Hospital Costs > Major Joint Replacement Or Reattachment Of Lower Extremity 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 |
| Wyoming | 1 | 12 | $65,702.10 | $65,702.10 | $65,702.10 | $18,023.80 | $18,023.80 | $18,023.80 | $16,909.10 | $16,909.10 | $16,909.10 |
| Mississippi | 9 | 200 | $43,362.70 | $66,163.11 | $103,898.00 | $15,434.30 | $17,669.42 | $19,186.70 | $14,386.80 | $16,395.05 | $18,207.00 |
| Arkansas | 11 | 221 | $26,615.10 | $60,974.93 | $137,414.00 | $13,790.10 | $17,363.46 | $19,499.30 | $11,259.10 | $15,791.48 | $18,762.70 |
| Alabama | 19 | 387 | $37,107.40 | $75,595.74 | $196,321.00 | $14,845.00 | $18,151.00 | $22,117.00 | $13,437.60 | $16,940.83 | $20,913.70 |
| Oklahoma | 12 | 240 | $48,438.60 | $83,688.56 | $218,791.00 | $17,311.60 | $20,579.79 | $23,155.30 | $16,315.80 | $18,590.69 | $20,987.10 |
| Delaware | 3 | 88 | $50,761.20 | $53,735.39 | $58,373.00 | $18,082.20 | $22,046.26 | $23,796.00 | $16,599.30 | $20,045.97 | $21,716.90 |
| Louisiana | 14 | 231 | $50,339.90 | $79,499.73 | $169,214.00 | $16,062.20 | $19,558.00 | $27,775.60 | $14,104.50 | $17,340.29 | $21,849.10 |
| North Dakota | 5 | 198 | $49,255.30 | $55,268.89 | $61,460.10 | $19,423.80 | $21,175.32 | $23,245.20 | $17,290.50 | $19,047.02 | $22,062.50 |
| Tennessee | 29 | 650 | $40,337.60 | $78,208.71 | $168,539.00 | $14,278.60 | $18,955.23 | $26,723.20 | $12,158.70 | $16,871.95 | $22,565.50 |
| West Virginia | 6 | 95 | $45,996.80 | $63,537.71 | $77,660.00 | $17,261.30 | $20,441.36 | $26,388.60 | $15,749.80 | $18,441.65 | $23,475.30 |
| South Carolina | 16 | 298 | $57,684.50 | $91,270.00 | $136,604.00 | $14,794.90 | $21,569.05 | $35,436.80 | $13,683.60 | $18,808.60 | $23,501.20 |
| Nebraska | 9 | 187 | $46,096.40 | $69,426.17 | $98,015.40 | $18,768.50 | $21,631.94 | $26,519.20 | $17,552.10 | $20,105.53 | $23,567.30 |
| Maine | 4 | 79 | $39,183.60 | $57,512.29 | $66,618.70 | $17,672.80 | $22,351.31 | $25,094.00 | $16,966.20 | $21,130.49 | $23,887.00 |
| Indiana | 22 | 416 | $38,506.20 | $72,893.38 | $131,635.00 | $17,112.50 | $20,325.84 | $29,946.50 | $14,857.90 | $18,378.04 | $24,066.00 |
| Montana | 6 | 93 | $43,221.40 | $56,738.38 | $73,958.60 | $18,968.20 | $21,893.14 | $25,063.90 | $15,893.20 | $20,055.51 | $24,180.70 |
| Iowa | 18 | 431 | $39,266.40 | $58,657.02 | $85,583.30 | $15,393.20 | $19,464.16 | $29,335.50 | $14,283.80 | $17,635.83 | $24,516.50 |
| Washington | 23 | 530 | $35,396.80 | $87,757.58 | $140,074.00 | $18,547.60 | $23,355.83 | $29,918.40 | $17,343.80 | $21,119.33 | $24,592.10 |
| Utah | 5 | 117 | $41,251.40 | $53,836.07 | $67,948.10 | $19,980.50 | $23,327.69 | $27,837.60 | $16,970.40 | $20,205.04 | $24,704.30 |
| North Carolina | 33 | 730 | $30,503.50 | $64,733.78 | $102,567.00 | $15,276.00 | $21,151.45 | $28,717.30 | $14,132.40 | $18,733.19 | $24,810.80 |
| Kentucky | 21 | 526 | $36,572.40 | $74,269.02 | $127,164.00 | $15,327.00 | $20,332.27 | $29,655.30 | $14,121.70 | $18,433.60 | $24,856.30 |
| Nevada | 8 | 150 | $65,550.60 | $129,531.32 | $205,692.00 | $20,251.40 | $22,376.82 | $26,075.80 | $17,556.70 | $20,844.03 | $25,122.50 |
| Wisconsin | 14 | 279 | $38,435.40 | $67,684.65 | $125,004.00 | $17,397.60 | $22,174.44 | $27,752.40 | $16,247.40 | $20,324.25 | $25,155.70 |
| South Dakota | 5 | 121 | $33,892.30 | $60,835.60 | $79,504.50 | $19,068.10 | $21,530.10 | $27,039.20 | $16,512.80 | $19,327.96 | $26,035.80 |
| Missouri | 31 | 670 | $39,694.20 | $71,526.78 | $183,945.00 | $16,398.90 | $19,775.57 | $27,174.40 | $13,856.30 | $18,258.33 | $26,070.40 |
| Virginia | 30 | 638 | $40,064.10 | $78,038.14 | $209,063.00 | $16,216.90 | $21,490.16 | $42,832.20 | $14,139.50 | $18,479.13 | $26,212.60 |
| Colorado | 18 | 284 | $64,020.00 | $111,200.02 | $166,606.00 | $11,644.50 | $20,607.90 | $33,081.70 | $10,620.50 | $18,248.79 | $26,563.80 |
| Idaho | 5 | 94 | $51,556.20 | $59,292.13 | $68,664.80 | $20,229.20 | $22,025.16 | $27,951.80 | $18,937.00 | $20,819.42 | $26,664.60 |
| Vermont | 2 | 27 | $52,649.50 | $60,435.37 | $67,665.10 | $27,764.80 | $28,314.12 | $28,824.20 | $26,356.90 | $26,589.17 | $26,839.30 |
| Hawaii | 2 | 28 | $59,166.20 | $69,358.97 | $78,192.70 | $26,619.50 | $27,656.99 | $28,854.10 | $23,158.50 | $24,880.40 | $26,867.20 |
| Florida | 70 | 1,503 | $50,377.20 | $114,567.39 | $250,225.00 | $16,155.90 | $20,068.51 | $31,014.60 | $14,136.20 | $17,993.01 | $27,016.40 |
| Kansas | 13 | 281 | $41,180.10 | $77,310.29 | $113,607.00 | $17,387.30 | $20,125.72 | $28,272.30 | $13,359.70 | $18,250.45 | $27,282.20 |
| Georgia | 25 | 460 | $45,474.00 | $84,735.03 | $202,337.00 | $17,091.50 | $19,443.20 | $29,855.50 | $15,897.20 | $17,887.93 | $27,513.50 |
| New Mexico | 2 | 36 | $62,844.70 | $68,109.97 | $80,076.50 | $21,049.60 | $23,474.03 | $28,984.10 | $18,414.20 | $21,295.96 | $27,845.40 |
| Michigan | 39 | 793 | $39,260.40 | $57,251.58 | $104,675.00 | $16,202.20 | $21,916.71 | $31,634.60 | $15,329.30 | $20,173.66 | $27,958.10 |
| Rhode Island | 2 | 46 | $62,221.60 | $65,491.27 | $71,621.90 | $20,523.70 | $24,004.29 | $30,530.40 | $18,406.30 | $21,741.71 | $27,995.60 |
| Washington DC | 1 | 14 | $129,394.00 | $129,394.00 | $129,394.00 | $31,824.90 | $31,824.90 | $31,824.90 | $28,125.20 | $28,125.20 | $28,125.20 |
| New Jersey | 24 | 435 | $75,762.20 | $122,190.88 | $166,110.00 | $19,354.10 | $23,269.54 | $31,222.90 | $16,808.20 | $21,142.80 | $28,258.50 |
| Illinois | 47 | 944 | $36,038.00 | $88,214.02 | $165,671.00 | $16,530.20 | $22,787.64 | $42,378.50 | $15,433.50 | $19,468.43 | $28,819.80 |
| Ohio | 31 | 521 | $36,506.00 | $76,706.69 | $137,915.00 | $16,399.20 | $21,349.91 | $32,920.30 | $12,732.50 | $18,130.91 | $31,038.20 |
| Oregon | 10 | 178 | $45,185.80 | $61,376.58 | $82,142.40 | $21,036.80 | $24,892.45 | $34,439.60 | $19,523.20 | $22,981.16 | $31,440.40 |
| Alaska | 1 | 11 | $147,835.00 | $147,835.00 | $147,835.00 | $34,378.60 | $34,378.60 | $34,378.60 | $32,882.60 | $32,882.60 | $32,882.60 |
| Minnesota | 19 | 433 | $38,054.70 | $61,094.54 | $123,711.00 | $17,754.00 | $22,933.75 | $42,066.80 | $14,130.50 | $21,095.38 | $33,510.20 |
| Pennsylvania | 31 | 535 | $40,527.00 | $97,993.84 | $231,009.00 | $15,141.10 | $22,840.98 | $43,276.30 | $14,106.10 | $19,977.07 | $34,657.50 |
| Arizona | 17 | 294 | $59,790.10 | $87,007.28 | $123,516.00 | $17,334.40 | $22,274.97 | $36,039.00 | $15,581.10 | $20,230.57 | $35,032.40 |
| Texas | 55 | 1,148 | $50,313.70 | $105,620.86 | $254,736.00 | $15,973.00 | $20,857.94 | $37,125.30 | $14,348.10 | $18,630.99 | $36,190.70 |
| Connecticut | 12 | 255 | $38,310.50 | $80,371.07 | $126,101.00 | $21,574.10 | $30,346.12 | $39,867.50 | $19,743.80 | $27,587.66 | $36,989.20 |
| Massachusetts | 22 | 482 | $25,326.20 | $56,174.31 | $138,994.00 | $21,007.40 | $27,150.14 | $41,438.40 | $19,880.60 | $25,048.66 | $37,846.50 |
| New Hampshire | 4 | 84 | $39,004.60 | $72,346.71 | $95,787.20 | $18,867.10 | $26,437.16 | $43,921.00 | $17,744.80 | $24,423.16 | $39,110.20 |
| New York | 41 | 781 | $29,386.20 | $98,130.90 | $177,728.00 | $19,131.10 | $29,369.44 | $44,263.90 | $16,404.90 | $25,975.32 | $39,909.40 |
| Maryland | 16 | 296 | $21,624.00 | $31,242.95 | $48,613.10 | $20,021.30 | $28,882.03 | $44,801.20 | $17,893.60 | $27,018.85 | $43,864.10 |
| California | 59 | 1,106 | $69,253.00 | $156,655.56 | $427,567.00 | $17,309.80 | $27,653.60 | $56,763.50 | $14,696.30 | $25,600.29 | $50,439.90 | TOTAL US | 922 | 18,656 | $21,624.00 | $86.279,15 | $427,567.00 | $11,644.50 | $22.258,87 | $56,763.50 | $10,620.50 | $20.046,36 | $50,439.90 |
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.