Hospital Costs > Other Musculoskelet Sys & Conn Tiss 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 |
| Utah | 1 | 11 | $51,286.70 | $51,286.70 | $51,286.70 | $13,602.10 | $13,602.10 | $13,602.10 | $9,882.73 | $9,882.73 | $9,882.73 |
| Alabama | 2 | 33 | $67,352.30 | $72,220.48 | $80,739.80 | $11,855.60 | $13,366.95 | $16,011.80 | $10,114.60 | $10,186.56 | $10,312.50 |
| North Dakota | 1 | 12 | $28,961.90 | $28,961.90 | $28,961.90 | $13,159.20 | $13,159.20 | $13,159.20 | $10,430.90 | $10,430.90 | $10,430.90 |
| Oklahoma | 2 | 27 | $38,092.20 | $44,856.67 | $54,695.90 | $11,695.70 | $12,421.41 | $13,477.00 | $10,373.40 | $10,477.57 | $10,629.10 |
| Louisiana | 2 | 28 | $35,680.00 | $37,144.31 | $38,091.80 | $11,672.90 | $11,699.50 | $11,740.60 | $10,528.50 | $10,659.56 | $10,862.10 |
| Arizona | 1 | 12 | $77,533.80 | $77,533.80 | $77,533.80 | $14,149.10 | $14,149.10 | $14,149.10 | $10,688.70 | $10,688.70 | $10,688.70 |
| Iowa | 3 | 41 | $33,049.00 | $49,714.23 | $65,822.80 | $11,275.40 | $12,312.81 | $13,237.50 | $9,022.17 | $10,724.76 | $12,124.70 |
| South Carolina | 2 | 25 | $79,499.40 | $86,662.47 | $92,290.60 | $10,872.80 | $11,386.38 | $11,789.90 | $10,325.90 | $10,756.60 | $11,095.00 |
| Indiana | 6 | 114 | $28,081.10 | $44,229.35 | $78,406.40 | $10,851.70 | $12,596.43 | $18,649.60 | $9,675.45 | $10,771.00 | $16,519.70 |
| Georgia | 7 | 94 | $35,041.30 | $53,583.14 | $70,675.40 | $10,852.20 | $12,450.99 | $13,721.30 | $8,910.73 | $10,793.10 | $12,534.90 |
| Florida | 27 | 540 | $29,733.60 | $69,347.33 | $123,242.00 | $10,387.90 | $12,273.67 | $15,702.20 | $9,142.79 | $10,833.87 | $12,787.20 |
| Kentucky | 6 | 106 | $36,076.70 | $53,006.22 | $87,196.60 | $11,124.90 | $13,872.69 | $19,943.30 | $8,803.00 | $11,169.29 | $16,250.10 |
| Texas | 19 | 352 | $26,801.40 | $67,776.09 | $130,479.00 | $10,302.60 | $13,384.24 | $16,846.50 | $8,898.27 | $11,328.90 | $13,703.20 |
| Tennessee | 7 | 105 | $18,334.10 | $58,348.65 | $83,302.30 | $10,449.60 | $13,013.92 | $17,077.50 | $9,465.62 | $11,381.59 | $14,568.60 |
| Illinois | 12 | 228 | $45,115.60 | $58,169.12 | $68,517.30 | $11,296.50 | $13,071.78 | $21,830.10 | $10,149.80 | $11,408.84 | $13,617.20 |
| Kansas | 7 | 137 | $31,271.00 | $54,206.07 | $92,109.20 | $10,880.20 | $12,452.20 | $15,504.70 | $10,271.10 | $11,459.64 | $14,758.70 |
| Arkansas | 5 | 74 | $45,321.20 | $53,189.16 | $64,317.20 | $11,169.90 | $13,180.41 | $21,320.80 | $10,081.80 | $11,463.82 | $16,955.90 |
| North Carolina | 11 | 154 | $29,027.20 | $45,460.47 | $68,361.10 | $10,908.10 | $14,022.45 | $18,717.60 | $9,311.92 | $11,663.15 | $15,061.80 |
| Missouri | 6 | 107 | $39,503.40 | $48,915.73 | $72,386.60 | $11,028.60 | $13,002.82 | $14,774.00 | $10,044.60 | $11,745.08 | $13,580.60 |
| Nebraska | 2 | 33 | $52,851.00 | $54,888.09 | $58,453.00 | $12,262.00 | $13,295.45 | $15,104.00 | $11,124.00 | $11,790.00 | $12,955.50 |
| Ohio | 8 | 134 | $44,207.40 | $61,418.68 | $87,276.40 | $13,101.40 | $14,634.07 | $20,714.80 | $10,146.50 | $11,797.88 | $13,763.20 |
| South Dakota | 1 | 11 | $68,660.40 | $68,660.40 | $68,660.40 | $13,102.80 | $13,102.80 | $13,102.80 | $11,946.60 | $11,946.60 | $11,946.60 |
| Wisconsin | 4 | 67 | $35,432.10 | $45,943.21 | $53,506.10 | $12,404.80 | $13,345.53 | $14,354.90 | $11,483.00 | $12,182.13 | $12,772.60 |
| Michigan | 15 | 288 | $31,847.50 | $41,047.12 | $62,550.00 | $11,244.00 | $14,701.06 | $23,776.70 | $10,366.60 | $12,503.73 | $17,482.60 |
| Virginia | 12 | 173 | $30,938.10 | $64,119.98 | $143,854.00 | $12,092.30 | $14,596.97 | $20,803.20 | $10,539.20 | $12,622.54 | $16,972.70 |
| Pennsylvania | 8 | 144 | $37,670.60 | $87,326.12 | $140,095.00 | $11,479.40 | $16,573.07 | $25,131.60 | $10,327.60 | $13,360.45 | $17,592.60 |
| Delaware | 1 | 25 | $37,197.50 | $37,197.50 | $37,197.50 | $15,647.60 | $15,647.60 | $15,647.60 | $13,832.30 | $13,832.30 | $13,832.30 |
| Nevada | 1 | 17 | $59,086.30 | $59,086.30 | $59,086.30 | $15,368.10 | $15,368.10 | $15,368.10 | $14,300.80 | $14,300.80 | $14,300.80 |
| Minnesota | 2 | 48 | $35,512.40 | $36,824.49 | $40,011.00 | $15,618.10 | $17,280.84 | $17,965.50 | $14,422.80 | $14,535.27 | $14,808.40 |
| New Jersey | 1 | 14 | $82,931.50 | $82,931.50 | $82,931.50 | $18,075.40 | $18,075.40 | $18,075.40 | $14,895.90 | $14,895.90 | $14,895.90 |
| California | 15 | 233 | $53,532.90 | $108,744.34 | $212,691.00 | $13,162.40 | $18,518.77 | $27,567.70 | $11,916.20 | $16,489.84 | $26,522.40 |
| Massachusetts | 6 | 96 | $20,516.30 | $47,899.03 | $87,213.30 | $15,608.10 | $18,147.84 | $21,558.40 | $14,793.40 | $16,609.74 | $18,793.10 |
| New Hampshire | 1 | 15 | $38,021.30 | $38,021.30 | $38,021.30 | $18,431.00 | $18,431.00 | $18,431.00 | $16,887.30 | $16,887.30 | $16,887.30 |
| New York | 3 | 48 | $77,602.60 | $96,868.34 | $112,205.00 | $19,582.10 | $22,309.74 | $25,747.40 | $15,508.90 | $17,549.68 | $18,161.50 |
| Washington | 2 | 31 | $92,092.80 | $92,176.71 | $92,229.70 | $16,559.20 | $22,891.96 | $26,891.60 | $15,882.60 | $17,641.20 | $18,751.90 |
| Maryland | 6 | 116 | $13,100.00 | $20,660.41 | $37,147.90 | $12,089.80 | $19,090.96 | $34,240.80 | $10,985.80 | $17,764.22 | $33,236.30 |
| Connecticut | 2 | 39 | $49,084.90 | $75,059.32 | $89,605.00 | $18,843.30 | $20,436.57 | $21,328.80 | $16,840.90 | $18,127.89 | $18,848.60 | TOTAL US | 217 | 3,732 | $13,100.00 | $61.156,05 | $212,691.00 | $10,302.60 | $14.418,54 | $34,240.80 | $8,803.00 | $12.456,72 | $33,236.30 |
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.