Hospital Costs > Major Joint Replacement Or Reattachment Of Lower Extremity W/O 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 |
| Maryland | 43 | 9,708 | $15,219.40 | $22,106.33 | $44,731.00 | $14,186.00 | $20,519.13 | $41,229.30 | $12,202.40 | $18,105.40 | $40,082.00 |
| Maine | 18 | 2,563 | $26,214.60 | $35,270.91 | $55,133.60 | $12,543.20 | $14,343.67 | $20,806.70 | $10,333.20 | $12,164.92 | $19,181.40 |
| Massachusetts | 56 | 11,333 | $19,862.00 | $35,408.70 | $67,148.50 | $14,529.70 | $17,581.40 | $25,347.40 | $11,981.80 | $15,245.28 | $22,969.70 |
| Montana | 12 | 2,259 | $19,293.60 | $36,564.48 | $51,719.90 | $12,470.20 | $14,171.47 | $16,679.80 | $10,191.30 | $11,716.43 | $13,773.50 |
| Michigan | 87 | 16,534 | $15,691.30 | $36,984.56 | $66,980.30 | $11,979.60 | $14,837.50 | $21,901.50 | $9,184.35 | $12,449.33 | $17,611.40 |
| Delaware | 6 | 2,119 | $34,199.70 | $37,052.37 | $55,379.80 | $13,186.90 | $15,649.71 | $18,776.90 | $11,014.00 | $12,732.58 | $14,472.30 |
| North Dakota | 6 | 2,080 | $30,876.80 | $37,186.53 | $46,988.80 | $13,478.30 | $14,096.37 | $14,634.60 | $11,208.20 | $11,885.35 | $12,793.60 |
| Vermont | 6 | 766 | $28,724.10 | $37,390.44 | $41,184.50 | $14,606.70 | $18,577.62 | $19,700.30 | $12,305.40 | $15,981.09 | $18,555.90 |
| Minnesota | 48 | 11,220 | $24,315.70 | $38,095.87 | $59,928.10 | $12,869.30 | $15,748.47 | $23,826.80 | $11,062.70 | $13,147.38 | $20,866.80 |
| Rhode Island | 10 | 1,336 | $28,853.50 | $38,175.73 | $53,475.10 | $13,455.00 | $15,622.68 | $20,053.30 | $11,223.70 | $12,994.00 | $16,909.20 |
| West Virginia | 23 | 2,925 | $22,082.20 | $39,415.76 | $60,720.40 | $11,065.90 | $13,152.26 | $18,101.60 | $9,172.40 | $10,650.59 | $14,299.60 |
| Arkansas | 30 | 5,692 | $19,304.00 | $39,984.47 | $78,619.50 | $10,977.10 | $12,014.54 | $18,896.90 | $9,065.07 | $10,135.26 | $15,414.20 |
| Utah | 29 | 4,455 | $24,001.80 | $40,408.80 | $65,740.90 | $12,273.00 | $14,886.27 | $20,208.60 | $8,788.36 | $11,130.96 | $15,361.80 |
| Idaho | 12 | 2,665 | $31,755.60 | $40,966.01 | $62,311.40 | $11,456.50 | $14,674.89 | $17,450.70 | $9,955.45 | $12,087.93 | $14,896.40 |
| South Dakota | 16 | 3,200 | $28,709.60 | $41,759.82 | $55,439.00 | $11,760.90 | $13,787.00 | $16,628.30 | $9,694.40 | $11,679.76 | $15,379.90 |
| Iowa | 32 | 6,872 | $28,735.40 | $42,463.08 | $52,578.40 | $11,055.80 | $13,444.76 | $22,925.80 | $9,572.14 | $11,205.61 | $21,520.00 |
| Wisconsin | 65 | 9,482 | $24,310.10 | $42,633.94 | $81,926.00 | $10,760.80 | $14,679.25 | $20,089.60 | $9,339.43 | $11,849.07 | $15,252.80 |
| Nebraska | 22 | 4,448 | $25,669.10 | $42,676.56 | $67,462.00 | $11,283.00 | $14,235.29 | $21,152.10 | $9,464.64 | $11,525.88 | $15,979.60 |
| Hawaii | 9 | 784 | $23,720.00 | $42,847.26 | $60,583.10 | $17,592.00 | $19,885.97 | $27,653.90 | $6,221.86 | $14,369.84 | $26,444.80 |
| Oregon | 30 | 5,045 | $25,135.00 | $43,482.87 | $62,403.80 | $13,384.30 | $16,249.46 | $22,517.00 | $10,699.70 | $13,180.40 | $19,558.30 |
| Kansas | 42 | 6,983 | $23,322.30 | $43,794.74 | $76,486.50 | $9,774.66 | $13,080.36 | $19,493.90 | $8,557.57 | $10,908.14 | $17,447.90 |
| Missouri | 65 | 11,783 | $24,200.00 | $44,336.05 | $155,386.00 | $10,843.00 | $13,362.49 | $21,778.80 | $9,149.58 | $11,010.61 | $20,690.80 |
| Connecticut | 27 | 5,689 | $26,397.70 | $45,421.99 | $85,036.30 | $15,153.80 | $18,397.95 | $24,878.70 | $12,145.60 | $15,482.69 | $20,543.90 |
| Oklahoma | 51 | 7,751 | $7,666.00 | $47,279.78 | $117,415.00 | $10,984.70 | $12,863.41 | $21,502.50 | $8,216.00 | $10,482.89 | $16,893.70 |
| North Carolina | 79 | 16,189 | $25,468.40 | $47,326.57 | $102,612.00 | $11,567.10 | $14,186.69 | $28,603.90 | $9,068.73 | $11,369.54 | $16,763.70 |
| Ohio | 123 | 16,024 | $26,316.40 | $48,018.67 | $98,277.50 | $10,596.20 | $14,143.27 | $61,073.40 | $8,061.72 | $10,956.15 | $18,213.10 |
| Washington DC | 5 | 1,247 | $30,991.60 | $50,922.19 | $94,531.10 | $13,079.60 | $16,374.20 | $21,326.60 | $10,618.40 | $12,734.29 | $16,762.40 |
| New Hampshire | 13 | 2,693 | $33,377.20 | $51,297.55 | $86,872.60 | $13,797.70 | $15,601.00 | $19,931.40 | $10,668.20 | $12,966.42 | $16,661.90 |
| New York | 121 | 21,171 | $21,342.00 | $51,987.64 | $98,517.80 | $11,551.10 | $18,309.57 | $32,243.10 | $9,242.94 | $14,593.11 | $29,645.30 |
| Mississippi | 26 | 4,728 | $32,281.80 | $52,317.65 | $115,660.00 | $11,505.10 | $12,539.52 | $20,226.20 | $9,467.61 | $10,541.40 | $17,361.60 |
| Georgia | 82 | 12,405 | $25,158.20 | $52,709.63 | $130,703.00 | $11,773.90 | $13,661.43 | $22,451.60 | $7,686.23 | $10,981.28 | $21,286.30 |
| Alabama | 45 | 9,146 | $24,500.40 | $53,216.22 | $179,862.00 | $10,368.10 | $11,759.80 | $18,366.90 | $8,702.50 | $9,966.51 | $15,747.60 |
| Kentucky | 48 | 6,926 | $28,622.50 | $53,690.02 | $107,031.00 | $11,186.20 | $13,726.60 | $18,879.40 | $9,188.78 | $11,144.84 | $16,601.50 |
| New Mexico | 20 | 2,212 | $38,370.90 | $54,194.13 | $98,600.00 | $12,368.30 | $15,927.80 | $24,456.40 | $10,518.00 | $13,410.57 | $23,257.80 |
| Tennessee | 59 | 11,133 | $22,394.20 | $54,712.75 | $202,288.00 | $10,910.80 | $13,313.27 | $26,341.20 | $8,496.28 | $10,355.14 | $25,326.70 |
| Louisiana | 58 | 5,696 | $24,232.70 | $54,846.52 | $119,573.00 | $10,578.90 | $13,155.11 | $43,240.70 | $6,444.09 | $10,680.43 | $41,773.20 |
| Indiana | 76 | 11,813 | $29,612.60 | $55,143.79 | $98,583.30 | $11,333.50 | $13,903.04 | $36,907.90 | $8,475.21 | $11,189.16 | $33,799.00 |
| Wyoming | 10 | 651 | $32,151.90 | $55,532.50 | $80,310.70 | $12,474.10 | $19,080.02 | $23,021.90 | $11,351.20 | $16,232.18 | $21,133.70 |
| Virginia | 61 | 13,923 | $26,750.40 | $56,501.03 | $154,646.00 | $11,038.20 | $13,939.72 | $21,004.90 | $8,658.18 | $10,788.11 | $15,843.10 |
| Pennsylvania | 134 | 18,602 | $16,950.80 | $56,724.21 | $195,366.00 | $10,841.80 | $14,343.93 | $27,982.20 | $8,018.29 | $11,698.22 | $21,622.10 |
| Illinois | 110 | 20,706 | $25,636.00 | $57,703.47 | $141,758.00 | $11,484.70 | $15,474.49 | $27,488.00 | $9,588.46 | $11,837.71 | $21,131.20 |
| Arizona | 48 | 10,472 | $22,074.30 | $58,122.07 | $136,249.00 | $11,768.60 | $14,621.77 | $22,884.10 | $9,353.06 | $12,120.53 | $20,956.60 |
| Washington | 46 | 10,027 | $23,545.00 | $62,521.27 | $101,784.00 | $12,981.50 | $16,381.17 | $24,688.80 | $10,951.30 | $12,803.84 | $19,479.40 |
| South Carolina | 46 | 8,402 | $37,197.80 | $63,892.28 | $150,439.00 | $10,613.40 | $13,680.97 | $19,918.50 | $6,898.04 | $10,829.01 | $15,440.10 |
| Texas | 226 | 29,410 | $24,776.30 | $68,101.58 | $208,296.00 | $10,485.20 | $14,318.11 | $33,391.90 | $8,693.73 | $11,068.99 | $30,372.70 |
| Colorado | 45 | 7,793 | $34,500.60 | $68,740.14 | $103,911.00 | $11,774.60 | $14,941.97 | $30,286.60 | $8,188.94 | $11,695.67 | $29,087.70 |
| New Jersey | 57 | 11,418 | $47,511.40 | $69,433.02 | $183,066.00 | $12,669.30 | $15,406.61 | $28,902.80 | $9,597.65 | $13,180.79 | $25,034.20 |
| Florida | 155 | 31,086 | $28,863.60 | $73,476.97 | $188,738.00 | $11,292.80 | $13,447.88 | $24,685.10 | $9,025.02 | $10,938.93 | $21,050.40 |
| Alaska | 7 | 855 | $46,624.30 | $73,881.15 | $96,035.30 | $18,028.60 | $21,549.41 | $30,369.20 | $14,657.20 | $18,326.62 | $26,652.30 |
| Nevada | 21 | 2,909 | $40,538.10 | $87,499.39 | $152,706.00 | $13,741.50 | $15,225.68 | $25,431.50 | $10,560.60 | $12,405.36 | $19,435.20 |
| California | 236 | 32,930 | $35,566.50 | $96,075.78 | $212,258.00 | $10,467.00 | $18,259.73 | $41,303.30 | $9,071.73 | $15,581.15 | $40,025.80 | TOTAL US | 2,702 | 458,259 | $7,666.00 | $55.980,61 | $212,258.00 | $9,774.66 | $14.993,25 | $61,073.40 | $6,221.86 | $12.211,63 | $41,773.20 |
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.