Hospital Costs > Knee Procedures W Pdx Of Infection W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Alabama | 1 | 11 | $80,731.40 | $80,731.40 | $80,731.40 | $11,983.90 | $11,983.90 | $11,983.90 | $11,213.00 | $11,213.00 | $11,213.00 |
| Illinois | 1 | 13 | $38,540.50 | $38,540.50 | $38,540.50 | $12,989.20 | $12,989.20 | $12,989.20 | $11,720.70 | $11,720.70 | $11,720.70 |
| New Jersey | 1 | 12 | $62,834.80 | $62,834.80 | $62,834.80 | $15,306.90 | $15,306.90 | $15,306.90 | $11,989.20 | $11,989.20 | $11,989.20 |
| Florida | 2 | 25 | $88,376.30 | $106,497.13 | $129,560.00 | $15,367.00 | $15,511.20 | $15,624.50 | $10,391.70 | $11,981.33 | $14,004.50 |
| Missouri | 2 | 30 | $46,806.60 | $58,911.69 | $65,919.90 | $16,181.60 | $16,725.73 | $17,665.60 | $12,816.70 | $14,664.13 | $15,733.70 |
| North Carolina | 1 | 11 | $60,736.90 | $60,736.90 | $60,736.90 | $17,696.30 | $17,696.30 | $17,696.30 | $12,355.50 | $12,355.50 | $12,355.50 |
| Massachusetts | 1 | 13 | $38,037.20 | $38,037.20 | $38,037.20 | $18,942.50 | $18,942.50 | $18,942.50 | $18,021.90 | $18,021.90 | $18,021.90 |
| California | 1 | 13 | $170,394.00 | $170,394.00 | $170,394.00 | $19,808.60 | $19,808.60 | $19,808.60 | $17,145.20 | $17,145.20 | $17,145.20 |
| New York | 1 | 12 | $106,973.00 | $106,973.00 | $106,973.00 | $21,283.20 | $21,283.20 | $21,283.20 | $18,413.00 | $18,413.00 | $18,413.00 |
| Maryland | 1 | 12 | $31,892.80 | $31,892.80 | $31,892.80 | $29,807.30 | $29,807.30 | $29,807.30 | $24,586.80 | $24,586.80 | $24,586.80 | TOTAL US | 12 | 152 | $31,892.80 | $76.427,43 | $170,394.00 | $11,983.90 | $17.667,28 | $29,807.30 | $10,391.70 | $14.921,84 | $24,586.80 |
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.