Hospital Costs > Major Head & Neck 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 |
| Alabama | 1 | 20 | $51,428.70 | $51,428.70 | $51,428.70 | $11,237.50 | $11,237.50 | $11,237.50 | $7,486.65 | $7,486.65 | $7,486.65 |
| Arkansas | 1 | 12 | $25,352.70 | $25,352.70 | $25,352.70 | $7,686.92 | $7,686.92 | $7,686.92 | $6,380.67 | $6,380.67 | $6,380.67 |
| California | 1 | 12 | $157,132.00 | $157,132.00 | $157,132.00 | $17,312.80 | $17,312.80 | $17,312.80 | $14,302.70 | $14,302.70 | $14,302.70 |
| Florida | 1 | 11 | $105,463.00 | $105,463.00 | $105,463.00 | $9,861.00 | $9,861.00 | $9,861.00 | $8,656.64 | $8,656.64 | $8,656.64 |
| Maryland | 1 | 14 | $32,090.90 | $32,090.90 | $32,090.90 | $29,586.30 | $29,586.30 | $29,586.30 | $28,379.40 | $28,379.40 | $28,379.40 |
| North Carolina | 1 | 11 | $37,338.50 | $37,338.50 | $37,338.50 | $13,667.60 | $13,667.60 | $13,667.60 | $10,832.60 | $10,832.60 | $10,832.60 |
| South Carolina | 1 | 14 | $62,778.80 | $62,778.80 | $62,778.80 | $14,643.60 | $14,643.60 | $14,643.60 | $8,691.00 | $8,691.00 | $8,691.00 | TOTAL US | 7 | 94 | $25,352.70 | $65.078,54 | $157,132.00 | $7,686.92 | $14.923,19 | $29,586.30 | $6,380.67 | $12.035,11 | $28,379.40 |
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.