Hospital Costs > Non-Extensive O.R. Proc Unrelated To Principal Diagnosis 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 |
| Kentucky | 1 | 13 | $24,335.00 | $24,335.00 | $24,335.00 | $7,850.31 | $7,850.31 | $7,850.31 | $6,594.85 | $6,594.85 | $6,594.85 |
| Kansas | 1 | 13 | $26,361.40 | $26,361.40 | $26,361.40 | $6,237.46 | $6,237.46 | $6,237.46 | $5,023.85 | $5,023.85 | $5,023.85 |
| New York | 1 | 13 | $34,832.60 | $34,832.60 | $34,832.60 | $12,361.60 | $12,361.60 | $12,361.60 | $10,554.90 | $10,554.90 | $10,554.90 | TOTAL US | 3 | 39 | $24,335.00 | $28.509,67 | $34,832.60 | $6,237.46 | $8.816,46 | $12,361.60 | $5,023.85 | $7.391,20 | $10,554.90 |
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.