Hospital Costs > Major Chest 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 |
| Arkansas | 2 | 53 | $47,253.50 | $49,801.52 | $56,256.50 | $11,052.10 | $11,060.19 | $11,080.70 | $8,219.66 | $8,392.40 | $8,830.00 |
| Montana | 1 | 14 | $22,278.40 | $22,278.40 | $22,278.40 | $11,364.40 | $11,364.40 | $11,364.40 | $10,240.60 | $10,240.60 | $10,240.60 |
| Louisiana | 3 | 36 | $35,923.30 | $54,003.79 | $72,086.70 | $10,277.50 | $11,874.46 | $15,267.90 | $9,072.17 | $9,943.97 | $11,696.10 |
| Missouri | 6 | 149 | $32,284.10 | $44,939.05 | $64,831.10 | $9,094.12 | $11,897.10 | $14,399.40 | $7,899.12 | $9,960.17 | $11,497.70 |
| Tennessee | 7 | 167 | $41,243.80 | $56,660.10 | $77,849.60 | $9,427.27 | $11,979.79 | $15,200.60 | $8,052.67 | $10,287.59 | $12,546.90 |
| Maine | 4 | 71 | $29,542.40 | $31,885.87 | $35,081.40 | $10,826.40 | $12,156.92 | $12,718.80 | $9,723.82 | $10,501.21 | $11,484.50 |
| Texas | 10 | 167 | $47,597.20 | $62,702.53 | $87,672.40 | $10,234.70 | $12,186.45 | $13,878.10 | $7,085.82 | $9,994.22 | $11,439.90 |
| Kentucky | 9 | 179 | $27,723.50 | $46,789.18 | $61,344.90 | $9,917.83 | $12,438.79 | $18,700.60 | $8,269.62 | $9,655.95 | $11,073.60 |
| Florida | 22 | 407 | $43,034.00 | $83,162.00 | $171,591.00 | $9,197.83 | $12,470.69 | $19,844.80 | $7,991.12 | $10,234.34 | $13,045.30 |
| Oregon | 2 | 29 | $37,937.90 | $40,750.87 | $43,376.30 | $12,425.00 | $12,536.57 | $12,656.10 | $11,300.70 | $11,414.24 | $11,535.90 |
| Rhode Island | 1 | 19 | $53,145.60 | $53,145.60 | $53,145.60 | $12,600.70 | $12,600.70 | $12,600.70 | $11,560.80 | $11,560.80 | $11,560.80 |
| Alabama | 2 | 69 | $46,422.80 | $49,618.60 | $61,123.50 | $11,588.00 | $12,698.52 | $13,007.00 | $8,843.00 | $10,203.64 | $10,581.60 |
| Kansas | 2 | 33 | $48,463.00 | $48,933.22 | $49,756.10 | $12,256.80 | $12,817.25 | $13,137.50 | $8,150.42 | $9,819.21 | $10,772.80 |
| Georgia | 10 | 215 | $29,127.20 | $45,600.13 | $63,177.90 | $9,883.50 | $13,099.74 | $17,304.60 | $8,753.50 | $10,319.43 | $12,830.20 |
| Nevada | 1 | 26 | $35,317.00 | $35,317.00 | $35,317.00 | $13,113.50 | $13,113.50 | $13,113.50 | $11,584.10 | $11,584.10 | $11,584.10 |
| West Virginia | 2 | 29 | $39,221.50 | $47,037.47 | $51,813.90 | $12,494.80 | $13,132.12 | $14,175.00 | $10,403.10 | $10,977.72 | $11,918.00 |
| Idaho | 1 | 20 | $38,383.60 | $38,383.60 | $38,383.60 | $13,255.20 | $13,255.20 | $13,255.20 | $11,378.00 | $11,378.00 | $11,378.00 |
| Delaware | 2 | 50 | $24,018.20 | $31,645.33 | $53,353.30 | $11,829.70 | $13,588.75 | $14,206.80 | $10,555.20 | $10,686.32 | $11,059.50 |
| New Jersey | 8 | 263 | $26,433.50 | $51,682.00 | $122,298.00 | $11,144.60 | $13,666.97 | $15,960.70 | $9,560.21 | $11,312.74 | $13,953.40 |
| New Hampshire | 3 | 43 | $42,287.80 | $49,084.78 | $56,860.10 | $11,338.10 | $13,690.13 | $17,811.10 | $10,139.30 | $11,634.09 | $14,059.80 |
| Iowa | 2 | 24 | $23,691.90 | $31,167.60 | $37,493.20 | $10,684.60 | $13,702.98 | $16,257.00 | $9,553.55 | $12,388.66 | $14,787.60 |
| South Carolina | 6 | 90 | $40,255.20 | $60,606.90 | $99,765.60 | $9,950.21 | $13,807.99 | $16,247.50 | $8,516.67 | $10,195.41 | $13,512.10 |
| North Carolina | 11 | 277 | $35,652.60 | $51,468.42 | $76,856.70 | $9,850.30 | $14,121.54 | $17,816.20 | $8,675.30 | $11,729.67 | $13,846.80 |
| Mississippi | 3 | 41 | $41,890.10 | $61,508.89 | $93,266.30 | $9,632.13 | $14,140.43 | $21,343.90 | $7,841.73 | $10,029.18 | $13,245.30 |
| Arizona | 4 | 54 | $50,224.50 | $69,082.14 | $85,315.90 | $10,593.90 | $14,199.92 | $16,538.00 | $9,635.00 | $12,472.85 | $14,786.60 |
| Ohio | 3 | 120 | $38,017.50 | $51,531.14 | $57,802.10 | $12,110.20 | $14,233.22 | $15,859.10 | $10,550.70 | $12,040.40 | $13,884.30 |
| Indiana | 4 | 88 | $36,868.80 | $56,996.05 | $70,933.20 | $11,594.90 | $14,427.89 | $16,525.30 | $8,141.64 | $11,639.05 | $14,055.00 |
| Nebraska | 2 | 33 | $54,826.40 | $56,176.55 | $58,008.90 | $13,885.70 | $14,490.84 | $15,312.10 | $9,908.74 | $10,585.77 | $11,504.60 |
| Virginia | 11 | 272 | $23,641.80 | $48,933.93 | $149,130.00 | $9,655.83 | $14,628.37 | $20,130.90 | $7,651.27 | $10,929.69 | $14,251.10 |
| Minnesota | 6 | 143 | $32,159.70 | $38,607.62 | $54,974.90 | $11,545.80 | $14,797.25 | $17,938.90 | $9,191.29 | $11,500.40 | $12,784.20 |
| Illinois | 11 | 333 | $36,028.00 | $51,846.73 | $83,017.50 | $10,074.90 | $15,190.02 | $20,915.30 | $8,916.09 | $12,208.08 | $15,906.00 |
| Michigan | 8 | 195 | $34,048.40 | $40,070.93 | $47,973.40 | $11,778.00 | $15,713.08 | $20,817.50 | $8,541.38 | $11,173.10 | $13,350.50 |
| Pennsylvania | 12 | 287 | $19,808.50 | $85,287.53 | $135,782.00 | $11,086.40 | $15,727.56 | $20,547.50 | $8,648.70 | $12,470.30 | $15,390.00 |
| Colorado | 3 | 84 | $39,362.50 | $61,098.25 | $68,182.40 | $11,489.00 | $15,871.82 | $18,033.20 | $9,300.36 | $12,665.91 | $13,998.90 |
| Massachusetts | 13 | 380 | $16,077.10 | $46,023.41 | $71,741.50 | $12,290.40 | $16,707.83 | $19,963.50 | $9,623.62 | $14,224.89 | $16,847.30 |
| Wisconsin | 3 | 64 | $47,087.80 | $50,805.38 | $53,016.80 | $15,772.10 | $17,048.76 | $19,894.40 | $9,666.15 | $12,054.06 | $13,824.60 |
| Connecticut | 3 | 66 | $39,494.90 | $49,776.25 | $57,224.10 | $15,557.40 | $17,150.27 | $18,194.70 | $12,584.50 | $14,379.88 | $14,951.70 |
| Vermont | 1 | 11 | $32,380.20 | $32,380.20 | $32,380.20 | $17,238.70 | $17,238.70 | $17,238.70 | $12,455.50 | $12,455.50 | $12,455.50 |
| Washington | 5 | 123 | $37,169.60 | $63,031.54 | $92,488.30 | $15,448.80 | $17,380.10 | $19,548.70 | $9,397.79 | $11,885.64 | $15,287.20 |
| California | 17 | 373 | $45,318.90 | $104,292.29 | $171,101.00 | $12,075.60 | $17,492.26 | $24,198.50 | $11,075.60 | $15,412.00 | $21,387.10 |
| Washington DC | 3 | 61 | $57,218.80 | $67,037.91 | $95,658.20 | $16,993.10 | $17,553.47 | $17,909.40 | $11,246.00 | $11,940.75 | $12,933.10 |
| Utah | 1 | 12 | $56,929.90 | $56,929.90 | $56,929.90 | $17,737.20 | $17,737.20 | $17,737.20 | $8,777.50 | $8,777.50 | $8,777.50 |
| New York | 19 | 496 | $22,051.50 | $57,984.24 | $95,254.70 | $11,316.50 | $18,215.58 | $22,691.60 | $8,179.93 | $14,088.40 | $18,761.60 |
| Maryland | 9 | 192 | $12,794.40 | $21,123.36 | $40,594.80 | $11,853.90 | $19,544.18 | $37,503.60 | $10,492.20 | $17,907.62 | $35,440.30 |
| Oklahoma | 1 | 14 | $116,995.00 | $116,995.00 | $116,995.00 | $23,322.60 | $23,322.60 | $23,322.60 | $14,605.30 | $14,605.30 | $14,605.30 | TOTAL US | 259 | 5,872 | $12,794.40 | $57.378,55 | $171,591.00 | $9,094.12 | $14.966,95 | $37,503.60 | $7,085.82 | $12.077,74 | $35,440.30 |
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.