Hospital Costs > Lower Extrem & Humer Proc Except Hip,Foot,Femur 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 |
| Montana | 1 | 12 | $37,846.00 | $37,846.00 | $37,846.00 | $11,487.00 | $11,487.00 | $11,487.00 | $10,449.20 | $10,449.20 | $10,449.20 |
| Arkansas | 10 | 154 | $20,456.50 | $40,279.38 | $96,211.50 | $10,118.60 | $10,941.32 | $11,864.80 | $8,929.27 | $9,469.24 | $10,325.10 |
| Idaho | 3 | 39 | $34,700.00 | $40,524.94 | $48,169.10 | $12,860.30 | $13,714.16 | $14,124.20 | $10,766.40 | $11,714.12 | $12,896.70 |
| North Dakota | 4 | 66 | $32,370.20 | $34,799.00 | $38,292.70 | $13,347.60 | $14,007.09 | $14,612.80 | $10,026.40 | $10,931.55 | $12,125.20 |
| Maine | 2 | 51 | $40,430.40 | $41,541.89 | $44,479.40 | $12,659.40 | $14,119.45 | $14,671.90 | $10,871.40 | $11,013.18 | $11,387.90 |
| Kansas | 6 | 144 | $35,949.10 | $56,589.04 | $80,284.40 | $11,187.10 | $13,290.32 | $15,179.00 | $10,280.40 | $11,367.82 | $12,837.10 |
| Delaware | 2 | 67 | $30,766.20 | $33,994.65 | $48,791.70 | $14,086.60 | $15,116.91 | $15,341.70 | $9,114.67 | $12,246.58 | $12,929.90 |
| South Dakota | 3 | 72 | $42,699.90 | $53,317.42 | $71,674.30 | $13,796.00 | $14,282.46 | $15,509.70 | $11,451.20 | $12,441.13 | $14,250.30 |
| Nevada | 3 | 45 | $56,746.20 | $87,796.65 | $122,943.00 | $12,669.10 | $14,676.38 | $16,900.80 | $11,906.20 | $13,574.68 | $15,898.20 |
| Alabama | 16 | 300 | $30,018.80 | $52,762.41 | $112,423.00 | $9,745.82 | $11,592.19 | $17,003.00 | $7,244.27 | $9,757.41 | $11,902.60 |
| Louisiana | 8 | 143 | $37,124.80 | $50,209.37 | $77,099.40 | $10,737.40 | $12,841.32 | $17,267.10 | $9,704.21 | $10,641.07 | $12,150.60 |
| Indiana | 15 | 286 | $27,167.20 | $60,036.71 | $88,585.70 | $10,848.90 | $13,658.93 | $18,046.30 | $9,521.45 | $11,953.85 | $15,854.00 |
| Alaska | 1 | 13 | $68,474.50 | $68,474.50 | $68,474.50 | $18,182.40 | $18,182.40 | $18,182.40 | $16,828.50 | $16,828.50 | $16,828.50 |
| West Virginia | 6 | 121 | $27,116.50 | $47,381.86 | $64,717.30 | $11,109.20 | $15,713.30 | $18,444.50 | $10,021.50 | $12,377.55 | $14,560.70 |
| Kentucky | 11 | 234 | $31,697.70 | $61,894.54 | $108,644.00 | $11,152.70 | $14,542.28 | $18,481.00 | $8,246.08 | $12,123.00 | $15,079.60 |
| Nebraska | 5 | 89 | $37,683.30 | $49,423.65 | $67,400.80 | $11,886.50 | $14,069.89 | $18,537.20 | $10,398.20 | $11,971.44 | $13,629.10 |
| North Carolina | 18 | 400 | $30,252.40 | $50,565.16 | $71,160.20 | $10,887.90 | $14,271.09 | $19,238.00 | $9,581.92 | $11,931.87 | $14,464.30 |
| Illinois | 29 | 570 | $41,992.30 | $59,414.14 | $85,111.20 | $11,350.40 | $14,233.43 | $19,323.90 | $9,419.83 | $11,507.10 | $15,502.90 |
| Arizona | 14 | 211 | $37,001.50 | $69,989.67 | $90,990.70 | $11,612.50 | $14,436.18 | $19,447.50 | $9,851.44 | $12,153.98 | $16,981.40 |
| Georgia | 15 | 249 | $28,155.00 | $58,470.62 | $122,071.00 | $10,867.40 | $13,320.36 | $19,482.80 | $9,861.00 | $12,155.02 | $18,640.20 |
| New Hampshire | 2 | 33 | $25,024.70 | $30,827.66 | $38,703.10 | $12,956.90 | $15,741.20 | $19,519.90 | $11,994.10 | $13,381.97 | $15,265.50 |
| Wisconsin | 10 | 194 | $33,639.10 | $52,116.95 | $68,221.10 | $12,161.00 | $15,487.54 | $19,706.40 | $9,514.00 | $12,440.91 | $15,608.80 |
| Rhode Island | 1 | 28 | $53,060.50 | $53,060.50 | $53,060.50 | $19,773.70 | $19,773.70 | $19,773.70 | $15,569.00 | $15,569.00 | $15,569.00 |
| Mississippi | 10 | 184 | $30,847.10 | $49,973.58 | $86,360.10 | $10,460.50 | $13,404.78 | $19,908.30 | $8,569.27 | $10,974.79 | $16,069.40 |
| South Carolina | 12 | 223 | $38,285.00 | $75,452.82 | $114,569.00 | $10,728.00 | $14,415.85 | $20,132.20 | $9,459.00 | $11,720.20 | $15,948.80 |
| Utah | 4 | 82 | $39,266.20 | $46,249.54 | $56,038.30 | $12,133.30 | $15,564.17 | $20,475.00 | $11,429.30 | $13,311.23 | $18,075.30 |
| Connecticut | 6 | 132 | $30,624.30 | $54,277.65 | $71,855.80 | $15,133.90 | $18,715.56 | $20,868.30 | $12,177.10 | $15,594.92 | $19,449.50 |
| Washington DC | 3 | 43 | $79,460.40 | $83,408.07 | $88,557.20 | $17,981.70 | $19,274.26 | $20,961.60 | $13,816.10 | $15,403.32 | $16,371.80 |
| Michigan | 24 | 504 | $27,847.90 | $42,929.62 | $84,295.50 | $11,963.10 | $15,302.94 | $21,457.60 | $10,351.40 | $12,503.08 | $17,441.60 |
| Ohio | 25 | 450 | $19,482.20 | $54,429.40 | $84,529.60 | $10,579.70 | $14,099.21 | $21,800.20 | $8,225.25 | $11,739.85 | $17,001.10 |
| Minnesota | 15 | 345 | $24,026.40 | $40,048.68 | $59,537.90 | $12,886.90 | $15,004.32 | $21,926.40 | $10,253.20 | $12,897.66 | $18,882.50 |
| Missouri | 18 | 384 | $28,456.40 | $53,229.45 | $94,843.20 | $10,044.90 | $13,113.67 | $22,041.10 | $8,815.25 | $11,382.86 | $16,791.80 |
| Colorado | 11 | 165 | $48,341.60 | $81,141.98 | $142,344.00 | $11,451.70 | $15,002.14 | $22,219.50 | $10,137.20 | $12,271.45 | $20,517.00 |
| Iowa | 11 | 218 | $27,893.30 | $44,930.23 | $58,773.10 | $10,814.50 | $14,185.79 | $22,295.20 | $9,659.64 | $11,430.17 | $14,819.20 |
| New Mexico | 3 | 47 | $35,518.70 | $42,556.63 | $48,756.40 | $13,636.90 | $17,103.84 | $22,648.00 | $12,659.60 | $15,322.10 | $18,965.80 |
| Virginia | 20 | 368 | $27,900.20 | $60,582.99 | $142,139.00 | $11,474.00 | $14,184.48 | $23,084.10 | $9,398.94 | $11,548.15 | $18,949.20 |
| Washington | 18 | 317 | $36,767.40 | $63,770.21 | $101,204.00 | $13,051.50 | $16,346.12 | $23,113.30 | $9,540.33 | $13,429.10 | $18,182.30 |
| Pennsylvania | 28 | 538 | $32,753.50 | $71,906.64 | $166,905.00 | $10,369.10 | $15,288.92 | $23,989.60 | $8,507.08 | $11,654.34 | $20,069.10 |
| Vermont | 1 | 20 | $58,039.00 | $58,039.00 | $58,039.00 | $24,105.80 | $24,105.80 | $24,105.80 | $19,694.90 | $19,694.90 | $19,694.90 |
| Oklahoma | 9 | 184 | $27,267.70 | $63,665.03 | $148,523.00 | $10,621.70 | $13,831.33 | $25,018.80 | $9,014.62 | $11,169.39 | $18,882.40 |
| Massachusetts | 12 | 269 | $18,768.50 | $48,378.48 | $87,048.30 | $14,153.50 | $19,175.37 | $25,313.90 | $12,683.00 | $16,470.75 | $22,270.40 |
| Tennessee | 17 | 363 | $31,711.50 | $52,633.46 | $103,834.00 | $10,090.60 | $13,007.43 | $26,452.20 | $7,979.69 | $11,046.53 | $24,608.20 |
| California | 44 | 724 | $40,851.30 | $116,979.72 | $269,329.00 | $13,517.80 | $18,142.33 | $29,516.50 | $10,572.00 | $15,874.84 | $26,665.60 |
| Florida | 60 | 1,227 | $45,819.30 | $79,810.35 | $167,403.00 | $10,301.30 | $13,026.24 | $29,529.10 | $8,590.33 | $11,003.31 | $21,216.30 |
| New York | 26 | 499 | $25,713.30 | $63,968.94 | $99,191.50 | $11,154.00 | $19,545.61 | $30,768.20 | $10,034.00 | $15,485.80 | $27,226.50 |
| New Jersey | 20 | 380 | $48,783.40 | $74,570.90 | $133,383.00 | $12,065.40 | $16,814.87 | $34,226.60 | $9,409.55 | $12,673.09 | $15,717.00 |
| Texas | 38 | 795 | $36,896.50 | $71,454.91 | $125,832.00 | $10,805.60 | $14,231.45 | $34,459.40 | $8,814.82 | $11,331.88 | $16,969.50 |
| Maryland | 16 | 308 | $13,246.10 | $24,545.99 | $40,633.50 | $12,224.50 | $22,570.19 | $35,770.00 | $9,338.08 | $20,451.03 | $33,872.00 |
| Oregon | 7 | 111 | $32,262.20 | $52,025.46 | $94,867.40 | $13,763.00 | $20,122.64 | $43,059.90 | $10,386.00 | $14,060.48 | $19,886.90 | TOTAL US | 643 | 12,401 | $13,246.10 | $62.731,35 | $269,329.00 | $9,745.82 | $15.086,30 | $43,059.90 | $7,244.27 | $12.510,91 | $33,872.00 |
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.