Hospital Costs > Other O.R. Procedures For Injuries 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 |
| New Mexico | 1 | 13 | $61,022.20 | $61,022.20 | $61,022.20 | $29,905.30 | $29,905.30 | $29,905.30 | $28,977.30 | $28,977.30 | $28,977.30 |
| North Dakota | 1 | 13 | $66,812.20 | $66,812.20 | $66,812.20 | $26,619.90 | $26,619.90 | $26,619.90 | $22,715.80 | $22,715.80 | $22,715.80 |
| Delaware | 2 | 42 | $50,128.40 | $65,599.04 | $71,787.30 | $23,932.70 | $31,661.84 | $34,753.50 | $23,180.60 | $29,614.24 | $32,187.70 |
| Arkansas | 2 | 26 | $67,102.90 | $71,963.86 | $76,130.40 | $20,462.40 | $22,110.09 | $23,522.40 | $19,958.40 | $21,331.69 | $22,508.80 |
| Louisiana | 3 | 43 | $47,467.80 | $63,435.27 | $78,949.40 | $21,515.90 | $24,907.58 | $32,097.70 | $18,812.20 | $22,229.05 | $27,739.20 |
| Maryland | 4 | 64 | $27,733.30 | $63,306.33 | $89,241.40 | $25,655.60 | $58,374.74 | $82,290.10 | $23,853.00 | $56,668.51 | $79,850.00 |
| Utah | 2 | 27 | $69,693.50 | $82,285.80 | $90,943.00 | $23,349.50 | $28,783.99 | $32,520.20 | $22,481.40 | $26,668.07 | $29,546.40 |
| New Hampshire | 1 | 17 | $95,611.80 | $95,611.80 | $95,611.80 | $39,911.60 | $39,911.60 | $39,911.60 | $36,641.70 | $36,641.70 | $36,641.70 |
| West Virginia | 2 | 28 | $67,645.10 | $79,081.09 | $96,754.90 | $23,312.90 | $29,077.57 | $37,986.60 | $20,359.30 | $23,048.60 | $27,204.80 |
| Oregon | 2 | 38 | $70,168.80 | $87,325.44 | $99,803.00 | $27,858.90 | $35,761.53 | $41,508.90 | $27,171.80 | $32,810.23 | $36,910.90 |
| Kentucky | 2 | 41 | $56,932.90 | $82,791.50 | $101,108.00 | $21,374.40 | $25,767.63 | $28,879.50 | $20,287.10 | $24,634.44 | $27,713.80 |
| Nebraska | 1 | 17 | $105,790.00 | $105,790.00 | $105,790.00 | $29,929.50 | $29,929.50 | $29,929.50 | $27,695.70 | $27,695.70 | $27,695.70 |
| Alabama | 4 | 75 | $50,212.40 | $90,099.07 | $112,274.00 | $20,281.40 | $25,840.08 | $30,318.60 | $16,562.60 | $23,867.29 | $28,413.70 |
| Connecticut | 3 | 60 | $71,453.40 | $100,005.40 | $120,379.00 | $31,055.60 | $36,963.32 | $39,007.60 | $27,940.40 | $33,134.08 | $36,670.50 |
| Missouri | 5 | 90 | $74,862.80 | $103,650.23 | $123,208.00 | $22,281.40 | $35,936.25 | $60,191.00 | $20,124.60 | $22,744.85 | $25,680.80 |
| Tennessee | 5 | 97 | $58,874.20 | $90,305.26 | $127,308.00 | $20,398.10 | $27,646.27 | $32,593.90 | $17,664.90 | $25,134.28 | $31,719.20 |
| Arizona | 4 | 54 | $70,312.90 | $110,904.61 | $129,149.00 | $27,940.00 | $31,177.79 | $33,211.10 | $22,653.60 | $28,409.95 | $32,391.80 |
| Iowa | 2 | 36 | $115,572.00 | $124,386.11 | $129,368.00 | $28,012.80 | $43,122.71 | $51,663.10 | $27,048.50 | $31,057.85 | $33,324.00 |
| Georgia | 9 | 163 | $64,653.40 | $94,902.88 | $141,537.00 | $23,217.50 | $28,333.64 | $41,778.60 | $21,471.40 | $26,061.35 | $38,959.90 |
| South Carolina | 4 | 66 | $55,746.40 | $111,441.45 | $143,471.00 | $20,944.60 | $32,351.09 | $45,968.50 | $19,636.30 | $28,985.46 | $40,112.50 |
| Alaska | 1 | 12 | $144,230.00 | $144,230.00 | $144,230.00 | $43,421.40 | $43,421.40 | $43,421.40 | $42,464.90 | $42,464.90 | $42,464.90 |
| Massachusetts | 6 | 93 | $43,666.50 | $107,823.69 | $153,746.00 | $36,303.90 | $40,634.84 | $45,275.90 | $33,637.60 | $36,408.06 | $41,170.60 |
| Michigan | 10 | 157 | $69,736.70 | $100,895.45 | $159,358.00 | $22,034.30 | $38,970.51 | $66,611.80 | $21,140.30 | $32,476.20 | $44,872.10 |
| North Carolina | 10 | 187 | $46,229.70 | $87,542.38 | $163,517.00 | $21,363.90 | $33,942.17 | $48,612.20 | $18,365.50 | $28,525.63 | $38,581.80 |
| Oklahoma | 4 | 62 | $82,519.10 | $130,719.47 | $167,999.00 | $24,848.30 | $29,872.35 | $36,064.70 | $20,997.90 | $26,044.43 | $30,485.40 |
| Minnesota | 5 | 89 | $85,610.30 | $113,116.81 | $172,665.00 | $27,678.30 | $41,697.96 | $50,388.60 | $26,239.00 | $36,919.40 | $45,264.40 |
| Indiana | 4 | 71 | $80,257.50 | $133,614.42 | $172,845.00 | $25,414.00 | $34,991.83 | $42,231.50 | $23,529.30 | $31,417.15 | $37,791.30 |
| Washington | 4 | 52 | $76,262.80 | $124,535.20 | $178,603.00 | $28,592.50 | $40,413.33 | $50,833.90 | $28,249.70 | $37,558.26 | $48,149.30 |
| Colorado | 2 | 26 | $81,019.20 | $130,117.60 | $179,216.00 | $22,416.10 | $34,191.90 | $45,967.70 | $21,856.30 | $30,078.65 | $38,301.00 |
| Mississippi | 3 | 48 | $46,602.90 | $90,264.16 | $184,023.00 | $19,770.60 | $22,552.36 | $26,673.90 | $16,732.80 | $21,039.06 | $26,070.50 |
| Illinois | 8 | 112 | $78,268.10 | $133,743.92 | $186,269.00 | $23,504.00 | $37,832.14 | $73,263.20 | $20,930.20 | $29,005.55 | $40,273.30 |
| New York | 9 | 138 | $68,662.30 | $126,823.06 | $206,951.00 | $29,059.80 | $43,983.57 | $59,883.80 | $28,592.20 | $37,257.48 | $53,885.70 |
| Florida | 15 | 246 | $69,926.50 | $114,595.63 | $207,047.00 | $19,648.80 | $26,494.28 | $35,098.00 | $17,775.40 | $23,472.12 | $30,996.40 |
| Texas | 13 | 244 | $78,462.90 | $126,673.56 | $207,491.00 | $22,136.70 | $30,777.79 | $44,120.80 | $16,008.50 | $26,970.15 | $41,524.40 |
| Ohio | 8 | 127 | $61,241.30 | $117,900.67 | $209,001.00 | $25,266.70 | $34,888.95 | $56,494.20 | $17,882.30 | $27,515.24 | $39,282.70 |
| Wisconsin | 2 | 41 | $92,336.10 | $155,207.22 | $209,505.00 | $41,130.50 | $45,734.62 | $49,710.90 | $32,434.40 | $39,285.31 | $45,202.00 |
| Washington DC | 2 | 36 | $71,931.80 | $139,392.14 | $214,789.00 | $32,517.50 | $46,070.09 | $61,217.10 | $26,887.70 | $38,236.62 | $50,920.70 |
| Kansas | 3 | 62 | $50,170.40 | $110,635.01 | $224,808.00 | $20,381.10 | $25,665.60 | $32,313.50 | $19,949.10 | $24,065.09 | $31,710.00 |
| Virginia | 6 | 94 | $77,203.90 | $133,065.14 | $231,624.00 | $24,527.50 | $35,950.39 | $48,619.20 | $22,292.30 | $29,048.66 | $37,262.60 |
| Nevada | 2 | 22 | $97,611.90 | $174,306.95 | $251,002.00 | $25,022.90 | $30,421.80 | $35,820.70 | $24,104.00 | $29,498.80 | $34,893.60 |
| New Jersey | 3 | 38 | $95,025.60 | $183,506.57 | $255,445.00 | $28,359.90 | $35,506.35 | $39,379.70 | $26,957.50 | $31,798.16 | $35,181.40 |
| Pennsylvania | 8 | 135 | $74,090.20 | $196,376.20 | $308,608.00 | $28,172.80 | $36,942.00 | $52,435.90 | $24,827.30 | $29,846.25 | $39,332.60 |
| California | 12 | 164 | $90,294.50 | $223,573.41 | $499,531.00 | $27,896.40 | $50,222.47 | $107,908.00 | $26,417.60 | $44,297.71 | $94,407.50 | TOTAL US | 199 | 3,266 | $27,733.30 | $119.070,31 | $499,531.00 | $19,648.80 | $34.935,63 | $107,908.00 | $16,008.50 | $30.205,39 | $94,407.50 |
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.