Hospital Costs > Knee Procedures W/O Pdx Of Infection W 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 | 28 | $12,146.80 | $19,986.65 | $25,059.50 | $11,339.10 | $18,483.84 | $23,106.90 | $9,275.73 | $17,004.64 | $22,005.70 |
| California | 2 | 24 | $66,158.60 | $112,207.99 | $166,630.00 | $13,979.50 | $18,176.83 | $23,137.30 | $12,984.40 | $16,557.98 | $20,781.30 |
| Michigan | 2 | 24 | $25,091.40 | $30,362.55 | $36,592.10 | $11,055.40 | $12,190.25 | $13,150.50 | $10,016.80 | $10,044.75 | $10,068.40 |
| Missouri | 1 | 23 | $52,555.10 | $52,555.10 | $52,555.10 | $14,680.40 | $14,680.40 | $14,680.40 | $12,592.30 | $12,592.30 | $12,592.30 |
| Oklahoma | 2 | 22 | $24,775.50 | $29,300.70 | $33,825.90 | $8,897.45 | $11,372.48 | $13,847.50 | $8,016.00 | $10,326.25 | $12,636.50 |
| Tennessee | 1 | 18 | $34,171.90 | $34,171.90 | $34,171.90 | $11,013.30 | $11,013.30 | $11,013.30 | $7,394.67 | $7,394.67 | $7,394.67 |
| South Carolina | 1 | 17 | $37,594.10 | $37,594.10 | $37,594.10 | $10,602.40 | $10,602.40 | $10,602.40 | $9,126.88 | $9,126.88 | $9,126.88 |
| New York | 1 | 14 | $41,175.90 | $41,175.90 | $41,175.90 | $14,105.50 | $14,105.50 | $14,105.50 | $10,723.40 | $10,723.40 | $10,723.40 |
| Colorado | 1 | 14 | $43,671.60 | $43,671.60 | $43,671.60 | $10,703.60 | $10,703.60 | $10,703.60 | $8,656.36 | $8,656.36 | $8,656.36 |
| Alabama | 1 | 13 | $49,760.70 | $49,760.70 | $49,760.70 | $10,002.50 | $10,002.50 | $10,002.50 | $8,771.00 | $8,771.00 | $8,771.00 |
| Florida | 1 | 13 | $43,698.30 | $43,698.30 | $43,698.30 | $9,888.69 | $9,888.69 | $9,888.69 | $8,689.15 | $8,689.15 | $8,689.15 |
| Arizona | 1 | 13 | $74,906.20 | $74,906.20 | $74,906.20 | $13,806.80 | $13,806.80 | $13,806.80 | $12,787.80 | $12,787.80 | $12,787.80 |
| New Jersey | 1 | 13 | $67,898.10 | $67,898.10 | $67,898.10 | $11,260.10 | $11,260.10 | $11,260.10 | $10,174.20 | $10,174.20 | $10,174.20 |
| Minnesota | 1 | 12 | $36,621.80 | $36,621.80 | $36,621.80 | $17,060.60 | $17,060.60 | $17,060.60 | $10,946.10 | $10,946.10 | $10,946.10 |
| New Hampshire | 1 | 12 | $55,449.60 | $55,449.60 | $55,449.60 | $27,487.80 | $27,487.80 | $27,487.80 | $12,445.40 | $12,445.40 | $12,445.40 |
| Massachusetts | 1 | 12 | $29,819.20 | $29,819.20 | $29,819.20 | $12,871.50 | $12,871.50 | $12,871.50 | $11,785.20 | $11,785.20 | $11,785.20 |
| Connecticut | 1 | 12 | $91,513.20 | $91,513.20 | $91,513.20 | $24,719.10 | $24,719.10 | $24,719.10 | $20,612.20 | $20,612.20 | $20,612.20 |
| Washington | 1 | 12 | $34,068.80 | $34,068.80 | $34,068.80 | $13,439.00 | $13,439.00 | $13,439.00 | $11,618.70 | $11,618.70 | $11,618.70 | TOTAL US | 22 | 296 | $12,146.80 | $48.371,13 | $166,630.00 | $8,897.45 | $14.497,97 | $27,487.80 | $7,394.67 | $11.909,98 | $22,005.70 |
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.