Hospital Costs > Major Bladder Procedures 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 | 1 | 20 | $25,399.80 | $25,399.80 | $25,399.80 | $23,640.80 | $23,640.80 | $23,640.80 | $19,863.40 | $19,863.40 | $19,863.40 |
| North Carolina | 1 | 12 | $41,496.80 | $41,496.80 | $41,496.80 | $20,172.80 | $20,172.80 | $20,172.80 | $15,805.80 | $15,805.80 | $15,805.80 |
| Texas | 1 | 18 | $50,373.20 | $50,373.20 | $50,373.20 | $14,883.10 | $14,883.10 | $14,883.10 | $12,025.20 | $12,025.20 | $12,025.20 |
| Michigan | 1 | 18 | $63,334.20 | $63,334.20 | $63,334.20 | $24,239.50 | $24,239.50 | $24,239.50 | $16,961.30 | $16,961.30 | $16,961.30 |
| Tennessee | 1 | 15 | $74,256.00 | $74,256.00 | $74,256.00 | $17,486.90 | $17,486.90 | $17,486.90 | $16,441.50 | $16,441.50 | $16,441.50 |
| Washington | 1 | 15 | $75,410.00 | $75,410.00 | $75,410.00 | $24,156.70 | $24,156.70 | $24,156.70 | $19,950.30 | $19,950.30 | $19,950.30 |
| New York | 1 | 19 | $76,853.80 | $76,853.80 | $76,853.80 | $28,341.60 | $28,341.60 | $28,341.60 | $17,169.70 | $17,169.70 | $17,169.70 |
| Indiana | 1 | 28 | $86,249.90 | $86,249.90 | $86,249.90 | $19,723.20 | $19,723.20 | $19,723.20 | $16,702.50 | $16,702.50 | $16,702.50 |
| Virginia | 1 | 15 | $95,143.90 | $95,143.90 | $95,143.90 | $22,337.50 | $22,337.50 | $22,337.50 | $14,851.30 | $14,851.30 | $14,851.30 |
| Wisconsin | 1 | 14 | $98,428.10 | $98,428.10 | $98,428.10 | $19,042.40 | $19,042.40 | $19,042.40 | $13,991.10 | $13,991.10 | $13,991.10 |
| Illinois | 1 | 15 | $98,678.10 | $98,678.10 | $98,678.10 | $22,473.00 | $22,473.00 | $22,473.00 | $19,102.80 | $19,102.80 | $19,102.80 |
| Massachusetts | 2 | 27 | $110,793.00 | $112,323.67 | $114,237.00 | $21,917.00 | $21,937.93 | $21,964.10 | $19,377.80 | $19,520.47 | $19,698.80 |
| Florida | 1 | 16 | $142,494.00 | $142,494.00 | $142,494.00 | $15,741.90 | $15,741.90 | $15,741.90 | $14,677.90 | $14,677.90 | $14,677.90 |
| California | 3 | 47 | $159,321.00 | $164,293.60 | $169,127.00 | $20,929.90 | $24,505.43 | $29,072.50 | $17,585.20 | $21,240.04 | $25,698.30 | TOTAL US | 17 | 279 | $25,399.80 | $94.955,79 | $169,127.00 | $14,883.10 | $21.753,37 | $29,072.50 | $12,025.20 | $17.612,31 | $25,698.30 |
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.