Hospital Costs > Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W 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 |
| Michigan | 8 | 124 | $41,699.60 | $56,955.91 | $77,164.00 | $20,026.40 | $23,698.15 | $33,434.50 | $18,788.20 | $21,528.76 | $30,278.20 |
| Texas | 5 | 79 | $64,759.90 | $110,045.00 | $163,300.00 | $19,573.40 | $24,923.73 | $32,370.80 | $14,649.30 | $20,078.37 | $24,260.00 |
| Florida | 5 | 73 | $76,899.80 | $149,891.14 | $205,603.00 | $18,804.20 | $29,898.00 | $48,162.30 | $16,808.60 | $21,190.01 | $24,248.30 |
| New Jersey | 5 | 70 | $93,104.20 | $152,725.12 | $213,540.00 | $18,303.20 | $26,327.80 | $33,479.80 | $17,931.50 | $23,749.06 | $30,793.00 |
| New York | 3 | 66 | $114,408.00 | $142,802.00 | $153,270.00 | $31,933.60 | $37,969.01 | $42,388.10 | $29,144.00 | $32,196.92 | $35,660.00 |
| Kentucky | 4 | 64 | $49,668.80 | $61,906.88 | $84,749.00 | $19,463.80 | $20,528.73 | $22,999.10 | $17,697.30 | $19,341.41 | $22,164.60 |
| North Carolina | 4 | 61 | $56,800.30 | $87,332.96 | $136,194.00 | $20,533.30 | $28,864.29 | $42,016.40 | $19,220.40 | $23,924.10 | $31,918.30 |
| Missouri | 2 | 39 | $55,875.40 | $59,902.90 | $62,158.30 | $17,581.70 | $21,406.12 | $23,547.80 | $16,628.60 | $19,657.64 | $21,353.90 |
| Indiana | 3 | 38 | $51,445.20 | $68,311.90 | $87,932.90 | $19,925.00 | $23,481.08 | $27,849.50 | $19,317.10 | $21,743.82 | $24,434.60 |
| Alabama | 3 | 37 | $65,225.90 | $98,852.12 | $160,893.00 | $20,711.80 | $24,656.23 | $32,306.00 | $15,054.40 | $20,345.29 | $30,588.30 |
| Massachusetts | 3 | 36 | $26,490.50 | $51,000.78 | $66,207.70 | $28,055.10 | $31,289.39 | $35,501.60 | $22,257.50 | $26,743.83 | $29,972.60 |
| Wisconsin | 2 | 35 | $64,747.20 | $91,140.21 | $103,237.00 | $25,347.40 | $26,615.54 | $29,382.40 | $23,144.30 | $23,307.60 | $23,663.90 |
| Tennessee | 2 | 33 | $59,502.10 | $72,316.68 | $82,995.50 | $19,675.30 | $21,046.03 | $22,188.30 | $17,172.80 | $18,397.62 | $19,418.30 |
| Illinois | 2 | 29 | $72,550.70 | $100,130.11 | $134,074.00 | $20,146.90 | $27,133.64 | $35,732.70 | $16,730.60 | $23,351.72 | $31,500.80 |
| Arkansas | 2 | 26 | $57,189.50 | $62,124.69 | $68,854.50 | $16,906.50 | $21,606.93 | $28,016.60 | $15,871.70 | $19,399.19 | $24,209.40 |
| Mississippi | 2 | 25 | $91,409.50 | $103,163.98 | $115,898.00 | $18,165.20 | $24,264.70 | $30,872.50 | $16,958.40 | $19,277.71 | $21,790.30 |
| California | 2 | 25 | $249,276.00 | $338,096.48 | $407,884.00 | $28,050.40 | $46,736.09 | $61,417.70 | $27,168.90 | $42,143.69 | $53,909.60 |
| West Virginia | 2 | 25 | $67,855.50 | $68,241.29 | $68,597.40 | $21,861.50 | $27,383.64 | $32,481.00 | $17,767.80 | $22,941.90 | $27,718.00 |
| Georgia | 2 | 22 | $59,571.90 | $66,846.55 | $74,121.20 | $24,915.20 | $25,537.25 | $26,159.30 | $23,700.60 | $23,764.70 | $23,828.80 |
| Washington DC | 1 | 21 | $121,858.00 | $121,858.00 | $121,858.00 | $34,368.60 | $34,368.60 | $34,368.60 | $28,206.10 | $28,206.10 | $28,206.10 |
| Delaware | 1 | 20 | $50,715.30 | $50,715.30 | $50,715.30 | $25,258.80 | $25,258.80 | $25,258.80 | $22,815.80 | $22,815.80 | $22,815.80 |
| Ohio | 1 | 19 | $105,161.00 | $105,161.00 | $105,161.00 | $25,910.80 | $25,910.80 | $25,910.80 | $20,874.10 | $20,874.10 | $20,874.10 |
| Connecticut | 1 | 17 | $153,296.00 | $153,296.00 | $153,296.00 | $41,569.40 | $41,569.40 | $41,569.40 | $34,185.60 | $34,185.60 | $34,185.60 |
| South Carolina | 1 | 14 | $193,711.00 | $193,711.00 | $193,711.00 | $19,895.90 | $19,895.90 | $19,895.90 | $18,705.00 | $18,705.00 | $18,705.00 |
| Minnesota | 1 | 12 | $78,836.00 | $78,836.00 | $78,836.00 | $34,303.80 | $34,303.80 | $34,303.80 | $31,932.00 | $31,932.00 | $31,932.00 |
| Maryland | 1 | 12 | $31,860.20 | $31,860.20 | $31,860.20 | $31,324.00 | $31,324.00 | $31,324.00 | $26,900.10 | $26,900.10 | $26,900.10 |
| Pennsylvania | 1 | 11 | $233,718.00 | $233,718.00 | $233,718.00 | $31,204.00 | $31,204.00 | $31,204.00 | $23,936.00 | $23,936.00 | $23,936.00 | TOTAL US | 69 | 1,033 | $26,490.50 | $102.246,82 | $407,884.00 | $16,906.50 | $27.212,73 | $61,417.70 | $14,649.30 | $23.320,11 | $53,909.60 |
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.