | $24,169.70 | $30,431.31 | $36,892.60 | $20,433.80 | $25,456.65 | $33,299.90 |
| Arizona | 11 | 225 | $121,162.00 | $177,005.62 | $267,655.00 | $27,581.40 | $32,960.51 | $50,679.90 | $23,726.90 | $29,327.56 | $49,469.60 |
| Oklahoma | 7 | 200 | $93,076.80 | $113,372.17 | $181,480.00 | $26,404.90 | $28,571.07 | $33,462.40 | $21,788.00 | $23,651.18 | $28,311.90 |
| Nebraska | 7 | 165 | $55,021.00 | $117,206.75 | $199,592.00 | $24,914.70 | $33,751.29 | $43,108.40 | $23,906.70 | $29,806.45 | $36,682.90 |
| Minnesota | 9 | 160 | $66,283.40 | $114,675.66 | $165,868.00 | $29,501.90 | $36,966.70 | $49,462.60 | $25,911.70 | $31,281.17 | $36,096.20 |
| Connecticut | 5 | 153 | $106,097.00 | $126,067.76 | $151,472.00 | $38,718.10 | $42,672.05 | $47,285.00 | $35,363.70 | $37,347.00 | $39,370.30 |
| Oregon | 6 | 144 | $86,316.00 | $117,225.02 | $143,536.00 | $34,868.50 | $36,438.99 | $39,093.00 | $27,345.50 | $31,408.89 | $37,227.90 |
| Maine | 3 | 137 | $84,265.30 | $95,670.41 | $101,189.00 | $30,003.10 | $34,482.50 | $36,695.10 | $27,219.10 | $29,467.22 | $30,940.40 |
| Iowa | 5 | 134 | $64,961.30 | $113,412.49 | $145,554.00 | $24,692.00 | $28,331.31 | $29,935.20 | $18,968.10 | $25,782.29 | $28,593.60 |
| North Dakota | 5 | 130 | $73,717.30 | $88,066.73 | $102,940.00 | $27,024.30 | $29,409.23 | $32,111.80 | $25,912.30 | $27,242.77 | $30,828.20 |
| Delaware | 3 | 108 | $74,722.10 | $100,301.50 | $136,567.00 | $31,455.90 | $33,049.63 | $33,979.60 | $29,604.10 | $29,863.31 | $30,606.50 |
| Utah | 5 | 106 | $78,688.90 | $96,389.56 | $134,682.00 | $27,600.20 | $32,209.61 | $40,110.40 | $22,780.80 | $26,089.04 | $30,093.60 |
| New Hampshire | 4 | 97 | $116,556.00 | $156,663.54 | $186,499.00 | $31,109.40 | $38,377.20 | $44,553.60 | $29,617.00 | $35,601.83 | $43,057.90 |
| Idaho | 4 | 95 | $97,449.10 | $119,937.21 | $188,108.00 | $32,113.90 | $35,053.30 | $38,694.80 | $24,212.20 | $25,679.32 | $28,280.70 |
| Washington DC | 1 | 89 | $115,714.00 | $115,714.00 | $115,714.00 | $40,187.50 | $40,187.50 | $40,187.50 | $31,200.00 | $31,200.00 | $31,200.00 |
| Nevada | 5 | 83 | $126,190.00 | $242,411.55 | $401,330.00 | $29,659.80 | $35,544.76 | $42,186.70 | $24,531.80 | $29,374.18 | $35,572.70 |
| Colorado | 3 | 77 | $130,233.00 | $163,814.78 | $194,610.00 | $28,088.50 | $33,298.86 | $41,305.90 | $26,312.70 | $31,498.88 | $40,269.30 |
| South Dakota | 3 | 72 | $96,122.10 | $113,842.11 | $123,843.00 | $29,651.80 | $32,396.34 | $37,317.30 | $23,904.40 | $28,521.07 | $36,085.70 |
| New Mexico | 4 | 66 | $122,944.00 | $176,881.23 | $201,783.00 | $27,863.50 | $31,739.36 | $38,787.00 | $24,021.50 | $26,751.05 | $29,201.90 |
| Montana | 4 | 55 | $83,616.10 | $117,379.01 | $161,921.00 | $29,241.80 | $30,395.57 | $31,381.20 | $26,685.70 | $28,154.86 | $30,176.60 |
| Vermont | 1 | 34 | $68,754.40 | $68,754.40 | $68,754.40 | $39,718.40 | $39,718.40 | $39,718.40 | $33,528.10 | $33,528.10 | $33,528.10 |
| Wyoming | 2 | 26 | $148,697.00 | $156,589.88 | $162,378.00 | $53,141.60 | $55,572.00 | $57,354.30 | $29,067.60 | $33,363.73 | $39,222.10 |
| Alaska | 1 | 17 | $251,800.00 | $251,800.00 | $251,800.00 | $51,878.50 | $51,878.50 | $51,878.50 | $50,511.90 | $50,511.90 | $50,511.90 |
| Hawaii | 1 | 12 | $110,705.00 | $110,705.00 | $110,705.00 | $45,675.80 | $45,675.80 | $45,675.80 | $36,143.20 | $36,143.20 | $36,143.20 | TOTAL US | 618 | 15,620 | $38,074.60 | $145.708,75 | $474,497.00 | $21,962.50 | $32.933,40 | $77,638.30 | $16,189.30 | $28.119,02 | $64,859.50 |
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.