Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O 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 | 3 | 44 | $16,597.80 | $20,876.18 | $28,120.50 | $15,305.30 | $19,250.95 | $25,924.00 | $14,540.20 | $18,262.59 | $24,957.60 |
| Tennessee | 2 | 24 | $15,988.20 | $23,473.93 | $29,808.00 | $9,448.45 | $10,078.87 | $10,612.30 | $8,788.09 | $9,197.04 | $9,543.08 |
| Utah | 1 | 12 | $31,468.10 | $31,468.10 | $31,468.10 | $10,859.00 | $10,859.00 | $10,859.00 | $9,752.33 | $9,752.33 | $9,752.33 |
| Mississippi | 1 | 11 | $32,088.30 | $32,088.30 | $32,088.30 | $9,258.09 | $9,258.09 | $9,258.09 | $8,484.27 | $8,484.27 | $8,484.27 |
| Louisiana | 1 | 16 | $32,472.30 | $32,472.30 | $32,472.30 | $10,818.90 | $10,818.90 | $10,818.90 | $8,102.12 | $8,102.12 | $8,102.12 |
| Delaware | 1 | 12 | $34,547.80 | $34,547.80 | $34,547.80 | $13,423.50 | $13,423.50 | $13,423.50 | $12,279.80 | $12,279.80 | $12,279.80 |
| Montana | 1 | 13 | $35,702.10 | $35,702.10 | $35,702.10 | $11,116.50 | $11,116.50 | $11,116.50 | $9,989.54 | $9,989.54 | $9,989.54 |
| Minnesota | 1 | 36 | $38,510.70 | $38,510.70 | $38,510.70 | $15,180.50 | $15,180.50 | $15,180.50 | $12,067.30 | $12,067.30 | $12,067.30 |
| Georgia | 2 | 23 | $35,901.50 | $37,436.30 | $38,843.20 | $9,879.18 | $11,259.09 | $12,524.00 | $7,239.55 | $9,321.52 | $11,230.00 |
| Arkansas | 3 | 50 | $34,270.20 | $38,036.39 | $41,563.10 | $9,941.88 | $9,955.58 | $9,976.93 | $8,265.87 | $8,704.96 | $8,962.36 |
| Idaho | 1 | 16 | $49,772.30 | $49,772.30 | $49,772.30 | $9,147.62 | $9,147.62 | $9,147.62 | $7,937.62 | $7,937.62 | $7,937.62 |
| Colorado | 2 | 30 | $43,671.80 | $47,387.89 | $50,229.60 | $10,266.00 | $11,082.62 | $12,150.50 | $8,523.62 | $8,949.37 | $9,274.94 |
| Iowa | 1 | 15 | $50,551.50 | $50,551.50 | $50,551.50 | $11,001.70 | $11,001.70 | $11,001.70 | $9,676.27 | $9,676.27 | $9,676.27 |
| Illinois | 4 | 59 | $40,765.40 | $47,709.06 | $53,818.70 | $9,763.14 | $11,652.47 | $15,470.50 | $8,423.79 | $9,139.31 | $9,923.67 |
| Alabama | 2 | 26 | $53,753.70 | $54,460.75 | $55,424.90 | $10,943.30 | $11,402.76 | $12,029.30 | $8,317.00 | $9,392.80 | $10,859.80 |
| South Carolina | 3 | 38 | $32,443.90 | $46,393.73 | $57,107.20 | $8,794.00 | $11,613.28 | $16,903.80 | $8,129.73 | $9,490.54 | $11,636.80 |
| Michigan | 7 | 104 | $28,399.00 | $38,427.76 | $57,494.70 | $11,136.10 | $13,390.60 | $21,394.80 | $9,648.78 | $10,479.05 | $12,982.20 |
| Arizona | 1 | 12 | $57,862.10 | $57,862.10 | $57,862.10 | $10,672.90 | $10,672.90 | $10,672.90 | $9,664.92 | $9,664.92 | $9,664.92 |
| Kansas | 7 | 96 | $30,807.50 | $45,524.08 | $62,861.30 | $8,991.64 | $10,190.34 | $11,807.60 | $7,956.21 | $9,206.49 | $10,895.60 |
| Missouri | 3 | 45 | $26,456.50 | $42,332.78 | $64,856.40 | $8,958.00 | $13,492.67 | $15,724.70 | $8,303.45 | $9,982.39 | $12,549.40 |
| Ohio | 3 | 45 | $46,447.60 | $52,722.62 | $66,976.30 | $11,182.20 | $11,587.32 | $12,372.10 | $9,864.10 | $10,102.78 | $10,576.50 |
| Washington | 2 | 23 | $63,500.40 | $65,320.33 | $66,988.60 | $15,300.20 | $18,167.05 | $20,795.00 | $11,818.30 | $12,804.86 | $13,709.20 |
| Kentucky | 2 | 26 | $28,570.20 | $49,825.38 | $68,044.10 | $9,782.58 | $10,776.86 | $11,629.10 | $8,950.50 | $9,805.31 | $10,538.00 |
| New York | 3 | 37 | $42,840.60 | $50,426.70 | $68,147.60 | $18,085.10 | $19,497.92 | $21,752.40 | $16,296.30 | $17,143.64 | $18,796.70 |
| Indiana | 4 | 67 | $26,894.60 | $50,103.39 | $71,871.90 | $9,080.86 | $12,911.32 | $20,572.80 | $7,951.04 | $8,951.36 | $10,905.70 |
| North Carolina | 3 | 44 | $38,980.40 | $59,375.59 | $73,754.10 | $11,619.10 | $12,395.34 | $13,316.80 | $8,569.33 | $10,356.10 | $11,403.20 |
| Massachusetts | 4 | 54 | $26,835.70 | $52,915.77 | $82,129.90 | $13,386.40 | $15,167.01 | $16,538.80 | $12,506.40 | $13,865.59 | $14,957.40 |
| Florida | 13 | 240 | $25,079.30 | $57,265.92 | $85,035.60 | $8,845.15 | $10,364.65 | $15,671.60 | $7,740.83 | $8,879.06 | $12,270.90 |
| Texas | 6 | 96 | $33,172.80 | $58,600.37 | $104,948.00 | $9,261.50 | $10,846.53 | $11,695.10 | $8,296.07 | $9,350.77 | $10,103.10 |
| Pennsylvania | 5 | 75 | $34,279.30 | $72,954.07 | $110,318.00 | $9,703.87 | $12,830.34 | $15,847.40 | $7,377.58 | $10,205.47 | $13,615.90 |
| Oklahoma | 2 | 28 | $26,528.00 | $76,695.93 | $134,582.00 | $10,230.90 | $13,770.15 | $17,853.90 | $7,944.20 | $11,530.11 | $15,667.70 |
| California | 8 | 117 | $33,296.60 | $86,824.82 | $141,758.00 | $12,473.30 | $15,602.70 | $21,379.90 | $11,498.30 | $14,299.77 | $19,171.80 | TOTAL US | 102 | 1,534 | $15,988.20 | $52.611,61 | $141,758.00 | $8,794.00 | $12.484,22 | $25,924.00 | $7,239.55 | $10.548,63 | $24,957.60 |
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.