Hospital Costs > Other Circulatory System O.R. Procedures - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Florida | 40 | 861 | $41,803.60 | $104,988.53 | $198,547.00 | $13,376.90 | $19,532.02 | $30,236.10 | $12,824.60 | $17,427.47 | $26,079.20 |
| Texas | 38 | 853 | $34,843.00 | $91,554.31 | $184,880.00 | $14,289.10 | $19,345.08 | $38,664.80 | $13,200.70 | $16,885.85 | $29,699.10 |
| California | 35 | 595 | $26,441.40 | $137,203.04 | $309,386.00 | $17,150.80 | $27,258.67 | $55,081.60 | $16,494.40 | $25,188.84 | $45,562.20 |
| New Jersey | 31 | 562 | $64,707.40 | $135,128.54 | $203,719.00 | $15,980.20 | $22,793.23 | $29,679.40 | $15,272.50 | $20,278.42 | $26,235.60 |
| New York | 29 | 637 | $39,958.50 | $93,859.17 | $207,522.00 | $17,186.80 | $29,143.57 | $44,496.90 | $15,482.80 | $25,463.43 | $38,290.50 |
| Illinois | 25 | 397 | $47,112.90 | $77,357.74 | $117,272.00 | $15,293.50 | $20,421.32 | $33,134.40 | $14,125.60 | $18,327.70 | $26,796.40 |
| Georgia | 20 | 423 | $32,183.20 | $67,870.93 | $109,381.00 | $14,151.50 | $18,788.39 | $22,743.50 | $13,311.10 | $17,484.64 | $20,135.40 |
| Pennsylvania | 19 | 326 | $37,960.70 | $110,434.88 | $257,499.00 | $15,675.80 | $23,569.59 | $39,777.30 | $12,752.40 | $19,102.08 | $28,767.00 |
| Maryland | 19 | 321 | $15,213.40 | $29,713.64 | $80,054.90 | $14,072.40 | $27,362.76 | $73,782.20 | $13,241.70 | $26,130.76 | $72,002.50 |
| Michigan | 18 | 362 | $29,645.30 | $52,449.40 | $95,793.30 | $16,707.80 | $20,708.55 | $30,220.50 | $15,665.20 | $18,932.35 | $27,541.60 |
| North Carolina | 18 | 397 | $37,690.60 | $62,018.80 | $91,314.10 | $15,992.90 | $21,378.69 | $33,475.10 | $12,851.20 | $18,252.40 | $26,815.40 |
| Virginia | 17 | 303 | $32,594.10 | $73,346.33 | $154,052.00 | $15,327.10 | $21,209.53 | $39,101.40 | $11,340.50 | $17,830.43 | $32,352.10 |
| Ohio | 16 | 303 | $34,070.20 | $70,168.27 | $99,833.30 | $13,550.00 | $20,560.54 | $33,020.60 | $12,887.90 | $17,360.58 | $24,335.00 |
| South Carolina | 12 | 207 | $40,327.80 | $69,869.27 | $127,299.00 | $14,042.30 | $17,089.12 | $27,089.10 | $12,921.00 | $15,490.13 | $21,726.50 |
| Indiana | 11 | 189 | $40,221.90 | $71,235.21 | $113,332.00 | $13,965.90 | $18,960.19 | $28,615.10 | $12,985.70 | $16,702.71 | $25,406.00 |
| Alabama | 11 | 285 | $25,976.80 | $66,412.42 | $144,389.00 | $12,585.40 | $16,269.38 | $21,908.30 | $11,550.30 | $14,079.55 | $16,161.70 |
| Tennessee | 9 | 194 | $37,212.00 | $63,478.67 | $76,742.50 | $14,297.70 | $17,836.46 | $21,229.90 | $13,526.80 | $16,214.62 | $20,423.50 |
| Missouri | 9 | 167 | $36,420.20 | $81,176.66 | $172,444.00 | $14,521.20 | $21,009.29 | $43,829.70 | $13,502.50 | $18,763.86 | $32,120.40 |
| Massachusetts | 8 | 192 | $34,866.20 | $65,843.37 | $122,414.00 | $18,128.90 | $26,796.64 | $31,417.80 | $17,222.90 | $24,282.66 | $28,043.80 |
| Louisiana | 7 | 165 | $21,535.00 | $45,548.68 | $77,718.90 | $13,060.20 | $17,314.23 | $26,866.20 | $12,103.00 | $14,944.72 | $21,468.60 |
| Kentucky | 6 | 126 | $39,214.40 | $57,525.38 | $67,641.30 | $13,477.20 | $16,882.76 | $19,666.70 | $12,865.10 | $15,103.47 | $16,378.70 |
| Arizona | 6 | 88 | $45,935.10 | $60,618.00 | $81,931.70 | $16,042.00 | $18,910.27 | $23,589.70 | $15,203.80 | $18,144.18 | $22,710.80 |
| Oklahoma | 5 | 84 | $39,479.10 | $92,044.12 | $154,794.00 | $15,986.90 | $21,951.04 | $26,931.10 | $13,990.40 | $19,127.78 | $22,053.20 |
| Mississippi | 5 | 87 | $27,780.00 | $70,477.93 | $167,893.00 | $13,418.70 | $16,000.88 | $20,217.90 | $12,675.30 | $15,023.23 | $19,649.40 |
| West Virginia | 5 | 96 | $23,608.80 | $44,793.52 | $59,638.20 | $15,020.30 | $18,165.39 | $21,798.50 | $14,040.90 | $16,528.29 | $19,849.70 |
| Washington | 4 | 56 | $81,239.30 | $96,687.57 | $109,970.00 | $19,120.80 | $19,755.96 | $20,330.20 | $17,722.20 | $18,801.19 | $19,573.10 |
| Minnesota | 4 | 72 | $49,818.70 | $58,281.28 | $65,017.90 | $17,918.20 | $20,757.16 | $25,779.40 | $16,683.70 | $19,266.36 | $23,584.60 |
| Wisconsin | 4 | 72 | $39,117.90 | $60,520.13 | $98,849.00 | $19,563.10 | $23,787.71 | $29,050.40 | $17,920.10 | $19,146.82 | $21,998.40 |
| Connecticut | 4 | 89 | $90,585.00 | $106,958.06 | $132,546.00 | $23,422.00 | $28,849.11 | $33,922.80 | $21,628.90 | $25,585.41 | $29,624.20 |
| Kansas | 3 | 52 | $71,762.70 | $77,933.81 | $91,320.30 | $14,724.60 | $16,488.24 | $17,398.60 | $14,042.20 | $15,078.08 | $15,740.80 |
| Washington DC | 3 | 96 | $34,158.00 | $78,458.15 | $114,646.00 | $20,333.30 | $24,494.72 | $30,769.90 | $18,924.00 | $20,740.73 | $23,737.90 |
| Arkansas | 3 | 42 | $58,481.90 | $76,691.22 | $94,920.30 | $14,360.20 | $14,948.88 | $15,578.60 | $13,376.90 | $13,610.77 | $13,889.70 |
| Nebraska | 2 | 23 | $53,114.30 | $58,922.68 | $65,259.10 | $16,887.80 | $19,417.18 | $22,176.50 | $14,213.90 | $15,489.90 | $16,881.90 |
| Oregon | 2 | 32 | $38,806.60 | $40,017.53 | $42,329.30 | $18,984.40 | $19,267.18 | $19,415.30 | $17,257.30 | $17,661.96 | $18,434.50 |
| Iowa | 2 | 27 | $66,984.20 | $67,921.06 | $68,791.00 | $17,760.50 | $18,555.39 | $19,293.50 | $15,766.80 | $17,001.08 | $18,147.20 |
| Delaware | 2 | 40 | $42,171.50 | $60,970.64 | $100,015.00 | $21,202.20 | $26,137.10 | $36,386.50 | $16,096.60 | $18,092.58 | $19,053.60 |
| New Mexico | 1 | 26 | $75,282.20 | $75,282.20 | $75,282.20 | $23,909.80 | $23,909.80 | $23,909.80 | $23,105.90 | $23,105.90 | $23,105.90 |
| Rhode Island | 1 | 12 | $66,587.20 | $66,587.20 | $66,587.20 | $24,242.40 | $24,242.40 | $24,242.40 | $22,399.80 | $22,399.80 | $22,399.80 |
| Hawaii | 1 | 14 | $48,517.80 | $48,517.80 | $48,517.80 | $31,572.20 | $31,572.20 | $31,572.20 | $21,206.80 | $21,206.80 | $21,206.80 |
| Colorado | 1 | 12 | $114,237.00 | $114,237.00 | $114,237.00 | $29,181.80 | $29,181.80 | $29,181.80 | $25,318.10 | $25,318.10 | $25,318.10 | TOTAL US | 456 | 8,885 | $15,213.40 | $84.586,09 | $309,386.00 | $12,585.40 | $21.677,59 | $73,782.20 | $11,340.50 | $19.230,52 | $72,002.50 |
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.