Hospital Costs > Inguinal & Femoral Hernia Procedures 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 |
| Illinois | 1 | 13 | $44,000.00 | $44,000.00 | $44,000.00 | $5,320.85 | $5,320.85 | $5,320.85 | $4,109.77 | $4,109.77 | $4,109.77 |
| New Jersey | 1 | 13 | $62,514.00 | $62,514.00 | $62,514.00 | $6,659.31 | $6,659.31 | $6,659.31 | $4,330.92 | $4,330.92 | $4,330.92 |
| Michigan | 1 | 12 | $17,732.10 | $17,732.10 | $17,732.10 | $7,450.67 | $7,450.67 | $7,450.67 | $5,111.67 | $5,111.67 | $5,111.67 |
| Delaware | 1 | 19 | $14,856.90 | $14,856.90 | $14,856.90 | $7,882.32 | $7,882.32 | $7,882.32 | $5,258.26 | $5,258.26 | $5,258.26 |
| California | 1 | 11 | $76,410.70 | $76,410.70 | $76,410.70 | $8,721.64 | $8,721.64 | $8,721.64 | $7,124.64 | $7,124.64 | $7,124.64 |
| Florida | 2 | 33 | $21,589.00 | $34,512.20 | $40,973.80 | $7,595.82 | $9,921.21 | $14,572.00 | $4,603.27 | $6,906.01 | $11,511.50 |
| New York | 5 | 69 | $17,436.60 | $28,900.07 | $35,654.00 | $9,045.14 | $11,219.06 | $13,495.30 | $7,506.18 | $8,583.13 | $10,283.00 | TOTAL US | 12 | 170 | $14,856.90 | $34.431,02 | $76,410.70 | $5,320.85 | $9.366,87 | $14,572.00 | $4,109.77 | $6.879,30 | $11,511.50 |
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.