Hospital Costs > Other O.R. Procedures For Injuries 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 |
| Pennsylvania | 2 | 32 | $62,607.90 | $73,709.70 | $83,505.40 | $13,429.30 | $14,782.77 | $15,977.00 | $10,803.90 | $11,325.80 | $11,786.30 |
| Florida | 1 | 23 | $36,295.80 | $36,295.80 | $36,295.80 | $9,726.74 | $9,726.74 | $9,726.74 | $6,003.78 | $6,003.78 | $6,003.78 |
| New York | 1 | 17 | $44,053.20 | $44,053.20 | $44,053.20 | $14,129.50 | $14,129.50 | $14,129.50 | $12,446.80 | $12,446.80 | $12,446.80 |
| Delaware | 1 | 13 | $18,943.80 | $18,943.80 | $18,943.80 | $10,566.80 | $10,566.80 | $10,566.80 | $6,471.77 | $6,471.77 | $6,471.77 |
| Virginia | 1 | 13 | $38,645.50 | $38,645.50 | $38,645.50 | $13,319.90 | $13,319.90 | $13,319.90 | $10,521.40 | $10,521.40 | $10,521.40 |
| Maryland | 1 | 12 | $24,424.50 | $24,424.50 | $24,424.50 | $22,643.30 | $22,643.30 | $22,643.30 | $21,545.80 | $21,545.80 | $21,545.80 |
| Missouri | 1 | 12 | $34,144.00 | $34,144.00 | $34,144.00 | $18,267.10 | $18,267.10 | $18,267.10 | $7,444.17 | $7,444.17 | $7,444.17 |
| North Carolina | 1 | 12 | $30,840.50 | $30,840.50 | $30,840.50 | $7,664.75 | $7,664.75 | $7,664.75 | $6,685.25 | $6,685.25 | $6,685.25 |
| Massachusetts | 1 | 11 | $15,933.70 | $15,933.70 | $15,933.70 | $12,031.00 | $12,031.00 | $12,031.00 | $10,571.80 | $10,571.80 | $10,571.80 |
| Minnesota | 1 | 11 | $26,035.50 | $26,035.50 | $26,035.50 | $11,626.50 | $11,626.50 | $11,626.50 | $8,133.73 | $8,133.73 | $8,133.73 |
| Tennessee | 1 | 11 | $39,587.30 | $39,587.30 | $39,587.30 | $10,246.70 | $10,246.70 | $10,246.70 | $9,076.18 | $9,076.18 | $9,076.18 | TOTAL US | 12 | 167 | $15,933.70 | $39.886,88 | $83,505.40 | $7,664.75 | $13.193,65 | $22,643.30 | $6,003.78 | $9.980,36 | $21,545.80 |
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.