Hospital Costs > Other Resp System O.R. Procedures 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 | 11 | 314 | $43,931.50 | $106,566.93 | $181,136.00 | $13,569.60 | $25,199.36 | $35,616.50 | $11,728.60 | $21,230.95 | $25,586.60 |
| Tennessee | 21 | 474 | $38,087.30 | $83,835.64 | $149,586.00 | $13,841.80 | $23,691.58 | $30,541.20 | $12,828.50 | $20,370.33 | $26,875.00 |
| Florida | 56 | 1,081 | $52,979.50 | $123,544.02 | $258,559.00 | $18,294.50 | $24,278.90 | $42,577.20 | $14,522.40 | $21,395.08 | $31,501.90 |
| Ohio | 27 | 510 | $38,205.90 | $91,217.40 | $135,966.00 | $18,801.20 | $27,082.07 | $41,846.10 | $14,528.50 | $21,647.02 | $28,976.40 |
| Nebraska | 6 | 96 | $47,152.60 | $82,027.98 | $123,452.00 | $15,735.20 | $23,802.93 | $33,476.40 | $14,744.40 | $22,120.81 | $27,167.00 |
| Pennsylvania | 24 | 456 | $32,380.20 | $174,854.19 | $552,352.00 | $17,832.30 | $31,614.68 | $59,321.80 | $15,588.30 | $25,184.09 | $41,389.60 |
| Missouri | 22 | 471 | $49,357.60 | $91,131.38 | $212,036.00 | $19,321.10 | $25,656.45 | $54,385.10 | $16,241.70 | $23,077.39 | $41,902.60 |
| Texas | 50 | 991 | $38,483.50 | $129,551.18 | $326,565.00 | $18,087.00 | $26,628.28 | $66,507.20 | $16,449.10 | $22,825.67 | $44,224.20 |
| Illinois | 28 | 539 | $40,350.60 | $103,812.34 | $167,294.00 | $17,367.60 | $26,593.39 | $43,029.10 | $16,584.50 | $23,774.68 | $37,277.80 |
| Oklahoma | 7 | 159 | $52,946.70 | $97,112.48 | $182,838.00 | $20,448.90 | $27,548.27 | $44,982.90 | $16,789.30 | $22,819.91 | $35,422.80 |
| Indiana | 14 | 253 | $37,289.30 | $80,604.90 | $128,435.00 | $17,068.50 | $26,573.27 | $40,526.70 | $16,840.00 | $21,809.67 | $30,293.10 |
| Louisiana | 5 | 86 | $74,700.60 | $90,894.25 | $125,675.00 | $18,599.90 | $21,514.20 | $24,390.70 | $17,383.90 | $19,687.07 | $22,334.00 |
| West Virginia | 8 | 138 | $38,442.20 | $72,464.54 | $122,737.00 | $19,277.60 | $25,562.44 | $35,236.00 | $17,440.00 | $23,353.11 | $32,344.60 |
| Mississippi | 8 | 187 | $52,282.20 | $89,711.03 | $194,122.00 | $18,250.40 | $22,339.88 | $30,322.80 | $17,592.90 | $20,683.54 | $21,879.50 |
| North Carolina | 20 | 522 | $48,269.40 | $75,233.28 | $132,456.00 | $18,958.80 | $27,827.81 | $47,579.90 | $17,601.80 | $23,472.20 | $31,195.70 |
| Michigan | 28 | 543 | $31,645.90 | $66,722.95 | $136,408.00 | $18,411.60 | $27,705.74 | $50,664.50 | $17,639.10 | $24,884.61 | $40,975.40 |
| Arkansas | 9 | 167 | $22,384.50 | $64,437.72 | $86,302.60 | $18,294.70 | $21,823.93 | $31,119.20 | $17,829.50 | $20,053.69 | $24,986.00 |
| Georgia | 21 | 416 | $48,980.70 | $87,820.81 | $149,491.00 | $20,009.20 | $24,986.99 | $42,150.20 | $18,035.70 | $22,809.89 | $37,122.10 |
| Kentucky | 13 | 292 | $46,497.80 | $81,002.65 | $165,515.00 | $19,173.00 | $24,191.42 | $31,666.80 | $18,219.10 | $22,060.42 | $27,953.50 |
| Kansas | 7 | 113 | $76,278.40 | $112,387.42 | $193,231.00 | $19,537.20 | $25,568.63 | $49,981.80 | $18,382.80 | $21,730.57 | $27,012.60 |
| Maryland | 16 | 301 | $22,019.30 | $34,674.12 | $55,845.00 | $20,407.60 | $32,083.44 | $51,909.00 | $18,513.60 | $29,399.90 | $43,676.60 |
| Arizona | 14 | 252 | $61,919.10 | $101,244.05 | $180,813.00 | $20,694.50 | $27,183.50 | $50,840.20 | $18,813.80 | $24,349.02 | $50,029.80 |
| South Carolina | 14 | 290 | $62,222.10 | $118,775.50 | $204,573.00 | $19,674.70 | $25,446.38 | $36,348.10 | $18,837.70 | $22,478.80 | $31,321.50 |
| Oregon | 2 | 30 | $54,685.70 | $72,465.94 | $86,062.60 | $25,008.20 | $27,480.40 | $29,370.90 | $19,016.00 | $22,635.07 | $25,402.60 |
| Montana | 2 | 25 | $49,115.20 | $60,219.95 | $72,250.10 | $20,224.50 | $22,616.20 | $25,207.20 | $19,356.20 | $20,882.50 | $22,536.00 |
| Virginia | 18 | 365 | $46,500.50 | $87,125.77 | $169,901.00 | $20,763.70 | $26,407.08 | $35,521.20 | $19,447.20 | $22,417.97 | $29,353.00 |
| Colorado | 4 | 50 | $86,860.30 | $129,608.57 | $169,189.00 | $20,310.90 | $28,854.97 | $38,486.60 | $19,707.20 | $26,382.10 | $32,046.10 |
| North Dakota | 3 | 38 | $47,178.60 | $52,762.54 | $60,840.10 | $21,532.80 | $23,335.96 | $25,601.30 | $20,072.30 | $21,043.35 | $21,607.90 |
| Iowa | 4 | 75 | $80,008.60 | $87,213.65 | $96,651.80 | $21,625.70 | $26,686.99 | $36,481.90 | $20,162.00 | $22,298.42 | $27,181.20 |
| Maine | 3 | 50 | $50,651.90 | $64,925.71 | $72,548.60 | $26,045.50 | $27,118.87 | $28,386.20 | $20,243.60 | $23,203.09 | $24,919.00 |
| Wyoming | 1 | 12 | $45,488.20 | $45,488.20 | $45,488.20 | $21,071.80 | $21,071.80 | $21,071.80 | $20,367.80 | $20,367.80 | $20,367.80 |
| New Jersey | 21 | 390 | $105,155.00 | $175,650.63 | $331,932.00 | $22,085.20 | $28,944.67 | $38,249.20 | $20,534.10 | $26,469.30 | $34,269.80 |
| Idaho | 1 | 17 | $55,060.20 | $55,060.20 | $55,060.20 | $25,269.60 | $25,269.60 | $25,269.60 | $20,943.60 | $20,943.60 | $20,943.60 |
| South Dakota | 3 | 63 | $77,933.50 | $79,033.42 | $79,824.50 | $22,455.60 | $24,768.47 | $29,214.20 | $21,144.80 | $23,427.10 | $28,300.90 |
| Wisconsin | 6 | 141 | $61,327.20 | $100,609.30 | $123,814.00 | $26,344.40 | $29,489.87 | $39,183.90 | $22,107.70 | $26,107.54 | $33,790.10 |
| Minnesota | 7 | 149 | $50,085.20 | $81,098.24 | $95,008.20 | $25,227.30 | $35,307.08 | $43,817.80 | $22,626.90 | $29,163.95 | $37,366.50 |
| New York | 26 | 486 | $59,354.60 | $135,884.47 | $225,594.00 | $23,452.30 | $38,168.57 | $58,678.90 | $22,665.00 | $32,457.76 | $44,662.30 |
| New Mexico | 1 | 12 | $58,014.50 | $58,014.50 | $58,014.50 | $24,361.80 | $24,361.80 | $24,361.80 | $22,859.70 | $22,859.70 | $22,859.70 |
| California | 30 | 416 | $109,310.00 | $240,290.97 | $498,483.00 | $25,103.30 | $40,497.43 | $77,723.10 | $22,895.70 | $36,836.27 | $75,106.40 |
| Washington | 8 | 113 | $63,244.70 | $95,671.32 | $132,360.00 | $23,959.20 | $28,834.68 | $40,423.70 | $23,090.60 | $26,234.06 | $39,578.30 |
| Nevada | 5 | 87 | $82,361.30 | $213,400.82 | $448,321.00 | $24,690.50 | $29,417.25 | $41,676.40 | $23,103.60 | $27,896.50 | $38,664.90 |
| Massachusetts | 10 | 236 | $32,977.20 | $93,955.75 | $184,170.00 | $25,178.90 | $36,616.90 | $46,609.90 | $24,126.00 | $32,422.91 | $41,931.30 |
| Utah | 1 | 12 | $60,434.10 | $60,434.10 | $60,434.10 | $25,752.60 | $25,752.60 | $25,752.60 | $24,409.60 | $24,409.60 | $24,409.60 |
| Vermont | 1 | 12 | $54,141.10 | $54,141.10 | $54,141.10 | $26,695.30 | $26,695.30 | $26,695.30 | $24,938.40 | $24,938.40 | $24,938.40 |
| Delaware | 3 | 58 | $72,578.00 | $83,109.56 | $98,828.00 | $26,601.50 | $30,258.54 | $32,242.00 | $25,044.70 | $27,161.23 | $27,829.60 |
| Rhode Island | 1 | 14 | $109,703.00 | $109,703.00 | $109,703.00 | $32,382.60 | $32,382.60 | $32,382.60 | $27,565.90 | $27,565.90 | $27,565.90 |
| Connecticut | 4 | 127 | $75,106.70 | $134,456.47 | $169,372.00 | $30,307.50 | $41,394.43 | $52,024.50 | $28,444.50 | $35,054.43 | $39,304.50 |
| Washington DC | 2 | 40 | $124,293.00 | $151,408.20 | $201,765.00 | $33,849.00 | $45,915.74 | $68,325.40 | $30,021.00 | $32,585.87 | $37,349.20 |
| Hawaii | 1 | 24 | $98,948.90 | $98,948.90 | $98,948.90 | $40,240.80 | $40,240.80 | $40,240.80 | $31,209.00 | $31,209.00 | $31,209.00 |
| New Hampshire | 1 | 18 | $110,222.00 | $110,222.00 | $110,222.00 | $44,850.80 | $44,850.80 | $44,850.80 | $33,676.10 | $33,676.10 | $33,676.10 |
| Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 598 | 11,711 | $22,019.30 | $109.006,21 | $552,352.00 | $13,569.60 | $28.036,40 | $77,723.10 | $11,728.60 | $24.436,57 | $75,106.40 |
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.