Hospital Costs > Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul 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 |
| Oklahoma | 1 | 14 | $27,274.00 | $27,274.00 | $27,274.00 | $14,261.50 | $14,261.50 | $14,261.50 | $11,344.10 | $11,344.10 | $11,344.10 |
| South Dakota | 1 | 11 | $90,513.40 | $90,513.40 | $90,513.40 | $29,335.60 | $29,335.60 | $29,335.60 | $12,583.10 | $12,583.10 | $12,583.10 |
| Georgia | 1 | 14 | $58,563.10 | $58,563.10 | $58,563.10 | $22,328.10 | $22,328.10 | $22,328.10 | $12,821.20 | $12,821.20 | $12,821.20 |
| Iowa | 3 | 36 | $29,172.60 | $52,232.01 | $63,288.60 | $13,258.50 | $15,253.73 | $17,418.00 | $12,102.90 | $13,004.91 | $14,194.10 |
| Kentucky | 1 | 22 | $57,372.50 | $57,372.50 | $57,372.50 | $15,263.50 | $15,263.50 | $15,263.50 | $14,205.00 | $14,205.00 | $14,205.00 |
| Delaware | 1 | 14 | $35,202.60 | $35,202.60 | $35,202.60 | $17,088.30 | $17,088.30 | $17,088.30 | $14,670.00 | $14,670.00 | $14,670.00 |
| Alabama | 1 | 14 | $62,670.10 | $62,670.10 | $62,670.10 | $15,636.40 | $15,636.40 | $15,636.40 | $14,778.40 | $14,778.40 | $14,778.40 |
| Tennessee | 3 | 70 | $53,013.70 | $72,903.46 | $91,228.20 | $12,243.50 | $21,018.41 | $31,088.40 | $10,411.90 | $13,709.73 | $15,231.20 |
| North Carolina | 6 | 88 | $27,709.40 | $48,316.30 | $74,698.60 | $12,858.70 | $16,901.22 | $20,916.90 | $9,996.82 | $13,977.70 | $15,729.70 |
| Nevada | 1 | 11 | $128,984.00 | $128,984.00 | $128,984.00 | $16,563.40 | $16,563.40 | $16,563.40 | $15,853.50 | $15,853.50 | $15,853.50 |
| Washington DC | 1 | 14 | $55,604.30 | $55,604.30 | $55,604.30 | $19,069.10 | $19,069.10 | $19,069.10 | $16,304.60 | $16,304.60 | $16,304.60 |
| Louisiana | 3 | 35 | $34,117.60 | $49,562.53 | $58,620.80 | $13,252.80 | $17,023.38 | $19,204.80 | $12,295.70 | $14,756.37 | $17,255.90 |
| Florida | 13 | 196 | $34,192.40 | $84,553.79 | $140,486.00 | $11,696.90 | $16,906.17 | $23,451.20 | $10,719.80 | $14,299.22 | $17,597.30 |
| Virginia | 4 | 53 | $34,373.50 | $69,372.59 | $175,926.00 | $18,469.30 | $19,873.92 | $22,843.80 | $11,917.00 | $15,075.73 | $17,678.50 |
| Missouri | 3 | 51 | $29,734.50 | $71,779.69 | $91,638.80 | $15,903.40 | $19,188.60 | $21,460.60 | $15,212.50 | $17,019.12 | $18,074.00 |
| Minnesota | 3 | 51 | $24,088.20 | $42,798.52 | $55,762.60 | $15,403.40 | $20,039.35 | $23,662.10 | $14,662.60 | $17,187.61 | $19,168.90 |
| Ohio | 2 | 25 | $91,826.90 | $96,485.04 | $100,145.00 | $21,968.20 | $21,973.07 | $21,976.90 | $17,094.70 | $18,550.35 | $20,403.00 |
| Utah | 1 | 12 | $54,952.20 | $54,952.20 | $54,952.20 | $25,310.70 | $25,310.70 | $25,310.70 | $21,557.00 | $21,557.00 | $21,557.00 |
| Wisconsin | 2 | 24 | $44,982.70 | $49,490.82 | $54,818.60 | $15,711.30 | $20,526.87 | $26,218.00 | $13,942.10 | $17,605.28 | $21,934.50 |
| New Jersey | 4 | 61 | $86,214.00 | $132,277.18 | $180,769.00 | $13,542.40 | $19,845.08 | $25,526.00 | $12,796.90 | $17,610.26 | $22,962.40 |
| Arkansas | 2 | 37 | $69,070.60 | $71,638.96 | $75,405.90 | $17,681.10 | $22,557.48 | $29,709.50 | $16,481.20 | $19,150.67 | $23,065.90 |
| South Carolina | 2 | 23 | $53,018.50 | $66,315.44 | $78,504.30 | $16,438.50 | $23,515.79 | $30,003.30 | $14,516.10 | $18,996.48 | $23,103.50 |
| Pennsylvania | 3 | 48 | $113,948.00 | $137,901.31 | $162,335.00 | $19,911.00 | $26,640.45 | $32,719.90 | $14,301.60 | $19,856.93 | $24,026.50 |
| Illinois | 6 | 86 | $42,440.30 | $68,420.44 | $131,058.00 | $12,778.20 | $19,487.10 | $27,917.80 | $12,062.60 | $16,796.11 | $24,299.50 |
| Nebraska | 1 | 14 | $92,954.10 | $92,954.10 | $92,954.10 | $26,238.30 | $26,238.30 | $26,238.30 | $24,650.90 | $24,650.90 | $24,650.90 |
| Kansas | 2 | 30 | $80,710.10 | $125,036.16 | $183,001.00 | $16,310.50 | $20,867.35 | $26,826.30 | $15,817.40 | $20,208.71 | $25,951.20 |
| Texas | 9 | 132 | $42,513.00 | $86,374.05 | $191,920.00 | $12,988.00 | $19,489.19 | $38,353.40 | $12,021.90 | $15,511.58 | $26,821.20 |
| New Hampshire | 1 | 12 | $91,586.40 | $91,586.40 | $91,586.40 | $35,484.40 | $35,484.40 | $35,484.40 | $28,164.70 | $28,164.70 | $28,164.70 |
| Michigan | 9 | 144 | $29,558.10 | $47,386.54 | $101,758.00 | $15,306.80 | $19,013.38 | $35,750.10 | $13,475.10 | $16,549.95 | $28,835.20 |
| Washington | 1 | 17 | $93,216.00 | $93,216.00 | $93,216.00 | $36,282.40 | $36,282.40 | $36,282.40 | $30,585.80 | $30,585.80 | $30,585.80 |
| New York | 4 | 86 | $83,193.50 | $125,604.20 | $178,838.00 | $29,233.90 | $35,959.58 | $43,102.80 | $22,272.50 | $27,960.25 | $31,638.60 |
| Massachusetts | 4 | 62 | $20,916.20 | $90,061.12 | $142,150.00 | $20,658.90 | $29,684.11 | $37,093.50 | $16,838.20 | $25,630.12 | $33,653.00 |
| Connecticut | 1 | 21 | $167,175.00 | $167,175.00 | $167,175.00 | $38,982.60 | $38,982.60 | $38,982.60 | $34,788.90 | $34,788.90 | $34,788.90 |
| Indiana | 4 | 47 | $22,074.90 | $71,658.74 | $197,706.00 | $12,812.00 | $21,178.04 | $44,805.20 | $12,204.00 | $19,111.37 | $37,961.00 |
| Maryland | 7 | 121 | $11,134.50 | $31,919.54 | $66,480.60 | $10,263.60 | $29,486.98 | $61,509.50 | $9,934.91 | $27,968.67 | $58,295.70 |
| California | 8 | 112 | $81,666.90 | $198,521.00 | $439,366.00 | $19,967.40 | $39,127.13 | $73,149.80 | $12,480.30 | $33,558.52 | $65,340.50 | TOTAL US | 119 | 1,808 | $11,134.50 | $83.196,74 | $439,366.00 | $10,263.60 | $22.941,98 | $73,149.80 | $9,934.91 | $19.298,82 | $65,340.50 |
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.