Hospital Costs > Dysequilibrium - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Maryland | 29 | 651 | $4,772.95 | $6,462.51 | $10,078.10 | $4,418.80 | $6,018.58 | $9,304.17 | $3,183.26 | $4,838.51 | $8,293.50 |
| Montana | 1 | 20 | $12,513.50 | $12,513.50 | $12,513.50 | $4,240.70 | $4,240.70 | $4,240.70 | $3,186.00 | $3,186.00 | $3,186.00 |
| Massachusetts | 25 | 513 | $7,204.81 | $12,658.17 | $29,535.60 | $4,258.26 | $5,680.49 | $8,396.50 | $3,177.00 | $4,422.35 | $6,486.58 |
| West Virginia | 2 | 38 | $12,742.30 | $12,823.58 | $12,913.90 | $4,343.44 | $5,572.00 | $6,677.70 | $2,630.89 | $3,874.79 | $4,994.30 |
| Louisiana | 1 | 14 | $13,554.50 | $13,554.50 | $13,554.50 | $4,941.79 | $4,941.79 | $4,941.79 | $2,909.07 | $2,909.07 | $2,909.07 |
| Maine | 1 | 15 | $13,903.30 | $13,903.30 | $13,903.30 | $5,913.13 | $5,913.13 | $5,913.13 | $3,321.33 | $3,321.33 | $3,321.33 |
| Michigan | 29 | 702 | $8,644.21 | $13,952.70 | $19,665.90 | $3,845.50 | $4,824.07 | $7,737.70 | $2,708.82 | $3,542.32 | $6,371.40 |
| Delaware | 1 | 70 | $14,450.30 | $14,450.30 | $14,450.30 | $6,021.03 | $6,021.03 | $6,021.03 | $4,175.03 | $4,175.03 | $4,175.03 |
| Oregon | 1 | 11 | $14,670.90 | $14,670.90 | $14,670.90 | $6,480.00 | $6,480.00 | $6,480.00 | $3,592.45 | $3,592.45 | $3,592.45 |
| Iowa | 4 | 77 | $14,017.10 | $15,880.65 | $18,560.90 | $4,049.43 | $5,122.69 | $8,852.86 | $2,877.32 | $3,535.28 | $5,713.93 |
| Minnesota | 8 | 162 | $9,328.42 | $16,459.76 | $21,364.10 | $4,576.00 | $4,964.27 | $6,668.10 | $3,145.47 | $3,722.88 | $4,539.90 |
| Oklahoma | 7 | 113 | $10,933.00 | $17,192.56 | $25,152.10 | $3,851.31 | $4,884.43 | $7,582.15 | $2,773.94 | $3,549.89 | $6,292.31 |
| Kentucky | 5 | 117 | $10,259.40 | $17,309.29 | $22,720.00 | $3,807.67 | $4,714.54 | $5,408.36 | $2,154.33 | $3,374.68 | $4,266.84 |
| Arkansas | 1 | 12 | $18,558.10 | $18,558.10 | $18,558.10 | $4,162.50 | $4,162.50 | $4,162.50 | $3,061.17 | $3,061.17 | $3,061.17 |
| North Carolina | 11 | 195 | $12,418.70 | $18,674.83 | $26,723.80 | $3,439.95 | $4,972.40 | $7,904.09 | $2,286.95 | $3,470.20 | $5,234.91 |
| Washington | 3 | 40 | $15,936.80 | $18,778.19 | $21,695.00 | $4,619.36 | $5,375.20 | $5,772.65 | $3,190.41 | $3,609.25 | $4,390.33 |
| Indiana | 11 | 191 | $13,195.50 | $19,089.64 | $29,040.00 | $3,653.21 | $4,640.87 | $7,334.25 | $2,477.92 | $3,396.14 | $5,773.00 |
| Ohio | 22 | 380 | $11,406.80 | $19,445.22 | $31,863.00 | $3,376.11 | $4,449.87 | $7,053.06 | $2,144.32 | $3,021.63 | $4,825.88 |
| Missouri | 13 | 217 | $10,955.80 | $19,483.81 | $31,876.20 | $3,329.60 | $4,266.00 | $6,654.15 | $2,008.85 | $2,880.56 | $4,064.00 |
| New Mexico | 1 | 13 | $20,062.80 | $20,062.80 | $20,062.80 | $4,079.00 | $4,079.00 | $4,079.00 | $3,148.54 | $3,148.54 | $3,148.54 |
| Tennessee | 7 | 120 | $16,221.10 | $20,120.55 | $28,925.50 | $3,340.60 | $4,741.06 | $5,755.12 | $1,947.87 | $3,329.07 | $4,534.53 |
| Nebraska | 2 | 40 | $19,688.80 | $20,445.06 | $21,705.50 | $3,715.07 | $4,264.18 | $4,593.64 | $2,172.33 | $2,786.62 | $3,155.20 |
| New Hampshire | 4 | 59 | $17,910.40 | $20,566.97 | $24,400.10 | $3,809.20 | $4,140.81 | $4,682.57 | $2,840.67 | $3,088.20 | $3,539.50 |
| Wisconsin | 6 | 142 | $16,731.70 | $20,784.65 | $25,072.40 | $3,663.15 | $5,119.67 | $6,977.92 | $2,489.54 | $3,688.58 | $4,810.92 |
| Utah | 1 | 12 | $20,972.80 | $20,972.80 | $20,972.80 | $4,428.17 | $4,428.17 | $4,428.17 | $3,524.17 | $3,524.17 | $3,524.17 |
| Virginia | 17 | 379 | $11,845.50 | $21,209.77 | $48,219.40 | $3,365.73 | $4,546.67 | $6,080.00 | $2,126.45 | $3,100.70 | $4,208.44 |
| South Carolina | 4 | 74 | $15,209.80 | $21,258.66 | $24,777.40 | $3,599.76 | $4,662.05 | $6,618.82 | $2,634.64 | $3,378.78 | $5,353.82 |
| Rhode Island | 3 | 54 | $19,599.30 | $21,274.69 | $22,887.30 | $4,754.53 | $6,021.32 | $6,915.53 | $3,193.68 | $4,183.09 | $5,416.63 |
| Georgia | 10 | 146 | $11,797.70 | $21,385.88 | $34,947.90 | $3,402.18 | $4,205.88 | $5,354.38 | $2,254.46 | $3,098.40 | $4,320.54 |
| South Dakota | 1 | 11 | $21,708.00 | $21,708.00 | $21,708.00 | $4,736.27 | $4,736.27 | $4,736.27 | $3,405.36 | $3,405.36 | $3,405.36 |
| Connecticut | 10 | 206 | $17,250.00 | $22,787.52 | $32,682.10 | $4,947.48 | $6,391.10 | $10,088.20 | $3,207.23 | $4,601.20 | $5,901.17 |
| Illinois | 32 | 741 | $8,874.70 | $23,019.53 | $45,846.10 | $3,581.64 | $5,209.53 | $11,265.00 | $2,326.78 | $3,715.12 | $10,149.60 |
| Alabama | 6 | 105 | $14,593.00 | $24,041.21 | $39,829.60 | $3,658.82 | $4,233.49 | $4,992.67 | $2,195.92 | $2,695.47 | $3,217.64 |
| New York | 60 | 1,463 | $7,419.58 | $24,490.00 | $43,665.70 | $4,179.19 | $7,809.46 | $16,810.40 | $3,086.65 | $6,145.56 | $15,444.40 |
| Washington DC | 1 | 23 | $24,541.10 | $24,541.10 | $24,541.10 | $6,355.26 | $6,355.26 | $6,355.26 | $4,615.35 | $4,615.35 | $4,615.35 |
| Mississippi | 6 | 90 | $12,600.50 | $25,027.09 | $50,677.90 | $3,785.73 | $4,064.40 | $4,289.07 | $2,746.80 | $2,946.72 | $3,216.29 |
| Kansas | 3 | 50 | $15,026.20 | $25,382.74 | $34,281.90 | $3,979.08 | $4,438.28 | $5,499.07 | $2,887.05 | $3,290.32 | $4,091.27 |
| Pennsylvania | 32 | 605 | $11,454.90 | $27,191.45 | $54,412.50 | $3,233.92 | $5,075.64 | $9,815.38 | $2,128.91 | $3,410.89 | $5,981.15 |
| Colorado | 4 | 62 | $19,494.30 | $28,725.02 | $38,394.80 | $4,131.56 | $4,516.18 | $5,201.18 | $2,950.56 | $3,207.84 | $3,937.64 |
| Florida | 73 | 1,813 | $8,651.60 | $29,517.48 | $60,293.60 | $3,274.20 | $4,370.14 | $7,070.00 | $1,919.36 | $3,091.62 | $5,483.93 |
| Texas | 31 | 600 | $12,403.50 | $31,779.75 | $57,926.90 | $3,457.73 | $4,877.51 | $7,581.07 | $2,248.72 | $3,427.01 | $4,838.18 |
| Arizona | 6 | 88 | $19,564.50 | $31,999.34 | $64,796.50 | $3,896.36 | $4,800.40 | $7,832.18 | $2,799.64 | $3,659.91 | $6,348.00 |
| Nevada | 4 | 58 | $19,216.10 | $34,556.08 | $47,198.90 | $4,436.17 | $4,878.31 | $6,492.91 | $3,443.33 | $3,795.10 | $4,732.91 |
| California | 41 | 654 | $13,939.10 | $41,950.49 | $76,127.00 | $4,142.55 | $6,234.61 | $9,551.33 | $2,900.82 | $4,892.21 | $8,129.33 |
| New Jersey | 32 | 687 | $25,374.40 | $42,283.30 | $117,285.00 | $3,784.93 | $5,187.72 | $7,673.64 | $2,601.31 | $3,724.94 | $6,183.82 | TOTAL US | 572 | 11,833 | $4,772.95 | $24.413,22 | $117,285.00 | $3,233.92 | $5.358,72 | $16,810.40 | $1,919.36 | $3.943,70 | $15,444.40 |
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.