Hospital Costs > Hernia Procedures Except Inguinal & Femoral 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 |
| Alabama | 2 | 26 | $16,110.30 | $54,806.19 | $87,974.10 | $6,599.50 | $7,302.62 | $7,905.29 | $4,650.29 | $4,867.50 | $5,120.92 |
| Mississippi | 1 | 21 | $30,301.10 | $30,301.10 | $30,301.10 | $6,652.95 | $6,652.95 | $6,652.95 | $5,095.86 | $5,095.86 | $5,095.86 |
| Arizona | 2 | 28 | $26,848.60 | $36,987.75 | $47,126.90 | $7,297.21 | $9,216.41 | $11,135.60 | $5,172.43 | $5,329.18 | $5,485.93 |
| Arkansas | 4 | 75 | $18,720.80 | $27,767.31 | $30,070.10 | $6,801.09 | $7,250.00 | $7,391.96 | $5,201.91 | $5,656.88 | $5,947.42 |
| Missouri | 3 | 40 | $21,065.00 | $25,243.72 | $27,427.30 | $5,969.00 | $8,496.74 | $11,234.30 | $4,856.38 | $5,961.12 | $6,627.25 |
| Florida | 14 | 219 | $29,469.30 | $47,440.40 | $76,106.40 | $6,222.00 | $8,745.57 | $11,011.50 | $5,016.33 | $5,989.01 | $7,805.27 |
| Tennessee | 3 | 35 | $25,114.10 | $32,929.33 | $39,155.80 | $7,457.08 | $8,191.03 | $9,136.36 | $5,421.09 | $6,116.00 | $6,654.36 |
| Iowa | 2 | 24 | $16,357.60 | $26,584.03 | $38,669.80 | $7,257.23 | $7,589.67 | $7,982.55 | $6,012.31 | $6,272.46 | $6,579.91 |
| Louisiana | 1 | 11 | $27,207.90 | $27,207.90 | $27,207.90 | $7,060.91 | $7,060.91 | $7,060.91 | $6,298.73 | $6,298.73 | $6,298.73 |
| Georgia | 1 | 17 | $23,488.00 | $23,488.00 | $23,488.00 | $7,472.35 | $7,472.35 | $7,472.35 | $6,329.29 | $6,329.29 | $6,329.29 |
| North Carolina | 3 | 55 | $21,459.70 | $33,265.95 | $46,673.30 | $7,002.27 | $9,048.74 | $11,282.00 | $4,261.55 | $6,373.76 | $7,512.19 |
| Virginia | 5 | 63 | $30,858.40 | $48,093.45 | $94,712.40 | $7,047.43 | $8,972.34 | $13,861.30 | $4,560.79 | $6,385.32 | $8,854.82 |
| Utah | 1 | 12 | $14,335.80 | $14,335.80 | $14,335.80 | $7,635.75 | $7,635.75 | $7,635.75 | $6,427.75 | $6,427.75 | $6,427.75 |
| Washington | 1 | 15 | $39,630.90 | $39,630.90 | $39,630.90 | $9,905.07 | $9,905.07 | $9,905.07 | $6,437.80 | $6,437.80 | $6,437.80 |
| Delaware | 2 | 55 | $20,752.30 | $25,465.00 | $36,952.20 | $8,917.69 | $10,200.09 | $10,726.20 | $5,499.25 | $6,515.56 | $6,932.51 |
| Texas | 7 | 93 | $26,471.90 | $38,778.60 | $48,608.00 | $6,649.85 | $8,721.88 | $11,155.20 | $5,495.54 | $6,570.47 | $7,633.00 |
| Illinois | 3 | 47 | $31,389.90 | $36,385.13 | $42,476.40 | $9,454.52 | $10,562.56 | $13,140.90 | $5,755.08 | $6,577.02 | $8,036.86 |
| New Jersey | 4 | 58 | $31,670.70 | $41,538.41 | $57,656.60 | $7,508.76 | $8,345.26 | $9,355.57 | $5,598.58 | $6,611.58 | $8,055.14 |
| Oregon | 1 | 12 | $33,691.20 | $33,691.20 | $33,691.20 | $10,089.60 | $10,089.60 | $10,089.60 | $6,625.58 | $6,625.58 | $6,625.58 |
| Michigan | 8 | 126 | $16,028.90 | $24,851.10 | $35,305.60 | $7,236.21 | $9,174.64 | $14,123.20 | $5,418.59 | $6,672.40 | $9,316.87 |
| Ohio | 7 | 105 | $21,192.60 | $38,271.97 | $51,058.90 | $7,383.55 | $9,612.64 | $11,681.30 | $4,821.00 | $6,972.83 | $8,685.67 |
| Minnesota | 3 | 62 | $20,294.10 | $27,999.42 | $32,460.20 | $10,578.20 | $10,982.17 | $11,311.40 | $4,982.50 | $7,003.03 | $7,906.08 |
| Wisconsin | 1 | 11 | $36,875.70 | $36,875.70 | $36,875.70 | $8,705.36 | $8,705.36 | $8,705.36 | $7,116.73 | $7,116.73 | $7,116.73 |
| Kentucky | 3 | 53 | $27,794.80 | $36,874.98 | $45,081.90 | $6,340.46 | $9,530.51 | $12,178.60 | $4,599.54 | $7,190.11 | $8,555.39 |
| South Carolina | 4 | 88 | $27,593.90 | $49,540.20 | $89,863.50 | $7,963.95 | $9,339.34 | $11,861.30 | $6,750.95 | $7,331.89 | $7,757.64 |
| Rhode Island | 1 | 11 | $27,480.50 | $27,480.50 | $27,480.50 | $8,560.91 | $8,560.91 | $8,560.91 | $7,341.18 | $7,341.18 | $7,341.18 |
| Colorado | 1 | 11 | $59,987.20 | $59,987.20 | $59,987.20 | $8,830.82 | $8,830.82 | $8,830.82 | $7,403.64 | $7,403.64 | $7,403.64 |
| Indiana | 3 | 68 | $35,979.10 | $44,135.22 | $57,696.90 | $8,015.08 | $9,847.84 | $12,012.50 | $6,612.78 | $7,566.04 | $9,592.60 |
| Maine | 1 | 12 | $20,266.20 | $20,266.20 | $20,266.20 | $9,235.17 | $9,235.17 | $9,235.17 | $7,640.08 | $7,640.08 | $7,640.08 |
| Idaho | 1 | 14 | $29,368.40 | $29,368.40 | $29,368.40 | $10,010.90 | $10,010.90 | $10,010.90 | $7,673.29 | $7,673.29 | $7,673.29 |
| Nebraska | 2 | 28 | $41,168.30 | $60,675.68 | $83,184.20 | $10,638.70 | $12,135.70 | $13,863.00 | $8,073.00 | $8,224.78 | $8,399.92 |
| Pennsylvania | 7 | 118 | $16,270.50 | $54,628.74 | $84,301.50 | $7,753.55 | $11,377.16 | $15,074.40 | $5,693.00 | $8,334.56 | $11,068.60 |
| Washington DC | 1 | 14 | $46,605.70 | $46,605.70 | $46,605.70 | $10,644.20 | $10,644.20 | $10,644.20 | $8,763.79 | $8,763.79 | $8,763.79 |
| Oklahoma | 2 | 33 | $27,390.90 | $49,747.50 | $68,378.00 | $7,086.87 | $10,616.74 | $13,558.30 | $5,703.20 | $8,856.69 | $11,484.60 |
| Massachusetts | 5 | 84 | $14,948.00 | $28,091.05 | $52,113.60 | $9,155.00 | $11,290.69 | $14,176.30 | $7,702.82 | $8,928.67 | $9,845.05 |
| California | 8 | 124 | $33,577.10 | $62,015.10 | $102,894.00 | $7,885.62 | $11,182.31 | $15,513.10 | $6,671.62 | $9,340.62 | $13,105.80 |
| Connecticut | 1 | 13 | $23,677.50 | $23,677.50 | $23,677.50 | $11,192.70 | $11,192.70 | $11,192.70 | $9,490.46 | $9,490.46 | $9,490.46 |
| New York | 9 | 169 | $23,770.10 | $38,064.10 | $54,370.50 | $8,963.36 | $11,887.47 | $13,678.50 | $6,911.73 | $9,511.85 | $11,803.60 |
| Maryland | 4 | 63 | $12,610.10 | $19,861.96 | $22,909.80 | $11,638.20 | $18,480.86 | $21,126.90 | $10,547.30 | $15,586.05 | $20,006.90 | TOTAL US | 132 | 2,113 | $12,610.10 | $39.246,64 | $102,894.00 | $5,969.00 | $9.963,69 | $21,126.90 | $4,261.55 | $7.479,32 | $20,006.90 |
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.