Hospital Costs > Major Male Pelvic Procedures 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 |
| Maryland | 6 | 283 | $10,972.60 | $11,649.95 | $15,058.00 | $10,263.80 | $10,892.93 | $14,057.10 | $7,571.64 | $8,835.17 | $11,826.60 |
| New Mexico | 1 | 30 | $19,308.90 | $19,308.90 | $19,308.90 | $10,183.80 | $10,183.80 | $10,183.80 | $7,003.33 | $7,003.33 | $7,003.33 |
| North Dakota | 1 | 13 | $22,170.50 | $22,170.50 | $22,170.50 | $9,067.77 | $9,067.77 | $9,067.77 | $6,223.00 | $6,223.00 | $6,223.00 |
| Utah | 2 | 33 | $23,237.40 | $23,331.32 | $23,431.10 | $9,493.76 | $10,801.85 | $12,191.70 | $7,048.06 | $8,455.09 | $9,950.06 |
| Montana | 4 | 60 | $16,607.20 | $24,673.41 | $41,460.50 | $8,219.27 | $9,891.20 | $11,607.00 | $4,461.38 | $5,984.13 | $7,159.00 |
| Vermont | 1 | 27 | $24,683.00 | $24,683.00 | $24,683.00 | $12,844.60 | $12,844.60 | $12,844.60 | $8,215.59 | $8,215.59 | $8,215.59 |
| Hawaii | 2 | 58 | $20,496.80 | $24,788.69 | $37,092.10 | $12,059.70 | $14,434.49 | $15,262.90 | $6,751.00 | $7,326.70 | $7,527.53 |
| Maine | 2 | 37 | $26,405.30 | $28,913.71 | $31,290.10 | $11,933.80 | $12,185.85 | $12,451.90 | $5,769.89 | $6,670.22 | $7,523.16 |
| Oklahoma | 4 | 99 | $18,236.60 | $30,864.33 | $74,908.30 | $6,708.55 | $8,592.84 | $14,688.20 | $5,092.30 | $6,178.77 | $10,030.90 |
| Michigan | 17 | 402 | $20,372.00 | $33,173.95 | $43,457.10 | $9,027.93 | $11,113.22 | $13,916.70 | $5,327.33 | $7,928.50 | $9,867.73 |
| West Virginia | 1 | 20 | $34,489.90 | $34,489.90 | $34,489.90 | $10,608.50 | $10,608.50 | $10,608.50 | $5,832.20 | $5,832.20 | $5,832.20 |
| Missouri | 12 | 268 | $19,002.30 | $35,037.35 | $62,253.00 | $6,547.15 | $8,669.52 | $12,050.20 | $4,408.27 | $6,303.66 | $8,632.69 |
| Minnesota | 12 | 372 | $18,492.90 | $35,808.66 | $49,806.70 | $8,691.82 | $11,790.96 | $13,417.20 | $5,866.67 | $7,662.22 | $9,410.53 |
| Iowa | 9 | 157 | $24,085.40 | $36,429.18 | $55,652.30 | $7,547.78 | $9,222.30 | $17,124.60 | $4,242.14 | $6,135.78 | $9,616.88 |
| Oregon | 7 | 167 | $28,141.00 | $36,470.34 | $46,413.50 | $8,916.19 | $11,708.59 | $14,161.50 | $6,109.76 | $7,613.33 | $9,724.59 |
| Mississippi | 5 | 128 | $28,129.30 | $36,927.50 | $62,828.00 | $7,390.32 | $7,769.18 | $8,911.38 | $5,481.63 | $5,628.10 | $6,230.69 |
| Wyoming | 1 | 12 | $37,204.20 | $37,204.20 | $37,204.20 | $15,171.10 | $15,171.10 | $15,171.10 | $5,798.50 | $5,798.50 | $5,798.50 |
| New York | 15 | 501 | $22,177.20 | $37,208.02 | $84,650.40 | $8,051.27 | $13,576.98 | $17,985.30 | $5,748.60 | $9,422.00 | $11,222.30 |
| Arkansas | 6 | 146 | $19,555.50 | $37,236.96 | $108,603.00 | $7,156.77 | $8,062.53 | $12,199.00 | $5,183.50 | $6,127.25 | $8,950.00 |
| North Carolina | 18 | 430 | $24,664.60 | $37,390.40 | $65,652.10 | $7,155.76 | $10,097.32 | $14,700.30 | $4,949.21 | $6,993.40 | $9,391.52 |
| Kansas | 8 | 141 | $13,857.80 | $37,766.25 | $63,495.20 | $7,456.52 | $8,397.07 | $10,185.40 | $4,932.67 | $6,412.78 | $8,314.04 |
| Nebraska | 3 | 68 | $31,853.30 | $38,652.09 | $55,238.00 | $8,000.19 | $9,125.75 | $10,060.90 | $4,851.72 | $5,935.84 | $6,821.00 |
| Rhode Island | 1 | 21 | $39,156.70 | $39,156.70 | $39,156.70 | $9,352.81 | $9,352.81 | $9,352.81 | $8,115.90 | $8,115.90 | $8,115.90 |
| Massachusetts | 10 | 280 | $16,652.10 | $40,116.78 | $65,730.60 | $10,485.40 | $12,769.79 | $14,838.80 | $8,339.00 | $10,402.26 | $12,904.40 |
| South Dakota | 2 | 61 | $36,728.20 | $40,634.11 | $45,237.50 | $8,915.00 | $9,636.62 | $10,248.90 | $7,216.04 | $7,456.15 | $7,659.88 |
| Alabama | 11 | 280 | $23,854.10 | $40,998.89 | $86,666.70 | $6,507.56 | $7,489.88 | $12,158.00 | $5,141.44 | $6,003.98 | $10,949.40 |
| Connecticut | 3 | 93 | $36,463.30 | $42,363.76 | $56,426.10 | $11,959.30 | $12,880.53 | $13,135.50 | $8,018.42 | $9,004.83 | $10,390.10 |
| Wisconsin | 9 | 160 | $29,284.80 | $43,001.38 | $52,766.40 | $9,212.05 | $11,733.48 | $15,418.10 | $4,682.41 | $7,596.96 | $9,507.80 |
| Indiana | 7 | 154 | $24,698.80 | $43,552.89 | $99,524.30 | $7,524.00 | $10,167.85 | $12,361.80 | $6,313.08 | $8,198.21 | $9,882.66 |
| Tennessee | 12 | 446 | $16,724.60 | $43,902.68 | $77,777.70 | $6,632.83 | $9,104.27 | $11,789.70 | $4,557.12 | $6,725.93 | $9,229.73 |
| Georgia | 9 | 221 | $27,597.50 | $44,207.37 | $61,021.20 | $7,423.86 | $8,392.67 | $11,882.50 | $4,606.29 | $6,452.19 | $10,667.10 |
| South Carolina | 8 | 185 | $31,423.60 | $45,273.87 | $63,705.30 | $7,913.56 | $10,242.54 | $14,255.50 | $4,919.17 | $6,400.93 | $8,615.10 |
| Texas | 21 | 569 | $19,137.90 | $46,010.80 | $92,466.80 | $7,108.00 | $9,438.82 | $35,624.40 | $5,037.00 | $6,227.26 | $8,863.58 |
| New Hampshire | 4 | 84 | $41,757.20 | $46,305.36 | $54,687.60 | $9,244.12 | $10,669.81 | $12,367.40 | $6,046.50 | $7,854.73 | $10,088.10 |
| New Jersey | 6 | 110 | $30,442.30 | $46,868.59 | $76,633.00 | $8,254.09 | $11,486.50 | $13,915.40 | $7,118.82 | $9,328.33 | $11,942.40 |
| Washington DC | 2 | 74 | $42,031.20 | $46,889.07 | $58,371.30 | $12,617.80 | $12,884.34 | $12,997.10 | $6,685.63 | $7,334.59 | $8,868.50 |
| Illinois | 14 | 340 | $30,805.80 | $47,149.41 | $60,810.40 | $7,250.64 | $12,079.78 | $16,799.40 | $5,251.77 | $7,783.88 | $11,202.90 |
| Louisiana | 9 | 152 | $24,478.30 | $48,138.68 | $75,195.30 | $7,784.58 | $9,607.91 | $13,077.60 | $4,356.00 | $6,892.58 | $9,718.90 |
| Washington | 9 | 254 | $22,412.40 | $48,222.32 | $105,528.00 | $7,645.04 | $11,621.51 | $14,633.80 | $6,484.08 | $8,169.32 | $10,719.40 |
| Idaho | 1 | 18 | $48,668.90 | $48,668.90 | $48,668.90 | $10,828.90 | $10,828.90 | $10,828.90 | $8,334.78 | $8,334.78 | $8,334.78 |
| Kentucky | 6 | 99 | $21,955.40 | $49,335.65 | $78,649.90 | $7,512.60 | $8,872.97 | $12,470.50 | $4,819.90 | $6,329.78 | $8,455.07 |
| Colorado | 5 | 116 | $39,911.70 | $55,153.80 | $63,246.70 | $8,225.09 | $10,243.47 | $12,932.70 | $5,184.45 | $6,715.92 | $10,150.80 |
| Arizona | 8 | 241 | $35,257.70 | $56,140.11 | $71,680.60 | $7,797.73 | $9,910.71 | $11,269.00 | $5,400.67 | $6,494.95 | $8,838.08 |
| Virginia | 9 | 205 | $27,654.90 | $56,158.89 | $118,928.00 | $8,198.54 | $9,718.11 | $13,982.20 | $5,393.74 | $6,252.83 | $9,837.08 |
| Florida | 11 | 468 | $29,216.10 | $56,929.90 | $104,283.00 | $7,382.88 | $10,244.76 | $18,777.50 | $5,254.67 | $6,432.51 | $15,269.90 |
| Ohio | 10 | 278 | $25,462.20 | $59,673.94 | $122,154.00 | $7,751.60 | $10,133.69 | $12,595.50 | $5,108.53 | $6,367.05 | $8,344.28 |
| Pennsylvania | 10 | 270 | $30,789.00 | $63,943.39 | $98,626.00 | $8,682.72 | $11,853.02 | $16,319.50 | $5,198.83 | $8,559.48 | $11,647.80 |
| Nevada | 3 | 38 | $26,872.50 | $71,719.87 | $98,017.80 | $7,947.83 | $8,473.39 | $8,758.15 | $6,349.58 | $6,959.48 | $7,547.08 |
| California | 33 | 869 | $26,947.50 | $87,164.36 | $160,165.00 | $8,520.18 | $13,083.29 | $17,485.60 | $5,949.25 | $10,338.54 | $15,321.50 | TOTAL US | 370 | 9,538 | $10,972.60 | $46.781,30 | $160,165.00 | $6,507.56 | $10.703,86 | $35,624.40 | $4,242.14 | $7.565,69 | $15,321.50 |
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.