Hospital Costs > Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| New Jersey | 7 | 91 | $48,683.80 | $84,252.39 | $126,963.00 | $12,967.00 | $14,442.35 | $17,296.50 | $10,090.20 | $12,022.18 | $13,858.60 |
| Kentucky | 5 | 78 | $23,044.40 | $38,877.03 | $75,408.30 | $9,155.71 | $11,605.75 | $16,151.30 | $8,149.93 | $10,046.71 | $14,080.10 |
| New York | 4 | 78 | $50,544.70 | $71,574.83 | $88,234.80 | $17,322.00 | $20,992.98 | $24,031.00 | $11,680.10 | $15,880.80 | $19,287.40 |
| Michigan | 5 | 70 | $29,990.20 | $39,765.93 | $55,240.80 | $12,116.70 | $14,893.14 | $21,917.10 | $9,777.79 | $11,814.12 | $16,419.60 |
| Pennsylvania | 5 | 70 | $49,816.20 | $84,216.34 | $116,922.00 | $12,256.30 | $15,488.74 | $20,492.50 | $9,168.80 | $10,852.20 | $13,035.00 |
| North Carolina | 5 | 70 | $24,356.90 | $38,524.54 | $58,854.30 | $10,428.60 | $13,578.24 | $17,548.60 | $8,269.31 | $10,740.83 | $13,964.20 |
| Texas | 4 | 66 | $55,481.40 | $72,474.15 | $89,318.60 | $9,909.00 | $14,486.09 | $20,152.30 | $8,302.17 | $9,448.97 | $9,913.18 |
| Alabama | 3 | 51 | $43,834.70 | $48,914.67 | $62,257.90 | $10,079.40 | $14,264.72 | $21,890.00 | $8,109.87 | $8,746.00 | $9,873.57 |
| Illinois | 3 | 51 | $35,405.20 | $54,457.22 | $61,060.20 | $11,561.60 | $16,839.70 | $22,260.00 | $10,263.80 | $11,990.27 | $13,073.40 |
| Florida | 2 | 47 | $80,817.00 | $86,632.35 | $97,899.60 | $14,777.80 | $15,384.41 | $15,697.50 | $9,233.42 | $10,254.08 | $12,231.60 |
| Missouri | 3 | 44 | $29,833.10 | $49,558.96 | $80,573.90 | $10,347.60 | $14,339.85 | $20,878.60 | $9,423.41 | $12,239.06 | $15,533.10 |
| Ohio | 3 | 44 | $35,941.50 | $54,750.70 | $70,279.10 | $15,208.60 | $19,304.70 | $23,639.10 | $7,273.55 | $10,430.96 | $12,659.00 |
| Kansas | 3 | 43 | $39,801.60 | $52,525.49 | $77,960.90 | $9,762.60 | $10,584.22 | $11,975.80 | $8,058.10 | $9,284.66 | $10,965.20 |
| Maryland | 3 | 40 | $20,045.50 | $27,285.40 | $34,338.90 | $18,483.50 | $25,315.95 | $31,926.90 | $17,602.00 | $22,479.05 | $27,486.80 |
| Minnesota | 2 | 39 | $35,316.20 | $39,016.18 | $48,434.30 | $11,515.50 | $14,668.52 | $15,907.20 | $10,441.80 | $12,119.36 | $12,778.40 |
| South Carolina | 3 | 39 | $42,519.10 | $74,718.76 | $122,699.00 | $12,602.90 | $12,781.14 | $12,935.20 | $7,839.33 | $9,163.99 | $11,105.50 |
| Connecticut | 2 | 38 | $46,766.80 | $55,280.77 | $59,210.30 | $16,739.20 | $17,887.99 | $18,418.20 | $14,560.50 | $15,667.01 | $16,177.70 |
| Massachusetts | 2 | 29 | $21,860.10 | $53,164.94 | $82,382.80 | $18,107.40 | $18,248.45 | $18,380.10 | $15,683.50 | $15,794.49 | $15,913.40 |
| West Virginia | 2 | 28 | $32,173.50 | $41,045.90 | $49,918.30 | $9,927.07 | $10,843.49 | $11,759.90 | $8,767.36 | $9,246.36 | $9,725.36 |
| Wisconsin | 2 | 28 | $30,580.30 | $45,727.06 | $63,204.10 | $13,649.80 | $15,216.60 | $16,574.50 | $11,114.60 | $11,830.26 | $12,450.50 |
| Delaware | 1 | 27 | $29,609.20 | $29,609.20 | $29,609.20 | $14,268.80 | $14,268.80 | $14,268.80 | $12,576.90 | $12,576.90 | $12,576.90 |
| Nebraska | 1 | 20 | $43,016.60 | $43,016.60 | $43,016.60 | $11,042.50 | $11,042.50 | $11,042.50 | $9,770.00 | $9,770.00 | $9,770.00 |
| Indiana | 1 | 12 | $43,266.60 | $43,266.60 | $43,266.60 | $9,794.92 | $9,794.92 | $9,794.92 | $7,861.33 | $7,861.33 | $7,861.33 |
| Louisiana | 1 | 12 | $39,022.30 | $39,022.30 | $39,022.30 | $15,339.10 | $15,339.10 | $15,339.10 | $11,515.50 | $11,515.50 | $11,515.50 |
| Tennessee | 1 | 12 | $36,180.10 | $36,180.10 | $36,180.10 | $12,486.90 | $12,486.90 | $12,486.90 | $9,164.58 | $9,164.58 | $9,164.58 |
| Arkansas | 1 | 11 | $51,953.60 | $51,953.60 | $51,953.60 | $10,753.50 | $10,753.50 | $10,753.50 | $9,295.64 | $9,295.64 | $9,295.64 |
| Washington DC | 1 | 11 | $81,690.40 | $81,690.40 | $81,690.40 | $21,067.40 | $21,067.40 | $21,067.40 | $17,425.10 | $17,425.10 | $17,425.10 | TOTAL US | 75 | 1,149 | $20,045.50 | $56.382,56 | $126,963.00 | $9,155.71 | $15.286,78 | $31,926.90 | $7,273.55 | $11.800,57 | $27,486.80 |
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.