Hospital Costs > Other Cardiothoracic Procedures 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 |
| Oklahoma | 1 | 11 | $106,418.00 | $106,418.00 | $106,418.00 | $40,523.80 | $40,523.80 | $40,523.80 | $29,026.80 | $29,026.80 | $29,026.80 |
| Illinois | 1 | 15 | $212,210.00 | $212,210.00 | $212,210.00 | $47,608.20 | $47,608.20 | $47,608.20 | $38,622.60 | $38,622.60 | $38,622.60 |
| Tennessee | 2 | 28 | $154,812.00 | $185,419.50 | $216,027.00 | $36,627.40 | $47,933.00 | $59,238.60 | $35,598.80 | $40,071.20 | $44,543.60 |
| Missouri | 1 | 14 | $116,336.00 | $116,336.00 | $116,336.00 | $50,002.40 | $50,002.40 | $50,002.40 | $49,309.90 | $49,309.90 | $49,309.90 |
| Ohio | 1 | 25 | $165,393.00 | $165,393.00 | $165,393.00 | $56,003.50 | $56,003.50 | $56,003.50 | $42,877.20 | $42,877.20 | $42,877.20 |
| Minnesota | 1 | 23 | $155,842.00 | $155,842.00 | $155,842.00 | $69,995.90 | $69,995.90 | $69,995.90 | $66,329.50 | $66,329.50 | $66,329.50 |
| California | 1 | 11 | $362,312.00 | $362,312.00 | $362,312.00 | $107,859.00 | $107,859.00 | $107,859.00 | $95,629.30 | $95,629.30 | $95,629.30 | TOTAL US | 8 | 127 | $106,418.00 | $180.148,20 | $362,312.00 | $36,627.40 | $58.255,78 | $107,859.00 | $29,026.80 | $50.081,86 | $95,629.30 |
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.