Hospital Costs > Hip & Femur Procedures Except Major Joint 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 |
| Maryland | 27 | 500 | $11,671.60 | $17,284.32 | $37,866.80 | $10,848.00 | $15,977.64 | $34,902.10 | $9,291.61 | $14,565.54 | $33,932.60 |
| Pennsylvania | 43 | 744 | $13,429.00 | $50,529.00 | $121,352.00 | $8,438.35 | $11,016.08 | $19,700.30 | $6,555.00 | $9,069.91 | $14,303.60 |
| Tennessee | 24 | 515 | $16,120.80 | $37,908.25 | $75,632.00 | $8,337.27 | $9,780.37 | $16,581.40 | $6,852.18 | $8,279.51 | $10,931.80 |
| Massachusetts | 20 | 423 | $16,702.30 | $31,055.58 | $68,385.30 | $11,200.90 | $14,283.13 | $20,554.20 | $10,062.10 | $12,706.16 | $18,562.50 |
| Alabama | 19 | 354 | $18,124.30 | $41,212.98 | $107,846.00 | $7,757.25 | $8,953.11 | $9,957.09 | $6,348.73 | $7,637.87 | $9,186.18 |
| Arkansas | 17 | 411 | $18,307.00 | $32,316.62 | $61,760.60 | $8,654.58 | $9,696.40 | $14,964.20 | $6,895.60 | $8,350.45 | $12,585.20 |
| Minnesota | 10 | 161 | $18,533.70 | $33,361.45 | $45,948.60 | $9,908.64 | $12,264.63 | $14,804.30 | $8,701.36 | $10,278.19 | $12,397.50 |
| Ohio | 23 | 345 | $19,791.60 | $36,206.40 | $59,996.70 | $8,455.79 | $10,568.35 | $15,606.10 | $7,416.43 | $9,014.60 | $13,298.20 |
| New York | 47 | 875 | $20,193.20 | $45,830.37 | $69,461.60 | $9,570.24 | $15,164.27 | $26,014.70 | $8,394.67 | $13,004.95 | $22,909.20 |
| Texas | 75 | 1,425 | $20,619.80 | $54,293.54 | $130,604.00 | $8,702.96 | $10,605.10 | $20,630.40 | $7,109.27 | $8,921.79 | $16,901.20 |
| South Dakota | 4 | 73 | $20,977.50 | $36,461.29 | $47,086.10 | $9,621.27 | $11,242.37 | $12,650.90 | $8,521.64 | $9,955.00 | $11,426.50 |
| Illinois | 42 | 710 | $21,028.60 | $45,540.43 | $93,084.00 | $8,361.65 | $10,829.93 | $16,297.90 | $7,112.71 | $8,825.75 | $11,465.80 |
| Georgia | 33 | 594 | $21,089.80 | $42,883.33 | $89,325.50 | $8,828.56 | $10,293.02 | $15,125.60 | $7,703.08 | $8,961.60 | $13,137.80 |
| Kentucky | 14 | 271 | $21,289.90 | $37,160.39 | $53,825.70 | $8,562.32 | $10,520.32 | $15,117.90 | $7,236.54 | $8,726.40 | $11,892.00 |
| Virginia | 20 | 382 | $21,773.10 | $42,885.27 | $97,502.20 | $8,726.91 | $10,962.50 | $16,287.60 | $6,615.33 | $8,815.87 | $12,341.80 |
| Michigan | 24 | 446 | $21,979.20 | $31,101.91 | $51,579.50 | $8,946.93 | $12,041.68 | $18,003.40 | $7,652.64 | $9,845.63 | $12,936.40 |
| Missouri | 20 | 375 | $22,297.40 | $37,605.47 | $81,328.20 | $8,195.42 | $10,087.74 | $16,726.90 | $6,923.25 | $8,565.16 | $10,964.90 |
| Montana | 5 | 65 | $23,060.30 | $27,749.82 | $31,823.00 | $9,365.23 | $10,271.39 | $11,025.70 | $7,418.08 | $8,623.38 | $9,425.27 |
| Iowa | 9 | 172 | $23,271.60 | $34,074.24 | $44,618.40 | $8,688.35 | $9,845.87 | $10,729.20 | $7,309.18 | $8,492.44 | $9,356.47 |
| Utah | 7 | 147 | $23,655.50 | $32,607.89 | $44,044.10 | $9,496.29 | $11,273.45 | $15,475.00 | $7,328.40 | $8,795.90 | $9,821.50 |
| Colorado | 12 | 202 | $23,790.50 | $52,797.56 | $72,514.60 | $8,978.54 | $10,457.41 | $11,873.40 | $7,369.80 | $8,750.88 | $9,922.56 |
| West Virginia | 6 | 117 | $24,107.00 | $29,464.77 | $34,801.10 | $8,820.96 | $10,432.87 | $14,215.40 | $7,278.57 | $8,807.16 | $12,118.70 |
| Delaware | 3 | 82 | $24,294.00 | $29,227.17 | $36,647.10 | $10,668.10 | $11,866.24 | $12,454.20 | $7,866.67 | $9,770.01 | $10,753.30 |
| Mississippi | 17 | 334 | $24,582.70 | $37,895.14 | $81,046.10 | $8,782.95 | $9,574.64 | $15,824.70 | $7,458.73 | $8,342.97 | $13,166.60 |
| North Carolina | 27 | 525 | $24,814.20 | $36,835.22 | $57,186.30 | $8,870.88 | $10,730.16 | $15,738.40 | $7,631.21 | $8,944.06 | $12,255.60 |
| New Hampshire | 6 | 101 | $24,843.70 | $33,765.28 | $50,162.30 | $9,918.42 | $11,774.19 | $15,804.10 | $8,817.08 | $10,303.61 | $12,980.70 |
| Oklahoma | 15 | 321 | $24,896.10 | $42,449.70 | $97,155.80 | $8,897.13 | $10,189.34 | $16,864.80 | $7,490.86 | $8,609.28 | $14,890.80 |
| Indiana | 28 | 527 | $25,169.00 | $44,204.92 | $64,766.70 | $8,130.64 | $10,449.01 | $16,135.20 | $6,966.71 | $8,921.82 | $11,796.60 |
| Maine | 3 | 83 | $25,473.50 | $26,242.71 | $27,692.90 | $10,476.50 | $11,333.82 | $12,047.90 | $8,941.28 | $9,547.23 | $10,325.40 |
| North Dakota | 2 | 42 | $25,712.80 | $28,987.59 | $30,455.60 | $10,230.80 | $10,578.18 | $10,733.90 | $9,273.15 | $9,413.67 | $9,476.66 |
| Louisiana | 17 | 281 | $26,044.90 | $43,230.32 | $72,899.80 | $8,221.25 | $9,593.29 | $10,964.10 | $7,117.25 | $8,191.86 | $9,152.69 |
| Kansas | 7 | 145 | $27,211.60 | $43,080.96 | $64,217.40 | $8,972.32 | $10,976.24 | $14,439.90 | $7,894.42 | $9,455.94 | $13,615.20 |
| Hawaii | 2 | 26 | $27,595.10 | $34,869.65 | $44,789.50 | $16,327.70 | $18,254.77 | $20,882.60 | $15,122.30 | $16,411.29 | $18,169.00 |
| Idaho | 4 | 82 | $27,619.40 | $34,335.13 | $40,078.00 | $10,166.70 | $10,982.48 | $12,403.30 | $9,222.72 | $9,657.59 | $10,389.90 |
| Oregon | 10 | 179 | $28,103.60 | $35,910.23 | $46,054.00 | $9,918.80 | $11,659.04 | $15,883.20 | $8,155.40 | $9,737.87 | $10,737.50 |
| Nebraska | 7 | 135 | $29,053.60 | $36,609.65 | $57,782.10 | $9,061.64 | $10,626.45 | $12,201.50 | $6,648.75 | $8,685.57 | $10,813.90 |
| South Carolina | 21 | 376 | $29,101.00 | $51,975.09 | $111,306.00 | $8,509.43 | $10,833.44 | $15,168.60 | $7,374.19 | $9,147.45 | $11,938.60 |
| Wisconsin | 5 | 76 | $30,369.30 | $37,877.20 | $46,254.30 | $9,573.45 | $12,730.70 | $16,127.20 | $8,468.00 | $10,838.51 | $12,920.20 |
| New Mexico | 7 | 130 | $30,594.10 | $43,260.88 | $74,286.10 | $9,714.50 | $12,413.44 | $19,150.40 | $8,658.50 | $10,589.73 | $15,543.50 |
| Rhode Island | 2 | 23 | $30,878.00 | $32,123.39 | $33,482.00 | $11,749.40 | $12,089.00 | $12,400.30 | $9,717.50 | $10,069.93 | $10,454.40 |
| Florida | 74 | 1,567 | $31,037.40 | $60,937.28 | $135,842.00 | $8,339.64 | $10,254.42 | $22,335.60 | $7,136.38 | $8,797.02 | $18,687.30 |
| Connecticut | 11 | 165 | $31,615.80 | $43,500.73 | $55,321.20 | $11,071.40 | $14,174.72 | $16,801.60 | $9,538.07 | $11,930.82 | $15,253.50 |
| Wyoming | 2 | 36 | $33,035.50 | $36,695.83 | $38,526.00 | $9,994.33 | $11,445.92 | $14,349.10 | $8,524.33 | $10,131.69 | $13,346.40 |
| Washington DC | 2 | 45 | $33,427.00 | $48,042.04 | $74,531.80 | $10,022.60 | $11,557.60 | $14,339.80 | $8,223.76 | $9,570.23 | $12,010.70 |
| Vermont | 1 | 24 | $33,466.70 | $33,466.70 | $33,466.70 | $14,534.60 | $14,534.60 | $14,534.60 | $11,890.70 | $11,890.70 | $11,890.70 |
| New Jersey | 37 | 812 | $35,191.40 | $59,861.90 | $102,134.00 | $9,866.15 | $12,051.67 | $15,793.60 | $8,032.42 | $10,128.97 | $13,314.50 |
| Arizona | 15 | 247 | $35,600.20 | $51,279.55 | $70,666.80 | $8,649.12 | $10,876.24 | $14,948.40 | $7,589.12 | $9,587.08 | $13,649.40 |
| California | 73 | 1,262 | $35,655.10 | $82,914.32 | $171,497.00 | $10,550.80 | $13,996.30 | $23,386.70 | $8,880.58 | $12,311.74 | $20,014.40 |
| Washington | 8 | 119 | $36,678.50 | $43,561.26 | $55,587.10 | $10,890.50 | $11,629.74 | $12,785.60 | $9,173.43 | $9,988.80 | $10,802.90 |
| Nevada | 10 | 193 | $39,933.20 | $70,394.31 | $102,842.00 | $10,542.70 | $12,140.18 | $16,759.80 | $8,740.86 | $10,469.82 | $13,787.20 |
| Alaska | 2 | 27 | $57,954.70 | $58,984.61 | $60,272.00 | $15,695.50 | $17,345.50 | $19,408.00 | $12,946.90 | $15,286.37 | $18,210.70 | TOTAL US | 919 | 17,272 | $11,671.60 | $47.312,49 | $171,497.00 | $7,757.25 | $11.456,66 | $34,902.10 | $6,348.73 | $9.765,49 | $33,932.60 |
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.