Hospital Costs > Major Cardiovasc Procedures W/O 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 |
| Pennsylvania | 46 | 1,172 | $42,785.10 | $123,747.47 | $330,237.00 | $17,198.10 | $24,117.35 | $38,122.50 | $13,164.20 | $21,078.46 | $30,902.90 |
| Alabama | 22 | 812 | $41,685.80 | $91,386.78 | $151,059.00 | $16,776.40 | $19,272.15 | $24,329.40 | $14,393.10 | $17,288.77 | $21,240.10 |
| Texas | 72 | 2,115 | $63,547.30 | $110,453.61 | $230,540.00 | $17,774.00 | $23,083.61 | $74,847.30 | $14,833.50 | $19,748.56 | $73,725.00 |
| Ohio | 42 | 1,192 | $51,786.30 | $91,835.56 | $131,148.00 | $18,151.10 | $24,033.08 | $30,035.30 | $14,991.80 | $20,339.28 | $27,101.30 |
| Kansas | 12 | 372 | $38,765.70 | $79,230.12 | $125,614.00 | $17,441.00 | $20,136.91 | $24,935.00 | $15,064.50 | $18,646.86 | $22,912.50 |
| Florida | 75 | 2,377 | $56,150.80 | $122,591.61 | $247,693.00 | $16,974.80 | $21,532.18 | $34,439.50 | $15,419.40 | $19,095.16 | $29,811.80 |
| Tennessee | 27 | 921 | $45,319.40 | $87,589.66 | $284,284.00 | $16,742.80 | $21,053.89 | $28,801.90 | $15,617.90 | $18,277.90 | $24,677.80 |
| Oklahoma | 14 | 479 | $42,341.90 | $87,967.96 | $168,078.00 | $18,137.30 | $21,798.89 | $33,027.80 | $15,629.30 | $19,184.13 | $30,333.30 |
| Louisiana | 18 | 469 | $51,633.70 | $94,163.21 | $149,492.00 | $17,685.50 | $20,703.49 | $26,368.90 | $15,713.80 | $18,101.27 | $21,276.30 |
| Arizona | 26 | 699 | $70,209.20 | $105,358.03 | $232,569.00 | $19,810.60 | $23,506.07 | $35,271.90 | $15,759.20 | $21,446.00 | $34,250.40 |
| Georgia | 28 | 901 | $51,797.30 | $91,538.18 | $171,268.00 | $17,818.20 | $21,972.94 | $29,154.70 | $15,775.00 | $19,332.47 | $27,368.80 |
| Illinois | 47 | 1,372 | $56,562.00 | $108,900.50 | $154,287.00 | $17,929.10 | $24,704.42 | $40,620.20 | $15,841.60 | $20,889.58 | $29,826.50 |
| Kentucky | 16 | 590 | $42,751.10 | $93,550.39 | $135,021.00 | $18,385.90 | $24,059.71 | $37,439.90 | $16,106.00 | $20,651.76 | $27,522.50 |
| Missouri | 27 | 924 | $39,989.30 | $84,767.07 | $180,294.00 | $17,796.50 | $21,685.04 | $34,189.30 | $16,136.80 | $19,597.53 | $28,824.40 |
| Arkansas | 17 | 438 | $37,816.50 | $80,466.86 | $155,365.00 | $17,302.80 | $20,092.31 | $27,419.30 | $16,138.10 | $17,818.80 | $21,307.90 |
| Mississippi | 13 | 332 | $44,156.00 | $79,035.05 | $130,536.00 | $17,405.80 | $20,388.92 | $28,733.10 | $16,197.80 | $18,547.44 | $26,217.70 |
| Wisconsin | 19 | 539 | $34,484.50 | $85,218.94 | $142,515.00 | $19,046.40 | $25,771.22 | $33,292.80 | $16,212.30 | $22,357.16 | $27,716.50 |
| Iowa | 9 | 329 | $50,898.70 | $82,925.31 | $113,197.00 | $17,382.30 | $22,778.43 | $32,043.80 | $16,257.70 | $20,205.20 | $24,864.50 |
| South Carolina | 18 | 517 | $50,579.00 | $118,664.03 | $211,494.00 | $17,729.30 | $23,369.23 | $33,488.40 | $16,387.90 | $20,386.33 | $27,348.20 |
| Virginia | 31 | 962 | $51,221.20 | $106,519.96 | $291,805.00 | $17,938.70 | $24,814.27 | $33,810.20 | $16,451.10 | $21,201.85 | $30,295.70 |
| Indiana | 31 | 872 | $50,881.30 | $94,714.11 | $171,798.00 | $18,220.30 | $22,822.98 | $32,383.50 | $16,634.40 | $20,575.22 | $29,965.00 |
| New York | 42 | 1,655 | $41,514.50 | $85,180.02 | $165,537.00 | $19,720.40 | $29,351.75 | $40,413.40 | $16,951.50 | $25,778.17 | $37,929.40 |
| West Virginia | 9 | 292 | $38,249.40 | $66,857.09 | $92,593.50 | $18,306.60 | $21,813.20 | $27,425.70 | $17,076.50 | $19,103.49 | $24,837.70 |
| Nebraska | 7 | 271 | $49,077.10 | $74,665.82 | $113,884.00 | $19,404.50 | $21,920.60 | $30,657.20 | $17,160.90 | $19,922.08 | $25,841.90 |
| North Carolina | 22 | 1,077 | $44,071.80 | $87,702.57 | $136,066.00 | $19,173.90 | $24,367.65 | $32,722.20 | $17,189.70 | $21,487.33 | $28,910.80 |
| Utah | 6 | 150 | $58,454.40 | $72,382.56 | $110,823.00 | $21,807.30 | $25,084.71 | $28,845.10 | $17,221.00 | $19,765.83 | $26,372.20 |
| Montana | 5 | 116 | $68,746.20 | $76,143.06 | $85,844.20 | $20,927.50 | $22,211.12 | $23,087.90 | $17,293.70 | $20,234.38 | $22,135.10 |
| Oregon | 12 | 327 | $57,217.50 | $81,821.30 | $115,428.00 | $21,971.50 | $26,476.64 | $36,142.20 | $17,299.80 | $23,733.69 | $33,773.60 |
| Michigan | 35 | 1,254 | $35,996.80 | $69,905.80 | $98,047.70 | $19,560.90 | $24,731.36 | $35,309.80 | $17,583.10 | $22,320.57 | $29,217.70 |
| New Mexico | 4 | 110 | $68,238.80 | $102,164.77 | $144,585.00 | $20,905.40 | $23,299.81 | $32,577.90 | $17,850.60 | $20,432.57 | $30,759.20 |
| Nevada | 9 | 188 | $78,526.90 | $145,904.15 | $204,532.00 | $21,560.20 | $25,979.02 | $30,468.60 | $17,995.20 | $20,802.19 | $25,617.10 |
| New Jersey | 33 | 1,008 | $72,211.30 | $117,337.58 | $256,511.00 | $19,809.30 | $25,393.79 | $30,615.10 | $18,174.80 | $23,046.66 | $28,424.80 |
| South Dakota | 3 | 211 | $84,772.40 | $111,296.80 | $137,549.00 | $19,865.00 | $23,505.74 | $27,844.50 | $18,187.20 | $22,056.66 | $26,848.60 |
| Hawaii | 2 | 40 | $85,790.60 | $91,977.89 | $96,551.10 | $31,822.20 | $37,681.08 | $45,607.80 | $18,348.70 | $20,277.19 | $21,702.60 |
| Colorado | 14 | 345 | $73,426.70 | $138,473.06 | $211,076.00 | $21,264.30 | $25,985.82 | $32,015.60 | $18,574.80 | $22,763.47 | $28,172.60 |
| New Hampshire | 8 | 227 | $47,023.20 | $76,215.53 | $97,261.50 | $21,664.30 | $28,081.53 | $32,194.90 | $18,611.40 | $25,291.55 | $28,567.30 |
| Idaho | 7 | 140 | $55,785.20 | $69,191.17 | $113,210.00 | $20,101.10 | $22,858.59 | $27,510.80 | $19,023.30 | $21,129.98 | $26,467.30 |
| Minnesota | 13 | 666 | $47,580.40 | $82,272.70 | $140,014.00 | $21,655.00 | $26,515.81 | $32,684.10 | $19,035.80 | $23,193.79 | $28,968.10 |
| Maine | 3 | 155 | $51,198.60 | $61,123.93 | $68,378.50 | $21,450.40 | $23,223.07 | $24,942.80 | $19,672.30 | $20,972.63 | $22,053.50 |
| North Dakota | 6 | 147 | $61,837.80 | $76,191.17 | $97,275.10 | $21,373.70 | $22,517.35 | $24,535.10 | $20,182.00 | $20,910.91 | $22,807.90 |
| Washington | 21 | 596 | $76,145.40 | $118,168.47 | $179,451.00 | $21,445.90 | $28,538.97 | $41,824.50 | $20,309.00 | $24,880.95 | $33,073.30 |
| Wyoming | 2 | 44 | $94,212.30 | $95,424.25 | $96,434.20 | $25,013.60 | $27,440.51 | $30,352.80 | $20,407.00 | $24,514.73 | $29,444.00 |
| Delaware | 3 | 164 | $55,842.20 | $75,556.33 | $85,461.50 | $21,555.80 | $26,657.91 | $28,306.30 | $20,579.40 | $23,255.18 | $24,358.80 |
| California | 64 | 1,567 | $63,251.10 | $163,864.34 | $379,669.00 | $22,030.10 | $30,545.13 | $45,953.20 | $20,741.40 | $28,331.79 | $41,858.70 |
| Maryland | 24 | 721 | $23,696.50 | $35,487.23 | $62,085.30 | $21,848.80 | $32,811.93 | $57,263.40 | $20,875.40 | $30,635.71 | $55,916.80 |
| Rhode Island | 3 | 73 | $79,188.70 | $87,923.89 | $106,437.00 | $23,864.20 | $27,700.89 | $29,967.70 | $20,950.90 | $25,365.56 | $28,323.60 |
| Massachusetts | 21 | 716 | $38,131.90 | $79,661.47 | $128,122.00 | $22,130.20 | $32,394.41 | $38,345.60 | $21,322.20 | $28,992.22 | $36,419.10 |
| Connecticut | 10 | 348 | $65,007.40 | $81,448.18 | $109,107.00 | $24,637.40 | $30,386.27 | $37,995.20 | $21,653.80 | $27,162.50 | $34,134.60 |
| Washington DC | 2 | 87 | $103,334.00 | $105,977.29 | $113,787.00 | $27,971.70 | $28,568.73 | $30,332.70 | $24,946.00 | $25,658.57 | $27,763.90 |
| Vermont | 1 | 40 | $60,691.30 | $60,691.30 | $60,691.30 | $28,246.10 | $28,246.10 | $28,246.10 | $26,358.30 | $26,358.30 | $26,358.30 |
| Alaska | 2 | 32 | $119,431.00 | $145,375.50 | $163,127.00 | $28,768.70 | $30,051.76 | $31,927.00 | $26,877.10 | $27,357.21 | $27,685.70 | TOTAL US | 1,003 | 31,151 | $23,696.50 | $99.240,18 | $379,669.00 | $16,742.80 | $24.622,08 | $74,847.30 | $13,164.20 | $21.763,29 | $73,725.00 |
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.