Hospital Costs > Mastectomy For Malignancy 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 | 1 | 13 | $12,581.80 | $12,581.80 | $12,581.80 | $11,741.80 | $11,741.80 | $11,741.80 | $8,760.15 | $8,760.15 | $8,760.15 |
| Oklahoma | 1 | 11 | $14,018.10 | $14,018.10 | $14,018.10 | $6,120.00 | $6,120.00 | $6,120.00 | $5,017.45 | $5,017.45 | $5,017.45 |
| Massachusetts | 1 | 14 | $23,938.10 | $23,938.10 | $23,938.10 | $8,054.14 | $8,054.14 | $8,054.14 | $6,848.14 | $6,848.14 | $6,848.14 |
| Michigan | 1 | 14 | $27,946.40 | $27,946.40 | $27,946.40 | $8,971.86 | $8,971.86 | $8,971.86 | $4,986.86 | $4,986.86 | $4,986.86 |
| Connecticut | 2 | 37 | $21,029.30 | $29,564.53 | $43,586.70 | $9,305.83 | $9,705.50 | $10,362.10 | $7,433.13 | $7,908.65 | $8,689.86 |
| New York | 2 | 36 | $26,414.20 | $34,991.07 | $39,279.50 | $10,415.90 | $11,304.63 | $11,749.00 | $9,019.25 | $9,254.89 | $9,372.71 |
| Arizona | 1 | 13 | $65,871.10 | $65,871.10 | $65,871.10 | $7,465.08 | $7,465.08 | $7,465.08 | $4,672.00 | $4,672.00 | $4,672.00 |
| Texas | 1 | 13 | $68,987.80 | $68,987.80 | $68,987.80 | $9,462.23 | $9,462.23 | $9,462.23 | $4,990.08 | $4,990.08 | $4,990.08 |
| California | 2 | 25 | $118,981.00 | $141,634.12 | $159,433.00 | $7,260.00 | $9,282.44 | $10,871.50 | $5,383.73 | $7,212.68 | $8,649.71 | TOTAL US | 12 | 176 | $12,581.80 | $49.384,83 | $159,433.00 | $6,120.00 | $9.525,65 | $11,749.00 | $4,672.00 | $7.195,93 | $9,372.71 |
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.