Hospital Costs > Extracranial Procedures 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 |
| Alabama | 22 | 884 | $12,324.20 | $33,934.01 | $113,142.00 | $4,945.34 | $6,165.70 | $8,908.13 | $3,840.79 | $4,945.31 | $6,810.45 |
| Arkansas | 16 | 531 | $11,460.70 | $28,202.09 | $67,998.40 | $5,528.96 | $6,206.03 | $7,014.42 | $4,316.58 | $4,983.07 | $5,920.85 |
| Kansas | 15 | 517 | $12,656.10 | $25,244.22 | $48,852.80 | $5,162.93 | $6,448.22 | $8,241.14 | $4,164.18 | $5,113.72 | $6,998.06 |
| Missouri | 26 | 822 | $15,772.10 | $28,185.60 | $98,855.90 | $5,297.93 | $6,573.24 | $8,831.00 | $4,199.32 | $5,303.19 | $7,001.39 |
| West Virginia | 7 | 290 | $12,596.50 | $19,159.39 | $25,403.20 | $5,393.82 | $6,642.25 | $7,449.06 | $4,194.41 | $5,067.44 | $5,536.35 |
| Nebraska | 8 | 237 | $7,880.61 | $20,761.99 | $35,720.50 | $5,732.76 | $6,719.81 | $9,553.12 | $4,447.23 | $5,314.83 | $6,839.67 |
| Tennessee | 27 | 821 | $12,060.50 | $28,805.94 | $117,678.00 | $5,371.87 | $6,721.30 | $9,502.63 | $3,814.33 | $5,222.34 | $8,376.23 |
| Mississippi | 14 | 426 | $19,403.20 | $32,513.75 | $89,581.70 | $5,919.12 | $6,721.96 | $13,860.70 | $4,796.10 | $5,268.44 | $9,809.38 |
| Louisiana | 20 | 619 | $20,094.00 | $34,236.14 | $65,168.40 | $5,347.16 | $6,754.59 | $9,535.13 | $4,034.18 | $5,335.50 | $8,205.80 |
| Florida | 66 | 2,162 | $18,723.80 | $47,791.63 | $126,180.00 | $5,519.11 | $6,802.11 | $10,852.30 | $4,233.62 | $5,232.09 | $9,290.75 |
| Oklahoma | 10 | 454 | $16,326.20 | $26,077.59 | $45,877.00 | $5,544.06 | $6,920.21 | $10,043.40 | $4,290.97 | $5,426.20 | $9,053.82 |
| Kentucky | 18 | 588 | $15,399.70 | $28,343.21 | $46,369.20 | $5,565.38 | $6,934.83 | $10,908.50 | $4,117.41 | $5,345.82 | $8,910.38 |
| Georgia | 27 | 812 | $18,718.70 | $33,129.68 | $64,798.00 | $5,569.18 | $6,943.54 | $8,372.69 | $4,070.83 | $5,523.93 | $7,144.85 |
| Iowa | 13 | 387 | $16,825.40 | $26,760.89 | $35,640.60 | $5,602.38 | $6,971.34 | $12,009.30 | $4,423.51 | $5,446.64 | $8,858.06 |
| Montana | 5 | 136 | $19,280.40 | $21,958.11 | $30,038.40 | $6,287.08 | $6,985.95 | $7,214.20 | $4,509.23 | $5,671.79 | $5,971.59 |
| Indiana | 29 | 824 | $13,137.60 | $32,795.94 | $55,616.40 | $5,559.96 | $7,003.21 | $10,243.20 | $4,244.87 | $5,555.73 | $8,579.33 |
| South Dakota | 4 | 142 | $21,582.20 | $33,785.66 | $42,320.50 | $5,973.33 | $7,048.10 | $9,608.92 | $4,667.56 | $5,572.68 | $8,327.92 |
| North Dakota | 5 | 156 | $15,610.50 | $18,915.02 | $21,273.70 | $6,761.03 | $7,104.56 | $8,047.91 | $4,997.54 | $5,646.53 | $5,858.16 |
| Texas | 72 | 2,207 | $13,208.20 | $35,114.68 | $82,058.40 | $5,597.45 | $7,125.86 | $10,941.70 | $4,473.00 | $5,517.22 | $8,517.38 |
| Colorado | 9 | 193 | $30,088.20 | $46,217.52 | $81,519.00 | $5,851.56 | $7,205.36 | $10,025.30 | $4,799.56 | $5,737.87 | $8,577.91 |
| Arizona | 19 | 452 | $27,875.30 | $43,368.73 | $85,078.80 | $6,164.46 | $7,210.62 | $10,877.20 | $4,944.38 | $5,872.11 | $9,612.92 |
| South Carolina | 19 | 675 | $21,388.60 | $39,135.77 | $72,522.40 | $5,752.26 | $7,332.60 | $10,393.10 | $3,972.27 | $5,637.17 | $7,794.12 |
| Ohio | 37 | 858 | $11,038.70 | $32,602.46 | $58,573.50 | $5,697.71 | $7,495.81 | $11,511.90 | $4,167.00 | $5,662.37 | $10,023.60 |
| Pennsylvania | 42 | 826 | $10,807.60 | $36,456.60 | $78,360.80 | $5,493.53 | $7,528.66 | $13,106.30 | $4,191.17 | $5,864.65 | $9,427.64 |
| Utah | 5 | 97 | $17,551.70 | $23,513.85 | $28,532.10 | $6,894.23 | $7,542.54 | $8,355.85 | $5,449.10 | $5,848.76 | $6,479.71 |
| North Carolina | 27 | 919 | $15,613.60 | $28,241.64 | $53,096.00 | $5,728.20 | $7,573.37 | $10,070.90 | $4,547.20 | $6,006.79 | $8,223.39 |
| New Mexico | 3 | 61 | $31,780.60 | $38,937.33 | $54,363.70 | $6,596.06 | $7,582.58 | $8,237.04 | $5,582.50 | $6,148.00 | $6,529.38 |
| Wisconsin | 17 | 394 | $18,225.50 | $30,383.59 | $46,556.50 | $5,887.70 | $7,590.44 | $11,426.00 | $4,543.82 | $6,054.54 | $7,556.18 |
| Virginia | 26 | 793 | $14,988.50 | $33,201.63 | $104,271.00 | $5,622.82 | $7,702.73 | $13,093.30 | $4,281.18 | $5,664.01 | $8,594.06 |
| Michigan | 35 | 1,030 | $15,834.10 | $24,788.83 | $46,054.40 | $6,237.62 | $7,811.23 | $14,493.20 | $5,137.08 | $6,102.88 | $8,598.42 |
| Oregon | 9 | 216 | $20,127.60 | $28,376.19 | $42,760.40 | $6,823.08 | $7,844.09 | $9,534.05 | $5,553.27 | $6,428.56 | $7,073.59 |
| Delaware | 3 | 177 | $15,100.70 | $23,741.74 | $38,913.40 | $7,013.96 | $7,854.13 | $8,531.06 | $5,278.98 | $5,998.58 | $6,388.48 |
| Idaho | 4 | 73 | $20,407.40 | $25,303.81 | $30,638.90 | $7,076.06 | $7,901.73 | $9,024.68 | $5,012.67 | $6,029.92 | $7,193.27 |
| Maine | 4 | 154 | $16,280.40 | $18,455.64 | $21,505.70 | $7,530.00 | $8,040.62 | $8,314.99 | $5,135.33 | $6,129.47 | $6,510.81 |
| Illinois | 41 | 902 | $21,290.40 | $39,533.76 | $83,979.60 | $6,060.30 | $8,068.25 | $16,226.60 | $4,451.58 | $5,709.31 | $9,625.82 |
| New Jersey | 26 | 669 | $25,997.90 | $40,164.11 | $79,889.20 | $6,367.54 | $8,092.46 | $10,315.70 | $4,617.66 | $6,401.09 | $8,780.05 |
| Nevada | 8 | 188 | $27,373.70 | $51,124.06 | $89,654.50 | $7,071.61 | $8,140.67 | $9,530.79 | $5,698.10 | $6,737.26 | $7,777.08 |
| Minnesota | 12 | 380 | $14,971.10 | $28,391.15 | $39,007.80 | $6,742.47 | $8,300.66 | $9,731.97 | $5,003.42 | $6,327.51 | $7,800.10 |
| Washington | 18 | 424 | $17,167.10 | $37,537.89 | $70,581.90 | $6,927.52 | $8,378.55 | $10,929.30 | $5,305.62 | $6,322.37 | $7,635.92 |
| New Hampshire | 7 | 202 | $16,011.60 | $28,696.52 | $54,326.20 | $6,619.30 | $8,489.44 | $10,792.50 | $4,961.16 | $6,428.26 | $8,127.63 |
| Wyoming | 2 | 38 | $30,574.60 | $31,330.76 | $32,784.90 | $8,275.08 | $8,628.40 | $9,307.85 | $5,160.16 | $6,086.79 | $7,868.77 |
| Vermont | 1 | 31 | $20,270.90 | $20,270.90 | $20,270.90 | $9,145.42 | $9,145.42 | $9,145.42 | $7,835.94 | $7,835.94 | $7,835.94 |
| Alaska | 2 | 63 | $40,420.10 | $47,228.77 | $49,174.10 | $8,814.84 | $9,160.79 | $10,371.60 | $7,776.47 | $8,134.25 | $9,386.50 |
| New York | 39 | 1,039 | $9,143.04 | $27,458.65 | $68,180.40 | $6,056.87 | $9,203.18 | $15,067.40 | $5,113.73 | $7,229.58 | $12,838.00 |
| California | 58 | 1,441 | $26,812.20 | $64,120.18 | $140,599.00 | $6,980.05 | $9,272.06 | $15,282.90 | $5,539.94 | $7,847.33 | $12,705.60 |
| Maryland | 19 | 678 | $6,016.01 | $10,086.88 | $32,427.50 | $5,630.71 | $9,384.05 | $29,970.20 | $4,342.78 | $7,951.24 | $28,211.80 |
| Connecticut | 9 | 197 | $20,932.50 | $28,587.07 | $52,906.40 | $7,839.55 | $9,592.98 | $11,357.60 | $6,859.18 | $8,021.60 | $9,181.37 |
| Washington DC | 1 | 22 | $42,512.20 | $42,512.20 | $42,512.20 | $9,834.95 | $9,834.95 | $9,834.95 | $6,991.27 | $6,991.27 | $6,991.27 |
| Rhode Island | 3 | 58 | $19,111.20 | $24,259.19 | $29,891.50 | $6,523.45 | $9,835.07 | $10,928.00 | $4,866.36 | $7,397.90 | $8,707.06 |
| Massachusetts | 20 | 623 | $10,225.10 | $28,534.55 | $62,339.00 | $7,181.21 | $10,196.50 | $12,293.10 | $6,143.50 | $8,274.35 | $10,572.50 |
| Hawaii | 2 | 26 | $19,585.10 | $25,566.69 | $33,723.40 | $10,624.30 | $12,600.09 | $14,049.00 | $9,248.91 | $10,591.69 | $11,576.40 | TOTAL US | 931 | 26,914 | $6,016.01 | $34.213,19 | $140,599.00 | $4,945.34 | $7.553,86 | $29,970.20 | $3,814.33 | $5.941,02 | $28,211.80 |
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.