Hospital Costs > Kidney & Ureter Procedures For Non-Neoplasm 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 | 2 | 36 | $12,203.00 | $15,756.79 | $18,018.30 | $11,265.70 | $14,582.08 | $16,692.50 | $10,054.30 | $13,194.13 | $15,192.20 |
| Michigan | 3 | 52 | $22,688.60 | $27,370.90 | $32,908.30 | $10,028.20 | $11,673.96 | $13,378.30 | $8,075.50 | $9,643.74 | $10,781.90 |
| Oklahoma | 1 | 13 | $30,808.70 | $30,808.70 | $30,808.70 | $9,136.46 | $9,136.46 | $9,136.46 | $5,655.85 | $5,655.85 | $5,655.85 |
| Texas | 3 | 39 | $26,712.20 | $30,824.03 | $32,939.60 | $8,621.42 | $8,982.56 | $9,297.86 | $4,874.08 | $6,195.10 | $7,220.23 |
| West Virginia | 1 | 11 | $33,843.80 | $33,843.80 | $33,843.80 | $8,427.00 | $8,427.00 | $8,427.00 | $6,992.00 | $6,992.00 | $6,992.00 |
| Tennessee | 1 | 11 | $34,080.60 | $34,080.60 | $34,080.60 | $6,878.27 | $6,878.27 | $6,878.27 | $5,892.09 | $5,892.09 | $5,892.09 |
| Arkansas | 1 | 12 | $35,136.50 | $35,136.50 | $35,136.50 | $8,084.58 | $8,084.58 | $8,084.58 | $7,061.33 | $7,061.33 | $7,061.33 |
| Illinois | 4 | 57 | $31,559.00 | $35,229.19 | $45,190.60 | $8,650.14 | $10,643.99 | $14,784.50 | $7,215.64 | $8,238.70 | $10,367.40 |
| Missouri | 2 | 31 | $28,963.80 | $35,615.72 | $42,711.10 | $10,633.90 | $11,124.02 | $11,583.50 | $8,668.44 | $9,112.61 | $9,586.40 |
| Georgia | 1 | 11 | $36,947.50 | $36,947.50 | $36,947.50 | $12,759.60 | $12,759.60 | $12,759.60 | $11,539.60 | $11,539.60 | $11,539.60 |
| New York | 3 | 52 | $33,851.50 | $39,110.66 | $41,534.40 | $13,827.20 | $15,666.98 | $16,260.10 | $12,263.00 | $12,507.83 | $12,626.30 |
| South Carolina | 1 | 12 | $40,262.30 | $40,262.30 | $40,262.30 | $11,021.80 | $11,021.80 | $11,021.80 | $8,049.58 | $8,049.58 | $8,049.58 |
| Virginia | 2 | 25 | $40,586.10 | $40,733.38 | $40,849.10 | $10,620.60 | $12,065.52 | $13,904.50 | $7,070.57 | $7,884.12 | $8,919.55 |
| Ohio | 1 | 16 | $45,969.40 | $45,969.40 | $45,969.40 | $10,379.10 | $10,379.10 | $10,379.10 | $8,562.94 | $8,562.94 | $8,562.94 |
| Indiana | 2 | 61 | $46,804.40 | $50,743.66 | $53,871.90 | $10,538.90 | $11,919.30 | $13,015.50 | $8,576.48 | $9,493.38 | $10,221.50 |
| Florida | 2 | 31 | $46,019.50 | $51,289.18 | $56,229.50 | $9,340.12 | $11,674.55 | $14,164.60 | $6,996.25 | $8,681.84 | $10,479.80 |
| Kansas | 1 | 13 | $51,432.00 | $51,432.00 | $51,432.00 | $9,860.92 | $9,860.92 | $9,860.92 | $8,155.08 | $8,155.08 | $8,155.08 |
| Kentucky | 1 | 12 | $53,978.80 | $53,978.80 | $53,978.80 | $9,683.92 | $9,683.92 | $9,683.92 | $7,636.58 | $7,636.58 | $7,636.58 |
| Massachusetts | 1 | 17 | $61,915.20 | $61,915.20 | $61,915.20 | $13,822.10 | $13,822.10 | $13,822.10 | $12,223.10 | $12,223.10 | $12,223.10 |
| Washington DC | 1 | 18 | $64,204.90 | $64,204.90 | $64,204.90 | $13,504.90 | $13,504.90 | $13,504.90 | $10,813.70 | $10,813.70 | $10,813.70 |
| Alabama | 1 | 15 | $78,871.90 | $78,871.90 | $78,871.90 | $13,040.90 | $13,040.90 | $13,040.90 | $10,604.50 | $10,604.50 | $10,604.50 |
| New Jersey | 1 | 12 | $79,948.20 | $79,948.20 | $79,948.20 | $8,515.75 | $8,515.75 | $8,515.75 | $7,424.67 | $7,424.67 | $7,424.67 |
| Pennsylvania | 2 | 25 | $76,662.50 | $83,135.20 | $88,220.90 | $13,840.70 | $15,070.29 | $16,036.40 | $10,036.70 | $10,938.69 | $11,647.40 |
| California | 2 | 38 | $89,119.50 | $106,770.00 | $137,028.00 | $12,265.40 | $16,304.09 | $18,660.00 | $10,578.50 | $14,273.11 | $16,428.30 | TOTAL US | 40 | 620 | $12,203.00 | $46.837,65 | $137,028.00 | $6,878.27 | $12.062,24 | $18,660.00 | $4,874.08 | $9.662,16 | $16,428.30 |
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.