Hospital Costs > Other Ear, Nose, Mouth & Throat Diagnoses 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 |
| Texas | 1 | 15 | $29,904.20 | $29,904.20 | $29,904.20 | $6,562.13 | $6,562.13 | $6,562.13 | $5,083.07 | $5,083.07 | $5,083.07 |
| Michigan | 2 | 22 | $16,278.00 | $16,555.45 | $16,832.90 | $5,393.27 | $5,979.91 | $6,566.55 | $4,467.27 | $4,979.46 | $5,491.64 |
| Wisconsin | 1 | 11 | $26,204.50 | $26,204.50 | $26,204.50 | $6,753.18 | $6,753.18 | $6,753.18 | $5,339.55 | $5,339.55 | $5,339.55 |
| New Jersey | 1 | 11 | $34,322.50 | $34,322.50 | $34,322.50 | $6,944.45 | $6,944.45 | $6,944.45 | $5,811.73 | $5,811.73 | $5,811.73 |
| Massachusetts | 1 | 12 | $12,097.20 | $12,097.20 | $12,097.20 | $6,973.00 | $6,973.00 | $6,973.00 | $5,314.67 | $5,314.67 | $5,314.67 |
| Delaware | 1 | 14 | $18,747.60 | $18,747.60 | $18,747.60 | $7,340.29 | $7,340.29 | $7,340.29 | $5,780.36 | $5,780.36 | $5,780.36 |
| Maryland | 1 | 11 | $8,475.73 | $8,475.73 | $8,475.73 | $7,825.27 | $7,825.27 | $7,825.27 | $6,952.55 | $6,952.55 | $6,952.55 |
| Pennsylvania | 2 | 31 | $35,032.80 | $39,875.38 | $46,580.50 | $6,422.67 | $7,460.68 | $8,897.92 | $5,006.61 | $5,395.16 | $5,933.15 |
| Ohio | 3 | 39 | $22,662.90 | $28,161.63 | $38,446.50 | $6,194.21 | $7,609.10 | $9,227.45 | $4,906.86 | $5,720.03 | $7,027.64 |
| Florida | 2 | 42 | $21,335.00 | $33,852.07 | $38,858.90 | $6,095.03 | $7,171.57 | $9,862.92 | $4,991.30 | $5,775.29 | $7,735.25 |
| Connecticut | 1 | 17 | $35,394.20 | $35,394.20 | $35,394.20 | $10,251.80 | $10,251.80 | $10,251.80 | $7,948.59 | $7,948.59 | $7,948.59 |
| Illinois | 3 | 40 | $18,280.60 | $27,110.39 | $41,180.50 | $5,863.27 | $7,523.73 | $10,317.60 | $5,022.82 | $6,204.12 | $8,071.64 |
| New York | 2 | 35 | $32,757.70 | $36,569.07 | $39,427.60 | $11,516.60 | $12,005.56 | $12,657.50 | $9,360.65 | $10,008.80 | $10,873.00 | TOTAL US | 21 | 300 | $8,475.73 | $29.005,69 | $46,580.50 | $5,393.27 | $7.926,16 | $12,657.50 | $4,467.27 | $6.320,43 | $10,873.00 |
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.