Hospital Costs > Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Montana | 1 | 11 | $17,073.50 | $17,073.50 | $17,073.50 | $7,760.64 | $7,760.64 | $7,760.64 | $7,055.36 | $7,055.36 | $7,055.36 |
| North Dakota | 1 | 15 | $20,516.10 | $20,516.10 | $20,516.10 | $8,077.27 | $8,077.27 | $8,077.27 | $7,047.27 | $7,047.27 | $7,047.27 |
| New Mexico | 1 | 13 | $21,031.70 | $21,031.70 | $21,031.70 | $9,329.62 | $9,329.62 | $9,329.62 | $7,309.08 | $7,309.08 | $7,309.08 |
| Maine | 3 | 44 | $19,547.20 | $22,928.43 | $26,144.50 | $8,112.19 | $8,549.98 | $9,528.92 | $6,959.40 | $7,551.84 | $8,440.23 |
| Alabama | 12 | 216 | $24,851.20 | $37,332.30 | $75,804.70 | $6,426.00 | $7,840.82 | $10,088.00 | $4,679.85 | $6,470.88 | $8,322.18 |
| Idaho | 2 | 23 | $19,842.50 | $20,071.44 | $20,321.20 | $7,955.27 | $9,157.01 | $10,258.60 | $6,861.45 | $7,586.65 | $8,251.42 |
| Vermont | 1 | 18 | $26,623.30 | $26,623.30 | $26,623.30 | $10,625.80 | $10,625.80 | $10,625.80 | $8,989.17 | $8,989.17 | $8,989.17 |
| Tennessee | 12 | 271 | $11,075.00 | $28,693.06 | $41,946.90 | $6,646.77 | $8,211.66 | $10,669.10 | $4,971.06 | $7,088.65 | $9,577.25 |
| Kansas | 4 | 96 | $30,774.00 | $47,223.44 | $68,225.50 | $8,026.53 | $9,087.76 | $10,761.10 | $6,597.56 | $8,005.19 | $9,878.79 |
| South Dakota | 3 | 48 | $19,665.80 | $34,083.86 | $42,362.50 | $8,526.40 | $9,397.41 | $10,794.90 | $7,143.00 | $7,528.46 | $8,395.43 |
| Nebraska | 2 | 33 | $28,486.70 | $32,167.89 | $37,163.80 | $8,293.43 | $10,129.16 | $11,481.80 | $7,190.79 | $7,366.67 | $7,605.36 |
| Louisiana | 12 | 182 | $15,873.40 | $28,104.73 | $48,069.30 | $6,574.67 | $8,665.47 | $11,693.30 | $5,300.08 | $6,479.15 | $8,302.19 |
| Missouri | 9 | 186 | $14,016.80 | $31,535.87 | $39,373.60 | $6,020.78 | $8,553.44 | $11,823.90 | $5,077.08 | $7,373.53 | $9,652.73 |
| New Hampshire | 2 | 40 | $30,044.30 | $30,359.54 | $30,569.70 | $7,664.56 | $10,171.38 | $11,842.60 | $7,060.56 | $9,061.70 | $10,395.80 |
| Iowa | 5 | 102 | $19,012.20 | $30,360.74 | $37,785.80 | $6,571.80 | $9,057.26 | $12,174.30 | $5,849.83 | $7,314.65 | $10,212.00 |
| Arizona | 10 | 148 | $24,036.90 | $33,235.21 | $41,383.90 | $7,399.94 | $9,438.91 | $12,463.90 | $5,696.85 | $7,387.05 | $9,828.85 |
| Nevada | 3 | 40 | $39,402.70 | $67,454.98 | $91,022.50 | $8,414.77 | $11,150.89 | $12,705.50 | $6,906.31 | $7,291.10 | $7,816.33 |
| Rhode Island | 2 | 26 | $25,762.80 | $34,586.15 | $43,409.50 | $10,911.30 | $11,915.05 | $12,918.80 | $6,847.92 | $8,279.42 | $9,710.92 |
| Utah | 2 | 24 | $23,442.80 | $34,712.99 | $48,032.30 | $12,141.60 | $12,547.78 | $13,027.80 | $8,217.55 | $9,416.07 | $10,430.20 |
| Oregon | 4 | 66 | $23,536.90 | $26,956.71 | $30,374.50 | $8,133.14 | $11,106.35 | $13,039.00 | $7,395.36 | $9,771.11 | $11,334.80 |
| Indiana | 13 | 231 | $20,050.80 | $31,117.16 | $44,374.60 | $6,905.95 | $8,583.20 | $13,043.20 | $5,234.88 | $7,121.20 | $10,086.50 |
| Ohio | 12 | 236 | $22,527.60 | $33,709.33 | $44,205.20 | $6,272.07 | $9,573.40 | $13,347.90 | $5,551.42 | $7,428.44 | $10,425.90 |
| Kentucky | 8 | 134 | $22,217.20 | $38,011.73 | $62,959.10 | $6,941.23 | $10,083.91 | $13,416.10 | $5,931.15 | $8,411.03 | $12,177.80 |
| Colorado | 7 | 103 | $24,842.20 | $37,682.90 | $59,785.60 | $7,482.75 | $9,440.12 | $13,534.20 | $6,517.82 | $7,915.91 | $10,157.30 |
| Oklahoma | 7 | 112 | $20,182.70 | $36,988.20 | $52,221.40 | $6,800.64 | $9,848.44 | $14,180.00 | $6,057.73 | $8,452.95 | $11,347.10 |
| South Carolina | 11 | 221 | $17,766.00 | $37,032.01 | $70,152.00 | $7,076.31 | $9,607.37 | $14,184.60 | $5,496.08 | $7,678.76 | $10,436.60 |
| Connecticut | 11 | 203 | $15,875.70 | $34,224.23 | $52,960.20 | $8,956.00 | $11,897.88 | $14,260.70 | $7,886.50 | $10,179.69 | $12,813.10 |
| Virginia | 15 | 265 | $13,230.60 | $33,095.10 | $74,416.50 | $6,514.31 | $9,210.94 | $14,310.90 | $5,055.60 | $6,991.50 | $9,292.95 |
| New Jersey | 24 | 449 | $35,204.00 | $63,327.86 | $93,355.90 | $7,131.48 | $9,735.71 | $14,371.20 | $6,008.36 | $8,159.19 | $12,200.40 |
| Arkansas | 3 | 51 | $21,879.10 | $34,316.26 | $43,170.40 | $8,243.26 | $10,646.85 | $14,523.20 | $5,245.91 | $7,955.61 | $11,956.00 |
| North Carolina | 15 | 288 | $13,794.90 | $30,018.54 | $50,595.70 | $6,783.00 | $10,153.19 | $14,625.10 | $4,538.42 | $7,982.42 | $11,493.80 |
| Hawaii | 1 | 13 | $20,480.40 | $20,480.40 | $20,480.40 | $14,810.50 | $14,810.50 | $14,810.50 | $9,311.62 | $9,311.62 | $9,311.62 |
| West Virginia | 5 | 85 | $17,016.90 | $27,899.26 | $42,134.40 | $6,031.42 | $8,748.98 | $14,955.70 | $5,113.92 | $7,312.03 | $12,764.70 |
| Delaware | 2 | 37 | $23,394.90 | $27,504.32 | $36,065.60 | $8,715.17 | $13,242.22 | $15,415.20 | $7,583.42 | $7,776.97 | $7,869.88 |
| Washington DC | 3 | 55 | $20,009.50 | $28,479.87 | $31,738.00 | $7,090.71 | $12,352.74 | $15,446.30 | $6,059.50 | $7,575.76 | $8,711.85 |
| Mississippi | 6 | 87 | $20,587.50 | $36,603.56 | $66,184.10 | $6,620.08 | $8,688.29 | $16,304.90 | $5,967.77 | $7,733.72 | $13,840.90 |
| Michigan | 15 | 313 | $12,805.70 | $24,744.51 | $38,066.70 | $7,331.75 | $10,324.67 | $16,647.10 | $6,537.65 | $8,198.02 | $10,339.40 |
| Texas | 33 | 557 | $19,625.60 | $43,222.60 | $101,591.00 | $6,549.00 | $9,057.19 | $17,016.10 | $4,698.20 | $6,790.80 | $10,882.20 |
| Massachusetts | 16 | 331 | $15,228.70 | $33,070.48 | $68,562.30 | $8,777.83 | $12,767.65 | $17,415.80 | $7,495.53 | $10,574.46 | $13,770.40 |
| Pennsylvania | 19 | 361 | $21,190.10 | $50,848.66 | $98,883.00 | $6,190.62 | $10,702.08 | $17,431.40 | $5,499.27 | $8,114.22 | $13,471.20 |
| Georgia | 11 | 195 | $27,557.80 | $48,058.38 | $104,850.00 | $7,372.91 | $10,987.73 | $17,523.10 | $5,505.00 | $9,449.89 | $15,280.40 |
| Wisconsin | 5 | 126 | $20,881.20 | $34,790.66 | $69,859.90 | $8,703.60 | $12,531.69 | $17,577.80 | $6,976.37 | $9,354.11 | $16,484.40 |
| Illinois | 22 | 460 | $20,268.30 | $36,538.62 | $56,637.40 | $6,842.64 | $9,981.15 | $17,742.20 | $5,924.88 | $8,137.95 | $13,829.20 |
| Florida | 46 | 890 | $20,364.10 | $43,677.31 | $92,407.80 | $6,055.44 | $8,577.10 | $20,412.60 | $5,102.46 | $7,182.26 | $15,790.20 |
| Washington | 7 | 118 | $22,014.90 | $37,560.88 | $52,695.70 | $8,707.12 | $13,321.57 | $20,724.80 | $7,499.91 | $10,029.86 | $14,340.60 |
| Minnesota | 9 | 182 | $16,352.10 | $29,052.98 | $64,566.70 | $7,297.08 | $10,999.60 | $21,711.80 | $6,444.62 | $8,697.95 | $15,913.20 |
| New York | 31 | 558 | $11,958.10 | $45,796.79 | $129,162.00 | $6,597.33 | $12,583.63 | $24,037.10 | $5,959.67 | $10,447.12 | $19,716.70 |
| Maryland | 17 | 372 | $7,572.50 | $15,171.35 | $28,398.30 | $6,990.21 | $14,049.54 | $26,332.90 | $6,275.93 | $12,752.30 | $24,043.90 |
| California | 20 | 381 | $31,656.90 | $73,470.91 | $139,731.00 | $8,112.09 | $14,118.36 | $28,170.50 | $7,259.65 | $11,611.49 | $20,338.40 | TOTAL US | 485 | 9,016 | $7,572.50 | $38.939,37 | $139,731.00 | $6,020.78 | $10.340,49 | $28,170.50 | $4,538.42 | $8.413,83 | $24,043.90 |
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.