Hospital Costs > Cranio W Major Dev Impl/Acute Complex Cns Pdx 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 |
| Mississippi | 1 | 11 | $78,913.30 | $78,913.30 | $78,913.30 | $19,747.00 | $19,747.00 | $19,747.00 | $18,650.30 | $18,650.30 | $18,650.30 |
| Georgia | 1 | 18 | $116,579.00 | $116,579.00 | $116,579.00 | $22,145.30 | $22,145.30 | $22,145.30 | $21,123.90 | $21,123.90 | $21,123.90 |
| New Jersey | 1 | 11 | $119,934.00 | $119,934.00 | $119,934.00 | $23,786.10 | $23,786.10 | $23,786.10 | $22,299.00 | $22,299.00 | $22,299.00 |
| Texas | 3 | 65 | $134,984.00 | $145,489.85 | $170,319.00 | $22,719.80 | $23,469.34 | $23,982.90 | $18,469.10 | $19,746.80 | $21,993.50 |
| Missouri | 2 | 28 | $78,847.20 | $99,713.37 | $115,363.00 | $21,321.60 | $23,106.74 | $24,445.60 | $17,811.70 | $21,045.93 | $23,471.60 |
| Colorado | 1 | 15 | $195,981.00 | $195,981.00 | $195,981.00 | $25,315.80 | $25,315.80 | $25,315.80 | $23,884.10 | $23,884.10 | $23,884.10 |
| Ohio | 2 | 31 | $114,203.00 | $114,361.97 | $114,555.00 | $24,391.50 | $26,098.52 | $27,504.30 | $20,075.70 | $21,662.84 | $22,969.90 |
| South Carolina | 1 | 16 | $68,939.40 | $68,939.40 | $68,939.40 | $29,749.00 | $29,749.00 | $29,749.00 | $26,831.20 | $26,831.20 | $26,831.20 |
| Pennsylvania | 1 | 20 | $159,129.00 | $159,129.00 | $159,129.00 | $29,849.20 | $29,849.20 | $29,849.20 | $22,167.70 | $22,167.70 | $22,167.70 |
| Washington DC | 1 | 11 | $71,174.40 | $71,174.40 | $71,174.40 | $30,742.50 | $30,742.50 | $30,742.50 | $25,175.10 | $25,175.10 | $25,175.10 |
| Iowa | 1 | 13 | $84,276.70 | $84,276.70 | $84,276.70 | $31,867.00 | $31,867.00 | $31,867.00 | $30,084.70 | $30,084.70 | $30,084.70 |
| Florida | 2 | 36 | $105,976.00 | $123,407.33 | $132,123.00 | $31,002.60 | $31,405.30 | $32,210.70 | $17,280.80 | $20,056.87 | $25,609.00 |
| Minnesota | 2 | 33 | $64,471.80 | $75,559.21 | $90,606.40 | $23,140.50 | $28,474.89 | $32,405.50 | $22,187.00 | $23,635.32 | $24,702.50 |
| California | 1 | 15 | $149,670.00 | $149,670.00 | $149,670.00 | $33,299.50 | $33,299.50 | $33,299.50 | $30,233.60 | $30,233.60 | $30,233.60 |
| Michigan | 1 | 11 | $104,259.00 | $104,259.00 | $104,259.00 | $34,097.80 | $34,097.80 | $34,097.80 | $32,587.30 | $32,587.30 | $32,587.30 |
| Arizona | 2 | 32 | $102,810.00 | $123,996.88 | $136,709.00 | $26,170.60 | $31,354.66 | $34,465.10 | $24,209.80 | $24,527.09 | $25,055.90 |
| Virginia | 1 | 11 | $115,681.00 | $115,681.00 | $115,681.00 | $35,910.70 | $35,910.70 | $35,910.70 | $24,906.20 | $24,906.20 | $24,906.20 |
| Massachusetts | 1 | 12 | $131,296.00 | $131,296.00 | $131,296.00 | $36,000.20 | $36,000.20 | $36,000.20 | $33,350.80 | $33,350.80 | $33,350.80 |
| Oregon | 1 | 11 | $103,037.00 | $103,037.00 | $103,037.00 | $37,644.80 | $37,644.80 | $37,644.80 | $31,420.40 | $31,420.40 | $31,420.40 |
| New York | 1 | 22 | $103,285.00 | $103,285.00 | $103,285.00 | $39,243.70 | $39,243.70 | $39,243.70 | $30,725.20 | $30,725.20 | $30,725.20 |
| Maryland | 1 | 14 | $41,023.90 | $41,023.90 | $41,023.90 | $40,461.90 | $40,461.90 | $40,461.90 | $36,944.70 | $36,944.70 | $36,944.70 |
| Illinois | 2 | 26 | $125,430.00 | $134,672.69 | $142,595.00 | $36,635.50 | $40,371.24 | $44,729.60 | $32,738.10 | $34,056.58 | $35,594.80 | TOTAL US | 30 | 462 | $41,023.90 | $116.469,87 | $195,981.00 | $19,747.00 | $29.724,99 | $44,729.60 | $17,280.80 | $24.829,63 | $36,944.70 |
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.