Hospital Costs > Other Cardiothoracic Procedures 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 |
| Kansas | 1 | 19 | $52,159.10 | $52,159.10 | $52,159.10 | $22,690.40 | $22,690.40 | $22,690.40 | $20,975.50 | $20,975.50 | $20,975.50 |
| Oklahoma | 1 | 23 | $87,182.60 | $87,182.60 | $87,182.60 | $24,171.30 | $24,171.30 | $24,171.30 | $21,506.40 | $21,506.40 | $21,506.40 |
| Texas | 1 | 13 | $223,835.00 | $223,835.00 | $223,835.00 | $31,413.80 | $31,413.80 | $31,413.80 | $22,740.80 | $22,740.80 | $22,740.80 |
| Arkansas | 1 | 15 | $113,020.00 | $113,020.00 | $113,020.00 | $25,967.40 | $25,967.40 | $25,967.40 | $22,951.30 | $22,951.30 | $22,951.30 |
| Indiana | 2 | 38 | $111,240.00 | $115,357.89 | $117,760.00 | $22,879.30 | $24,445.87 | $25,359.70 | $22,273.50 | $23,585.16 | $24,350.30 |
| Illinois | 1 | 31 | $162,493.00 | $162,493.00 | $162,493.00 | $35,718.50 | $35,718.50 | $35,718.50 | $23,737.40 | $23,737.40 | $23,737.40 |
| New Jersey | 1 | 11 | $158,903.00 | $158,903.00 | $158,903.00 | $40,223.40 | $40,223.40 | $40,223.40 | $24,056.50 | $24,056.50 | $24,056.50 |
| Florida | 1 | 11 | $205,353.00 | $205,353.00 | $205,353.00 | $35,674.90 | $35,674.90 | $35,674.90 | $24,648.30 | $24,648.30 | $24,648.30 |
| Wisconsin | 1 | 15 | $152,589.00 | $152,589.00 | $152,589.00 | $42,274.00 | $42,274.00 | $42,274.00 | $24,995.50 | $24,995.50 | $24,995.50 |
| Tennessee | 3 | 40 | $91,145.90 | $97,236.84 | $106,889.00 | $23,241.40 | $27,957.08 | $35,345.10 | $22,277.10 | $25,555.25 | $30,382.10 |
| West Virginia | 1 | 11 | $120,780.00 | $120,780.00 | $120,780.00 | $29,770.50 | $29,770.50 | $29,770.50 | $26,457.30 | $26,457.30 | $26,457.30 |
| Virginia | 1 | 12 | $140,832.00 | $140,832.00 | $140,832.00 | $37,838.00 | $37,838.00 | $37,838.00 | $27,483.50 | $27,483.50 | $27,483.50 |
| Kentucky | 1 | 11 | $95,376.00 | $95,376.00 | $95,376.00 | $42,128.40 | $42,128.40 | $42,128.40 | $27,567.60 | $27,567.60 | $27,567.60 |
| Alabama | 1 | 12 | $101,109.00 | $101,109.00 | $101,109.00 | $29,041.00 | $29,041.00 | $29,041.00 | $27,975.30 | $27,975.30 | $27,975.30 |
| Ohio | 2 | 47 | $130,627.00 | $142,219.60 | $169,545.00 | $35,894.30 | $39,797.80 | $48,998.90 | $27,756.30 | $27,979.29 | $28,504.90 |
| Pennsylvania | 1 | 11 | $245,708.00 | $245,708.00 | $245,708.00 | $30,152.60 | $30,152.60 | $30,152.60 | $28,398.40 | $28,398.40 | $28,398.40 |
| Minnesota | 1 | 47 | $80,412.30 | $80,412.30 | $80,412.30 | $40,606.20 | $40,606.20 | $40,606.20 | $32,116.80 | $32,116.80 | $32,116.80 |
| California | 2 | 32 | $151,778.00 | $218,457.31 | $264,080.00 | $36,907.90 | $41,840.18 | $49,048.90 | $35,700.30 | $36,011.24 | $36,465.70 |
| New York | 1 | 12 | $136,802.00 | $136,802.00 | $136,802.00 | $50,297.20 | $50,297.20 | $50,297.20 | $36,184.60 | $36,184.60 | $36,184.60 |
| Massachusetts | 1 | 11 | $192,244.00 | $192,244.00 | $192,244.00 | $45,291.50 | $45,291.50 | $45,291.50 | $41,912.70 | $41,912.70 | $41,912.70 |
| Maryland | 1 | 12 | $61,146.50 | $61,146.50 | $61,146.50 | $56,546.80 | $56,546.80 | $56,546.80 | $50,453.50 | $50,453.50 | $50,453.50 | TOTAL US | 26 | 434 | $52,159.10 | $131.648,80 | $264,080.00 | $22,690.40 | $35.096,22 | $56,546.80 | $20,975.50 | $27.990,34 | $50,453.50 |
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.