Hospital Costs > Organic Disturbances & Mental Retardation - costs for treatment
Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
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State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
Alabama | 15 | 294 | $9,798.13 | $27,276.27 | $76,822.50 | $4,854.00 | $5,925.54 | $7,676.04 | $4,121.17 | $4,798.09 | $5,455.48 |
Arkansas | 7 | 101 | $7,830.15 | $18,168.68 | $28,677.20 | $5,228.82 | $6,450.08 | $10,924.00 | $4,239.73 | $5,235.28 | $7,922.67 |
Iowa | 2 | 42 | $25,798.00 | $30,759.85 | $36,766.30 | $6,639.09 | $7,286.26 | $8,069.68 | $5,216.63 | $5,398.93 | $5,549.52 |
Oklahoma | 6 | 106 | $12,955.70 | $23,659.45 | $43,883.70 | $5,330.71 | $6,567.83 | $8,922.75 | $4,880.05 | $5,404.18 | $6,715.50 |
Louisiana | 3 | 38 | $16,826.90 | $26,548.99 | $47,373.90 | $6,164.00 | $6,384.58 | $6,794.25 | $5,184.62 | $5,531.37 | $6,177.33 |
Mississippi | 5 | 163 | $14,279.50 | $21,093.72 | $35,558.60 | $5,919.74 | $6,863.96 | $14,574.40 | $5,023.90 | $5,548.01 | $9,335.88 |
Florida | 56 | 1,284 | $13,819.40 | $33,030.63 | $57,279.30 | $5,094.80 | $6,875.97 | $15,790.00 | $4,128.40 | $5,572.06 | $11,898.30 |
Tennessee | 13 | 252 | $12,167.30 | $22,390.19 | $35,375.90 | $4,871.85 | $6,641.24 | $8,920.00 | $4,034.92 | $5,651.64 | $8,114.67 |
Virginia | 19 | 338 | $12,003.60 | $23,035.63 | $57,344.50 | $5,503.30 | $7,548.77 | $14,558.40 | $3,979.81 | $5,702.93 | $8,872.27 |
Kansas | 2 | 38 | $21,452.90 | $28,706.08 | $42,654.50 | $6,444.76 | $6,884.76 | $7,730.92 | $4,996.56 | $5,740.84 | $7,172.15 |
South Carolina | 12 | 231 | $14,413.00 | $31,219.14 | $56,078.90 | $5,415.73 | $7,331.07 | $10,787.60 | $4,532.91 | $5,741.07 | $8,036.38 |
Maine | 3 | 59 | $14,696.20 | $18,080.86 | $21,900.90 | $5,901.44 | $7,392.47 | $8,749.71 | $5,023.22 | $5,822.27 | $6,303.50 |
Ohio | 13 | 210 | $12,288.90 | $23,553.65 | $60,072.40 | $5,495.55 | $7,601.17 | $13,162.50 | $4,525.50 | $5,854.04 | $8,207.77 |
Indiana | 7 | 136 | $15,006.80 | $21,129.31 | $29,094.50 | $5,373.90 | $6,990.87 | $10,607.00 | $4,337.10 | $5,909.90 | $8,572.07 |
Montana | 1 | 15 | $22,165.30 | $22,165.30 | $22,165.30 | $6,728.73 | $6,728.73 | $6,728.73 | $5,949.93 | $5,949.93 | $5,949.93 |
West Virginia | 3 | 37 | $13,694.30 | $19,983.61 | $25,570.80 | $6,186.45 | $7,621.59 | $9,277.58 | $5,191.55 | $5,976.89 | $6,953.00 |
Idaho | 1 | 11 | $16,759.40 | $16,759.40 | $16,759.40 | $6,827.73 | $6,827.73 | $6,827.73 | $6,053.91 | $6,053.91 | $6,053.91 |
Kentucky | 11 | 172 | $11,366.40 | $23,003.42 | $45,555.40 | $4,993.75 | $8,224.11 | $17,778.70 | $4,054.58 | $6,091.56 | $8,917.65 |
North Carolina | 18 | 291 | $14,005.80 | $22,960.32 | $45,440.70 | $5,457.79 | $8,098.32 | $14,002.20 | $4,609.62 | $6,139.48 | $9,118.23 |
Pennsylvania | 31 | 594 | $11,137.10 | $33,450.28 | $82,233.70 | $5,922.35 | $8,339.84 | $15,619.10 | $4,563.35 | $6,192.98 | $10,374.50 |
New Mexico | 2 | 26 | $16,583.20 | $24,771.35 | $34,324.20 | $6,594.17 | $7,318.50 | $7,939.36 | $5,786.17 | $6,222.08 | $6,595.71 |
Colorado | 6 | 87 | $25,319.60 | $40,310.90 | $52,354.50 | $6,065.06 | $8,227.34 | $14,735.10 | $5,062.69 | $6,237.32 | $8,694.59 |
Nevada | 2 | 32 | $34,173.50 | $45,637.30 | $58,629.60 | $6,903.33 | $7,398.15 | $7,834.76 | $5,760.13 | $6,325.50 | $6,824.35 |
South Dakota | 1 | 22 | $24,013.60 | $24,013.60 | $24,013.60 | $8,030.00 | $8,030.00 | $8,030.00 | $6,438.36 | $6,438.36 | $6,438.36 |
Michigan | 26 | 522 | $7,667.61 | $15,372.60 | $29,629.70 | $5,789.16 | $7,807.95 | $12,547.00 | $4,743.55 | $6,446.04 | $9,550.00 |
Wisconsin | 8 | 151 | $20,326.80 | $29,155.78 | $39,948.10 | $5,956.08 | $8,479.36 | $11,393.50 | $4,950.17 | $6,501.16 | $7,789.63 |
Georgia | 15 | 227 | $16,350.10 | $23,507.78 | $31,461.40 | $5,592.77 | $7,526.95 | $11,107.70 | $4,568.91 | $6,534.51 | $10,120.70 |
Minnesota | 11 | 196 | $11,361.60 | $22,101.95 | $34,964.90 | $6,054.25 | $7,893.73 | $12,644.10 | $4,929.25 | $6,580.26 | $10,306.70 |
New Hampshire | 4 | 72 | $19,049.70 | $32,280.52 | $42,828.20 | $5,930.75 | $8,759.94 | $10,628.10 | $4,824.08 | $6,619.99 | $8,992.87 |
Delaware | 1 | 44 | $25,989.40 | $25,989.40 | $25,989.40 | $10,742.80 | $10,742.80 | $10,742.80 | $6,644.70 | $6,644.70 | $6,644.70 |
Illinois | 35 | 683 | $7,863.21 | $26,152.33 | $68,900.60 | $5,605.25 | $8,040.40 | $26,918.10 | $4,609.73 | $6,656.99 | $18,969.90 |
Missouri | 14 | 292 | $9,242.36 | $19,162.69 | $41,395.30 | $5,011.52 | $7,722.93 | $12,258.60 | $4,264.86 | $6,766.38 | $11,643.50 |
Texas | 23 | 437 | $16,343.10 | $32,404.86 | $54,996.80 | $5,557.05 | $8,417.24 | $23,543.20 | $4,359.29 | $7,086.08 | $21,063.50 |
Rhode Island | 3 | 47 | $19,660.90 | $22,205.01 | $24,953.00 | $7,006.36 | $8,314.38 | $9,865.72 | $5,788.55 | $7,098.30 | $8,454.56 |
New Jersey | 30 | 580 | $30,130.90 | $58,077.34 | $104,457.00 | $6,145.17 | $8,694.85 | $12,191.10 | $5,140.72 | $7,154.57 | $10,353.80 |
Oregon | 4 | 52 | $20,294.50 | $30,491.38 | $54,589.80 | $7,221.59 | $8,433.39 | $12,060.40 | $6,370.71 | $7,597.97 | $11,187.50 |
Massachusetts | 23 | 371 | $7,414.86 | $18,152.64 | $50,034.80 | $6,388.92 | $9,155.00 | $14,234.20 | $5,453.54 | $7,785.55 | $11,372.30 |
Washington | 5 | 73 | $24,893.80 | $47,111.27 | $82,849.10 | $6,927.00 | $10,028.28 | $15,404.20 | $5,711.00 | $7,865.31 | $12,012.10 |
Washington DC | 3 | 88 | $14,963.50 | $36,578.88 | $52,685.80 | $8,936.79 | $10,939.58 | $13,168.60 | $7,300.21 | $7,982.76 | $9,318.83 |
Connecticut | 8 | 203 | $23,510.70 | $40,467.74 | $58,832.40 | $7,164.10 | $10,806.52 | $13,848.30 | $5,984.80 | $8,727.87 | $11,449.70 |
Vermont | 1 | 17 | $35,369.40 | $35,369.40 | $35,369.40 | $15,020.20 | $15,020.20 | $15,020.20 | $9,723.53 | $9,723.53 | $9,723.53 |
New York | 49 | 1,169 | $9,806.27 | $40,698.15 | $73,739.40 | $6,233.88 | $11,982.11 | $26,558.70 | $4,889.27 | $9,798.87 | $22,315.50 |
Hawaii | 1 | 16 | $45,364.40 | $45,364.40 | $45,364.40 | $17,049.90 | $17,049.90 | $17,049.90 | $10,486.20 | $10,486.20 | $10,486.20 |
California | 34 | 515 | $18,181.30 | $53,040.41 | $142,876.00 | $7,652.36 | $12,727.55 | $38,161.10 | $6,029.45 | $10,848.05 | $30,601.80 |
Maryland | 30 | 1,061 | $6,369.60 | $19,263.11 | $32,093.40 | $5,882.07 | $17,776.56 | $29,608.50 | $5,158.87 | $16,520.61 | $27,901.70 | TOTAL US | 567 | 11,395 | $6,369.60 | $30.433,87 | $142,876.00 | $4,854.00 | $9.433,99 | $38,161.10 | $3,979.81 | $7.849,52 | $30,601.80 |
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.