Hospital Costs > Other Resp System O.R. Procedures W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Utah | 1 | 14 | $43,899.80 | $43,899.80 | $43,899.80 | $17,456.50 | $17,456.50 | $17,456.50 | $9,466.43 | $9,466.43 | $9,466.43 |
| Idaho | 1 | 11 | $35,378.80 | $35,378.80 | $35,378.80 | $16,558.30 | $16,558.30 | $16,558.30 | $9,569.45 | $9,569.45 | $9,569.45 |
| Louisiana | 4 | 49 | $38,815.60 | $46,552.48 | $58,424.00 | $11,263.90 | $13,158.45 | $17,418.20 | $8,855.45 | $9,750.20 | $10,490.10 |
| West Virginia | 4 | 63 | $33,564.20 | $36,816.86 | $44,498.60 | $10,703.70 | $12,447.43 | $13,742.60 | $8,968.12 | $9,879.14 | $11,572.90 |
| Nebraska | 5 | 69 | $37,748.70 | $46,423.07 | $53,007.70 | $12,961.30 | $13,794.66 | $15,531.20 | $8,954.27 | $10,307.97 | $14,613.20 |
| Mississippi | 6 | 112 | $36,106.90 | $47,220.70 | $59,780.80 | $10,563.50 | $12,250.47 | $21,724.20 | $9,632.74 | $10,612.76 | $15,702.50 |
| Kansas | 1 | 12 | $53,370.60 | $53,370.60 | $53,370.60 | $11,479.20 | $11,479.20 | $11,479.20 | $10,671.20 | $10,671.20 | $10,671.20 |
| Florida | 30 | 558 | $27,679.50 | $66,189.46 | $120,832.00 | $9,963.00 | $13,088.00 | $20,091.20 | $7,782.94 | $11,065.15 | $16,160.90 |
| Alabama | 7 | 157 | $45,372.20 | $54,029.02 | $72,608.00 | $10,114.60 | $12,852.01 | $15,048.30 | $9,391.27 | $11,073.65 | $12,860.20 |
| South Dakota | 2 | 34 | $60,462.10 | $66,900.22 | $71,406.90 | $13,372.90 | $13,732.49 | $13,984.20 | $9,491.86 | $11,100.59 | $12,226.70 |
| Missouri | 7 | 156 | $27,772.50 | $39,596.21 | $47,960.50 | $10,360.00 | $12,803.39 | $16,009.20 | $9,133.10 | $11,199.50 | $14,142.60 |
| Tennessee | 10 | 173 | $28,148.60 | $45,885.24 | $71,458.60 | $10,638.50 | $12,867.11 | $16,659.60 | $9,080.54 | $11,241.36 | $14,767.40 |
| Oklahoma | 3 | 41 | $33,712.40 | $54,206.04 | $80,631.30 | $11,711.50 | $14,054.07 | $16,217.90 | $9,516.00 | $11,283.42 | $13,668.40 |
| Texas | 24 | 443 | $38,766.60 | $69,057.11 | $117,080.00 | $10,188.90 | $14,480.51 | $27,843.50 | $7,901.08 | $11,285.80 | $15,774.40 |
| Virginia | 11 | 185 | $24,000.10 | $54,686.59 | $142,724.00 | $10,948.40 | $14,144.50 | $19,552.70 | $8,979.00 | $11,487.17 | $16,217.60 |
| South Carolina | 7 | 155 | $44,444.10 | $65,145.81 | $85,407.50 | $11,177.90 | $14,374.40 | $20,083.00 | $9,924.81 | $11,545.19 | $17,632.60 |
| Georgia | 10 | 156 | $33,150.20 | $53,464.30 | $111,913.00 | $11,600.50 | $13,845.35 | $16,630.30 | $9,583.42 | $11,716.53 | $14,315.70 |
| North Dakota | 1 | 11 | $49,083.50 | $49,083.50 | $49,083.50 | $13,111.70 | $13,111.70 | $13,111.70 | $11,730.30 | $11,730.30 | $11,730.30 |
| Arkansas | 4 | 54 | $32,207.80 | $41,010.85 | $54,940.80 | $11,431.10 | $13,749.15 | $18,862.00 | $10,017.40 | $11,741.56 | $15,243.30 |
| New Hampshire | 1 | 17 | $41,948.80 | $41,948.80 | $41,948.80 | $12,680.20 | $12,680.20 | $12,680.20 | $11,781.80 | $11,781.80 | $11,781.80 |
| Pennsylvania | 18 | 311 | $31,331.20 | $72,842.68 | $139,305.00 | $11,297.40 | $15,329.72 | $27,293.80 | $9,452.60 | $11,899.31 | $18,591.80 |
| Minnesota | 7 | 129 | $21,205.60 | $38,506.76 | $60,394.10 | $12,737.00 | $16,564.45 | $22,839.10 | $10,411.50 | $11,926.01 | $12,935.90 |
| Kentucky | 10 | 163 | $35,425.80 | $48,396.35 | $69,902.10 | $11,366.20 | $13,662.34 | $18,291.60 | $9,028.85 | $11,934.64 | $13,989.50 |
| Indiana | 7 | 105 | $38,114.20 | $52,285.79 | $67,042.60 | $10,455.10 | $14,149.04 | $17,993.80 | $9,684.18 | $12,112.29 | $15,432.80 |
| Iowa | 4 | 73 | $32,898.30 | $51,960.65 | $65,945.10 | $12,745.40 | $14,837.34 | $18,695.40 | $8,909.64 | $12,141.76 | $15,194.50 |
| Montana | 1 | 12 | $30,502.10 | $30,502.10 | $30,502.10 | $13,016.90 | $13,016.90 | $13,016.90 | $12,144.70 | $12,144.70 | $12,144.70 |
| Oregon | 1 | 17 | $47,154.40 | $47,154.40 | $47,154.40 | $13,137.10 | $13,137.10 | $13,137.10 | $12,351.90 | $12,351.90 | $12,351.90 |
| Illinois | 15 | 251 | $35,622.60 | $54,344.11 | $76,952.70 | $9,853.91 | $14,918.18 | $19,297.80 | $8,813.91 | $12,399.66 | $17,066.40 |
| Ohio | 11 | 224 | $34,933.50 | $53,373.96 | $78,450.30 | $10,601.50 | $14,872.94 | $19,313.80 | $9,681.45 | $12,414.04 | $15,830.50 |
| Michigan | 10 | 183 | $27,024.60 | $38,104.71 | $49,001.10 | $11,787.10 | $14,574.45 | $18,409.10 | $10,055.80 | $12,616.15 | $14,899.70 |
| Arizona | 9 | 143 | $33,046.80 | $53,100.37 | $78,481.30 | $11,381.00 | $14,165.24 | $18,872.20 | $10,495.70 | $12,698.33 | $16,902.90 |
| Delaware | 1 | 18 | $37,289.90 | $37,289.90 | $37,289.90 | $17,156.50 | $17,156.50 | $17,156.50 | $12,870.20 | $12,870.20 | $12,870.20 |
| Maine | 3 | 66 | $30,138.70 | $37,253.43 | $43,408.20 | $12,868.80 | $14,290.52 | $15,510.80 | $11,753.90 | $12,909.28 | $13,800.60 |
| New Mexico | 1 | 12 | $44,906.70 | $44,906.70 | $44,906.70 | $13,849.20 | $13,849.20 | $13,849.20 | $12,942.90 | $12,942.90 | $12,942.90 |
| New Jersey | 16 | 297 | $51,860.30 | $96,771.18 | $152,143.00 | $11,871.80 | $15,155.88 | $20,000.00 | $10,609.50 | $13,202.21 | $16,523.50 |
| North Carolina | 11 | 241 | $35,237.50 | $47,727.90 | $69,063.70 | $10,774.10 | $16,308.88 | $20,927.90 | $9,056.94 | $13,272.70 | $17,791.70 |
| Wisconsin | 3 | 89 | $48,075.80 | $54,115.83 | $59,695.80 | $14,369.20 | $17,780.37 | $22,422.20 | $12,270.30 | $13,352.87 | $14,381.70 |
| Washington | 3 | 45 | $43,211.40 | $51,970.80 | $60,632.50 | $15,928.50 | $18,005.06 | $22,153.90 | $11,771.20 | $13,486.10 | $16,046.40 |
| Washington DC | 2 | 31 | $67,995.70 | $71,165.59 | $74,546.80 | $17,547.30 | $19,479.98 | $21,541.50 | $13,786.80 | $15,173.77 | $16,653.20 |
| New York | 17 | 299 | $24,846.10 | $70,274.58 | $123,329.00 | $11,956.30 | $22,104.45 | $52,595.00 | $10,038.30 | $15,637.11 | $21,716.70 |
| Maryland | 13 | 237 | $12,698.30 | $18,604.18 | $26,850.70 | $11,713.80 | $17,224.51 | $24,759.00 | $10,047.70 | $15,683.00 | $23,684.20 |
| Connecticut | 4 | 90 | $37,573.90 | $68,902.95 | $83,978.50 | $16,155.30 | $20,182.07 | $23,392.60 | $13,311.20 | $15,877.92 | $17,678.40 |
| Massachusetts | 9 | 209 | $25,700.50 | $44,742.39 | $68,662.90 | $13,708.80 | $18,134.99 | $20,725.30 | $13,012.30 | $16,234.95 | $18,049.70 |
| California | 10 | 157 | $46,906.10 | $108,167.68 | $150,929.00 | $12,720.90 | $18,868.36 | $27,776.50 | $11,579.60 | $16,397.83 | $22,899.90 |
| Colorado | 1 | 19 | $60,131.00 | $60,131.00 | $60,131.00 | $20,379.20 | $20,379.20 | $20,379.20 | $16,523.60 | $16,523.60 | $16,523.60 | TOTAL US | 326 | 5,891 | $12,698.30 | $57.694,03 | $152,143.00 | $9,853.91 | $15.238,27 | $52,595.00 | $7,782.94 | $12.554,65 | $23,684.20 |
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.