Hospital Costs > Major Cardiovasc Procedures 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 |
| Maryland | 14 | 286 | $26,778.20 | $52,498.90 | $75,451.70 | $24,837.60 | $48,639.00 | $69,648.20 | $23,068.80 | $45,875.17 | $67,168.70 |
| Alabama | 15 | 330 | $54,360.60 | $136,552.11 | $285,375.00 | $24,607.80 | $31,228.78 | $42,795.20 | $22,332.50 | $28,638.39 | $39,505.30 |
| Arkansas | 8 | 143 | $55,186.90 | $100,759.96 | $171,044.00 | $26,345.10 | $32,235.99 | $44,823.90 | $25,450.70 | $30,101.74 | $40,377.80 |
| Pennsylvania | 30 | 618 | $58,827.30 | $205,625.54 | $387,254.00 | $30,257.30 | $40,900.98 | $73,229.00 | $24,441.40 | $34,735.20 | $64,544.00 |
| Massachusetts | 13 | 360 | $59,399.30 | $127,956.23 | $202,543.00 | $26,947.20 | $51,196.51 | $63,206.90 | $26,648.50 | $48,117.33 | $59,137.20 |
| Ohio | 27 | 625 | $60,910.20 | $150,831.17 | $217,817.00 | $27,085.60 | $40,319.83 | $52,871.20 | $23,804.80 | $34,104.06 | $46,638.00 |
| Michigan | 30 | 751 | $63,392.10 | $113,292.24 | $224,579.00 | $27,699.80 | $41,237.08 | $95,116.70 | $26,696.60 | $36,591.18 | $54,246.40 |
| Minnesota | 12 | 385 | $65,515.80 | $141,773.85 | $257,207.00 | $36,663.80 | $45,958.55 | $68,456.50 | $31,353.10 | $40,742.72 | $64,211.00 |
| West Virginia | 5 | 108 | $66,315.90 | $110,719.39 | $161,079.00 | $19,780.70 | $39,159.79 | $63,916.20 | $18,868.80 | $31,338.48 | $38,836.30 |
| Kentucky | 12 | 252 | $66,634.70 | $137,251.63 | $216,202.00 | $22,982.80 | $38,598.05 | $61,178.00 | $21,952.70 | $33,613.22 | $50,860.50 |
| Tennessee | 14 | 354 | $69,249.80 | $123,455.34 | $160,705.00 | $26,827.50 | $33,557.58 | $39,157.20 | $16,834.10 | $30,325.92 | $37,978.70 |
| Delaware | 3 | 81 | $70,226.40 | $125,549.44 | $151,098.00 | $39,346.60 | $51,716.02 | $53,803.10 | $38,468.20 | $43,021.32 | $44,480.90 |
| Oregon | 5 | 92 | $70,276.40 | $123,229.40 | $151,761.00 | $35,789.40 | $46,649.65 | $59,370.50 | $31,223.90 | $42,604.92 | $54,677.70 |
| Missouri | 18 | 360 | $70,487.20 | $135,814.34 | $214,225.00 | $25,808.30 | $35,630.06 | $49,605.50 | $25,164.10 | $33,335.90 | $42,852.90 |
| South Carolina | 9 | 163 | $75,409.30 | $152,826.77 | $260,468.00 | $26,933.00 | $37,489.18 | $48,042.90 | $25,909.00 | $32,932.87 | $39,428.20 |
| Idaho | 3 | 44 | $77,279.50 | $94,339.79 | $110,379.00 | $32,871.80 | $36,117.16 | $40,520.30 | $24,175.90 | $30,506.28 | $34,280.60 |
| Georgia | 16 | 414 | $78,291.50 | $133,635.71 | $224,884.00 | $28,595.80 | $36,700.19 | $48,648.70 | $27,055.50 | $34,015.27 | $43,325.90 |
| Wisconsin | 9 | 261 | $78,640.40 | $141,118.53 | $190,758.00 | $33,136.20 | $44,323.32 | $65,790.30 | $32,117.20 | $39,870.68 | $50,590.10 |
| New York | 29 | 774 | $79,391.80 | $172,479.39 | $561,235.00 | $32,231.40 | $53,693.93 | $131,765.00 | $30,583.40 | $46,676.48 | $118,650.00 |
| North Carolina | 16 | 554 | $79,777.60 | $129,096.98 | $186,162.00 | $30,368.80 | $40,270.08 | $58,162.60 | $28,970.90 | $34,916.55 | $47,812.10 |
| Iowa | 8 | 181 | $80,273.80 | $124,461.93 | $176,236.00 | $28,802.60 | $37,636.45 | $50,197.40 | $25,740.50 | $34,163.15 | $42,669.10 |
| Florida | 55 | 1,205 | $80,403.50 | $177,395.12 | $304,123.00 | $25,598.20 | $36,708.95 | $61,570.80 | $18,666.00 | $32,145.68 | $47,150.20 |
| Virginia | 16 | 420 | $80,434.80 | $169,837.10 | $394,958.00 | $31,362.80 | $43,567.49 | $55,522.70 | $24,141.50 | $38,170.56 | $49,941.10 |
| Vermont | 1 | 24 | $81,382.50 | $81,382.50 | $81,382.50 | $43,549.80 | $43,549.80 | $43,549.80 | $37,149.20 | $37,149.20 | $37,149.20 |
| Indiana | 19 | 435 | $81,630.50 | $146,557.24 | $261,124.00 | $27,931.30 | $37,431.24 | $49,706.50 | $26,921.80 | $34,862.66 | $44,216.00 |
| New Mexico | 4 | 59 | $82,039.20 | $121,884.18 | $178,763.00 | $30,420.90 | $39,407.77 | $56,672.50 | $29,525.90 | $36,970.86 | $49,406.50 |
| Mississippi | 7 | 135 | $84,673.40 | $143,250.75 | $247,407.00 | $27,237.70 | $39,497.67 | $56,353.70 | $25,581.30 | $32,926.14 | $47,536.30 |
| Utah | 4 | 59 | $86,631.20 | $114,548.36 | $144,186.00 | $32,698.80 | $44,538.07 | $55,312.60 | $31,478.40 | $36,850.36 | $47,613.60 |
| Montana | 3 | 47 | $86,897.40 | $111,747.37 | $133,264.00 | $31,496.90 | $34,398.47 | $39,122.20 | $30,519.80 | $33,316.72 | $38,065.60 |
| Texas | 46 | 966 | $88,764.30 | $177,517.68 | $399,590.00 | $24,944.50 | $38,503.15 | $64,459.10 | $21,029.80 | $32,851.05 | $50,087.10 |
| Washington | 11 | 239 | $89,066.50 | $172,168.31 | $245,286.00 | $35,987.80 | $47,220.84 | $68,386.50 | $33,087.60 | $43,366.22 | $62,449.70 |
| Kansas | 6 | 119 | $91,784.80 | $193,400.78 | $375,485.00 | $33,448.50 | $43,698.42 | $72,402.90 | $28,700.30 | $38,758.62 | $71,633.40 |
| Maine | 3 | 92 | $95,370.00 | $114,945.51 | $130,221.00 | $36,016.80 | $40,953.54 | $44,102.80 | $34,302.60 | $38,600.57 | $42,043.80 |
| South Dakota | 3 | 59 | $95,666.00 | $148,674.90 | $170,023.00 | $30,133.00 | $38,595.14 | $44,311.20 | $26,156.80 | $36,624.11 | $43,208.90 |
| Louisiana | 13 | 237 | $97,006.50 | $147,760.02 | $263,336.00 | $27,332.20 | $33,600.64 | $46,084.00 | $21,523.70 | $29,963.09 | $36,012.70 |
| Illinois | 27 | 588 | $98,525.30 | $172,502.98 | $234,465.00 | $31,264.90 | $40,403.77 | $56,618.80 | $27,186.00 | $37,041.85 | $47,341.90 |
| Arizona | 17 | 292 | $100,248.00 | $150,829.52 | $204,189.00 | $29,456.50 | $36,389.82 | $56,388.10 | $27,092.50 | $33,240.96 | $39,261.50 |
| Oklahoma | 9 | 212 | $101,902.00 | $148,294.58 | $225,450.00 | $27,516.90 | $34,675.06 | $43,168.90 | $25,454.80 | $30,263.34 | $40,617.20 |
| New Hampshire | 3 | 76 | $102,139.00 | $128,902.04 | $134,068.00 | $32,630.60 | $46,093.38 | $51,730.60 | $29,105.00 | $40,830.27 | $46,624.30 |
| North Dakota | 3 | 54 | $102,881.00 | $109,574.89 | $115,254.00 | $33,897.90 | $35,577.57 | $36,602.00 | $32,645.90 | $34,148.61 | $35,430.40 |
| Nevada | 5 | 100 | $109,213.00 | $215,549.71 | $328,640.00 | $31,302.50 | $36,841.26 | $41,134.40 | $30,007.30 | $34,422.38 | $39,036.10 |
| Colorado | 10 | 157 | $116,171.00 | $207,101.11 | $377,606.00 | $31,480.70 | $41,712.62 | $54,602.90 | $29,947.10 | $37,091.29 | $48,404.80 |
| New Jersey | 20 | 475 | $118,230.00 | $210,742.97 | $332,412.00 | $28,037.50 | $41,373.41 | $53,597.80 | $27,357.50 | $37,314.11 | $47,638.20 |
| Nebraska | 2 | 37 | $126,929.00 | $128,198.73 | $129,539.00 | $39,426.80 | $39,961.06 | $40,467.20 | $36,177.70 | $37,259.50 | $38,401.40 |
| Connecticut | 6 | 155 | $127,008.00 | $159,191.48 | $198,640.00 | $40,795.60 | $50,179.84 | $57,192.30 | $39,233.20 | $46,548.06 | $51,485.50 |
| California | 53 | 895 | $127,092.00 | $309,271.52 | $605,379.00 | $32,410.30 | $53,667.87 | $90,588.50 | $31,169.20 | $50,288.17 | $82,503.40 |
| Rhode Island | 2 | 41 | $138,357.00 | $145,645.54 | $159,702.00 | $37,661.90 | $45,265.30 | $49,207.80 | $36,671.30 | $42,836.59 | $46,033.40 |
| Wyoming | 1 | 12 | $143,558.00 | $143,558.00 | $143,558.00 | $35,630.80 | $35,630.80 | $35,630.80 | $34,636.20 | $34,636.20 | $34,636.20 |
| Hawaii | 2 | 29 | $152,081.00 | $158,219.38 | $168,264.00 | $46,161.50 | $53,610.33 | $58,162.40 | $45,280.10 | $48,487.82 | $50,448.10 |
| Washington DC | 1 | 97 | $168,504.00 | $168,504.00 | $168,504.00 | $46,981.20 | $46,981.20 | $46,981.20 | $39,158.00 | $39,158.00 | $39,158.00 |
| Alaska | 1 | 17 | $270,508.00 | $270,508.00 | $270,508.00 | $62,691.70 | $62,691.70 | $62,691.70 | $61,357.10 | $61,357.10 | $61,357.10 | TOTAL US | 649 | 14,469 | $26,778.20 | $162.869,94 | $605,379.00 | $19,780.70 | $41.601,15 | $131,765.00 | $16,834.10 | $37.153,22 | $118,650.00 |
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.