Hospital Costs > Lower Extrem & Humer Proc Except Hip,Foot,Femur W 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 |
| Oklahoma | 1 | 16 | $55,750.50 | $55,750.50 | $55,750.50 | $18,453.70 | $18,453.70 | $18,453.70 | $15,525.20 | $15,525.20 | $15,525.20 |
| Mississippi | 1 | 12 | $61,952.30 | $61,952.30 | $61,952.30 | $17,347.80 | $17,347.80 | $17,347.80 | $16,235.20 | $16,235.20 | $16,235.20 |
| Kansas | 1 | 17 | $93,282.40 | $93,282.40 | $93,282.40 | $19,974.90 | $19,974.90 | $19,974.90 | $17,135.40 | $17,135.40 | $17,135.40 |
| North Dakota | 2 | 22 | $41,880.60 | $46,973.30 | $52,066.00 | $18,626.90 | $18,679.40 | $18,731.90 | $15,404.60 | $16,371.10 | $17,337.60 |
| Iowa | 2 | 27 | $76,245.40 | $84,161.07 | $89,603.10 | $19,124.10 | $20,817.31 | $21,981.40 | $15,972.40 | $16,594.76 | $17,500.00 |
| Arizona | 1 | 11 | $118,855.00 | $118,855.00 | $118,855.00 | $19,524.70 | $19,524.70 | $19,524.70 | $18,430.90 | $18,430.90 | $18,430.90 |
| New Jersey | 1 | 11 | $139,757.00 | $139,757.00 | $139,757.00 | $20,951.40 | $20,951.40 | $20,951.40 | $19,937.60 | $19,937.60 | $19,937.60 |
| Virginia | 2 | 26 | $31,989.10 | $63,050.58 | $89,674.70 | $19,113.30 | $20,727.93 | $22,111.90 | $17,629.70 | $19,036.92 | $20,243.10 |
| Alabama | 2 | 34 | $104,173.00 | $115,673.82 | $139,721.00 | $17,585.40 | $20,008.18 | $25,074.00 | $14,521.00 | $16,857.37 | $21,742.50 |
| Wisconsin | 1 | 11 | $106,487.00 | $106,487.00 | $106,487.00 | $24,078.30 | $24,078.30 | $24,078.30 | $21,905.70 | $21,905.70 | $21,905.70 |
| Indiana | 2 | 33 | $91,155.10 | $91,622.34 | $92,011.70 | $21,253.90 | $25,718.88 | $29,439.70 | $19,835.80 | $21,325.27 | $22,566.50 |
| Missouri | 1 | 14 | $85,011.60 | $85,011.60 | $85,011.60 | $26,761.10 | $26,761.10 | $26,761.10 | $23,033.00 | $23,033.00 | $23,033.00 |
| Delaware | 1 | 15 | $74,129.20 | $74,129.20 | $74,129.20 | $37,108.90 | $37,108.90 | $37,108.90 | $23,556.20 | $23,556.20 | $23,556.20 |
| Michigan | 3 | 43 | $46,382.90 | $59,745.56 | $75,949.50 | $21,404.50 | $25,235.50 | $34,418.10 | $18,141.70 | $20,483.89 | $23,629.60 |
| North Carolina | 4 | 69 | $61,650.00 | $81,642.93 | $109,752.00 | $20,186.30 | $23,907.54 | $28,976.40 | $16,956.80 | $20,352.51 | $24,276.50 |
| Kentucky | 1 | 12 | $155,606.00 | $155,606.00 | $155,606.00 | $28,400.20 | $28,400.20 | $28,400.20 | $24,458.10 | $24,458.10 | $24,458.10 |
| Massachusetts | 1 | 12 | $39,361.20 | $39,361.20 | $39,361.20 | $26,507.90 | $26,507.90 | $26,507.90 | $24,656.20 | $24,656.20 | $24,656.20 |
| Florida | 2 | 40 | $92,829.60 | $115,690.59 | $124,362.00 | $20,332.60 | $22,669.47 | $28,830.30 | $18,942.30 | $20,573.16 | $24,872.70 |
| Rhode Island | 1 | 14 | $87,515.90 | $87,515.90 | $87,515.90 | $29,030.40 | $29,030.40 | $29,030.40 | $25,181.70 | $25,181.70 | $25,181.70 |
| Connecticut | 1 | 14 | $74,750.30 | $74,750.30 | $74,750.30 | $28,291.40 | $28,291.40 | $28,291.40 | $26,105.20 | $26,105.20 | $26,105.20 |
| Ohio | 3 | 37 | $60,436.70 | $101,771.77 | $134,251.00 | $21,014.10 | $26,068.85 | $30,552.10 | $17,027.20 | $22,587.47 | $26,475.80 |
| Minnesota | 3 | 38 | $79,165.50 | $82,401.33 | $87,232.60 | $24,602.50 | $28,894.38 | $35,908.30 | $20,178.10 | $24,151.54 | $28,167.50 |
| Washington | 2 | 33 | $73,978.70 | $91,873.35 | $123,189.00 | $23,583.10 | $27,812.85 | $35,214.90 | $21,293.40 | $24,189.76 | $29,258.40 |
| California | 1 | 12 | $276,031.00 | $276,031.00 | $276,031.00 | $35,122.10 | $35,122.10 | $35,122.10 | $32,267.70 | $32,267.70 | $32,267.70 |
| Texas | 6 | 85 | $84,247.50 | $126,950.37 | $194,941.00 | $17,709.10 | $28,002.29 | $55,813.70 | $15,986.00 | $21,620.45 | $32,307.70 |
| Tennessee | 3 | 51 | $75,353.80 | $116,839.83 | $174,809.00 | $19,697.60 | $26,088.11 | $35,219.60 | $17,636.20 | $24,538.69 | $33,970.40 |
| New York | 1 | 14 | $188,711.00 | $188,711.00 | $188,711.00 | $56,173.50 | $56,173.50 | $56,173.50 | $43,923.00 | $43,923.00 | $43,923.00 |
| Maryland | 2 | 27 | $42,671.80 | $53,532.52 | $62,221.10 | $39,432.20 | $49,609.31 | $57,751.00 | $38,253.30 | $45,122.41 | $50,617.70 |
| Pennsylvania | 4 | 45 | $76,007.00 | $185,035.78 | $307,690.00 | $19,709.70 | $53,186.53 | $137,402.00 | $18,627.00 | $47,818.54 | $133,086.00 | TOTAL US | 56 | 795 | $31,989.10 | $102.247,65 | $307,690.00 | $17,347.80 | $28.000,06 | $137,402.00 | $14,521.00 | $24.002,64 | $133,086.00 |
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.