Hospital Costs > Other Endocrine, Nutrit & Metab O.R. Proc 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 |
| Oklahoma | 1 | 14 | $46,454.80 | $46,454.80 | $46,454.80 | $11,990.40 | $11,990.40 | $11,990.40 | $9,974.21 | $9,974.21 | $9,974.21 |
| Illinois | 1 | 11 | $43,551.60 | $43,551.60 | $43,551.60 | $12,194.30 | $12,194.30 | $12,194.30 | $11,479.90 | $11,479.90 | $11,479.90 |
| North Carolina | 3 | 54 | $35,878.50 | $40,011.75 | $43,670.80 | $13,336.40 | $15,696.30 | $18,788.50 | $10,779.10 | $12,158.45 | $13,385.80 |
| Ohio | 2 | 28 | $46,593.60 | $52,593.55 | $61,866.20 | $15,778.10 | $16,994.81 | $17,782.10 | $11,013.40 | $12,650.99 | $13,710.60 |
| West Virginia | 1 | 12 | $35,773.10 | $35,773.10 | $35,773.10 | $15,206.60 | $15,206.60 | $15,206.60 | $12,721.40 | $12,721.40 | $12,721.40 |
| New Jersey | 4 | 46 | $68,286.90 | $71,501.49 | $75,729.70 | $13,217.80 | $14,413.95 | $15,611.00 | $11,297.00 | $13,070.18 | $14,619.50 |
| Texas | 9 | 131 | $51,072.20 | $72,696.49 | $90,139.80 | $11,305.90 | $15,581.61 | $31,797.90 | $9,907.91 | $13,085.29 | $25,863.10 |
| Delaware | 1 | 28 | $37,069.50 | $37,069.50 | $37,069.50 | $16,881.90 | $16,881.90 | $16,881.90 | $13,573.40 | $13,573.40 | $13,573.40 |
| Pennsylvania | 2 | 22 | $60,855.30 | $107,004.15 | $153,153.00 | $12,369.30 | $18,318.80 | $24,268.30 | $11,923.80 | $13,698.30 | $15,472.80 |
| Florida | 2 | 36 | $105,032.00 | $116,465.33 | $122,182.00 | $17,480.50 | $27,010.70 | $31,775.80 | $12,400.00 | $13,725.50 | $16,376.50 |
| Michigan | 2 | 24 | $41,649.60 | $50,713.60 | $61,425.60 | $15,817.20 | $16,564.28 | $17,447.20 | $12,493.20 | $13,729.60 | $15,190.80 |
| Arizona | 2 | 34 | $51,070.00 | $56,623.57 | $63,658.10 | $12,559.60 | $16,153.73 | $20,706.30 | $11,793.30 | $14,300.15 | $17,475.50 |
| California | 1 | 11 | $93,118.00 | $93,118.00 | $93,118.00 | $18,722.10 | $18,722.10 | $18,722.10 | $15,329.70 | $15,329.70 | $15,329.70 |
| Connecticut | 2 | 43 | $48,930.10 | $59,992.36 | $64,786.00 | $21,246.20 | $21,873.48 | $22,145.30 | $16,245.00 | $17,810.09 | $18,488.30 |
| Massachusetts | 3 | 37 | $16,776.80 | $22,614.51 | $28,689.20 | $18,005.50 | $19,803.04 | $21,938.60 | $16,917.00 | $18,043.61 | $19,745.10 |
| New York | 7 | 95 | $41,537.10 | $74,562.63 | $107,036.00 | $19,552.10 | $24,027.38 | $27,220.40 | $14,977.40 | $19,534.53 | $23,179.60 | TOTAL US | 43 | 626 | $16,776.80 | $64.305,99 | $153,153.00 | $11,305.90 | $18.320,84 | $31,797.90 | $9,907.91 | $14.686,69 | $25,863.10 |
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.