Hospital Costs > Extensive O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/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 | 2 | 23 | $16,586.00 | $29,156.21 | $40,678.90 | $15,635.50 | $27,040.87 | $37,495.80 | $11,249.00 | $24,362.81 | $36,383.80 |
| Minnesota | 1 | 13 | $29,267.50 | $29,267.50 | $29,267.50 | $15,104.70 | $15,104.70 | $15,104.70 | $12,245.80 | $12,245.80 | $12,245.80 |
| New York | 2 | 27 | $31,826.30 | $34,192.93 | $37,635.30 | $18,423.40 | $18,668.94 | $19,026.10 | $16,939.30 | $17,034.80 | $17,173.70 |
| Missouri | 1 | 13 | $34,978.90 | $34,978.90 | $34,978.90 | $15,100.30 | $15,100.30 | $15,100.30 | $11,213.20 | $11,213.20 | $11,213.20 |
| Washington | 1 | 11 | $48,833.70 | $48,833.70 | $48,833.70 | $13,962.70 | $13,962.70 | $13,962.70 | $11,898.00 | $11,898.00 | $11,898.00 |
| Arizona | 1 | 11 | $55,841.50 | $55,841.50 | $55,841.50 | $14,187.60 | $14,187.60 | $14,187.60 | $13,088.00 | $13,088.00 | $13,088.00 |
| Alabama | 1 | 11 | $60,942.60 | $60,942.60 | $60,942.60 | $14,169.50 | $14,169.50 | $14,169.50 | $10,371.70 | $10,371.70 | $10,371.70 |
| Florida | 1 | 14 | $79,810.90 | $79,810.90 | $79,810.90 | $11,046.10 | $11,046.10 | $11,046.10 | $9,365.00 | $9,365.00 | $9,365.00 |
| Pennsylvania | 1 | 11 | $89,014.10 | $89,014.10 | $89,014.10 | $21,915.50 | $21,915.50 | $21,915.50 | $14,558.50 | $14,558.50 | $14,558.50 | TOTAL US | 11 | 134 | $16,586.00 | $47.367,97 | $89,014.10 | $11,046.10 | $17.760,45 | $37,495.80 | $9,365.00 | $14.965,96 | $36,383.80 |
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.