Hospital Costs > Extensive O.R. Procedure Unrelated To Principal Diagnosis W 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 |
| Maryland | 21 | 397 | $24,643.90 | $50,623.05 | $88,226.40 | $22,723.00 | $47,528.67 | $88,623.40 | $21,665.00 | $44,031.87 | $70,770.80 |
| North Dakota | 4 | 61 | $62,035.20 | $79,577.80 | $100,557.00 | $26,522.30 | $32,842.84 | $37,097.10 | $25,539.00 | $27,475.40 | $29,797.60 |
| New Hampshire | 1 | 11 | $80,692.70 | $80,692.70 | $80,692.70 | $32,197.50 | $32,197.50 | $32,197.50 | $31,714.50 | $31,714.50 | $31,714.50 |
| Delaware | 5 | 137 | $58,470.50 | $83,097.87 | $103,039.00 | $30,165.50 | $36,558.35 | $39,647.00 | $28,882.70 | $33,178.17 | $36,903.60 |
| Maine | 2 | 47 | $80,663.50 | $85,969.86 | $88,976.80 | $30,456.20 | $33,688.41 | $35,520.00 | $28,432.80 | $29,943.97 | $30,800.30 |
| Utah | 3 | 58 | $84,355.80 | $93,988.50 | $102,914.00 | $29,148.30 | $39,603.18 | $50,189.40 | $25,304.30 | $32,388.06 | $39,966.30 |
| Michigan | 33 | 759 | $41,127.80 | $96,606.10 | $151,405.00 | $27,312.30 | $36,709.91 | $61,250.50 | $26,114.70 | $33,351.00 | $45,996.40 |
| West Virginia | 6 | 131 | $43,519.70 | $99,615.11 | $117,338.00 | $25,638.20 | $36,650.60 | $45,342.90 | $23,264.00 | $31,940.82 | $40,184.50 |
| New Mexico | 3 | 51 | $89,700.60 | $103,434.62 | $118,899.00 | $26,722.40 | $32,465.99 | $40,352.30 | $25,689.20 | $31,336.05 | $39,349.30 |
| North Carolina | 18 | 484 | $60,732.20 | $104,606.90 | $181,577.00 | $27,053.90 | $36,290.93 | $56,075.30 | $24,921.40 | $31,421.33 | $48,957.30 |
| Oregon | 6 | 103 | $81,001.50 | $104,986.85 | $139,015.00 | $32,661.60 | $39,588.33 | $59,795.50 | $30,959.20 | $36,619.47 | $52,827.30 |
| Nebraska | 5 | 98 | $71,762.00 | $107,277.41 | $125,615.00 | $27,769.70 | $35,970.08 | $40,779.60 | $22,873.00 | $30,964.19 | $38,923.10 |
| Minnesota | 11 | 297 | $64,131.60 | $108,136.04 | $150,498.00 | $30,812.50 | $40,065.88 | $55,809.50 | $29,927.20 | $35,689.39 | $50,660.50 |
| Tennessee | 16 | 423 | $50,594.20 | $109,157.15 | $199,557.00 | $23,872.00 | $29,245.28 | $35,140.70 | $19,334.70 | $26,522.33 | $31,889.30 |
| Massachusetts | 11 | 290 | $56,957.90 | $110,109.56 | $186,248.00 | $34,408.70 | $46,616.16 | $59,128.90 | $31,030.70 | $41,959.01 | $53,082.60 |
| Missouri | 25 | 520 | $70,899.10 | $113,804.75 | $230,559.00 | $22,553.60 | $31,190.77 | $52,142.40 | $21,815.20 | $28,457.94 | $42,632.40 |
| Arkansas | 9 | 164 | $50,340.60 | $114,058.57 | $222,233.00 | $23,887.10 | $30,409.15 | $46,196.90 | $20,965.00 | $27,197.67 | $40,457.00 |
| Vermont | 1 | 12 | $114,708.00 | $114,708.00 | $114,708.00 | $51,016.80 | $51,016.80 | $51,016.80 | $45,079.20 | $45,079.20 | $45,079.20 |
| Indiana | 23 | 438 | $67,835.60 | $114,804.93 | $186,379.00 | $24,215.90 | $32,838.01 | $42,914.00 | $21,400.10 | $29,582.85 | $39,682.20 |
| Idaho | 1 | 17 | $116,940.00 | $116,940.00 | $116,940.00 | $38,261.30 | $38,261.30 | $38,261.30 | $37,278.80 | $37,278.80 | $37,278.80 |
| Louisiana | 14 | 262 | $59,408.10 | $117,177.43 | $294,442.00 | $24,931.90 | $29,880.07 | $41,428.40 | $21,979.20 | $26,515.63 | $30,860.80 |
| Georgia | 24 | 476 | $63,580.60 | $117,677.38 | $190,888.00 | $26,569.80 | $33,485.39 | $51,681.90 | $24,935.60 | $30,490.74 | $41,452.40 |
| Iowa | 3 | 60 | $102,928.00 | $119,670.05 | $138,173.00 | $31,960.50 | $35,946.12 | $40,253.40 | $30,648.90 | $33,826.54 | $38,532.50 |
| Kentucky | 14 | 321 | $57,867.60 | $122,137.66 | $199,958.00 | $26,403.10 | $35,257.33 | $52,915.40 | $24,086.40 | $31,616.97 | $40,575.40 |
| Ohio | 30 | 583 | $41,112.90 | $122,732.55 | $197,180.00 | $23,533.20 | $35,540.92 | $53,673.10 | $21,939.60 | $30,449.44 | $44,650.90 |
| Wisconsin | 8 | 198 | $85,016.90 | $122,918.94 | $163,381.00 | $34,328.90 | $38,717.77 | $46,272.00 | $29,683.00 | $33,307.66 | $40,072.50 |
| Rhode Island | 3 | 41 | $103,894.00 | $127,604.17 | $142,780.00 | $32,186.40 | $38,545.65 | $41,852.20 | $31,044.50 | $34,667.94 | $36,259.70 |
| Mississippi | 10 | 188 | $63,789.90 | $130,095.28 | $321,156.00 | $23,735.20 | $31,570.49 | $51,819.50 | $22,355.20 | $28,757.64 | $44,261.50 |
| Kansas | 8 | 183 | $78,462.30 | $133,155.79 | $172,832.00 | $25,396.30 | $31,692.82 | $34,412.10 | $22,663.10 | $29,261.46 | $32,164.60 |
| Virginia | 17 | 326 | $64,900.40 | $140,288.27 | $296,144.00 | $24,356.10 | $36,029.83 | $64,291.40 | $23,220.70 | $30,748.91 | $50,438.50 |
| South Carolina | 13 | 286 | $76,712.00 | $140,686.39 | $263,528.00 | $25,643.80 | $35,165.85 | $47,166.10 | $20,517.00 | $30,516.67 | $41,059.70 |
| Arizona | 18 | 326 | $96,050.10 | $140,866.57 | $191,133.00 | $28,529.10 | $32,992.99 | $45,040.10 | $26,687.90 | $30,024.04 | $36,130.80 |
| Illinois | 40 | 762 | $80,934.20 | $141,465.07 | $246,959.00 | $24,471.90 | $35,620.00 | $55,682.30 | $23,181.50 | $32,782.62 | $48,570.80 |
| Washington | 10 | 159 | $89,391.80 | $144,669.57 | $225,328.00 | $32,207.10 | $42,528.50 | $65,220.60 | $29,596.00 | $38,240.77 | $52,723.10 |
| Alabama | 17 | 361 | $46,860.20 | $146,102.26 | $270,058.00 | $22,928.50 | $29,496.56 | $39,761.80 | $21,815.10 | $26,503.29 | $31,714.60 |
| South Dakota | 1 | 32 | $148,117.00 | $148,117.00 | $148,117.00 | $34,797.80 | $34,797.80 | $34,797.80 | $32,876.90 | $32,876.90 | $32,876.90 |
| Hawaii | 3 | 33 | $101,506.00 | $148,965.67 | $184,400.00 | $44,129.70 | $50,669.30 | $58,716.00 | $35,087.80 | $39,946.17 | $44,362.10 |
| Oklahoma | 10 | 167 | $93,467.50 | $150,607.16 | $325,052.00 | $27,255.30 | $32,068.95 | $39,732.20 | $26,057.90 | $29,729.93 | $36,698.70 |
| Florida | 66 | 1,441 | $89,096.40 | $161,684.49 | $308,127.00 | $22,379.80 | $31,185.51 | $52,295.10 | $20,299.40 | $28,566.40 | $42,934.50 |
| New York | 45 | 927 | $54,811.00 | $161,804.95 | $496,093.00 | $26,785.80 | $48,871.31 | $110,523.00 | $26,031.20 | $42,539.57 | $95,979.80 |
| Colorado | 5 | 74 | $120,862.00 | $163,472.01 | $202,802.00 | $28,024.40 | $35,105.37 | $45,171.70 | $26,295.20 | $31,005.00 | $39,725.20 |
| Texas | 56 | 1,198 | $71,873.10 | $166,796.77 | $321,500.00 | $22,915.10 | $32,364.43 | $50,280.40 | $20,032.50 | $28,830.92 | $43,075.90 |
| Connecticut | 5 | 132 | $112,779.00 | $170,711.47 | $213,885.00 | $39,168.80 | $51,777.24 | $59,961.70 | $37,378.50 | $44,804.64 | $51,990.80 |
| Pennsylvania | 34 | 682 | $56,806.10 | $184,118.40 | $430,422.00 | $23,910.80 | $38,915.76 | $59,688.00 | $22,704.50 | $32,678.90 | $47,489.90 |
| Washington DC | 2 | 66 | $158,800.00 | $191,286.06 | $292,805.00 | $45,658.70 | $53,458.29 | $77,832.00 | $36,553.90 | $43,254.80 | $64,195.10 |
| New Jersey | 33 | 678 | $108,614.00 | $207,650.60 | $471,919.00 | $25,103.90 | $38,853.95 | $64,941.30 | $24,147.50 | $34,575.86 | $48,896.80 |
| California | 61 | 1,061 | $100,511.00 | $261,647.25 | $568,521.00 | $31,364.20 | $47,453.24 | $114,437.00 | $27,667.90 | $43,584.80 | $98,491.20 |
| Nevada | 6 | 117 | $135,580.00 | $277,762.34 | $615,403.00 | $34,066.20 | $41,434.41 | $66,445.50 | $30,534.80 | $34,352.64 | $54,093.50 |
| Alaska | 1 | 15 | $278,825.00 | $278,825.00 | $278,825.00 | $67,174.90 | $67,174.90 | $67,174.90 | $62,515.70 | $62,515.70 | $62,515.70 | TOTAL US | 761 | 15,653 | $24,643.90 | $146.685,60 | $615,403.00 | $22,379.80 | $37.021,80 | $114,437.00 | $19,334.70 | $33.068,90 | $98,491.20 |
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.