Hospital Costs > Other Resp System O.R. Procedures 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 | 1 | 11 | $21,618.50 | $21,618.50 | $21,618.50 | $9,629.55 | $9,629.55 | $9,629.55 | $7,079.00 | $7,079.00 | $7,079.00 |
| Michigan | 1 | 13 | $31,943.20 | $31,943.20 | $31,943.20 | $8,517.00 | $8,517.00 | $8,517.00 | $7,420.69 | $7,420.69 | $7,420.69 |
| Ohio | 1 | 12 | $34,288.20 | $34,288.20 | $34,288.20 | $9,887.00 | $9,887.00 | $9,887.00 | $7,636.08 | $7,636.08 | $7,636.08 |
| North Carolina | 1 | 11 | $35,992.50 | $35,992.50 | $35,992.50 | $12,361.50 | $12,361.50 | $12,361.50 | $10,371.30 | $10,371.30 | $10,371.30 |
| Alabama | 1 | 22 | $42,186.30 | $42,186.30 | $42,186.30 | $10,022.60 | $10,022.60 | $10,022.60 | $8,915.23 | $8,915.23 | $8,915.23 |
| Texas | 1 | 11 | $45,868.40 | $45,868.40 | $45,868.40 | $10,965.20 | $10,965.20 | $10,965.20 | $7,874.91 | $7,874.91 | $7,874.91 |
| New York | 1 | 11 | $54,802.80 | $54,802.80 | $54,802.80 | $16,207.00 | $16,207.00 | $16,207.00 | $11,842.80 | $11,842.80 | $11,842.80 |
| Florida | 2 | 29 | $38,592.30 | $48,594.92 | $55,655.60 | $10,583.00 | $12,767.50 | $14,309.50 | $6,501.00 | $6,658.07 | $6,768.94 |
| Connecticut | 1 | 11 | $58,394.90 | $58,394.90 | $58,394.90 | $13,456.50 | $13,456.50 | $13,456.50 | $11,736.90 | $11,736.90 | $11,736.90 |
| Massachusetts | 2 | 30 | $49,803.90 | $54,661.77 | $58,912.40 | $12,940.60 | $13,611.21 | $14,198.00 | $10,184.60 | $10,798.36 | $11,499.80 |
| California | 1 | 13 | $115,809.00 | $115,809.00 | $115,809.00 | $14,711.50 | $14,711.50 | $14,711.50 | $9,987.77 | $9,987.77 | $9,987.77 | TOTAL US | 13 | 174 | $21,618.50 | $49.959,14 | $115,809.00 | $8,517.00 | $12.117,95 | $16,207.00 | $6,501.00 | $9.017,63 | $11,842.80 |
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.