Hospital Costs > Major Joint & Limb Reattachment Proc Of Upper Extremity 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 |
| Florida | 54 | 1,583 | $26,090.80 | $83,236.70 | $174,247.00 | $11,258.10 | $13,568.71 | $19,422.30 | $9,168.83 | $11,579.22 | $17,086.60 |
| California | 50 | 1,296 | $45,267.30 | $98,279.59 | $209,779.00 | $14,882.00 | $19,497.66 | $29,450.00 | $11,300.50 | $16,828.21 | $25,207.10 |
| Texas | 49 | 1,157 | $37,660.70 | $68,918.51 | $153,558.00 | $11,456.90 | $14,881.92 | $36,378.00 | $9,017.68 | $12,171.28 | $35,163.60 |
| North Carolina | 29 | 926 | $30,789.00 | $56,641.69 | $94,797.00 | $12,160.00 | $14,624.72 | $20,000.50 | $9,572.71 | $12,288.83 | $16,932.10 |
| Ohio | 29 | 858 | $24,641.30 | $51,672.47 | $71,415.70 | $11,527.30 | $14,048.12 | $19,128.10 | $7,909.82 | $11,526.07 | $17,166.10 |
| Pennsylvania | 36 | 856 | $26,663.60 | $63,107.88 | $108,309.00 | $11,804.00 | $15,703.65 | $20,320.70 | $7,571.13 | $13,053.64 | $16,878.10 |
| New York | 29 | 851 | $22,472.50 | $48,889.74 | $94,438.70 | $12,680.10 | $19,028.92 | $23,973.70 | $10,727.20 | $15,406.15 | $21,975.70 |
| Michigan | 30 | 816 | $28,699.90 | $42,341.99 | $75,479.90 | $12,672.00 | $15,959.62 | $23,202.50 | $11,381.60 | $13,462.70 | $17,264.00 |
| Missouri | 25 | 745 | $28,709.40 | $45,426.45 | $78,080.60 | $11,276.90 | $14,380.44 | $19,031.40 | $10,086.10 | $11,910.81 | $15,402.30 |
| Virginia | 23 | 709 | $27,938.10 | $64,388.82 | $153,962.00 | $12,130.70 | $15,104.21 | $21,325.60 | $10,081.80 | $12,383.03 | $16,812.10 |
| Minnesota | 21 | 687 | $31,003.90 | $39,161.13 | $61,258.80 | $13,417.80 | $17,312.86 | $21,045.70 | $11,653.10 | $14,554.03 | $18,064.00 |
| Colorado | 18 | 647 | $38,814.50 | $72,098.00 | $134,898.00 | $12,126.90 | $16,085.69 | $31,420.20 | $9,346.92 | $13,152.05 | $30,229.60 |
| Tennessee | 21 | 645 | $26,373.30 | $57,846.49 | $80,229.30 | $11,121.50 | $13,289.17 | $18,148.40 | $8,379.13 | $11,031.79 | $16,152.90 |
| Arizona | 20 | 630 | $31,978.60 | $58,717.22 | $115,184.00 | $12,793.80 | $15,185.90 | $24,175.20 | $10,629.80 | $12,928.08 | $20,559.40 |
| Indiana | 22 | 606 | $31,262.20 | $61,767.40 | $102,447.00 | $11,854.30 | $13,899.60 | $17,332.30 | $10,155.40 | $11,639.47 | $14,729.10 |
| Georgia | 23 | 595 | $33,045.10 | $62,392.56 | $106,206.00 | $11,451.70 | $14,363.73 | $20,083.20 | $9,158.65 | $11,641.67 | $17,202.80 |
| Illinois | 26 | 563 | $37,567.40 | $62,189.89 | $108,637.00 | $12,592.20 | $15,870.66 | $21,995.40 | $10,027.00 | $12,734.25 | $19,505.30 |
| Washington | 22 | 546 | $36,288.60 | $67,586.36 | $96,494.10 | $14,302.50 | $17,422.95 | $22,935.90 | $12,100.30 | $14,452.10 | $19,836.70 |
| Maryland | 16 | 514 | $20,492.50 | $25,285.86 | $32,563.70 | $19,006.90 | $23,433.69 | $30,181.80 | $16,716.00 | $21,025.02 | $28,808.80 |
| South Carolina | 16 | 470 | $37,226.70 | $61,570.35 | $121,267.00 | $11,698.70 | $14,115.59 | $20,812.50 | $8,678.14 | $11,527.31 | $16,413.50 |
| Massachusetts | 18 | 469 | $26,592.40 | $46,931.12 | $84,238.40 | $15,900.20 | $18,938.37 | $24,144.60 | $13,306.90 | $16,740.83 | $22,211.70 |
| Kentucky | 13 | 421 | $33,405.30 | $67,722.97 | $92,736.30 | $11,574.00 | $14,088.22 | $17,971.60 | $9,942.82 | $12,022.98 | $16,583.50 |
| Alabama | 17 | 414 | $32,023.30 | $57,580.35 | $99,779.80 | $10,494.10 | $11,878.57 | $14,332.70 | $8,896.36 | $10,145.56 | $12,589.00 |
| Wisconsin | 20 | 373 | $31,304.60 | $48,789.09 | $70,335.80 | $12,550.70 | $15,201.51 | $22,955.70 | $11,024.10 | $12,165.15 | $16,196.30 |
| Utah | 11 | 372 | $33,359.70 | $47,135.56 | $81,962.00 | $13,714.20 | $15,614.65 | $19,346.70 | $9,872.97 | $11,782.87 | $16,747.10 |
| Iowa | 11 | 370 | $33,697.80 | $52,949.41 | $69,313.30 | $11,809.60 | $14,202.26 | $22,045.00 | $9,916.15 | $11,836.19 | $16,418.30 |
| Arkansas | 11 | 310 | $30,598.30 | $40,580.65 | $53,957.60 | $11,065.50 | $12,264.90 | $13,860.90 | $9,713.69 | $10,583.51 | $11,759.00 |
| Oregon | 12 | 309 | $41,224.80 | $48,927.34 | $65,398.50 | $13,468.60 | $16,616.63 | $21,307.50 | $12,265.90 | $13,896.18 | $19,507.60 |
| Nebraska | 10 | 300 | $25,704.70 | $39,620.00 | $68,960.40 | $12,104.00 | $13,781.66 | $18,546.90 | $10,131.60 | $12,066.41 | $15,757.70 |
| Oklahoma | 14 | 299 | $29,583.90 | $61,516.13 | $150,912.00 | $11,352.10 | $13,764.88 | $20,555.40 | $9,496.31 | $11,932.14 | $18,756.10 |
| Kansas | 13 | 275 | $20,218.00 | $45,719.65 | $89,800.40 | $10,201.70 | $12,936.42 | $19,555.40 | $8,996.33 | $10,909.13 | $13,750.80 |
| New Jersey | 12 | 256 | $48,962.70 | $68,392.54 | $104,680.00 | $13,346.70 | $16,485.65 | $20,190.80 | $11,612.10 | $14,005.29 | $16,301.20 |
| Connecticut | 12 | 243 | $31,858.60 | $57,600.00 | $101,310.00 | $15,981.20 | $19,428.28 | $24,967.40 | $14,782.30 | $17,181.11 | $23,320.50 |
| Louisiana | 10 | 243 | $28,767.80 | $52,870.24 | $78,944.80 | $11,019.70 | $13,066.15 | $20,370.90 | $9,660.06 | $11,011.49 | $15,926.40 |
| Mississippi | 10 | 222 | $31,388.10 | $51,660.68 | $86,619.40 | $12,136.40 | $13,410.85 | $19,935.50 | $9,953.02 | $11,679.01 | $18,272.20 |
| Montana | 8 | 195 | $28,648.10 | $37,531.45 | $58,195.50 | $12,707.10 | $13,951.28 | $15,313.70 | $11,385.30 | $12,367.20 | $13,336.60 |
| South Dakota | 6 | 170 | $34,544.70 | $48,658.18 | $71,649.30 | $12,696.10 | $13,412.97 | $14,971.70 | $11,162.80 | $11,815.71 | $13,541.30 |
| Nevada | 6 | 168 | $49,453.40 | $76,418.58 | $115,341.00 | $13,860.30 | $14,435.00 | $16,024.40 | $12,277.00 | $12,872.09 | $14,555.50 |
| Maine | 7 | 165 | $34,214.90 | $43,315.34 | $85,705.60 | $13,835.60 | $14,796.16 | $16,084.20 | $11,002.00 | $13,326.23 | $14,716.80 |
| Idaho | 7 | 140 | $35,440.90 | $42,571.69 | $52,608.70 | $12,259.00 | $15,085.40 | $17,903.10 | $9,674.07 | $12,496.27 | $15,145.90 |
| West Virginia | 6 | 134 | $23,903.80 | $45,821.48 | $56,013.40 | $12,181.40 | $15,374.24 | $18,836.10 | $9,972.33 | $12,833.85 | $15,604.40 |
| North Dakota | 3 | 132 | $38,941.10 | $46,673.05 | $59,671.80 | $14,788.80 | $16,260.80 | $17,999.70 | $11,162.60 | $11,697.23 | $12,230.50 |
| New Hampshire | 6 | 126 | $38,604.70 | $63,940.54 | $103,580.00 | $14,003.00 | $17,904.88 | $21,687.50 | $12,387.80 | $14,542.26 | $17,253.20 |
| New Mexico | 4 | 92 | $36,071.70 | $45,894.63 | $80,361.00 | $13,052.00 | $15,468.47 | $17,162.90 | $11,841.30 | $13,241.79 | $14,933.10 |
| Delaware | 3 | 78 | $39,211.90 | $43,154.52 | $49,792.90 | $15,045.60 | $16,246.47 | $16,847.40 | $11,023.40 | $13,094.55 | $14,539.80 |
| Washington DC | 4 | 66 | $34,734.90 | $73,103.96 | $110,781.00 | $13,910.90 | $18,135.06 | $20,856.40 | $10,873.80 | $14,715.49 | $18,432.60 |
| Wyoming | 4 | 61 | $44,081.10 | $55,127.44 | $76,806.60 | $16,679.20 | $20,690.95 | $24,158.60 | $11,821.10 | $18,545.96 | $22,951.10 |
| Alaska | 2 | 58 | $61,210.10 | $69,582.76 | $93,584.40 | $18,707.20 | $20,301.98 | $20,858.30 | $15,580.90 | $17,633.85 | $18,350.00 |
| Rhode Island | 1 | 25 | $54,599.80 | $54,599.80 | $54,599.80 | $15,420.00 | $15,420.00 | $15,420.00 | $14,145.40 | $14,145.40 | $14,145.40 |
| Vermont | 1 | 18 | $53,108.40 | $53,108.40 | $53,108.40 | $18,206.50 | $18,206.50 | $18,206.50 | $16,784.50 | $16,784.50 | $16,784.50 | TOTAL US | 821 | 22,204 | $20,218.00 | $59.523,97 | $209,779.00 | $10,201.70 | $15.581,21 | $36,378.00 | $7,571.13 | $13.074,21 | $35,163.60 |
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.