Hospital Costs > Other Antepartum Diagnoses W Medical Complications - 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 York | 6 | 84 | $13,874.40 | $30,701.47 | $62,182.70 | $5,244.08 | $10,721.18 | $16,140.40 | $4,756.00 | $9,012.65 | $13,359.20 |
| Pennsylvania | 3 | 52 | $15,462.40 | $18,652.03 | $23,216.10 | $7,659.91 | $10,410.90 | $12,802.00 | $5,835.00 | $8,363.22 | $11,296.80 |
| Illinois | 2 | 38 | $11,325.00 | $24,897.19 | $30,426.60 | $9,961.93 | $10,972.13 | $13,451.70 | $7,913.81 | $9,175.68 | $12,273.00 |
| Tennessee | 2 | 31 | $21,753.20 | $30,370.03 | $36,593.30 | $7,435.38 | $13,053.66 | $17,111.30 | $7,157.23 | $12,694.94 | $16,694.40 |
| Michigan | 2 | 26 | $9,908.73 | $11,218.62 | $12,179.20 | $6,450.40 | $7,336.77 | $8,545.45 | $5,598.87 | $6,313.04 | $7,286.91 |
| Texas | 2 | 26 | $18,665.90 | $24,447.90 | $29,403.90 | $10,369.00 | $13,876.74 | $17,969.10 | $7,992.00 | $11,360.77 | $15,291.00 |
| Indiana | 1 | 26 | $36,079.80 | $36,079.80 | $36,079.80 | $9,974.65 | $9,974.65 | $9,974.65 | $7,507.88 | $7,507.88 | $7,507.88 |
| Georgia | 2 | 25 | $19,722.20 | $20,739.13 | $21,840.80 | $6,513.08 | $7,759.52 | $9,109.83 | $5,928.31 | $6,988.20 | $8,136.42 |
| Missouri | 2 | 23 | $13,450.40 | $15,819.57 | $17,991.30 | $6,671.09 | $7,326.44 | $7,927.17 | $6,016.55 | $6,472.09 | $6,889.67 |
| Mississippi | 1 | 22 | $18,184.10 | $18,184.10 | $18,184.10 | $10,814.10 | $10,814.10 | $10,814.10 | $8,472.41 | $8,472.41 | $8,472.41 |
| Alabama | 1 | 21 | $29,824.80 | $29,824.80 | $29,824.80 | $7,461.67 | $7,461.67 | $7,461.67 | $6,485.67 | $6,485.67 | $6,485.67 |
| Maryland | 1 | 21 | $16,426.20 | $16,426.20 | $16,426.20 | $15,175.70 | $15,175.70 | $15,175.70 | $14,131.80 | $14,131.80 | $14,131.80 |
| Washington | 1 | 20 | $63,363.40 | $63,363.40 | $63,363.40 | $13,243.50 | $13,243.50 | $13,243.50 | $12,459.50 | $12,459.50 | $12,459.50 |
| Arkansas | 1 | 20 | $13,968.00 | $13,968.00 | $13,968.00 | $8,607.20 | $8,607.20 | $8,607.20 | $5,970.85 | $5,970.85 | $5,970.85 |
| Connecticut | 1 | 16 | $40,797.70 | $40,797.70 | $40,797.70 | $11,303.10 | $11,303.10 | $11,303.10 | $8,295.75 | $8,295.75 | $8,295.75 |
| Massachusetts | 1 | 14 | $21,097.10 | $21,097.10 | $21,097.10 | $8,305.57 | $8,305.57 | $8,305.57 | $6,660.36 | $6,660.36 | $6,660.36 |
| Kentucky | 1 | 13 | $22,045.70 | $22,045.70 | $22,045.70 | $6,320.23 | $6,320.23 | $6,320.23 | $4,571.46 | $4,571.46 | $4,571.46 |
| North Carolina | 1 | 13 | $12,932.50 | $12,932.50 | $12,932.50 | $8,805.77 | $8,805.77 | $8,805.77 | $6,672.23 | $6,672.23 | $6,672.23 |
| Ohio | 1 | 13 | $31,035.30 | $31,035.30 | $31,035.30 | $9,035.38 | $9,035.38 | $9,035.38 | $7,294.62 | $7,294.62 | $7,294.62 |
| California | 1 | 13 | $51,971.30 | $51,971.30 | $51,971.30 | $13,213.80 | $13,213.80 | $13,213.80 | $10,032.50 | $10,032.50 | $10,032.50 |
| Maine | 1 | 12 | $26,422.00 | $26,422.00 | $26,422.00 | $6,757.42 | $6,757.42 | $6,757.42 | $5,457.33 | $5,457.33 | $5,457.33 |
| Florida | 1 | 12 | $17,641.60 | $17,641.60 | $17,641.60 | $9,776.00 | $9,776.00 | $9,776.00 | $8,879.00 | $8,879.00 | $8,879.00 | TOTAL US | 35 | 541 | $9,908.73 | $26.086,44 | $63,363.40 | $5,244.08 | $10.293,26 | $17,969.10 | $4,571.46 | $8.631,90 | $16,694.40 |
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.