Hospital Costs > Hip & Femur Procedures Except Major Joint 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 |
| Michigan | 64 | 2,446 | $13,061.00 | $38,619.16 | $69,341.40 | $10,937.80 | $13,645.26 | $19,123.40 | $8,774.69 | $12,085.83 | $16,703.70 |
| Maryland | 39 | 1,641 | $15,402.30 | $20,804.49 | $39,158.50 | $14,243.50 | $19,199.35 | $36,145.10 | $12,880.60 | $17,949.16 | $34,363.10 |
| New York | 103 | 4,136 | $16,164.70 | $55,179.31 | $115,984.00 | $10,691.50 | $16,854.42 | $30,921.50 | $8,310.83 | $14,905.66 | $27,409.80 |
| Pennsylvania | 92 | 3,219 | $17,321.10 | $59,677.25 | $162,085.00 | $9,990.73 | $13,136.28 | $26,032.00 | $8,553.00 | $11,048.74 | $17,530.10 |
| Arkansas | 22 | 977 | $18,033.20 | $37,007.02 | $71,693.10 | $9,754.71 | $11,042.42 | $18,011.10 | $8,811.10 | $9,860.67 | $15,327.30 |
| Massachusetts | 48 | 2,000 | $18,982.70 | $34,763.31 | $78,861.00 | $13,126.40 | $16,322.66 | $22,921.30 | $11,487.80 | $14,741.15 | $21,230.30 |
| Ohio | 91 | 2,784 | $19,725.00 | $46,428.69 | $81,028.90 | $9,966.68 | $12,657.24 | $20,191.00 | $8,607.23 | $10,883.52 | $17,680.60 |
| Alabama | 34 | 1,531 | $20,082.40 | $48,632.35 | $111,546.00 | $9,569.54 | $10,866.83 | $15,401.20 | $8,154.91 | $9,653.20 | $12,437.50 |
| Tennessee | 50 | 2,069 | $20,437.40 | $48,551.74 | $113,102.00 | $9,550.18 | $11,586.02 | $25,828.40 | $8,311.30 | $10,068.96 | $24,774.40 |
| Kansas | 27 | 1,024 | $20,903.30 | $45,895.08 | $77,908.90 | $9,886.33 | $12,380.03 | $18,483.10 | $8,889.00 | $11,022.83 | $17,485.40 |
| North Carolina | 67 | 2,796 | $20,953.50 | $43,046.37 | $68,436.10 | $10,477.30 | $12,931.54 | $19,390.00 | $8,524.00 | $11,010.28 | $15,385.50 |
| Wisconsin | 51 | 1,387 | $21,008.60 | $43,324.49 | $62,769.10 | $10,639.60 | $13,151.10 | $19,442.10 | $8,357.82 | $11,421.50 | $15,001.70 |
| South Dakota | 9 | 433 | $22,082.90 | $42,167.42 | $54,839.60 | $11,115.30 | $13,335.49 | $15,303.00 | $10,018.80 | $12,008.40 | $14,038.00 |
| Minnesota | 35 | 1,416 | $22,850.70 | $40,258.20 | $64,199.60 | $11,601.90 | $14,495.92 | $23,265.00 | $9,646.28 | $12,584.38 | $19,528.50 |
| Mississippi | 21 | 931 | $22,852.40 | $44,370.22 | $99,726.20 | $10,054.10 | $11,853.29 | $20,508.10 | $9,048.38 | $10,458.55 | $16,327.80 |
| Virginia | 56 | 2,336 | $23,151.10 | $49,204.19 | $130,673.00 | $9,437.67 | $12,392.40 | $20,272.70 | $8,367.44 | $10,696.13 | $16,675.40 |
| Washington | 40 | 1,413 | $23,759.20 | $59,853.32 | $102,032.00 | $11,728.20 | $14,440.11 | $23,433.40 | $10,633.50 | $12,645.80 | $17,818.90 |
| Rhode Island | 10 | 269 | $23,890.80 | $40,635.99 | $51,596.10 | $11,969.80 | $15,205.15 | $18,744.30 | $10,982.20 | $13,660.95 | $16,674.70 |
| Oklahoma | 31 | 1,310 | $23,914.80 | $50,105.13 | $122,432.00 | $10,052.80 | $12,053.09 | $19,807.90 | $8,943.42 | $10,566.93 | $16,562.60 |
| Indiana | 55 | 1,980 | $24,105.60 | $49,305.86 | $79,715.90 | $9,885.53 | $12,245.05 | $19,735.60 | $8,368.17 | $10,915.70 | $18,172.20 |
| Texas | 149 | 5,826 | $24,948.90 | $65,989.99 | $142,358.00 | $10,270.80 | $12,782.26 | $28,236.50 | $8,345.65 | $11,080.72 | $25,017.90 |
| Maine | 11 | 446 | $25,628.20 | $33,198.95 | $46,416.20 | $11,140.80 | $12,902.84 | $14,590.80 | $9,997.21 | $11,380.76 | $12,662.50 |
| Georgia | 62 | 2,203 | $25,919.50 | $51,755.67 | $116,396.00 | $10,277.90 | $12,192.37 | $19,122.40 | $9,241.40 | $10,973.90 | $18,060.60 |
| Missouri | 49 | 2,030 | $25,963.90 | $48,408.32 | $98,775.80 | $9,874.05 | $12,251.57 | $24,144.00 | $8,858.57 | $10,983.20 | $15,469.50 |
| Iowa | 26 | 1,097 | $25,967.10 | $42,054.23 | $57,762.90 | $9,810.50 | $12,215.06 | $19,122.30 | $8,342.25 | $10,663.36 | $15,977.40 |
| West Virginia | 20 | 682 | $25,983.80 | $37,692.59 | $55,592.30 | $10,635.60 | $12,810.35 | $17,705.90 | $8,537.60 | $10,760.72 | $14,433.50 |
| Vermont | 6 | 192 | $26,739.10 | $35,074.71 | $41,244.30 | $12,720.10 | $16,362.48 | $18,119.70 | $11,570.60 | $14,465.29 | $17,010.40 |
| Louisiana | 32 | 1,117 | $26,800.30 | $50,842.21 | $113,267.00 | $9,865.85 | $11,640.63 | $17,510.80 | $8,776.05 | $10,231.07 | $13,664.30 |
| Colorado | 33 | 966 | $27,304.10 | $69,425.04 | $122,334.00 | $10,671.40 | $13,263.03 | $22,027.20 | $9,549.27 | $11,546.60 | $20,060.10 |
| Connecticut | 27 | 1,248 | $27,691.10 | $46,561.42 | $67,012.80 | $13,347.20 | $16,534.73 | $22,102.90 | $12,141.70 | $14,852.14 | $20,206.20 |
| Illinois | 99 | 3,652 | $27,917.30 | $56,585.17 | $107,705.00 | $10,194.00 | $12,959.05 | $24,760.10 | $9,166.26 | $11,329.85 | $19,817.50 |
| Montana | 9 | 269 | $28,108.50 | $36,896.86 | $54,958.20 | $11,214.00 | $12,436.91 | $14,280.80 | $9,718.55 | $11,120.37 | $13,534.90 |
| Kentucky | 36 | 1,333 | $28,274.00 | $47,441.77 | $108,928.00 | $9,819.07 | $12,305.74 | $21,298.70 | $8,684.16 | $10,633.57 | $15,119.90 |
| Hawaii | 10 | 201 | $28,803.50 | $46,039.92 | $60,618.60 | $14,864.10 | $19,118.14 | $27,276.80 | $9,303.64 | $15,654.37 | $25,463.10 |
| Utah | 9 | 307 | $28,998.70 | $39,845.04 | $48,636.10 | $11,510.10 | $13,536.22 | $17,474.70 | $10,385.80 | $11,498.68 | $14,810.00 |
| Nebraska | 16 | 684 | $29,885.80 | $42,169.72 | $77,177.70 | $11,059.70 | $13,216.55 | $20,008.30 | $9,970.10 | $11,566.76 | $14,521.20 |
| North Dakota | 6 | 330 | $30,462.00 | $36,030.19 | $41,414.80 | $11,814.30 | $12,690.79 | $13,205.00 | $10,773.00 | $11,334.80 | $11,925.10 |
| Delaware | 6 | 323 | $30,525.10 | $37,636.84 | $47,252.00 | $12,064.40 | $14,343.63 | $15,644.90 | $10,571.10 | $12,583.27 | $14,707.00 |
| Florida | 139 | 6,031 | $30,815.80 | $73,865.32 | $145,348.00 | $10,074.90 | $12,025.03 | $26,907.40 | $8,686.71 | $10,656.70 | $20,321.30 |
| South Carolina | 38 | 1,479 | $30,864.40 | $62,912.79 | $127,556.00 | $9,666.79 | $12,506.61 | $19,267.70 | $8,692.92 | $10,902.76 | $15,485.70 |
| Idaho | 9 | 281 | $32,697.20 | $39,882.79 | $60,207.60 | $11,924.60 | $13,138.49 | $15,543.60 | $9,969.03 | $11,675.11 | $14,298.60 |
| New Hampshire | 13 | 420 | $32,858.10 | $45,245.51 | $70,423.10 | $11,943.20 | $13,742.00 | $18,316.40 | $10,563.60 | $12,505.33 | $16,538.00 |
| New Mexico | 11 | 348 | $33,019.50 | $48,234.60 | $76,005.20 | $10,973.70 | $14,188.06 | $21,683.90 | $9,477.00 | $12,646.54 | $18,036.00 |
| Oregon | 23 | 648 | $33,026.70 | $42,892.45 | $57,598.00 | $12,382.40 | $14,860.78 | $20,864.20 | $10,083.30 | $13,092.83 | $18,776.60 |
| Arizona | 38 | 1,391 | $38,793.60 | $61,510.21 | $100,447.00 | $10,719.50 | $13,706.05 | $21,605.40 | $9,693.15 | $12,101.82 | $19,178.00 |
| Wyoming | 3 | 77 | $39,213.40 | $44,348.55 | $50,022.90 | $13,681.60 | $16,108.37 | $19,192.40 | $10,453.20 | $14,111.38 | $18,067.90 |
| Washington DC | 4 | 101 | $43,530.90 | $70,532.06 | $90,256.50 | $11,842.40 | $16,513.34 | $20,544.30 | $10,597.40 | $13,551.85 | $16,216.00 |
| New Jersey | 53 | 2,634 | $44,034.70 | $78,738.93 | $212,311.00 | $11,694.60 | $14,555.48 | $24,671.90 | $10,393.00 | $12,674.02 | $21,363.00 |
| California | 157 | 5,201 | $44,235.50 | $98,873.83 | $224,331.00 | $12,640.90 | $16,461.17 | $30,840.50 | $11,017.50 | $14,918.74 | $28,636.10 |
| Nevada | 16 | 428 | $45,502.30 | $82,296.33 | $112,462.00 | $11,732.10 | $13,922.70 | $18,583.90 | $9,991.73 | $12,364.07 | $16,440.10 |
| Alaska | 4 | 95 | $59,460.60 | $76,551.41 | $91,489.40 | $19,251.90 | $22,385.74 | $26,686.10 | $16,767.10 | $20,867.74 | $25,486.10 | TOTAL US | 2,059 | 78,138 | $13,061.00 | $56.007,80 | $224,331.00 | $9,437.67 | $13.562,25 | $36,145.10 | $8,154.91 | $11.943,46 | $34,363.10 |
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.