Hospital Costs > Hernia Procedures Except Inguinal & Femoral W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Louisiana | 1 | 16 | $46,362.80 | $46,362.80 | $46,362.80 | $9,620.00 | $9,620.00 | $9,620.00 | $8,352.50 | $8,352.50 | $8,352.50 |
| Georgia | 1 | 11 | $36,038.90 | $36,038.90 | $36,038.90 | $10,049.90 | $10,049.90 | $10,049.90 | $9,263.91 | $9,263.91 | $9,263.91 |
| North Dakota | 1 | 11 | $22,465.60 | $22,465.60 | $22,465.60 | $10,091.30 | $10,091.30 | $10,091.30 | $9,108.00 | $9,108.00 | $9,108.00 |
| Tennessee | 3 | 41 | $38,627.50 | $39,976.74 | $40,803.30 | $9,309.07 | $10,474.82 | $11,987.00 | $6,564.13 | $8,492.64 | $10,201.50 |
| Arkansas | 4 | 66 | $32,960.20 | $36,038.79 | $43,715.00 | $9,197.40 | $10,661.21 | $14,867.30 | $6,988.29 | $8,153.03 | $12,298.20 |
| Florida | 13 | 211 | $35,334.30 | $59,275.76 | $85,028.70 | $8,646.64 | $11,318.45 | $15,242.90 | $7,629.67 | $8,664.22 | $11,063.10 |
| Missouri | 3 | 55 | $29,926.70 | $36,844.86 | $42,153.70 | $8,299.58 | $11,440.71 | $13,644.30 | $7,192.92 | $9,387.63 | $10,858.50 |
| Kansas | 2 | 30 | $47,907.30 | $52,588.86 | $55,709.90 | $11,356.60 | $11,625.70 | $11,805.10 | $7,989.58 | $9,485.45 | $10,482.70 |
| South Dakota | 2 | 32 | $32,297.30 | $39,895.93 | $46,600.60 | $11,159.60 | $11,892.12 | $12,722.30 | $9,111.29 | $10,236.58 | $11,511.90 |
| Texas | 9 | 151 | $35,031.80 | $55,981.99 | $78,328.10 | $9,846.73 | $12,212.72 | $15,325.70 | $6,940.00 | $8,580.00 | $9,299.73 |
| South Carolina | 5 | 61 | $40,687.00 | $61,067.48 | $118,397.00 | $10,521.80 | $12,871.07 | $16,232.00 | $7,125.08 | $10,092.11 | $13,001.30 |
| Kentucky | 4 | 59 | $29,641.50 | $44,306.88 | $55,988.00 | $9,461.82 | $12,957.81 | $16,337.20 | $7,287.64 | $10,218.51 | $12,728.90 |
| Michigan | 8 | 118 | $25,431.10 | $36,162.94 | $47,544.70 | $10,953.70 | $13,033.82 | $17,138.10 | $7,049.69 | $10,359.35 | $14,735.30 |
| New Jersey | 1 | 14 | $91,317.60 | $91,317.60 | $91,317.60 | $13,527.90 | $13,527.90 | $13,527.90 | $8,333.93 | $8,333.93 | $8,333.93 |
| Virginia | 3 | 36 | $28,011.50 | $32,956.61 | $43,253.60 | $11,447.80 | $13,528.43 | $16,652.30 | $7,890.38 | $10,581.86 | $13,514.80 |
| Delaware | 1 | 30 | $34,571.50 | $34,571.50 | $34,571.50 | $13,574.40 | $13,574.40 | $13,574.40 | $10,370.50 | $10,370.50 | $10,370.50 |
| Indiana | 4 | 69 | $37,654.50 | $60,562.62 | $74,702.70 | $9,306.75 | $13,604.30 | $17,952.50 | $8,116.08 | $10,541.98 | $11,962.00 |
| Oregon | 4 | 55 | $32,220.60 | $40,801.07 | $50,848.80 | $11,592.60 | $13,752.41 | $17,893.40 | $9,041.93 | $11,344.32 | $13,912.80 |
| Washington | 1 | 16 | $56,949.80 | $56,949.80 | $56,949.80 | $13,783.00 | $13,783.00 | $13,783.00 | $10,822.10 | $10,822.10 | $10,822.10 |
| Illinois | 10 | 162 | $39,415.00 | $53,509.09 | $74,407.60 | $10,009.80 | $13,849.44 | $24,573.00 | $7,960.65 | $9,938.22 | $13,376.50 |
| Alabama | 1 | 18 | $54,690.40 | $54,690.40 | $54,690.40 | $13,972.90 | $13,972.90 | $13,972.90 | $9,532.11 | $9,532.11 | $9,532.11 |
| Ohio | 6 | 100 | $27,643.20 | $52,142.71 | $72,882.20 | $11,616.80 | $14,008.06 | $17,353.00 | $8,857.27 | $10,705.81 | $13,731.30 |
| Nebraska | 1 | 25 | $37,468.40 | $37,468.40 | $37,468.40 | $14,038.80 | $14,038.80 | $14,038.80 | $10,777.00 | $10,777.00 | $10,777.00 |
| Colorado | 2 | 25 | $49,141.60 | $57,053.19 | $64,356.20 | $11,693.50 | $14,105.73 | $16,332.40 | $8,794.67 | $10,768.45 | $12,590.40 |
| Arizona | 3 | 50 | $39,912.00 | $47,234.74 | $61,653.20 | $12,107.80 | $14,750.80 | $15,901.40 | $7,933.36 | $9,129.36 | $10,328.20 |
| Minnesota | 5 | 109 | $36,475.00 | $41,278.86 | $45,986.80 | $11,410.30 | $14,915.34 | $17,120.10 | $9,445.87 | $11,483.04 | $13,908.00 |
| New Mexico | 1 | 13 | $39,221.00 | $39,221.00 | $39,221.00 | $15,241.90 | $15,241.90 | $15,241.90 | $8,812.62 | $8,812.62 | $8,812.62 |
| North Carolina | 5 | 78 | $36,569.20 | $45,191.43 | $53,793.30 | $13,082.70 | $15,530.08 | $17,350.10 | $10,592.20 | $11,422.09 | $13,342.50 |
| Pennsylvania | 7 | 134 | $21,534.90 | $68,068.39 | $91,643.00 | $9,352.36 | $15,585.18 | $19,698.70 | $6,217.09 | $10,917.00 | $13,964.80 |
| New Hampshire | 1 | 18 | $44,044.60 | $44,044.60 | $44,044.60 | $15,667.40 | $15,667.40 | $15,667.40 | $13,716.80 | $13,716.80 | $13,716.80 |
| Massachusetts | 3 | 40 | $16,020.70 | $47,893.52 | $66,698.20 | $13,948.50 | $15,727.41 | $16,588.50 | $12,221.80 | $13,904.43 | $14,746.90 |
| Oklahoma | 2 | 22 | $35,088.30 | $57,548.00 | $80,007.70 | $10,055.90 | $16,065.85 | $22,075.80 | $8,805.00 | $9,846.40 | $10,887.80 |
| Maine | 1 | 12 | $33,922.80 | $33,922.80 | $33,922.80 | $16,276.90 | $16,276.90 | $16,276.90 | $9,848.83 | $9,848.83 | $9,848.83 |
| Wisconsin | 3 | 54 | $47,807.50 | $52,990.28 | $62,088.40 | $13,142.60 | $16,564.65 | $20,046.40 | $8,554.05 | $10,120.78 | $11,425.60 |
| California | 3 | 41 | $45,383.50 | $91,698.43 | $116,840.00 | $10,992.40 | $16,694.26 | $23,928.30 | $9,783.09 | $13,109.73 | $18,012.20 |
| New York | 8 | 159 | $35,618.90 | $57,461.17 | $101,489.00 | $12,622.00 | $17,072.20 | $20,187.20 | $9,477.50 | $13,700.65 | $16,135.70 |
| Connecticut | 1 | 18 | $57,665.10 | $57,665.10 | $57,665.10 | $18,053.00 | $18,053.00 | $18,053.00 | $14,752.30 | $14,752.30 | $14,752.30 |
| Maryland | 4 | 65 | $10,022.60 | $22,707.83 | $33,803.20 | $9,252.13 | $21,051.52 | $31,264.40 | $8,287.87 | $18,821.53 | $29,170.40 | TOTAL US | 137 | 2,225 | $10,022.60 | $50.600,98 | $118,397.00 | $8,299.58 | $13.974,70 | $31,264.40 | $6,217.09 | $10.653,88 | $29,170.40 |
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.