Hospital Costs > Heart Failure & Shock 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 |
| Tennessee | 51 | 1,467 | $4,544.86 | $17,463.76 | $36,106.70 | $2,998.00 | $4,433.37 | $6,817.16 | $2,099.33 | $3,514.04 | $6,017.78 |
| Pennsylvania | 107 | 3,362 | $6,357.14 | $21,957.97 | $68,656.60 | $3,375.58 | $5,246.81 | $11,286.30 | $2,221.55 | $3,825.95 | $7,989.50 |
| Alabama | 52 | 1,474 | $5,750.00 | $17,333.72 | $45,034.70 | $3,205.40 | $4,286.89 | $6,810.52 | $2,234.73 | $3,355.02 | $5,091.83 |
| Michigan | 63 | 2,056 | $6,476.94 | $12,704.12 | $18,090.40 | $3,609.64 | $5,142.03 | $8,375.00 | $2,281.84 | $4,042.79 | $7,032.79 |
| Oklahoma | 37 | 845 | $5,113.09 | $15,980.26 | $34,454.60 | $3,343.57 | $4,693.84 | $9,947.31 | $2,305.86 | $3,723.84 | $8,312.12 |
| Texas | 159 | 4,149 | $6,330.00 | $23,917.25 | $51,969.80 | $3,565.58 | $5,198.76 | $20,164.80 | $2,317.31 | $4,094.07 | $18,536.70 |
| Mississippi | 37 | 1,043 | $7,093.00 | $17,399.27 | $43,078.50 | $3,136.46 | $4,669.13 | $10,025.90 | $2,388.15 | $3,698.41 | $7,741.41 |
| Louisiana | 46 | 1,333 | $7,376.50 | $16,684.08 | $40,615.90 | $3,462.13 | $4,725.06 | $9,785.97 | $2,397.85 | $3,704.49 | $8,489.52 |
| Missouri | 46 | 1,317 | $8,223.82 | $16,603.15 | $35,765.60 | $3,397.00 | $4,535.26 | $8,482.26 | $2,461.89 | $3,539.55 | $7,024.22 |
| Florida | 129 | 4,683 | $8,408.83 | $24,038.15 | $49,664.50 | $3,368.50 | $4,698.60 | $13,779.00 | $2,477.54 | $3,725.69 | $11,196.50 |
| Georgia | 54 | 1,492 | $9,173.91 | $16,195.97 | $42,210.70 | $3,672.96 | $4,951.06 | $9,020.96 | $2,490.21 | $3,953.80 | $8,201.70 |
| Ohio | 87 | 2,325 | $5,492.83 | $15,272.30 | $29,143.00 | $3,483.34 | $4,828.46 | $9,544.12 | $2,516.13 | $3,591.39 | $7,362.54 |
| Kentucky | 45 | 1,293 | $6,517.00 | $14,441.93 | $30,823.90 | $3,581.61 | $4,624.70 | $7,608.73 | $2,516.35 | $3,611.48 | $6,338.09 |
| West Virginia | 19 | 541 | $6,184.08 | $10,688.79 | $17,230.70 | $3,428.86 | $4,673.40 | $7,591.39 | $2,540.00 | $3,515.64 | $5,546.81 |
| Illinois | 106 | 3,249 | $9,204.15 | $20,015.72 | $62,291.40 | $3,456.12 | $5,224.63 | $11,921.40 | $2,586.12 | $4,039.27 | $10,611.10 |
| Iowa | 21 | 528 | $9,539.56 | $14,230.22 | $21,268.70 | $3,625.79 | $4,560.29 | $8,159.74 | $2,592.48 | $3,504.98 | $6,411.00 |
| Virginia | 54 | 1,542 | $6,983.67 | $15,917.61 | $33,293.20 | $3,607.27 | $4,875.98 | $8,719.56 | $2,595.83 | $3,611.29 | $6,371.40 |
| South Carolina | 34 | 1,053 | $7,826.61 | $18,864.42 | $38,311.40 | $3,447.20 | $4,879.92 | $8,491.59 | $2,596.40 | $3,660.30 | $6,058.76 |
| Washington DC | 6 | 294 | $14,803.90 | $18,234.52 | $27,656.40 | $4,350.55 | $6,678.39 | $10,706.90 | $2,624.04 | $5,122.90 | $7,904.74 |
| Kansas | 18 | 396 | $5,686.20 | $18,821.12 | $27,008.60 | $3,498.82 | $4,545.56 | $5,964.14 | $2,626.09 | $3,552.98 | $5,100.14 |
| Arizona | 22 | 488 | $6,697.73 | $22,058.12 | $51,651.10 | $3,751.52 | $5,203.05 | $10,747.40 | $2,649.29 | $4,096.89 | $10,194.60 |
| Wisconsin | 31 | 720 | $8,061.00 | $15,580.83 | $24,116.90 | $3,334.17 | $4,942.89 | $8,100.06 | $2,663.94 | $3,877.12 | $5,534.69 |
| Nebraska | 15 | 295 | $6,471.00 | $16,328.90 | $23,236.90 | $3,663.64 | $4,962.76 | $7,937.21 | $2,668.73 | $3,749.15 | $5,491.75 |
| Colorado | 15 | 306 | $10,377.50 | $23,172.68 | $38,713.20 | $3,742.93 | $4,958.51 | $9,215.42 | $2,707.50 | $3,884.74 | $6,868.29 |
| New York | 118 | 3,917 | $6,257.18 | $21,313.50 | $43,877.00 | $3,735.39 | $7,096.27 | $17,774.90 | $2,712.83 | $5,818.79 | $16,108.50 |
| New Jersey | 60 | 2,499 | $18,331.60 | $41,565.42 | $105,349.00 | $4,028.00 | $5,424.65 | $8,979.24 | $2,728.09 | $4,278.46 | $7,042.66 |
| Arkansas | 35 | 934 | $4,830.64 | $14,044.34 | $36,193.90 | $3,477.41 | $4,351.79 | $7,295.39 | $2,737.86 | $3,446.28 | $5,458.13 |
| Indiana | 57 | 1,565 | $9,166.05 | $15,562.66 | $23,988.00 | $3,781.14 | $4,684.18 | $8,685.29 | $2,746.43 | $3,708.71 | $7,289.88 |
| Nevada | 16 | 316 | $16,488.50 | $29,835.86 | $46,704.10 | $4,080.94 | $5,695.32 | $9,888.72 | $2,748.91 | $4,424.73 | $8,315.72 |
| Montana | 6 | 126 | $6,229.88 | $11,602.80 | $13,306.00 | $3,834.53 | $4,383.09 | $4,772.61 | $2,770.29 | $3,456.14 | $3,928.44 |
| South Dakota | 6 | 133 | $8,902.87 | $14,534.47 | $17,386.20 | $3,857.14 | $4,788.77 | $5,572.19 | $2,824.00 | $3,757.57 | $4,408.69 |
| North Carolina | 62 | 2,073 | $7,328.79 | $14,126.10 | $28,469.10 | $3,679.87 | $5,044.06 | $8,493.54 | $2,828.58 | $3,747.12 | $6,048.38 |
| California | 136 | 2,941 | $12,261.30 | $38,315.56 | $95,350.40 | $4,031.80 | $6,937.84 | $26,924.50 | $2,988.47 | $5,806.77 | $25,648.10 |
| Maine | 10 | 257 | $8,842.00 | $12,213.34 | $14,689.30 | $3,888.05 | $4,835.06 | $5,867.89 | $3,028.26 | $3,741.73 | $4,606.12 |
| Minnesota | 30 | 716 | $8,069.29 | $15,740.61 | $24,993.00 | $4,017.42 | $5,301.70 | $9,864.67 | $3,037.31 | $4,271.31 | $7,998.42 |
| Rhode Island | 8 | 219 | $11,422.30 | $17,181.07 | $23,239.10 | $4,153.12 | $5,816.49 | $7,490.14 | $3,105.25 | $4,460.38 | $5,905.94 |
| New Hampshire | 12 | 315 | $10,618.70 | $15,078.51 | $20,991.40 | $4,140.15 | $4,775.53 | $7,385.95 | $3,156.44 | $3,648.16 | $5,057.68 |
| Delaware | 5 | 252 | $10,465.30 | $11,812.53 | $14,622.10 | $4,181.27 | $5,396.72 | $5,755.90 | $3,156.53 | $4,189.78 | $4,595.61 |
| Washington | 31 | 705 | $8,295.39 | $19,512.52 | $27,943.00 | $4,226.58 | $5,329.81 | $8,879.45 | $3,158.46 | $4,089.34 | $5,293.35 |
| New Mexico | 14 | 241 | $6,126.54 | $19,750.61 | $36,790.30 | $4,227.07 | $5,680.84 | $11,408.90 | $3,162.64 | $4,666.77 | $9,239.64 |
| North Dakota | 5 | 91 | $8,026.23 | $10,811.77 | $12,702.10 | $4,287.28 | $4,819.42 | $5,130.53 | $3,170.00 | $3,611.69 | $3,773.97 |
| Utah | 4 | 77 | $10,508.10 | $15,430.86 | $18,714.00 | $4,427.67 | $5,042.48 | $5,632.35 | $3,210.39 | $3,853.03 | $4,381.64 |
| Oregon | 19 | 344 | $10,025.10 | $14,657.94 | $19,541.20 | $4,200.00 | $5,454.76 | $8,948.41 | $3,230.15 | $4,270.49 | $6,935.88 |
| Maryland | 38 | 1,612 | $4,787.52 | $6,814.93 | $10,908.30 | $4,425.59 | $6,313.04 | $10,084.80 | $3,485.19 | $5,395.45 | $9,250.51 |
| Vermont | 3 | 77 | $11,145.70 | $12,715.82 | $13,517.20 | $4,442.61 | $5,910.48 | $6,452.13 | $3,502.17 | $4,774.77 | $5,275.76 |
| Wyoming | 3 | 43 | $11,797.60 | $14,180.72 | $16,729.90 | $4,448.21 | $5,618.83 | $6,602.27 | $3,586.50 | $4,779.40 | $5,840.09 |
| Connecticut | 26 | 884 | $7,119.00 | $19,275.66 | $31,334.70 | $4,566.55 | $6,273.20 | $9,129.50 | $3,680.00 | $4,936.97 | $6,571.15 |
| Massachusetts | 53 | 1,950 | $5,605.14 | $11,145.84 | $30,112.80 | $4,502.50 | $5,982.28 | $10,329.90 | $3,695.83 | $4,876.06 | $8,457.50 |
| Idaho | 5 | 86 | $14,292.00 | $17,344.11 | $26,151.40 | $4,742.92 | $5,350.32 | $6,542.38 | $3,729.14 | $4,386.27 | $5,650.25 |
| Alaska | 3 | 39 | $24,981.30 | $27,178.17 | $31,416.10 | $5,744.31 | $6,726.67 | $7,362.73 | $4,821.23 | $5,941.03 | $6,523.27 |
| Hawaii | 3 | 55 | $14,892.40 | $17,107.88 | $19,317.40 | $6,737.44 | $8,231.54 | $8,985.14 | $5,813.50 | $6,476.85 | $7,421.38 | TOTAL US | 2,022 | 58,718 | $4,544.86 | $19.969,20 | $105,349.00 | $2,998.00 | $5.289,39 | $26,924.50 | $2,099.33 | $4.166,14 | $25,648.10 |
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.