Hospital Costs > Hip & Femur Procedures Except Major Joint 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 |
| Texas | 66 | 1,505 | $48,444.30 | $100,185.88 | $197,315.00 | $14,647.20 | $19,715.24 | $47,654.80 | $13,680.30 | $17,780.53 | $36,747.50 |
| Florida | 74 | 1,429 | $51,675.40 | $107,055.39 | $226,755.00 | $15,065.50 | $18,557.50 | $41,380.10 | $13,633.40 | $16,897.85 | $30,342.10 |
| California | 77 | 1,324 | $66,655.40 | $149,006.41 | $338,691.00 | $18,724.50 | $25,531.23 | $52,110.80 | $17,733.00 | $24,015.17 | $47,872.90 |
| Illinois | 48 | 966 | $41,144.20 | $87,056.98 | $141,732.00 | $15,876.50 | $20,093.69 | $30,356.20 | $14,950.90 | $18,350.09 | $26,382.00 |
| New York | 50 | 928 | $30,854.80 | $94,977.19 | $211,496.00 | $17,277.20 | $28,876.80 | $45,241.40 | $15,212.70 | $25,817.76 | $40,159.80 |
| Ohio | 43 | 747 | $29,007.40 | $72,556.97 | $131,296.00 | $15,763.70 | $19,704.79 | $30,507.30 | $13,617.40 | $17,572.05 | $25,741.60 |
| North Carolina | 31 | 731 | $33,117.50 | $60,032.85 | $105,028.00 | $15,440.10 | $20,627.12 | $30,232.90 | $14,225.40 | $18,130.30 | $24,420.00 |
| Michigan | 33 | 694 | $33,202.90 | $56,047.61 | $90,870.50 | $16,372.10 | $20,910.93 | $35,937.60 | $15,496.50 | $19,231.39 | $31,246.30 |
| Missouri | 31 | 655 | $37,360.50 | $70,424.71 | $181,624.00 | $14,348.30 | $18,794.08 | $43,620.40 | $13,346.60 | $17,483.79 | $31,835.00 |
| Pennsylvania | 33 | 599 | $37,090.20 | $104,695.86 | $244,734.00 | $15,157.70 | $22,157.90 | $42,815.60 | $12,694.70 | $18,592.33 | $32,520.60 |
| Virginia | 27 | 580 | $34,015.70 | $72,883.41 | $212,081.00 | $15,534.80 | $19,838.99 | $43,516.50 | $14,395.30 | $17,783.91 | $37,766.70 |
| New Jersey | 27 | 572 | $59,924.70 | $127,999.25 | $230,015.00 | $17,872.70 | $22,542.16 | $31,540.30 | $15,328.50 | $20,499.28 | $28,228.60 |
| Tennessee | 22 | 529 | $32,590.60 | $64,894.16 | $146,818.00 | $12,902.40 | $17,241.34 | $24,760.70 | $11,908.50 | $15,904.50 | $21,553.40 |
| Massachusetts | 23 | 506 | $25,279.50 | $56,324.69 | $128,860.00 | $20,018.60 | $25,949.76 | $34,826.20 | $18,909.20 | $24,065.40 | $31,227.30 |
| Indiana | 25 | 493 | $29,700.70 | $71,060.37 | $117,190.00 | $14,911.10 | $19,314.96 | $26,304.20 | $13,929.10 | $17,655.61 | $22,735.90 |
| Georgia | 26 | 465 | $42,060.90 | $79,065.20 | $183,283.00 | $15,447.20 | $19,211.48 | $37,304.50 | $14,430.40 | $17,426.60 | $26,082.50 |
| Washington | 22 | 451 | $30,217.50 | $80,541.24 | $136,166.00 | $18,216.70 | $21,890.69 | $36,552.50 | $17,238.70 | $20,170.66 | $30,885.30 |
| Arizona | 23 | 419 | $52,856.40 | $88,064.75 | $129,470.00 | $16,837.80 | $20,883.46 | $32,124.80 | $15,208.90 | $19,205.60 | $31,122.10 |
| Minnesota | 20 | 402 | $32,853.90 | $59,811.71 | $90,964.00 | $16,014.50 | $21,824.85 | $33,629.30 | $15,006.50 | $19,967.24 | $30,222.60 |
| Kentucky | 17 | 401 | $41,230.90 | $72,222.50 | $194,531.00 | $15,084.20 | $19,782.34 | $30,011.40 | $13,963.90 | $17,746.76 | $26,899.30 |
| Alabama | 20 | 361 | $34,905.60 | $78,052.14 | $185,379.00 | $14,302.00 | $16,784.56 | $21,459.50 | $13,295.60 | $15,708.39 | $19,906.70 |
| Iowa | 15 | 311 | $42,954.20 | $62,908.07 | $109,281.00 | $15,454.40 | $19,393.93 | $30,352.10 | $11,819.50 | $17,416.95 | $25,995.80 |
| Connecticut | 13 | 304 | $41,155.50 | $76,634.04 | $122,494.00 | $21,060.80 | $26,135.47 | $29,665.70 | $20,312.60 | $23,935.03 | $27,088.80 |
| Oklahoma | 13 | 293 | $45,419.20 | $79,328.25 | $166,094.00 | $14,111.20 | $18,828.72 | $28,581.00 | $13,001.80 | $17,169.65 | $25,483.60 |
| Louisiana | 15 | 262 | $48,481.10 | $75,616.95 | $153,117.00 | $14,674.00 | $17,980.19 | $26,990.30 | $13,835.00 | $16,265.32 | $20,818.20 |
| South Carolina | 13 | 260 | $49,412.20 | $100,107.87 | $172,760.00 | $15,297.60 | $19,643.29 | $30,024.20 | $14,256.40 | $17,667.50 | $25,321.90 |
| Kansas | 11 | 256 | $49,542.50 | $82,397.53 | $160,253.00 | $15,936.30 | $19,104.91 | $25,698.10 | $15,253.20 | $17,776.88 | $24,630.70 |
| Maryland | 14 | 245 | $20,154.80 | $29,736.61 | $47,377.10 | $18,588.90 | $27,455.75 | $43,655.90 | $17,468.90 | $26,079.22 | $43,052.50 |
| Mississippi | 12 | 243 | $37,422.30 | $64,204.49 | $116,347.00 | $16,035.00 | $17,578.32 | $27,277.10 | $15,177.70 | $16,456.37 | $23,548.00 |
| Wisconsin | 12 | 225 | $44,606.00 | $65,238.88 | $94,644.80 | $16,340.40 | $21,954.55 | $33,035.20 | $15,489.30 | $19,645.66 | $25,237.90 |
| Arkansas | 11 | 221 | $26,534.00 | $54,314.98 | $81,975.90 | $15,181.00 | $16,656.78 | $21,062.90 | $14,298.10 | $15,370.93 | $19,031.80 |
| Oregon | 12 | 221 | $42,909.40 | $59,585.63 | $83,893.10 | $20,392.10 | $23,085.96 | $30,859.10 | $19,237.10 | $21,514.11 | $27,495.20 |
| West Virginia | 10 | 183 | $33,300.20 | $58,584.39 | $76,297.60 | $15,905.90 | $20,202.12 | $25,297.50 | $14,637.30 | $17,926.00 | $22,230.90 |
| Colorado | 13 | 181 | $77,954.60 | $97,747.75 | $129,829.00 | $16,768.80 | $21,068.86 | $35,231.50 | $15,572.90 | $19,601.82 | $32,624.30 |
| Nebraska | 9 | 153 | $48,566.90 | $60,389.93 | $102,173.00 | $16,802.80 | $20,186.10 | $23,364.90 | $15,902.00 | $18,922.26 | $21,862.10 |
| North Dakota | 5 | 149 | $38,939.70 | $51,628.90 | $66,640.40 | $17,189.80 | $19,441.81 | $21,181.50 | $16,125.90 | $17,924.28 | $19,256.40 |
| Nevada | 7 | 148 | $68,227.10 | $108,920.18 | $165,438.00 | $19,319.40 | $21,320.10 | $23,342.10 | $18,375.40 | $19,691.90 | $22,380.00 |
| South Dakota | 4 | 123 | $49,791.70 | $67,555.64 | $87,799.20 | $17,712.80 | $21,353.83 | $24,235.20 | $16,744.60 | $20,021.96 | $23,112.80 |
| Utah | 6 | 116 | $35,988.80 | $53,824.60 | $82,165.50 | $17,499.00 | $20,552.48 | $25,324.90 | $16,423.50 | $18,099.58 | $20,025.20 |
| Maine | 4 | 99 | $45,517.50 | $49,167.85 | $51,636.20 | $18,668.60 | $20,006.93 | $22,332.60 | $17,697.90 | $18,420.57 | $19,586.20 |
| Montana | 5 | 93 | $44,700.80 | $50,651.30 | $56,007.80 | $17,089.20 | $19,466.44 | $22,151.70 | $16,193.70 | $18,536.87 | $21,270.70 |
| Delaware | 4 | 90 | $57,852.70 | $62,354.38 | $69,211.20 | $19,960.40 | $23,677.39 | $26,037.80 | $16,291.40 | $20,096.11 | $23,381.90 |
| New Hampshire | 6 | 83 | $38,401.50 | $56,832.44 | $78,794.50 | $18,057.80 | $21,677.27 | $28,979.60 | $17,035.90 | $19,571.45 | $24,863.60 |
| New Mexico | 4 | 76 | $53,953.20 | $75,345.89 | $128,632.00 | $20,533.60 | $23,318.08 | $26,272.80 | $18,941.70 | $22,023.29 | $25,317.40 |
| Idaho | 4 | 57 | $49,993.30 | $51,220.63 | $55,219.10 | $17,612.80 | $19,957.23 | $22,108.20 | $16,388.00 | $18,968.42 | $21,142.50 |
| Rhode Island | 2 | 44 | $77,898.90 | $78,517.12 | $80,165.70 | $21,139.80 | $26,585.33 | $28,627.40 | $20,137.10 | $23,712.95 | $25,053.90 |
| Washington DC | 2 | 30 | $121,255.00 | $128,813.47 | $141,869.00 | $28,788.10 | $29,235.58 | $30,008.50 | $21,378.20 | $22,973.75 | $25,729.70 |
| Vermont | 1 | 15 | $87,525.30 | $87,525.30 | $87,525.30 | $36,321.80 | $36,321.80 | $36,321.80 | $31,335.30 | $31,335.30 | $31,335.30 |
| Alaska | 1 | 13 | $110,124.00 | $110,124.00 | $110,124.00 | $27,348.60 | $27,348.60 | $27,348.60 | $25,898.10 | $25,898.10 | $25,898.10 |
| Hawaii | 1 | 11 | $77,862.50 | $77,862.50 | $77,862.50 | $31,593.10 | $31,593.10 | $31,593.10 | $28,847.40 | $28,847.40 | $28,847.40 | TOTAL US | 967 | 19,262 | $20,154.80 | $84.876,60 | $338,691.00 | $12,902.40 | $21.134,95 | $52,110.80 | $11,819.50 | $19.242,66 | $47,872.90 |
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.