Hospital Costs > Knee Procedures W/O Pdx Of Infection 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 |
| Kentucky | 1 | 13 | $28,005.00 | $28,005.00 | $28,005.00 | $6,976.46 | $6,976.46 | $6,976.46 | $5,168.46 | $5,168.46 | $5,168.46 |
| Arkansas | 1 | 13 | $28,163.60 | $28,163.60 | $28,163.60 | $7,720.46 | $7,720.46 | $7,720.46 | $6,586.92 | $6,586.92 | $6,586.92 |
| Alabama | 2 | 42 | $23,270.30 | $32,014.28 | $42,599.10 | $6,542.26 | $7,113.67 | $7,805.37 | $4,942.65 | $5,363.76 | $5,873.53 |
| Texas | 2 | 24 | $21,549.60 | $30,745.10 | $41,612.50 | $6,533.23 | $7,151.08 | $7,881.27 | $4,522.45 | $5,107.62 | $5,602.77 |
| Idaho | 1 | 14 | $32,605.00 | $32,605.00 | $32,605.00 | $7,945.57 | $7,945.57 | $7,945.57 | $6,795.50 | $6,795.50 | $6,795.50 |
| Colorado | 1 | 12 | $35,846.20 | $35,846.20 | $35,846.20 | $7,963.75 | $7,963.75 | $7,963.75 | $6,819.33 | $6,819.33 | $6,819.33 |
| North Carolina | 1 | 19 | $28,260.50 | $28,260.50 | $28,260.50 | $7,973.00 | $7,973.00 | $7,973.00 | $6,650.42 | $6,650.42 | $6,650.42 |
| Oklahoma | 2 | 25 | $22,083.10 | $33,393.68 | $45,646.80 | $6,449.00 | $7,372.12 | $8,372.17 | $5,237.92 | $5,783.76 | $6,375.08 |
| Arizona | 2 | 26 | $30,479.20 | $35,552.69 | $39,901.40 | $7,359.50 | $8,158.15 | $8,842.71 | $6,148.83 | $6,949.54 | $7,635.86 |
| South Carolina | 2 | 25 | $31,313.80 | $35,614.79 | $40,274.20 | $6,940.33 | $7,940.72 | $8,864.15 | $5,069.58 | $5,884.28 | $6,636.31 |
| Wisconsin | 1 | 11 | $35,635.40 | $35,635.40 | $35,635.40 | $9,084.64 | $9,084.64 | $9,084.64 | $7,717.73 | $7,717.73 | $7,717.73 |
| Ohio | 1 | 11 | $36,078.10 | $36,078.10 | $36,078.10 | $9,096.64 | $9,096.64 | $9,096.64 | $6,264.27 | $6,264.27 | $6,264.27 |
| Utah | 1 | 17 | $14,964.30 | $14,964.30 | $14,964.30 | $9,219.76 | $9,219.76 | $9,219.76 | $5,896.41 | $5,896.41 | $5,896.41 |
| Pennsylvania | 1 | 11 | $17,191.70 | $17,191.70 | $17,191.70 | $9,293.64 | $9,293.64 | $9,293.64 | $7,652.55 | $7,652.55 | $7,652.55 |
| Michigan | 3 | 49 | $20,341.50 | $24,639.58 | $28,059.40 | $8,135.39 | $8,644.45 | $9,462.29 | $6,552.18 | $7,051.39 | $7,418.43 |
| Delaware | 1 | 13 | $22,837.60 | $22,837.60 | $22,837.60 | $9,662.23 | $9,662.23 | $9,662.23 | $8,135.08 | $8,135.08 | $8,135.08 |
| Massachusetts | 1 | 18 | $19,417.60 | $19,417.60 | $19,417.60 | $9,876.44 | $9,876.44 | $9,876.44 | $7,573.61 | $7,573.61 | $7,573.61 |
| Florida | 2 | 25 | $38,542.20 | $41,323.13 | $44,335.80 | $7,474.23 | $8,653.12 | $9,930.25 | $5,367.08 | $5,873.04 | $6,340.08 |
| New Jersey | 2 | 34 | $43,020.40 | $56,362.49 | $63,640.00 | $7,811.92 | $9,775.92 | $10,847.20 | $6,902.58 | $7,637.30 | $8,038.05 |
| New York | 1 | 27 | $40,723.50 | $40,723.50 | $40,723.50 | $10,878.20 | $10,878.20 | $10,878.20 | $8,679.33 | $8,679.33 | $8,679.33 |
| Missouri | 3 | 44 | $20,373.00 | $34,889.67 | $58,590.40 | $6,850.92 | $9,288.94 | $12,215.90 | $4,717.40 | $6,611.52 | $9,808.69 |
| California | 1 | 11 | $129,715.00 | $129,715.00 | $129,715.00 | $14,072.40 | $14,072.40 | $14,072.40 | $12,862.20 | $12,862.20 | $12,862.20 |
| Connecticut | 1 | 11 | $37,806.30 | $37,806.30 | $37,806.30 | $16,092.20 | $16,092.20 | $16,092.20 | $8,539.45 | $8,539.45 | $8,539.45 |
| Maryland | 1 | 19 | $17,236.60 | $17,236.60 | $17,236.60 | $16,201.50 | $16,201.50 | $16,201.50 | $13,135.80 | $13,135.80 | $13,135.80 | TOTAL US | 35 | 514 | $14,964.30 | $34.486,84 | $129,715.00 | $6,449.00 | $9.127,20 | $16,201.50 | $4,522.45 | $7.040,77 | $13,135.80 |
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.