Hospital Costs > Major Male Pelvic Procedures W 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 |
| Alabama | 1 | 40 | $32,063.20 | $32,063.20 | $32,063.20 | $9,270.22 | $9,270.22 | $9,270.22 | $7,816.75 | $7,816.75 | $7,816.75 |
| Kansas | 1 | 15 | $15,726.90 | $15,726.90 | $15,726.90 | $9,823.33 | $9,823.33 | $9,823.33 | $7,190.20 | $7,190.20 | $7,190.20 |
| Arkansas | 1 | 12 | $49,140.20 | $49,140.20 | $49,140.20 | $11,474.80 | $11,474.80 | $11,474.80 | $7,796.17 | $7,796.17 | $7,796.17 |
| Montana | 1 | 11 | $19,832.00 | $19,832.00 | $19,832.00 | $11,537.70 | $11,537.70 | $11,537.70 | $10,321.90 | $10,321.90 | $10,321.90 |
| Louisiana | 1 | 13 | $33,942.80 | $33,942.80 | $33,942.80 | $12,019.50 | $12,019.50 | $12,019.50 | $8,881.85 | $8,881.85 | $8,881.85 |
| New Mexico | 1 | 14 | $24,997.80 | $24,997.80 | $24,997.80 | $13,267.90 | $13,267.90 | $13,267.90 | $9,966.57 | $9,966.57 | $9,966.57 |
| Florida | 4 | 85 | $43,147.70 | $58,719.85 | $73,642.20 | $10,212.90 | $12,510.41 | $13,470.10 | $8,745.45 | $9,401.25 | $11,049.40 |
| Texas | 3 | 59 | $31,214.70 | $43,864.09 | $53,488.50 | $10,725.20 | $12,502.02 | $13,892.50 | $8,339.85 | $8,566.02 | $8,797.67 |
| Missouri | 1 | 12 | $43,603.70 | $43,603.70 | $43,603.70 | $13,918.40 | $13,918.40 | $13,918.40 | $12,710.40 | $12,710.40 | $12,710.40 |
| Ohio | 2 | 46 | $47,922.40 | $53,956.83 | $57,175.20 | $10,479.60 | $12,755.23 | $13,968.90 | $8,368.38 | $9,798.55 | $10,561.30 |
| Washington | 2 | 28 | $34,295.20 | $54,696.46 | $69,997.40 | $14,146.00 | $14,578.29 | $14,902.50 | $12,424.30 | $13,279.27 | $13,920.50 |
| Tennessee | 2 | 32 | $38,063.80 | $46,741.60 | $55,419.40 | $13,593.50 | $14,332.85 | $15,072.20 | $8,547.12 | $11,207.66 | $13,868.20 |
| Nebraska | 2 | 26 | $35,616.90 | $38,226.03 | $40,139.40 | $10,336.80 | $13,263.24 | $15,409.30 | $9,240.09 | $10,167.15 | $10,847.00 |
| Utah | 1 | 15 | $31,221.10 | $31,221.10 | $31,221.10 | $16,214.40 | $16,214.40 | $16,214.40 | $12,260.20 | $12,260.20 | $12,260.20 |
| Vermont | 1 | 17 | $29,881.40 | $29,881.40 | $29,881.40 | $16,513.60 | $16,513.60 | $16,513.60 | $13,669.20 | $13,669.20 | $13,669.20 |
| Arizona | 1 | 20 | $64,721.10 | $64,721.10 | $64,721.10 | $16,667.80 | $16,667.80 | $16,667.80 | $12,063.70 | $12,063.70 | $12,063.70 |
| Michigan | 1 | 11 | $35,196.20 | $35,196.20 | $35,196.20 | $16,668.10 | $16,668.10 | $16,668.10 | $15,163.70 | $15,163.70 | $15,163.70 |
| Indiana | 1 | 15 | $51,786.60 | $51,786.60 | $51,786.60 | $17,362.00 | $17,362.00 | $17,362.00 | $12,618.90 | $12,618.90 | $12,618.90 |
| North Carolina | 3 | 42 | $41,550.20 | $50,170.36 | $57,487.60 | $12,769.40 | $16,134.66 | $18,029.30 | $9,811.00 | $11,370.19 | $13,999.50 |
| Massachusetts | 1 | 14 | $18,069.70 | $18,069.70 | $18,069.70 | $18,232.90 | $18,232.90 | $18,232.90 | $14,503.10 | $14,503.10 | $14,503.10 |
| Connecticut | 1 | 11 | $43,619.00 | $43,619.00 | $43,619.00 | $18,585.50 | $18,585.50 | $18,585.50 | $10,905.50 | $10,905.50 | $10,905.50 |
| Minnesota | 7 | 127 | $36,973.60 | $44,328.29 | $62,276.50 | $11,971.80 | $15,600.47 | $18,785.70 | $9,773.31 | $11,432.99 | $12,358.90 |
| Illinois | 4 | 86 | $55,648.40 | $64,915.67 | $67,859.50 | $13,372.30 | $17,262.06 | $20,411.20 | $9,096.45 | $12,028.41 | $16,133.10 |
| Pennsylvania | 2 | 25 | $98,634.20 | $142,430.01 | $176,841.00 | $13,096.00 | $19,237.86 | $24,063.60 | $11,228.70 | $15,814.20 | $19,417.10 |
| Iowa | 1 | 14 | $50,875.10 | $50,875.10 | $50,875.10 | $24,353.40 | $24,353.40 | $24,353.40 | $11,893.10 | $11,893.10 | $11,893.10 |
| Maryland | 1 | 14 | $26,069.90 | $26,069.90 | $26,069.90 | $24,878.40 | $24,878.40 | $24,878.40 | $12,434.40 | $12,434.40 | $12,434.40 |
| California | 7 | 121 | $79,837.20 | $119,463.56 | $155,893.00 | $12,138.90 | $18,978.76 | $28,072.10 | $10,346.20 | $14,708.29 | $21,023.30 |
| New York | 5 | 73 | $36,145.70 | $59,836.01 | $83,281.20 | $17,431.10 | $21,525.84 | $28,125.20 | $12,870.30 | $15,810.76 | $23,169.70 | TOTAL US | 59 | 998 | $15,726.90 | $58.788,77 | $176,841.00 | $9,270.22 | $15.865,20 | $28,125.20 | $7,190.20 | $11.779,19 | $23,169.70 |
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.