Hospital Costs > Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh 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 |
| Missouri | 1 | 15 | $17,511.30 | $17,511.30 | $17,511.30 | $7,168.20 | $7,168.20 | $7,168.20 | $5,045.47 | $5,045.47 | $5,045.47 |
| Indiana | 1 | 14 | $44,749.10 | $44,749.10 | $44,749.10 | $7,632.50 | $7,632.50 | $7,632.50 | $5,839.64 | $5,839.64 | $5,839.64 |
| Oklahoma | 1 | 12 | $20,919.90 | $20,919.90 | $20,919.90 | $8,247.25 | $8,247.25 | $8,247.25 | $6,983.58 | $6,983.58 | $6,983.58 |
| Minnesota | 1 | 13 | $14,470.30 | $14,470.30 | $14,470.30 | $8,907.46 | $8,907.46 | $8,907.46 | $7,668.85 | $7,668.85 | $7,668.85 |
| Kansas | 2 | 24 | $27,397.00 | $35,807.75 | $44,218.50 | $7,448.25 | $8,221.84 | $8,995.42 | $6,437.58 | $7,363.17 | $8,288.75 |
| Tennessee | 2 | 22 | $35,140.70 | $36,696.50 | $38,252.30 | $6,627.09 | $7,909.23 | $9,191.36 | $5,552.18 | $6,931.00 | $8,309.82 |
| Kentucky | 1 | 11 | $26,135.10 | $26,135.10 | $26,135.10 | $9,294.73 | $9,294.73 | $9,294.73 | $8,094.00 | $8,094.00 | $8,094.00 |
| Texas | 3 | 45 | $34,811.70 | $51,195.38 | $77,547.90 | $8,445.50 | $9,043.31 | $9,402.24 | $6,771.58 | $7,653.00 | $8,266.81 |
| Virginia | 1 | 12 | $28,832.40 | $28,832.40 | $28,832.40 | $9,572.92 | $9,572.92 | $9,572.92 | $7,678.42 | $7,678.42 | $7,678.42 |
| Wisconsin | 1 | 12 | $38,538.70 | $38,538.70 | $38,538.70 | $9,768.67 | $9,768.67 | $9,768.67 | $8,481.25 | $8,481.25 | $8,481.25 |
| Florida | 4 | 53 | $17,393.40 | $42,323.56 | $88,136.80 | $6,722.82 | $8,624.13 | $9,951.64 | $5,730.82 | $6,942.94 | $8,852.00 |
| Michigan | 5 | 69 | $23,507.40 | $27,486.26 | $29,410.30 | $8,527.38 | $9,340.54 | $9,967.64 | $7,266.08 | $8,061.23 | $8,657.73 |
| Illinois | 2 | 25 | $30,407.00 | $35,480.28 | $40,163.30 | $10,280.20 | $10,353.54 | $10,433.00 | $8,646.62 | $8,925.20 | $9,227.00 |
| Pennsylvania | 2 | 28 | $44,557.10 | $45,528.50 | $46,499.90 | $9,247.64 | $9,857.22 | $10,466.80 | $6,924.29 | $7,687.79 | $8,451.29 |
| Ohio | 1 | 12 | $55,157.80 | $55,157.80 | $55,157.80 | $11,810.30 | $11,810.30 | $11,810.30 | $8,774.00 | $8,774.00 | $8,774.00 |
| Louisiana | 1 | 13 | $48,165.40 | $48,165.40 | $48,165.40 | $11,905.80 | $11,905.80 | $11,905.80 | $9,765.77 | $9,765.77 | $9,765.77 |
| New Jersey | 3 | 38 | $43,265.50 | $63,780.92 | $78,294.70 | $9,209.36 | $10,838.18 | $12,950.20 | $7,613.55 | $9,530.41 | $11,490.80 |
| North Carolina | 2 | 26 | $21,188.30 | $22,465.06 | $24,206.10 | $8,476.13 | $10,712.33 | $13,761.70 | $6,997.33 | $8,109.31 | $9,625.64 |
| Massachusetts | 5 | 61 | $11,274.20 | $21,382.42 | $50,745.20 | $9,080.73 | $10,560.40 | $14,172.90 | $8,359.67 | $9,346.63 | $11,989.60 |
| Connecticut | 2 | 27 | $47,094.30 | $55,896.55 | $61,948.10 | $13,277.70 | $14,006.89 | $14,508.20 | $10,823.90 | $11,533.35 | $12,021.10 |
| New York | 4 | 72 | $36,137.80 | $72,495.13 | $93,979.40 | $14,232.80 | $19,045.04 | $20,805.40 | $11,101.90 | $15,608.53 | $17,849.10 |
| Maryland | 1 | 12 | $23,354.30 | $23,354.30 | $23,354.30 | $21,636.80 | $21,636.80 | $21,636.80 | $20,320.80 | $20,320.80 | $20,320.80 | TOTAL US | 46 | 616 | $11,274.20 | $41.080,36 | $93,979.40 | $6,627.09 | $11.068,67 | $21,636.80 | $5,045.47 | $9.276,80 | $20,320.80 |
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.