Hospital Costs > Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/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 |
| Maryland | 2 | 27 | $28,844.30 | $31,957.26 | $36,485.20 | $26,851.80 | $29,950.21 | $34,457.00 | $21,876.00 | $22,265.57 | $22,533.40 |
| Arizona | 1 | 15 | $33,120.70 | $33,120.70 | $33,120.70 | $13,532.10 | $13,532.10 | $13,532.10 | $10,704.50 | $10,704.50 | $10,704.50 |
| Virginia | 1 | 14 | $37,768.50 | $37,768.50 | $37,768.50 | $13,950.40 | $13,950.40 | $13,950.40 | $10,391.90 | $10,391.90 | $10,391.90 |
| Missouri | 1 | 17 | $41,267.20 | $41,267.20 | $41,267.20 | $14,380.50 | $14,380.50 | $14,380.50 | $11,463.10 | $11,463.10 | $11,463.10 |
| Minnesota | 1 | 14 | $41,652.90 | $41,652.90 | $41,652.90 | $18,598.90 | $18,598.90 | $18,598.90 | $15,020.00 | $15,020.00 | $15,020.00 |
| Wisconsin | 1 | 14 | $42,955.00 | $42,955.00 | $42,955.00 | $17,803.10 | $17,803.10 | $17,803.10 | $11,049.90 | $11,049.90 | $11,049.90 |
| North Carolina | 1 | 13 | $43,955.90 | $43,955.90 | $43,955.90 | $15,625.20 | $15,625.20 | $15,625.20 | $12,516.40 | $12,516.40 | $12,516.40 |
| Iowa | 1 | 16 | $45,371.10 | $45,371.10 | $45,371.10 | $19,369.00 | $19,369.00 | $19,369.00 | $14,468.10 | $14,468.10 | $14,468.10 |
| Massachusetts | 1 | 15 | $47,652.50 | $47,652.50 | $47,652.50 | $17,960.10 | $17,960.10 | $17,960.10 | $16,228.50 | $16,228.50 | $16,228.50 |
| Oregon | 1 | 13 | $48,212.60 | $48,212.60 | $48,212.60 | $19,332.70 | $19,332.70 | $19,332.70 | $16,670.30 | $16,670.30 | $16,670.30 |
| Michigan | 1 | 25 | $51,525.30 | $51,525.30 | $51,525.30 | $17,711.80 | $17,711.80 | $17,711.80 | $15,501.40 | $15,501.40 | $15,501.40 |
| Alabama | 1 | 34 | $56,104.70 | $56,104.70 | $56,104.70 | $12,544.30 | $12,544.30 | $12,544.30 | $10,746.10 | $10,746.10 | $10,746.10 |
| West Virginia | 1 | 15 | $57,248.90 | $57,248.90 | $57,248.90 | $18,318.80 | $18,318.80 | $18,318.80 | $14,160.50 | $14,160.50 | $14,160.50 |
| New York | 1 | 18 | $62,168.70 | $62,168.70 | $62,168.70 | $21,471.20 | $21,471.20 | $21,471.20 | $18,311.60 | $18,311.60 | $18,311.60 |
| Kentucky | 1 | 14 | $69,013.30 | $69,013.30 | $69,013.30 | $16,978.60 | $16,978.60 | $16,978.60 | $13,111.00 | $13,111.00 | $13,111.00 |
| Tennessee | 1 | 11 | $76,660.00 | $76,660.00 | $76,660.00 | $14,745.50 | $14,745.50 | $14,745.50 | $13,861.10 | $13,861.10 | $13,861.10 |
| Florida | 2 | 23 | $53,710.80 | $98,561.72 | $147,490.00 | $11,625.90 | $13,476.48 | $15,495.30 | $9,064.50 | $10,508.90 | $12,084.60 |
| California | 1 | 12 | $99,008.60 | $99,008.60 | $99,008.60 | $31,697.30 | $31,697.30 | $31,697.30 | $25,465.40 | $25,465.40 | $25,465.40 |
| Pennsylvania | 3 | 67 | $95,837.30 | $111,893.95 | $134,362.00 | $15,485.50 | $18,771.92 | $22,154.90 | $11,644.40 | $14,353.74 | $17,306.20 |
| Illinois | 1 | 12 | $113,189.00 | $113,189.00 | $113,189.00 | $23,985.80 | $23,985.80 | $23,985.80 | $16,711.80 | $16,711.80 | $16,711.80 |
| Ohio | 1 | 18 | $199,701.00 | $199,701.00 | $199,701.00 | $62,494.00 | $62,494.00 | $62,494.00 | $58,673.90 | $58,673.90 | $58,673.90 | TOTAL US | 25 | 407 | $28,844.30 | $71.992,86 | $199,701.00 | $11,625.90 | $20.358,80 | $62,494.00 | $9,064.50 | $16.506,21 | $58,673.90 |
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.