Hospital Costs > Lower Extrem & Humer Proc Except Hip,Foot,Femur 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 |
| Maryland | 11 | 215 | $12,296.20 | $19,762.90 | $35,444.60 | $11,423.90 | $18,284.40 | $32,671.00 | $9,891.72 | $16,881.33 | $31,702.00 |
| Maine | 2 | 45 | $25,957.90 | $26,153.02 | $26,633.30 | $10,289.30 | $11,248.16 | $11,637.70 | $7,904.15 | $8,169.98 | $8,277.97 |
| Montana | 1 | 16 | $27,520.30 | $27,520.30 | $27,520.30 | $9,482.94 | $9,482.94 | $9,482.94 | $6,971.31 | $6,971.31 | $6,971.31 |
| Vermont | 1 | 21 | $27,593.00 | $27,593.00 | $27,593.00 | $14,882.30 | $14,882.30 | $14,882.30 | $10,163.70 | $10,163.70 | $10,163.70 |
| New Hampshire | 2 | 41 | $25,359.60 | $27,982.24 | $33,040.20 | $9,720.71 | $10,925.36 | $11,550.00 | $8,173.37 | $8,344.93 | $8,675.79 |
| Delaware | 3 | 69 | $23,644.00 | $28,003.22 | $33,519.70 | $9,675.48 | $10,693.72 | $11,540.40 | $7,311.76 | $8,993.61 | $9,942.51 |
| Arkansas | 13 | 238 | $15,346.60 | $28,506.63 | $59,923.50 | $7,566.26 | $8,560.77 | $10,015.30 | $6,062.63 | $7,095.63 | $8,542.50 |
| North Dakota | 1 | 15 | $29,571.10 | $29,571.10 | $29,571.10 | $11,148.00 | $11,148.00 | $11,148.00 | $7,635.80 | $7,635.80 | $7,635.80 |
| Michigan | 20 | 388 | $18,069.40 | $30,818.67 | $50,590.20 | $8,995.18 | $11,182.48 | $15,501.70 | $6,989.35 | $8,907.55 | $11,960.10 |
| Minnesota | 12 | 244 | $20,371.10 | $32,138.12 | $41,135.80 | $9,497.12 | $11,837.79 | $13,853.70 | $7,089.29 | $9,607.11 | $11,592.30 |
| Iowa | 8 | 138 | $23,070.20 | $32,377.01 | $42,456.60 | $8,071.94 | $9,201.07 | $10,437.20 | $6,603.82 | $7,277.93 | $8,516.65 |
| Wyoming | 1 | 11 | $33,935.50 | $33,935.50 | $33,935.50 | $15,177.60 | $15,177.60 | $15,177.60 | $11,086.50 | $11,086.50 | $11,086.50 |
| West Virginia | 6 | 122 | $23,749.90 | $34,690.74 | $50,527.90 | $9,392.14 | $11,670.42 | $13,902.40 | $6,168.33 | $9,332.04 | $11,206.10 |
| Massachusetts | 11 | 296 | $18,648.00 | $34,997.12 | $75,317.00 | $11,124.90 | $14,086.69 | $16,121.50 | $8,946.67 | $11,438.58 | $13,839.30 |
| Utah | 5 | 72 | $27,225.30 | $35,274.16 | $44,172.90 | $9,404.80 | $11,289.32 | $14,584.70 | $8,027.12 | $8,936.88 | $11,265.90 |
| Oregon | 7 | 104 | $28,750.90 | $35,368.53 | $46,472.60 | $9,197.82 | $12,613.76 | $15,987.20 | $6,628.17 | $10,080.32 | $14,264.40 |
| Idaho | 3 | 41 | $33,508.60 | $36,120.24 | $39,630.50 | $10,698.40 | $11,779.40 | $13,104.20 | $6,835.55 | $7,799.63 | $9,413.14 |
| Rhode Island | 2 | 27 | $29,690.80 | $37,488.41 | $43,726.50 | $11,070.60 | $13,156.88 | $14,825.90 | $9,877.17 | $11,586.13 | $12,953.30 |
| Nebraska | 4 | 84 | $30,300.40 | $38,246.63 | $53,457.40 | $9,072.42 | $10,292.95 | $11,521.60 | $7,500.42 | $8,184.28 | $9,590.23 |
| North Carolina | 10 | 214 | $21,619.50 | $38,412.87 | $51,957.10 | $8,881.82 | $11,255.28 | $14,532.70 | $5,192.73 | $8,267.16 | $10,718.80 |
| Connecticut | 5 | 97 | $28,277.70 | $39,372.52 | $57,991.60 | $11,677.00 | $13,592.98 | $16,131.50 | $9,700.76 | $11,657.34 | $12,716.60 |
| New Mexico | 3 | 45 | $32,589.60 | $39,568.09 | $46,792.10 | $8,972.79 | $12,339.59 | $18,708.80 | $7,830.89 | $8,424.91 | $8,923.36 |
| Mississippi | 9 | 158 | $28,239.90 | $40,260.05 | $103,410.00 | $8,023.69 | $9,754.22 | $15,232.20 | $6,667.50 | $8,185.90 | $13,091.50 |
| Tennessee | 19 | 332 | $16,391.70 | $40,823.74 | $99,907.90 | $7,669.14 | $10,109.87 | $22,652.70 | $5,549.67 | $8,115.61 | $21,236.30 |
| Louisiana | 5 | 66 | $30,295.40 | $41,393.86 | $67,304.80 | $8,666.82 | $9,587.98 | $10,082.70 | $6,218.91 | $7,615.85 | $8,765.29 |
| Nevada | 1 | 19 | $42,744.00 | $42,744.00 | $42,744.00 | $11,174.30 | $11,174.30 | $11,174.30 | $9,630.16 | $9,630.16 | $9,630.16 |
| Wisconsin | 6 | 85 | $29,770.40 | $43,265.87 | $73,412.40 | $8,891.82 | $11,692.98 | $15,149.00 | $7,792.18 | $9,292.09 | $13,008.50 |
| South Dakota | 2 | 33 | $40,600.80 | $45,515.40 | $49,610.90 | $10,553.40 | $11,098.90 | $11,753.50 | $8,356.40 | $8,808.03 | $9,184.39 |
| Missouri | 17 | 267 | $16,696.50 | $45,710.32 | $89,540.50 | $8,077.73 | $10,269.30 | $15,695.60 | $6,100.32 | $8,087.11 | $12,010.60 |
| Kentucky | 14 | 227 | $28,403.50 | $45,720.17 | $87,679.90 | $7,862.07 | $10,888.52 | $16,052.50 | $4,167.15 | $8,250.30 | $13,145.60 |
| New York | 31 | 595 | $16,881.60 | $46,011.89 | $65,449.90 | $9,123.21 | $14,411.25 | $20,194.30 | $7,936.57 | $11,377.43 | $18,031.90 |
| Ohio | 14 | 235 | $22,746.50 | $46,261.38 | $63,323.70 | $8,108.76 | $11,498.15 | $15,735.60 | $7,001.00 | $8,911.55 | $13,570.20 |
| Oklahoma | 8 | 178 | $25,204.30 | $46,461.12 | $132,609.00 | $8,134.35 | $10,186.56 | $20,377.50 | $6,159.50 | $8,607.36 | $18,729.50 |
| Alabama | 14 | 254 | $26,016.30 | $46,888.53 | $108,358.00 | $7,830.95 | $8,620.92 | $10,715.10 | $5,494.88 | $6,989.04 | $8,450.58 |
| Indiana | 14 | 268 | $29,030.70 | $48,128.68 | $77,534.80 | $8,366.12 | $10,971.58 | $14,801.20 | $6,185.25 | $8,505.29 | $12,424.10 |
| Illinois | 17 | 286 | $26,984.90 | $48,241.74 | $89,581.90 | $8,711.41 | $12,185.45 | $16,137.40 | $6,459.08 | $8,691.71 | $12,717.00 |
| Kansas | 4 | 73 | $35,228.30 | $49,838.16 | $63,907.20 | $8,680.31 | $10,216.79 | $11,285.50 | $6,914.94 | $8,440.26 | $9,630.68 |
| Georgia | 11 | 176 | $22,716.90 | $50,184.61 | $100,781.00 | $8,308.09 | $10,601.76 | $15,680.20 | $7,106.64 | $8,731.17 | $14,564.50 |
| South Carolina | 7 | 119 | $25,083.20 | $51,220.10 | $94,848.90 | $8,234.50 | $10,567.18 | $13,668.20 | $6,139.44 | $8,326.12 | $10,159.50 |
| Pennsylvania | 27 | 443 | $16,232.70 | $51,898.01 | $106,994.00 | $8,136.17 | $11,767.62 | $18,423.70 | $6,269.50 | $9,036.74 | $13,812.90 |
| Washington | 10 | 171 | $34,025.30 | $51,947.77 | $71,692.30 | $10,108.70 | $12,776.67 | $16,303.40 | $8,416.00 | $10,251.48 | $14,085.30 |
| Virginia | 20 | 302 | $20,670.10 | $52,089.62 | $149,108.00 | $8,070.62 | $10,433.04 | $15,921.20 | $6,014.07 | $8,083.75 | $11,026.90 |
| Colorado | 7 | 122 | $41,667.50 | $52,546.67 | $68,814.00 | $9,376.69 | $10,484.59 | $14,263.80 | $6,842.25 | $8,422.85 | $13,053.20 |
| Arizona | 8 | 117 | $45,194.50 | $56,704.77 | $73,567.50 | $9,125.40 | $10,850.43 | $14,287.10 | $7,290.60 | $8,648.75 | $11,540.90 |
| New Jersey | 20 | 407 | $35,918.00 | $57,415.27 | $89,699.20 | $9,128.18 | $12,481.07 | $21,433.00 | $7,076.00 | $9,505.54 | $13,670.50 |
| Texas | 27 | 482 | $35,719.10 | $57,785.65 | $93,605.50 | $8,378.67 | $10,959.82 | $29,293.60 | $6,618.32 | $8,182.58 | $9,844.17 |
| Florida | 44 | 897 | $37,854.20 | $64,516.92 | $110,288.00 | $8,012.00 | $9,760.96 | $14,756.80 | $6,038.20 | $7,730.21 | $11,905.90 |
| Washington DC | 3 | 47 | $51,353.20 | $67,703.48 | $80,000.50 | $14,986.90 | $15,296.17 | $15,743.20 | $10,510.20 | $11,928.42 | $12,890.00 |
| California | 29 | 436 | $38,460.20 | $89,983.87 | $165,036.00 | $10,735.40 | $14,556.95 | $27,374.10 | $7,681.64 | $12,027.56 | $25,969.30 | TOTAL US | 519 | 9,338 | $12,296.20 | $48.061,48 | $165,036.00 | $7,566.26 | $11.547,57 | $32,671.00 | $4,167.15 | $9.154,46 | $31,702.00 |
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.