Hospital Costs > Major Chest 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 |
| Delaware | 1 | 14 | $106,991.00 | $106,991.00 | $106,991.00 | $34,579.40 | $34,579.40 | $34,579.40 | $27,207.60 | $27,207.60 | $27,207.60 |
| Oklahoma | 3 | 53 | $97,618.30 | $106,827.09 | $116,816.00 | $29,474.50 | $30,718.93 | $31,959.90 | $23,727.80 | $25,366.18 | $27,650.90 |
| Louisiana | 2 | 29 | $96,555.90 | $117,391.27 | $130,124.00 | $34,084.70 | $39,690.33 | $43,116.00 | $25,140.80 | $26,153.48 | $27,810.60 |
| Arkansas | 5 | 79 | $49,099.50 | $84,440.01 | $126,783.00 | $25,117.20 | $28,026.20 | $29,474.00 | $23,458.50 | $25,466.65 | $28,382.00 |
| West Virginia | 2 | 46 | $91,658.80 | $98,756.54 | $102,542.00 | $33,059.70 | $35,013.81 | $36,056.00 | $28,667.90 | $30,159.88 | $30,955.60 |
| Kansas | 2 | 27 | $95,546.50 | $134,174.94 | $160,732.00 | $29,220.30 | $37,646.61 | $43,439.70 | $28,667.50 | $30,100.80 | $31,086.20 |
| Maine | 2 | 29 | $62,510.30 | $65,907.57 | $69,547.50 | $29,361.60 | $31,386.39 | $33,555.80 | $28,393.20 | $30,022.70 | $31,768.60 |
| Nevada | 3 | 55 | $105,508.00 | $208,311.96 | $267,607.00 | $33,822.00 | $37,539.65 | $48,076.70 | $25,419.60 | $28,644.16 | $32,254.60 |
| Tennessee | 12 | 312 | $73,273.50 | $116,274.06 | $181,710.00 | $23,879.20 | $30,502.78 | $39,521.80 | $23,002.60 | $27,325.46 | $32,316.30 |
| Alabama | 8 | 172 | $74,888.40 | $116,731.35 | $181,493.00 | $25,450.30 | $30,075.31 | $37,822.90 | $17,663.10 | $25,920.16 | $32,539.70 |
| Mississippi | 2 | 32 | $102,582.00 | $162,368.72 | $276,507.00 | $31,757.10 | $35,231.45 | $41,864.30 | $30,911.10 | $31,712.86 | $33,243.50 |
| Florida | 14 | 264 | $75,497.90 | $173,309.67 | $287,032.00 | $21,105.70 | $33,589.06 | $50,314.10 | $20,460.80 | $28,569.13 | $34,139.30 |
| Montana | 2 | 29 | $69,587.70 | $73,285.60 | $79,336.70 | $30,821.70 | $32,724.85 | $35,839.10 | $30,169.40 | $31,854.22 | $34,611.20 |
| North Dakota | 2 | 29 | $66,916.00 | $102,204.07 | $123,769.00 | $34,109.50 | $36,554.27 | $38,048.30 | $33,108.90 | $34,785.32 | $35,809.80 |
| Nebraska | 2 | 48 | $108,984.00 | $116,075.00 | $125,192.00 | $30,340.70 | $34,281.44 | $39,348.10 | $25,660.80 | $30,630.32 | $37,019.70 |
| Iowa | 5 | 81 | $69,933.70 | $117,394.27 | $157,510.00 | $27,317.10 | $33,914.76 | $39,230.50 | $24,395.40 | $31,381.57 | $37,465.90 |
| Pennsylvania | 7 | 141 | $60,886.60 | $202,873.18 | $352,850.00 | $28,126.80 | $37,608.82 | $48,650.70 | $23,961.10 | $30,273.92 | $37,685.40 |
| South Carolina | 8 | 147 | $98,756.50 | $162,077.16 | $247,856.00 | $27,565.20 | $36,069.81 | $42,415.40 | $26,725.80 | $31,900.11 | $37,971.50 |
| Georgia | 10 | 196 | $86,090.50 | $127,384.79 | $202,848.00 | $28,224.50 | $36,778.88 | $50,767.90 | $22,691.50 | $31,327.92 | $38,556.20 |
| Washington | 6 | 98 | $101,188.00 | $140,521.15 | $224,890.00 | $37,604.80 | $42,925.55 | $54,696.90 | $29,465.90 | $33,769.12 | $38,708.70 |
| Ohio | 17 | 280 | $50,495.40 | $120,857.55 | $203,767.00 | $25,068.70 | $33,617.36 | $45,945.10 | $22,578.20 | $29,588.02 | $38,739.10 |
| Virginia | 12 | 209 | $54,609.30 | $118,874.31 | $222,556.00 | $28,216.30 | $35,631.79 | $52,562.30 | $25,219.10 | $30,155.57 | $39,101.60 |
| Colorado | 4 | 60 | $110,898.00 | $154,211.68 | $192,745.00 | $29,389.10 | $37,764.34 | $51,197.60 | $28,728.70 | $33,403.19 | $40,887.80 |
| New Jersey | 12 | 192 | $104,377.00 | $207,109.31 | $310,453.00 | $26,943.90 | $38,109.24 | $48,330.30 | $24,402.50 | $34,517.68 | $41,000.60 |
| Minnesota | 6 | 116 | $87,893.00 | $108,699.65 | $142,706.00 | $29,441.20 | $40,546.83 | $46,288.60 | $28,384.50 | $35,971.22 | $41,143.80 |
| Washington DC | 1 | 15 | $158,352.00 | $158,352.00 | $158,352.00 | $50,569.50 | $50,569.50 | $50,569.50 | $41,242.70 | $41,242.70 | $41,242.70 |
| North Carolina | 13 | 244 | $72,698.30 | $109,687.58 | $133,354.00 | $28,120.40 | $38,208.71 | $44,531.10 | $26,328.40 | $33,444.48 | $41,299.80 |
| Missouri | 9 | 157 | $73,970.10 | $131,305.70 | $230,965.00 | $25,671.80 | $34,928.08 | $46,393.50 | $24,679.80 | $33,417.38 | $41,305.60 |
| Oregon | 2 | 61 | $74,881.90 | $81,802.52 | $92,471.80 | $33,482.30 | $42,499.56 | $48,348.60 | $29,571.80 | $36,802.21 | $41,492.20 |
| Illinois | 14 | 252 | $95,236.60 | $138,672.34 | $203,978.00 | $28,367.40 | $38,630.70 | $46,780.10 | $24,028.00 | $31,917.74 | $41,578.50 |
| Indiana | 9 | 158 | $100,781.00 | $135,687.47 | $168,763.00 | $28,514.30 | $36,751.58 | $46,945.00 | $22,189.50 | $33,034.45 | $41,744.70 |
| Utah | 2 | 26 | $84,139.50 | $90,700.15 | $97,260.80 | $37,206.40 | $41,552.50 | $45,898.60 | $30,255.90 | $36,023.35 | $41,790.80 |
| New Mexico | 1 | 11 | $125,301.00 | $125,301.00 | $125,301.00 | $43,226.60 | $43,226.60 | $43,226.60 | $42,086.60 | $42,086.60 | $42,086.60 |
| Texas | 26 | 490 | $83,545.80 | $166,692.19 | $328,385.00 | $24,672.20 | $34,544.48 | $51,709.00 | $22,046.80 | $30,145.81 | $42,490.00 |
| Wisconsin | 6 | 94 | $64,387.50 | $114,776.58 | $140,843.00 | $26,193.80 | $36,900.59 | $49,735.60 | $18,759.90 | $32,631.19 | $42,543.20 |
| Kentucky | 10 | 205 | $61,960.10 | $117,385.16 | $178,294.00 | $24,798.50 | $34,561.45 | $49,086.60 | $23,684.00 | $31,903.66 | $42,827.00 |
| Michigan | 14 | 216 | $49,798.00 | $90,338.45 | $140,969.00 | $24,768.40 | $37,679.63 | $59,008.20 | $24,014.40 | $32,982.34 | $43,960.70 |
| Connecticut | 4 | 71 | $114,214.00 | $149,363.52 | $182,963.00 | $42,476.70 | $46,981.51 | $51,459.50 | $34,058.50 | $42,446.47 | $47,226.20 |
| Massachusetts | 9 | 249 | $46,846.30 | $156,940.92 | $209,702.00 | $34,595.00 | $48,344.70 | $55,613.50 | $33,107.10 | $44,284.02 | $48,659.00 |
| Alaska | 1 | 13 | $203,594.00 | $203,594.00 | $203,594.00 | $50,515.20 | $50,515.20 | $50,515.20 | $49,361.30 | $49,361.30 | $49,361.30 |
| Maryland | 8 | 120 | $30,907.60 | $46,534.35 | $61,533.80 | $28,781.70 | $43,151.71 | $57,194.40 | $22,471.10 | $38,761.11 | $50,549.40 |
| New Hampshire | 1 | 12 | $131,075.00 | $131,075.00 | $131,075.00 | $55,273.50 | $55,273.50 | $55,273.50 | $51,990.00 | $51,990.00 | $51,990.00 |
| Arizona | 12 | 158 | $84,541.30 | $151,250.69 | $213,663.00 | $26,895.20 | $35,526.01 | $53,505.50 | $26,058.40 | $33,280.91 | $52,737.50 |
| New York | 13 | 254 | $79,978.40 | $160,639.68 | $241,159.00 | $29,263.70 | $48,332.73 | $61,294.80 | $28,075.70 | $41,570.18 | $54,126.60 |
| California | 27 | 477 | $115,636.00 | $275,965.63 | $525,067.00 | $30,914.30 | $48,535.29 | $82,101.80 | $29,985.90 | $44,253.09 | $74,847.20 | TOTAL US | 331 | 6,021 | $30,907.60 | $146.895,26 | $525,067.00 | $21,105.70 | $38.053,41 | $82,101.80 | $17,663.10 | $33.507,00 | $74,847.20 |
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.