Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W 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 |
| Michigan | 5 | 66 | $44,775.00 | $59,713.27 | $94,048.90 | $22,593.20 | $27,717.82 | $38,522.20 | $19,101.40 | $21,280.09 | $26,432.70 |
| Texas | 3 | 43 | $72,967.20 | $94,709.17 | $130,782.00 | $20,156.90 | $21,197.46 | $22,545.30 | $18,579.30 | $19,866.58 | $21,234.50 |
| Florida | 2 | 34 | $73,789.20 | $100,264.13 | $114,705.00 | $21,018.70 | $21,717.26 | $22,098.30 | $18,105.20 | $18,918.91 | $20,410.70 |
| Indiana | 2 | 29 | $51,239.70 | $58,967.96 | $66,181.00 | $17,114.90 | $20,266.71 | $23,208.40 | $15,589.40 | $15,909.81 | $16,253.10 |
| California | 2 | 24 | $92,130.20 | $111,957.10 | $131,784.00 | $23,852.50 | $24,437.55 | $25,022.60 | $23,351.20 | $23,736.20 | $24,121.20 |
| Pennsylvania | 2 | 23 | $72,551.90 | $180,548.03 | $298,362.00 | $22,754.80 | $29,673.47 | $37,221.10 | $20,689.20 | $22,130.82 | $23,703.50 |
| North Carolina | 1 | 22 | $38,055.90 | $38,055.90 | $38,055.90 | $19,386.20 | $19,386.20 | $19,386.20 | $15,970.00 | $15,970.00 | $15,970.00 |
| New York | 1 | 14 | $193,484.00 | $193,484.00 | $193,484.00 | $54,807.00 | $54,807.00 | $54,807.00 | $49,028.30 | $49,028.30 | $49,028.30 |
| Ohio | 1 | 14 | $73,026.10 | $73,026.10 | $73,026.10 | $20,598.10 | $20,598.10 | $20,598.10 | $19,284.00 | $19,284.00 | $19,284.00 |
| Georgia | 1 | 13 | $94,119.20 | $94,119.20 | $94,119.20 | $21,753.80 | $21,753.80 | $21,753.80 | $18,427.10 | $18,427.10 | $18,427.10 |
| Nevada | 1 | 13 | $68,537.20 | $68,537.20 | $68,537.20 | $21,867.50 | $21,867.50 | $21,867.50 | $20,970.20 | $20,970.20 | $20,970.20 |
| Maryland | 1 | 12 | $24,097.10 | $24,097.10 | $24,097.10 | $22,408.70 | $22,408.70 | $22,408.70 | $19,618.00 | $19,618.00 | $19,618.00 |
| Arkansas | 1 | 11 | $77,346.80 | $77,346.80 | $77,346.80 | $30,604.80 | $30,604.80 | $30,604.80 | $26,717.30 | $26,717.30 | $26,717.30 |
| Delaware | 1 | 11 | $105,771.00 | $105,771.00 | $105,771.00 | $38,891.00 | $38,891.00 | $38,891.00 | $36,216.50 | $36,216.50 | $36,216.50 |
| Kansas | 1 | 11 | $66,176.80 | $66,176.80 | $66,176.80 | $18,610.50 | $18,610.50 | $18,610.50 | $17,600.40 | $17,600.40 | $17,600.40 |
| Wisconsin | 1 | 11 | $69,826.70 | $69,826.70 | $69,826.70 | $21,636.60 | $21,636.60 | $21,636.60 | $19,763.70 | $19,763.70 | $19,763.70 | TOTAL US | 26 | 351 | $24,097.10 | $86.765,24 | $298,362.00 | $17,114.90 | $25.245,87 | $54,807.00 | $15,589.40 | $21.654,20 | $49,028.30 |
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.