Hospital Costs > Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Colorado | 2 | 24 | $103,669.00 | $108,186.50 | $112,009.00 | $16,264.40 | $16,798.48 | $17,250.40 | $15,573.80 | $15,791.60 | $15,975.90 |
| North Dakota | 1 | 15 | $48,218.40 | $48,218.40 | $48,218.40 | $17,929.10 | $17,929.10 | $17,929.10 | $16,865.00 | $16,865.00 | $16,865.00 |
| West Virginia | 3 | 59 | $50,729.50 | $52,499.95 | $54,755.80 | $17,850.20 | $18,183.69 | $18,779.80 | $14,577.10 | $15,413.31 | $16,767.10 |
| Alabama | 6 | 154 | $36,160.60 | $62,001.74 | $83,699.50 | $15,238.30 | $16,495.02 | $19,184.90 | $10,755.30 | $14,205.06 | $17,163.90 |
| Idaho | 1 | 11 | $55,103.80 | $55,103.80 | $55,103.80 | $19,520.50 | $19,520.50 | $19,520.50 | $18,465.10 | $18,465.10 | $18,465.10 |
| South Dakota | 1 | 21 | $79,699.10 | $79,699.10 | $79,699.10 | $20,201.70 | $20,201.70 | $20,201.70 | $16,818.80 | $16,818.80 | $16,818.80 |
| Nevada | 3 | 52 | $62,331.50 | $113,072.38 | $141,115.00 | $17,798.70 | $19,070.11 | $20,371.40 | $15,314.60 | $16,860.01 | $17,745.60 |
| Kansas | 7 | 130 | $49,688.20 | $80,746.26 | $121,619.00 | $14,256.80 | $16,918.84 | $21,644.00 | $12,642.80 | $15,543.01 | $20,900.90 |
| Maine | 1 | 19 | $56,891.40 | $56,891.40 | $56,891.40 | $22,968.30 | $22,968.30 | $22,968.30 | $17,400.70 | $17,400.70 | $17,400.70 |
| Oregon | 3 | 37 | $73,002.20 | $75,268.03 | $77,827.20 | $21,511.60 | $22,327.93 | $22,991.80 | $20,209.50 | $20,877.53 | $21,621.90 |
| Tennessee | 9 | 174 | $40,117.50 | $70,353.93 | $112,574.00 | $15,394.50 | $18,182.31 | $23,283.30 | $12,899.90 | $16,330.18 | $22,433.80 |
| Vermont | 1 | 11 | $64,105.50 | $64,105.50 | $64,105.50 | $23,449.20 | $23,449.20 | $23,449.20 | $21,796.20 | $21,796.20 | $21,796.20 |
| Georgia | 8 | 127 | $46,515.10 | $63,264.39 | $90,698.10 | $15,390.00 | $18,998.10 | $23,450.50 | $13,840.50 | $15,922.20 | $18,509.20 |
| Arkansas | 7 | 102 | $30,012.60 | $60,857.14 | $86,439.40 | $14,256.60 | $17,057.61 | $23,595.00 | $13,481.70 | $15,313.42 | $18,468.60 |
| Nebraska | 4 | 78 | $51,904.70 | $65,153.90 | $77,339.60 | $16,819.30 | $18,722.06 | $23,871.90 | $13,767.60 | $15,115.80 | $15,741.90 |
| Delaware | 1 | 67 | $55,270.60 | $55,270.60 | $55,270.60 | $23,885.50 | $23,885.50 | $23,885.50 | $20,296.70 | $20,296.70 | $20,296.70 |
| Rhode Island | 1 | 11 | $76,483.40 | $76,483.40 | $76,483.40 | $25,381.00 | $25,381.00 | $25,381.00 | $22,888.50 | $22,888.50 | $22,888.50 |
| Mississippi | 6 | 75 | $45,868.80 | $75,426.88 | $115,458.00 | $14,289.40 | $17,188.56 | $25,635.30 | $13,160.30 | $15,597.20 | $22,287.20 |
| Wisconsin | 4 | 79 | $51,203.20 | $72,820.57 | $95,683.50 | $16,271.50 | $20,969.83 | $25,854.70 | $15,202.00 | $18,708.87 | $21,617.60 |
| Iowa | 4 | 72 | $58,104.00 | $67,017.03 | $83,668.90 | $17,712.60 | $20,610.34 | $25,895.80 | $14,534.60 | $17,757.81 | $23,252.90 |
| Connecticut | 3 | 60 | $56,431.80 | $73,858.11 | $88,383.10 | $21,808.00 | $25,032.39 | $25,909.90 | $20,760.50 | $23,008.37 | $23,571.00 |
| Hawaii | 1 | 14 | $55,408.10 | $55,408.10 | $55,408.10 | $26,056.00 | $26,056.00 | $26,056.00 | $22,796.10 | $22,796.10 | $22,796.10 |
| Kentucky | 9 | 144 | $40,784.60 | $71,560.98 | $136,455.00 | $14,804.50 | $19,025.98 | $26,080.50 | $13,760.30 | $16,787.05 | $22,990.20 |
| Washington DC | 3 | 65 | $87,327.10 | $94,939.17 | $98,852.80 | $25,356.80 | $25,849.78 | $26,398.30 | $21,190.20 | $22,261.63 | $23,802.80 |
| Ohio | 12 | 196 | $41,355.20 | $80,299.10 | $118,190.00 | $16,117.80 | $21,070.32 | $26,747.20 | $13,791.70 | $17,966.66 | $21,520.10 |
| Florida | 44 | 767 | $55,315.50 | $96,969.67 | $229,862.00 | $13,598.10 | $17,592.82 | $27,364.50 | $10,964.90 | $15,420.13 | $19,964.30 |
| Louisiana | 5 | 68 | $51,747.40 | $81,979.61 | $166,369.00 | $14,492.20 | $18,915.04 | $27,790.60 | $13,325.10 | $14,716.23 | $16,815.50 |
| New Hampshire | 1 | 18 | $60,119.80 | $60,119.80 | $60,119.80 | $27,950.20 | $27,950.20 | $27,950.20 | $21,509.70 | $21,509.70 | $21,509.70 |
| South Carolina | 10 | 183 | $56,443.10 | $82,772.48 | $131,442.00 | $15,134.60 | $19,562.44 | $28,016.20 | $12,084.10 | $16,860.53 | $23,736.20 |
| Arizona | 13 | 183 | $53,280.10 | $96,409.96 | $137,330.00 | $18,115.50 | $20,870.92 | $28,094.80 | $15,360.70 | $18,504.93 | $23,463.70 |
| Minnesota | 6 | 154 | $50,697.00 | $61,461.27 | $74,546.40 | $17,804.60 | $23,595.99 | $28,396.60 | $16,807.60 | $19,999.66 | $22,212.20 |
| Michigan | 19 | 378 | $36,372.40 | $60,008.80 | $82,359.60 | $16,657.70 | $21,424.22 | $28,671.90 | $15,770.00 | $19,283.48 | $25,840.20 |
| Indiana | 10 | 172 | $53,941.00 | $82,112.39 | $116,852.00 | $16,738.80 | $19,805.72 | $28,781.70 | $13,823.20 | $17,693.79 | $25,277.60 |
| Utah | 1 | 19 | $62,322.40 | $62,322.40 | $62,322.40 | $28,898.10 | $28,898.10 | $28,898.10 | $25,283.20 | $25,283.20 | $25,283.20 |
| Texas | 23 | 395 | $42,883.20 | $93,656.29 | $162,336.00 | $14,801.00 | $19,013.38 | $29,017.40 | $12,429.40 | $17,103.22 | $25,831.00 |
| North Carolina | 16 | 332 | $38,269.70 | $69,569.13 | $102,816.00 | $14,775.90 | $21,906.54 | $29,378.50 | $13,504.70 | $18,515.00 | $24,339.70 |
| Oklahoma | 6 | 78 | $38,276.60 | $73,650.73 | $131,608.00 | $15,219.00 | $18,750.66 | $29,408.50 | $13,006.60 | $15,420.72 | $19,003.70 |
| New Jersey | 21 | 411 | $68,848.00 | $129,465.12 | $213,957.00 | $17,364.10 | $22,714.07 | $29,452.30 | $16,087.30 | $19,712.23 | $26,451.60 |
| Virginia | 12 | 217 | $36,893.00 | $88,552.81 | $166,629.00 | $14,840.20 | $20,568.59 | $30,367.80 | $13,065.50 | $17,351.10 | $26,946.90 |
| Massachusetts | 11 | 226 | $21,262.60 | $59,064.96 | $102,148.00 | $19,780.30 | $27,095.28 | $33,200.40 | $18,873.10 | $24,313.34 | $30,780.10 |
| Pennsylvania | 24 | 433 | $30,919.30 | $95,217.45 | $166,800.00 | $15,429.70 | $21,289.82 | $33,362.90 | $12,955.20 | $17,405.21 | $26,212.70 |
| Illinois | 19 | 325 | $52,263.70 | $89,945.11 | $175,542.00 | $15,547.60 | $21,411.97 | $33,585.40 | $14,309.30 | $18,637.63 | $29,047.60 |
| Washington | 5 | 69 | $53,315.40 | $74,242.56 | $101,639.00 | $18,679.10 | $26,186.75 | $39,411.40 | $16,895.80 | $21,750.81 | $30,225.60 |
| New York | 25 | 447 | $40,954.40 | $97,951.10 | $212,981.00 | $18,022.30 | $28,660.98 | $46,836.60 | $15,010.80 | $23,775.11 | $41,106.10 |
| Maryland | 14 | 232 | $19,501.50 | $30,038.66 | $57,384.50 | $17,980.30 | $27,774.08 | $53,494.80 | $15,479.20 | $25,629.06 | $43,036.50 |
| California | 31 | 485 | $60,506.20 | $144,269.31 | $260,926.00 | $17,396.00 | $26,728.10 | $54,555.10 | $16,332.80 | $23,903.34 | $53,409.40 |
| Missouri | 16 | 302 | $42,771.50 | $104,199.20 | $851,762.00 | $14,185.60 | $25,495.95 | $189,099.00 | $12,572.90 | $23,914.25 | $187,260.00 | TOTAL US | 433 | 7,691 | $19,501.50 | $87.066,09 | $851,762.00 | $13,598.10 | $21.788,92 | $189,099.00 | $10,755.30 | $19.020,11 | $187,260.00 |
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.