Hospital Costs > Medical Back Problems 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 |
| Pennsylvania | 80 | 2,844 | $8,279.95 | $30,868.06 | $86,246.60 | $4,160.18 | $6,682.86 | $14,196.50 | $2,565.67 | $4,661.99 | $10,796.10 |
| Wisconsin | 30 | 900 | $11,137.10 | $22,090.09 | $30,007.40 | $4,414.81 | $6,564.92 | $9,639.20 | $2,957.81 | $4,886.26 | $6,440.56 |
| Alabama | 28 | 838 | $10,568.60 | $27,718.70 | $57,629.50 | $3,967.75 | $5,325.71 | $7,808.71 | $2,983.75 | $4,054.77 | $6,260.47 |
| South Carolina | 24 | 595 | $13,769.20 | $27,519.66 | $42,072.60 | $4,232.21 | $6,124.73 | $9,726.94 | $3,053.43 | $4,585.29 | $7,032.62 |
| Florida | 130 | 5,400 | $11,994.50 | $32,557.02 | $60,943.50 | $4,290.61 | $5,763.86 | $15,238.90 | $3,077.85 | $4,472.23 | $13,454.60 |
| Kentucky | 25 | 739 | $9,368.29 | $20,375.53 | $33,382.40 | $4,248.88 | $6,254.49 | $11,707.70 | $3,110.82 | $4,678.15 | $7,250.33 |
| North Carolina | 33 | 1,012 | $11,344.60 | $21,159.65 | $43,138.50 | $4,669.20 | $6,747.84 | $11,129.00 | $3,200.69 | $4,809.99 | $7,237.10 |
| Louisiana | 18 | 490 | $9,190.88 | $21,189.42 | $47,364.20 | $4,711.50 | $5,950.20 | $10,955.90 | $3,208.36 | $4,513.30 | $8,947.50 |
| Missouri | 31 | 1,192 | $12,121.10 | $24,239.51 | $53,738.80 | $4,313.44 | $5,873.05 | $10,478.80 | $3,212.29 | $4,498.79 | $7,699.56 |
| South Dakota | 6 | 129 | $7,772.36 | $20,119.16 | $26,248.40 | $4,955.09 | $6,466.12 | $8,093.34 | $3,223.20 | $4,740.85 | $5,440.13 |
| Minnesota | 22 | 882 | $11,396.20 | $19,300.51 | $30,329.60 | $5,031.08 | $6,886.08 | $11,347.00 | $3,263.38 | $5,228.96 | $9,450.00 |
| West Virginia | 11 | 312 | $8,875.12 | $17,287.31 | $23,806.10 | $4,786.07 | $6,615.64 | $8,865.77 | $3,270.20 | $4,805.98 | $6,510.95 |
| Georgia | 41 | 951 | $12,384.00 | $25,221.46 | $64,759.20 | $4,344.69 | $6,257.89 | $11,657.80 | $3,295.80 | $4,724.27 | $9,007.14 |
| New Jersey | 53 | 2,268 | $20,939.50 | $48,794.43 | $114,428.00 | $5,148.82 | $7,322.10 | $17,182.80 | $3,311.00 | $5,135.15 | $8,555.67 |
| Ohio | 65 | 2,094 | $7,337.00 | $21,651.22 | $36,355.40 | $4,256.20 | $6,232.26 | $10,391.00 | $3,321.27 | $4,538.86 | $8,142.98 |
| Virginia | 36 | 1,291 | $11,380.90 | $21,356.20 | $40,115.50 | $4,436.36 | $6,293.43 | $10,878.30 | $3,330.86 | $4,515.42 | $6,980.58 |
| Tennessee | 35 | 1,012 | $11,227.00 | $23,012.33 | $44,547.90 | $4,422.08 | $5,863.33 | $19,501.00 | $3,337.08 | $4,583.09 | $15,893.10 |
| Texas | 104 | 2,880 | $12,320.90 | $32,041.37 | $54,693.30 | $4,246.00 | $6,485.14 | $18,211.60 | $3,342.50 | $4,976.44 | $15,648.10 |
| Iowa | 17 | 551 | $11,592.70 | $19,872.64 | $30,182.10 | $4,359.26 | $5,990.35 | $9,104.55 | $3,352.00 | $4,669.64 | $7,445.32 |
| Indiana | 35 | 1,063 | $10,847.50 | $22,415.63 | $32,950.80 | $4,297.38 | $5,960.02 | $11,490.60 | $3,395.12 | $4,378.81 | $6,914.46 |
| Colorado | 21 | 648 | $15,080.50 | $34,379.68 | $49,007.60 | $4,690.83 | $5,892.15 | $9,293.64 | $3,443.66 | $4,485.70 | $6,807.77 |
| Kansas | 13 | 543 | $16,816.70 | $28,824.47 | $43,317.60 | $4,489.00 | $5,796.83 | $7,153.41 | $3,447.93 | $4,378.14 | $5,341.85 |
| Arkansas | 19 | 463 | $5,717.41 | $17,343.79 | $38,459.50 | $4,347.37 | $5,330.60 | $9,205.97 | $3,448.49 | $4,146.02 | $6,631.00 |
| Arizona | 27 | 777 | $18,473.00 | $29,018.56 | $63,331.40 | $4,427.76 | $6,621.96 | $9,802.79 | $3,458.80 | $5,207.30 | $8,087.95 |
| Illinois | 79 | 3,028 | $13,192.00 | $26,328.23 | $49,329.70 | $4,713.07 | $6,410.32 | $13,846.70 | $3,504.09 | $4,806.40 | $12,384.60 |
| New York | 91 | 3,515 | $9,358.27 | $30,989.74 | $70,691.20 | $4,999.52 | $8,742.15 | $20,631.80 | $3,510.21 | $6,957.94 | $18,310.10 |
| Michigan | 48 | 2,290 | $7,664.50 | $17,887.26 | $28,095.50 | $4,932.21 | $6,452.40 | $12,124.10 | $3,510.23 | $4,957.14 | $8,390.86 |
| Nevada | 14 | 391 | $21,992.10 | $35,873.98 | $47,987.60 | $4,891.92 | $7,144.34 | $12,026.60 | $3,512.91 | $5,482.31 | $8,514.80 |
| Nebraska | 10 | 275 | $13,848.00 | $19,788.28 | $26,052.70 | $4,789.91 | $5,845.46 | $7,566.93 | $3,544.79 | $4,387.05 | $5,743.86 |
| Montana | 8 | 142 | $9,556.65 | $14,083.34 | $18,731.70 | $4,876.00 | $5,787.63 | $7,004.00 | $3,644.00 | $4,293.66 | $5,035.18 |
| Washington DC | 5 | 149 | $21,469.30 | $28,617.47 | $39,862.20 | $5,403.65 | $8,560.36 | $10,368.30 | $3,667.82 | $6,086.14 | $7,825.42 |
| Mississippi | 13 | 373 | $11,447.40 | $22,857.09 | $54,554.10 | $4,834.64 | $5,790.41 | $11,152.80 | $3,716.11 | $4,423.93 | $8,665.65 |
| Oklahoma | 11 | 344 | $4,393.93 | $21,753.48 | $49,247.10 | $4,974.35 | $6,492.30 | $11,205.20 | $3,754.12 | $5,039.62 | $9,223.29 |
| Rhode Island | 6 | 172 | $18,450.20 | $25,394.95 | $29,373.40 | $4,873.69 | $7,135.48 | $8,823.87 | $3,763.54 | $5,687.45 | $7,205.81 |
| Delaware | 3 | 257 | $16,470.60 | $16,946.90 | $19,070.60 | $5,606.93 | $7,146.35 | $7,457.52 | $3,787.26 | $5,021.59 | $5,266.86 |
| Maine | 8 | 232 | $9,330.35 | $15,157.43 | $17,190.10 | $4,792.33 | $6,277.57 | $6,988.65 | $3,870.43 | $4,691.18 | $5,154.07 |
| New Hampshire | 12 | 334 | $14,269.50 | $20,194.54 | $31,543.20 | $5,152.29 | $6,066.71 | $9,266.28 | $4,002.36 | $4,775.31 | $7,182.87 |
| Oregon | 10 | 204 | $13,382.40 | $22,115.02 | $39,706.20 | $5,919.91 | $7,981.87 | $12,760.80 | $4,023.58 | $5,850.49 | $8,820.35 |
| Washington | 25 | 604 | $14,115.20 | $24,743.52 | $42,078.50 | $5,167.59 | $6,803.47 | $9,536.88 | $4,081.79 | $5,465.07 | $8,123.83 |
| California | 133 | 3,789 | $15,203.20 | $47,819.21 | $120,937.00 | $5,436.29 | $8,116.90 | $29,174.50 | $4,117.10 | $6,678.54 | $26,821.40 |
| Idaho | 5 | 119 | $13,387.30 | $18,023.51 | $20,909.20 | $5,791.29 | $6,296.33 | $7,482.00 | $4,131.83 | $4,842.23 | $6,400.61 |
| New Mexico | 7 | 145 | $16,192.00 | $22,046.49 | $25,542.50 | $5,191.21 | $7,484.69 | $14,079.40 | $4,187.21 | $6,018.41 | $10,615.80 |
| North Dakota | 5 | 117 | $12,923.50 | $17,074.72 | $21,620.20 | $5,343.36 | $5,924.15 | $6,251.63 | $4,322.53 | $4,579.14 | $4,745.75 |
| Utah | 8 | 204 | $15,023.00 | $19,958.85 | $23,611.60 | $5,491.57 | $6,812.19 | $9,093.92 | $4,389.65 | $4,870.06 | $6,950.80 |
| Vermont | 3 | 79 | $11,264.40 | $17,741.91 | $21,803.00 | $5,549.55 | $7,735.15 | $8,861.52 | $4,397.55 | $5,840.67 | $6,897.27 |
| Massachusetts | 36 | 1,580 | $7,450.63 | $15,722.09 | $41,571.90 | $5,579.45 | $7,572.15 | $11,892.20 | $4,413.18 | $6,110.89 | $10,325.90 |
| Maryland | 35 | 1,533 | $6,245.23 | $9,206.63 | $17,356.00 | $5,772.37 | $8,526.72 | $16,024.20 | $4,810.54 | $7,378.98 | $14,953.40 |
| Connecticut | 18 | 739 | $14,785.30 | $26,406.53 | $42,134.20 | $5,964.74 | $8,168.07 | $10,507.50 | $4,882.15 | $6,309.78 | $8,172.64 |
| Hawaii | 2 | 65 | $19,562.10 | $24,053.74 | $24,968.70 | $6,543.00 | $9,119.32 | $9,644.13 | $5,268.36 | $6,948.63 | $7,290.91 |
| Alaska | 2 | 30 | $27,364.80 | $33,654.37 | $37,295.70 | $8,179.27 | $8,503.10 | $8,690.58 | $5,553.55 | $6,830.00 | $7,569.00 |
| Wyoming | 2 | 31 | $20,828.40 | $20,881.41 | $20,954.80 | $8,428.92 | $8,692.23 | $8,882.39 | $6,109.83 | $6,731.39 | $7,592.00 | TOTAL US | 1,503 | 50,615 | $4,393.93 | $27.970,69 | $120,937.00 | $3,967.75 | $6.768,90 | $29,174.50 | $2,565.67 | $5.191,64 | $26,821.40 |
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.