Hospital Costs > Hernia Procedures Except Inguinal & Femoral 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 |
| Arkansas | 1 | 12 | $77,454.90 | $77,454.90 | $77,454.90 | $18,276.50 | $18,276.50 | $18,276.50 | $12,871.80 | $12,871.80 | $12,871.80 |
| Texas | 1 | 22 | $76,843.00 | $76,843.00 | $76,843.00 | $18,551.80 | $18,551.80 | $18,551.80 | $16,860.90 | $16,860.90 | $16,860.90 |
| Pennsylvania | 1 | 13 | $164,686.00 | $164,686.00 | $164,686.00 | $25,386.20 | $25,386.20 | $25,386.20 | $18,962.90 | $18,962.90 | $18,962.90 |
| New York | 1 | 11 | $51,053.00 | $51,053.00 | $51,053.00 | $30,468.20 | $30,468.20 | $30,468.20 | $19,780.60 | $19,780.60 | $19,780.60 |
| Missouri | 1 | 11 | $83,958.30 | $83,958.30 | $83,958.30 | $26,308.90 | $26,308.90 | $26,308.90 | $21,601.30 | $21,601.30 | $21,601.30 |
| North Carolina | 1 | 18 | $101,931.00 | $101,931.00 | $101,931.00 | $27,781.10 | $27,781.10 | $27,781.10 | $22,088.60 | $22,088.60 | $22,088.60 |
| Florida | 2 | 27 | $130,973.00 | $162,628.00 | $187,952.00 | $22,734.80 | $25,161.58 | $27,103.00 | $18,630.70 | $22,266.70 | $25,175.50 |
| Indiana | 1 | 12 | $135,853.00 | $135,853.00 | $135,853.00 | $29,407.20 | $29,407.20 | $29,407.20 | $25,149.80 | $25,149.80 | $25,149.80 | TOTAL US | 9 | 126 | $51,053.00 | $111.920,61 | $187,952.00 | $18,276.50 | $24.716,95 | $30,468.20 | $12,871.80 | $20.061,22 | $25,175.50 |
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.