Hospital Costs > Major Head & Neck Procedures W Cc/Mcc Or Major Device - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Minnesota | 1 | 22 | $39,285.50 | $39,285.50 | $39,285.50 | $18,327.40 | $18,327.40 | $18,327.40 | $16,525.30 | $16,525.30 | $16,525.30 |
| Maryland | 2 | 27 | $42,246.50 | $43,213.55 | $43,878.40 | $39,232.50 | $40,188.53 | $40,845.80 | $33,398.40 | $34,180.03 | $34,717.40 |
| Missouri | 1 | 11 | $60,897.70 | $60,897.70 | $60,897.70 | $16,654.60 | $16,654.60 | $16,654.60 | $15,776.10 | $15,776.10 | $15,776.10 |
| Alabama | 1 | 20 | $61,981.30 | $61,981.30 | $61,981.30 | $15,153.00 | $15,153.00 | $15,153.00 | $13,676.20 | $13,676.20 | $13,676.20 |
| Arizona | 1 | 17 | $62,585.40 | $62,585.40 | $62,585.40 | $20,489.20 | $20,489.20 | $20,489.20 | $16,528.70 | $16,528.70 | $16,528.70 |
| North Carolina | 2 | 27 | $41,903.70 | $54,463.74 | $70,163.80 | $19,756.70 | $20,139.01 | $20,616.90 | $16,311.20 | $16,339.14 | $16,361.50 |
| Connecticut | 1 | 32 | $80,547.30 | $80,547.30 | $80,547.30 | $25,014.00 | $25,014.00 | $25,014.00 | $19,603.10 | $19,603.10 | $19,603.10 |
| Mississippi | 1 | 11 | $87,232.90 | $87,232.90 | $87,232.90 | $22,409.40 | $22,409.40 | $22,409.40 | $19,092.40 | $19,092.40 | $19,092.40 |
| Texas | 2 | 22 | $52,233.20 | $70,853.85 | $89,474.50 | $14,398.10 | $17,937.25 | $21,476.40 | $11,349.20 | $14,273.35 | $17,197.50 |
| New York | 3 | 40 | $64,304.50 | $82,521.62 | $93,577.40 | $22,305.40 | $26,476.99 | $30,535.10 | $18,159.40 | $20,107.91 | $22,613.80 |
| Kansas | 1 | 17 | $96,460.60 | $96,460.60 | $96,460.60 | $18,244.80 | $18,244.80 | $18,244.80 | $17,034.40 | $17,034.40 | $17,034.40 |
| Tennessee | 1 | 16 | $97,543.20 | $97,543.20 | $97,543.20 | $19,063.60 | $19,063.60 | $19,063.60 | $17,935.50 | $17,935.50 | $17,935.50 |
| South Carolina | 1 | 24 | $101,607.00 | $101,607.00 | $101,607.00 | $28,973.70 | $28,973.70 | $28,973.70 | $24,565.60 | $24,565.60 | $24,565.60 |
| Illinois | 2 | 23 | $69,309.60 | $86,894.01 | $106,077.00 | $16,366.30 | $21,512.00 | $27,125.50 | $14,808.30 | $18,978.35 | $23,527.50 |
| Washington | 2 | 26 | $99,257.50 | $106,702.00 | $113,083.00 | $23,498.90 | $26,535.87 | $30,079.00 | $22,379.10 | $24,061.13 | $26,023.50 |
| Colorado | 1 | 14 | $120,859.00 | $120,859.00 | $120,859.00 | $17,646.30 | $17,646.30 | $17,646.30 | $12,743.30 | $12,743.30 | $12,743.30 |
| Pennsylvania | 2 | 29 | $171,287.00 | $173,372.52 | $175,319.00 | $27,524.50 | $28,750.61 | $30,064.30 | $22,752.90 | $24,018.02 | $25,373.50 |
| Florida | 1 | 25 | $175,483.00 | $175,483.00 | $175,483.00 | $18,783.10 | $18,783.10 | $18,783.10 | $15,205.70 | $15,205.70 | $15,205.70 |
| California | 3 | 43 | $71,238.10 | $176,131.70 | $217,530.00 | $28,692.70 | $32,193.22 | $36,894.40 | $24,049.70 | $26,610.81 | $32,866.30 | TOTAL US | 29 | 446 | $39,285.50 | $98.574,48 | $217,530.00 | $14,398.10 | $24.209,04 | $40,845.80 | $11,349.20 | $20.266,42 | $34,717.40 |
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.