Hospital Costs > Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O 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 | 30 | 744 | $5,764.19 | $7,785.45 | $13,243.30 | $5,355.81 | $7,243.77 | $12,335.20 | $4,072.70 | $6,041.75 | $10,532.40 |
| Massachusetts | 34 | 883 | $6,223.06 | $12,583.44 | $32,320.00 | $5,067.95 | $6,774.12 | $11,082.20 | $4,000.89 | $5,360.94 | $8,153.00 |
| Arkansas | 6 | 79 | $4,927.55 | $13,664.03 | $26,337.40 | $3,900.92 | $4,363.63 | $4,913.33 | $2,985.00 | $3,318.24 | $3,868.17 |
| Maine | 3 | 54 | $13,474.40 | $14,375.09 | $15,525.90 | $5,510.44 | $5,946.48 | $6,376.60 | $4,022.10 | $4,356.74 | $4,932.93 |
| Vermont | 1 | 20 | $14,433.60 | $14,433.60 | $14,433.60 | $7,349.40 | $7,349.40 | $7,349.40 | $5,314.30 | $5,314.30 | $5,314.30 |
| North Dakota | 1 | 11 | $15,098.10 | $15,098.10 | $15,098.10 | $5,336.64 | $5,336.64 | $5,336.64 | $4,260.64 | $4,260.64 | $4,260.64 |
| Montana | 2 | 26 | $13,576.50 | $15,213.50 | $16,850.50 | $5,039.77 | $5,153.23 | $5,266.69 | $3,884.08 | $4,044.35 | $4,204.62 |
| New Mexico | 3 | 59 | $14,388.50 | $15,266.82 | $18,167.10 | $4,681.22 | $5,709.27 | $6,347.50 | $3,472.33 | $4,359.34 | $4,907.30 |
| West Virginia | 5 | 89 | $8,910.45 | $15,377.27 | $22,187.90 | $4,680.18 | $5,622.60 | $7,800.42 | $3,498.89 | $3,965.92 | $6,176.75 |
| Delaware | 3 | 100 | $14,591.80 | $15,883.02 | $16,929.70 | $5,034.62 | $6,449.83 | $7,019.42 | $3,215.56 | $4,256.85 | $4,477.04 |
| Michigan | 37 | 849 | $8,090.91 | $15,972.75 | $26,377.10 | $4,398.80 | $5,869.93 | $9,114.90 | $3,355.60 | $4,415.71 | $7,390.36 |
| North Carolina | 19 | 319 | $10,922.90 | $16,543.87 | $29,194.00 | $4,136.33 | $5,984.91 | $11,030.50 | $3,121.44 | $4,338.93 | $7,824.75 |
| Louisiana | 5 | 71 | $10,827.70 | $16,847.17 | $20,794.60 | $4,300.38 | $4,801.03 | $5,670.33 | $3,016.00 | $3,671.35 | $4,414.67 |
| Tennessee | 15 | 261 | $7,647.83 | $16,849.96 | $28,961.20 | $3,783.93 | $5,063.31 | $7,181.45 | $2,671.50 | $3,848.38 | $5,611.07 |
| Iowa | 6 | 112 | $10,897.90 | $17,411.68 | $25,648.30 | $3,857.83 | $5,851.19 | $10,044.30 | $2,636.00 | $4,073.73 | $6,201.39 |
| Kentucky | 14 | 227 | $7,834.08 | $17,448.04 | $35,889.30 | $4,263.20 | $5,804.88 | $10,033.50 | $2,556.86 | $3,963.81 | $5,744.00 |
| Nebraska | 5 | 94 | $13,329.40 | $17,547.21 | $18,490.20 | $4,199.05 | $5,437.65 | $7,739.32 | $3,180.11 | $3,969.35 | $4,808.89 |
| Utah | 3 | 45 | $15,664.70 | $17,712.53 | $20,323.10 | $5,147.14 | $5,621.85 | $6,182.17 | $4,025.68 | $4,367.22 | $4,984.73 |
| New Hampshire | 6 | 105 | $11,907.60 | $17,858.50 | $22,014.60 | $4,669.44 | $4,923.21 | $5,221.50 | $3,470.38 | $3,771.27 | $4,144.79 |
| Oregon | 4 | 54 | $14,765.10 | $18,211.97 | $22,818.90 | $4,707.45 | $5,939.57 | $7,426.20 | $3,613.64 | $4,033.65 | $4,565.64 |
| Ohio | 36 | 643 | $6,550.08 | $18,224.01 | $39,483.90 | $4,036.11 | $5,586.52 | $9,618.50 | $2,635.74 | $4,024.49 | $7,655.78 |
| Minnesota | 18 | 354 | $10,415.10 | $18,489.67 | $46,693.00 | $4,826.00 | $6,784.48 | $13,436.10 | $3,095.65 | $4,714.52 | $9,340.47 |
| Wisconsin | 7 | 196 | $14,847.10 | $18,711.42 | $22,623.90 | $4,143.46 | $6,127.91 | $8,322.74 | $3,121.92 | $4,399.72 | $5,194.37 |
| Indiana | 16 | 295 | $11,678.00 | $19,212.75 | $29,573.80 | $4,272.00 | $5,439.01 | $8,551.17 | $3,133.32 | $3,897.67 | $6,414.83 |
| Missouri | 19 | 342 | $9,536.45 | $19,230.39 | $35,790.90 | $3,819.93 | $5,359.74 | $9,961.24 | $2,801.59 | $3,958.33 | $6,977.94 |
| Virginia | 21 | 388 | $10,015.10 | $19,448.59 | $36,890.30 | $4,009.58 | $5,310.60 | $9,418.00 | $2,734.42 | $3,896.21 | $6,351.15 |
| South Dakota | 2 | 24 | $17,844.70 | $20,776.20 | $23,256.70 | $5,931.00 | $5,981.16 | $6,040.45 | $4,750.45 | $4,774.54 | $4,794.92 |
| Georgia | 14 | 213 | $12,795.50 | $20,830.70 | $30,875.80 | $3,936.46 | $5,175.59 | $6,209.79 | $2,990.77 | $4,018.95 | $4,892.57 |
| Alabama | 11 | 198 | $9,141.33 | $21,119.16 | $49,200.50 | $3,880.00 | $4,840.55 | $7,495.85 | $2,882.00 | $3,596.85 | $5,101.54 |
| Kansas | 10 | 186 | $7,825.77 | $22,111.65 | $38,640.90 | $3,897.13 | $5,192.41 | $6,627.63 | $3,205.29 | $3,922.18 | $4,849.63 |
| Illinois | 40 | 875 | $12,558.00 | $22,479.26 | $41,204.50 | $4,049.79 | $5,455.38 | $9,173.79 | $2,927.50 | $3,992.96 | $7,140.14 |
| Rhode Island | 4 | 85 | $16,825.50 | $22,720.89 | $25,670.50 | $5,162.40 | $6,935.99 | $8,183.11 | $4,005.00 | $5,463.41 | $6,430.86 |
| Mississippi | 8 | 112 | $14,833.60 | $22,939.96 | $36,628.50 | $4,380.83 | $5,632.42 | $10,619.80 | $3,153.83 | $4,326.03 | $8,137.00 |
| Oklahoma | 6 | 98 | $11,371.40 | $23,139.56 | $47,925.70 | $4,394.15 | $5,853.85 | $10,681.90 | $3,057.55 | $4,396.32 | $7,983.36 |
| South Carolina | 9 | 168 | $15,147.00 | $23,673.93 | $36,733.80 | $4,815.25 | $5,971.85 | $7,745.53 | $3,205.78 | $4,245.44 | $5,681.74 |
| Washington | 9 | 148 | $18,482.20 | $23,850.49 | $35,439.60 | $4,676.07 | $6,354.74 | $11,197.40 | $3,636.07 | $4,837.96 | $6,601.50 |
| Connecticut | 10 | 255 | $18,471.60 | $24,506.70 | $32,830.00 | $5,911.63 | $7,416.83 | $9,162.47 | $4,877.19 | $5,906.47 | $7,151.22 |
| Arizona | 13 | 216 | $17,247.30 | $24,592.41 | $33,893.50 | $4,275.69 | $5,390.71 | $7,340.45 | $2,577.38 | $4,193.49 | $6,464.82 |
| New York | 75 | 1,860 | $8,138.00 | $26,801.89 | $60,316.50 | $4,299.50 | $8,057.33 | $17,193.20 | $3,195.50 | $6,319.81 | $15,089.20 |
| Pennsylvania | 36 | 803 | $7,994.08 | $27,099.67 | $58,787.20 | $3,890.74 | $5,771.46 | $10,986.60 | $2,562.53 | $3,979.66 | $8,143.36 |
| Texas | 38 | 717 | $14,840.50 | $27,578.21 | $47,616.00 | $3,789.67 | $5,868.11 | $13,659.60 | $2,989.67 | $4,319.63 | $8,296.45 |
| Washington DC | 1 | 18 | $28,218.60 | $28,218.60 | $28,218.60 | $7,801.50 | $7,801.50 | $7,801.50 | $5,677.78 | $5,677.78 | $5,677.78 |
| Florida | 91 | 2,131 | $10,897.10 | $29,015.17 | $57,487.00 | $3,870.15 | $5,167.02 | $14,674.80 | $2,632.98 | $3,873.36 | $9,309.79 |
| Colorado | 12 | 224 | $21,783.70 | $32,515.38 | $44,306.10 | $4,269.17 | $5,405.43 | $9,261.82 | $3,190.64 | $3,964.83 | $6,309.55 |
| Nevada | 6 | 97 | $26,385.20 | $39,688.04 | $52,556.60 | $5,545.08 | $6,620.66 | $10,694.60 | $3,810.33 | $5,333.64 | $8,974.46 |
| California | 66 | 1,150 | $15,398.90 | $40,437.53 | $83,516.70 | $4,909.96 | $7,537.48 | $15,326.00 | $3,591.17 | $5,992.20 | $13,351.90 |
| New Jersey | 36 | 869 | $22,658.10 | $42,634.21 | $105,064.00 | $4,535.88 | $6,526.13 | $10,213.50 | $3,307.93 | $4,555.83 | $6,595.60 | TOTAL US | 816 | 16,867 | $4,927.55 | $24.188,27 | $105,064.00 | $3,783.93 | $6.200,92 | $17,193.20 | $2,556.86 | $4.676,52 | $15,089.20 |
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.