Hospital Costs > Other O.R. Procedures For Multiple Significant Trauma 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 |
| Alabama | 2 | 36 | $223,042.00 | $225,072.22 | $227,610.00 | $39,873.80 | $44,474.16 | $50,224.60 | $38,483.70 | $43,023.74 | $48,698.80 |
| Tennessee | 4 | 83 | $137,814.00 | $193,826.14 | $277,884.00 | $41,918.90 | $53,756.32 | $67,570.10 | $32,871.10 | $49,399.47 | $65,104.40 |
| North Carolina | 3 | 51 | $141,295.00 | $156,822.57 | $175,898.00 | $49,373.90 | $56,117.24 | $68,256.80 | $44,046.80 | $49,925.77 | $59,725.50 |
| Ohio | 2 | 23 | $172,558.00 | $213,610.52 | $251,242.00 | $43,422.00 | $56,321.95 | $68,146.90 | $40,651.10 | $51,000.37 | $60,487.20 |
| Kentucky | 2 | 29 | $165,224.00 | $208,427.72 | $269,633.00 | $55,837.20 | $56,926.72 | $57,695.80 | $51,164.20 | $51,260.41 | $51,396.70 |
| New York | 1 | 11 | $218,738.00 | $218,738.00 | $218,738.00 | $59,440.20 | $59,440.20 | $59,440.20 | $42,096.90 | $42,096.90 | $42,096.90 |
| Minnesota | 2 | 26 | $121,029.00 | $175,694.15 | $222,550.00 | $62,963.10 | $63,798.53 | $64,773.20 | $49,124.30 | $54,016.98 | $58,210.70 |
| Oklahoma | 2 | 29 | $112,797.00 | $301,472.97 | $434,656.00 | $38,958.20 | $65,705.88 | $84,586.60 | $36,989.90 | $52,265.04 | $63,047.50 |
| Virginia | 3 | 44 | $147,257.00 | $182,452.09 | $197,705.00 | $62,706.60 | $67,210.20 | $75,679.60 | $43,988.70 | $49,511.13 | $56,323.80 |
| Wisconsin | 1 | 13 | $182,752.00 | $182,752.00 | $182,752.00 | $67,860.70 | $67,860.70 | $67,860.70 | $59,497.80 | $59,497.80 | $59,497.80 |
| Pennsylvania | 2 | 23 | $274,763.00 | $388,853.26 | $493,436.00 | $58,307.50 | $69,194.01 | $81,070.20 | $30,234.50 | $40,684.20 | $50,263.10 |
| Texas | 1 | 16 | $211,937.00 | $211,937.00 | $211,937.00 | $75,181.20 | $75,181.20 | $75,181.20 | $50,711.90 | $50,711.90 | $50,711.90 |
| Indiana | 1 | 13 | $222,875.00 | $222,875.00 | $222,875.00 | $82,473.60 | $82,473.60 | $82,473.60 | $50,017.60 | $50,017.60 | $50,017.60 |
| Washington | 1 | 37 | $234,675.00 | $234,675.00 | $234,675.00 | $87,211.80 | $87,211.80 | $87,211.80 | $73,443.10 | $73,443.10 | $73,443.10 |
| Mississippi | 1 | 11 | $195,026.00 | $195,026.00 | $195,026.00 | $88,228.50 | $88,228.50 | $88,228.50 | $49,072.00 | $49,072.00 | $49,072.00 |
| New Mexico | 1 | 14 | $203,046.00 | $203,046.00 | $203,046.00 | $94,676.30 | $94,676.30 | $94,676.30 | $80,029.70 | $80,029.70 | $80,029.70 |
| New Jersey | 1 | 13 | $380,671.00 | $380,671.00 | $380,671.00 | $114,433.00 | $114,433.00 | $114,433.00 | $34,511.10 | $34,511.10 | $34,511.10 |
| Maryland | 1 | 20 | $131,876.00 | $131,876.00 | $131,876.00 | $121,815.00 | $121,815.00 | $121,815.00 | $116,144.00 | $116,144.00 | $116,144.00 | TOTAL US | 31 | 492 | $112,797.00 | $214.949,71 | $493,436.00 | $38,958.20 | $67.564,80 | $121,815.00 | $30,234.50 | $54.342,32 | $116,144.00 |
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.