Hospital Costs > Other Respiratory System Diagnoses 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 |
| Arkansas | 1 | 12 | $20,776.90 | $20,776.90 | $20,776.90 | $8,468.00 | $8,468.00 | $8,468.00 | $7,542.67 | $7,542.67 | $7,542.67 |
| Delaware | 1 | 19 | $21,589.80 | $21,589.80 | $21,589.80 | $10,825.60 | $10,825.60 | $10,825.60 | $9,540.47 | $9,540.47 | $9,540.47 |
| Iowa | 1 | 17 | $23,500.30 | $23,500.30 | $23,500.30 | $12,874.60 | $12,874.60 | $12,874.60 | $10,387.50 | $10,387.50 | $10,387.50 |
| Oklahoma | 1 | 13 | $24,202.10 | $24,202.10 | $24,202.10 | $8,768.92 | $8,768.92 | $8,768.92 | $8,125.85 | $8,125.85 | $8,125.85 |
| Mississippi | 1 | 12 | $25,463.10 | $25,463.10 | $25,463.10 | $8,264.33 | $8,264.33 | $8,264.33 | $8,025.33 | $8,025.33 | $8,025.33 |
| Tennessee | 1 | 20 | $29,405.90 | $29,405.90 | $29,405.90 | $10,231.20 | $10,231.20 | $10,231.20 | $8,667.85 | $8,667.85 | $8,667.85 |
| Nebraska | 1 | 12 | $30,365.90 | $30,365.90 | $30,365.90 | $8,690.25 | $8,690.25 | $8,690.25 | $7,038.83 | $7,038.83 | $7,038.83 |
| Michigan | 4 | 87 | $20,484.00 | $31,044.70 | $43,958.40 | $9,858.45 | $13,147.47 | $17,108.40 | $8,418.10 | $10,290.98 | $12,080.90 |
| Missouri | 1 | 44 | $39,332.50 | $39,332.50 | $39,332.50 | $11,979.20 | $11,979.20 | $11,979.20 | $8,942.27 | $8,942.27 | $8,942.27 |
| Virginia | 2 | 43 | $28,661.20 | $40,144.73 | $44,092.20 | $10,327.10 | $13,496.96 | $14,586.60 | $7,669.45 | $8,809.19 | $9,200.97 |
| Wisconsin | 2 | 47 | $36,192.00 | $42,520.05 | $44,939.60 | $10,184.40 | $15,393.42 | $17,385.10 | $8,670.54 | $10,423.03 | $11,093.10 |
| Rhode Island | 1 | 15 | $43,381.30 | $43,381.30 | $43,381.30 | $13,801.80 | $13,801.80 | $13,801.80 | $11,973.70 | $11,973.70 | $11,973.70 |
| Georgia | 3 | 50 | $35,777.80 | $44,209.45 | $61,637.40 | $7,307.00 | $10,653.66 | $11,943.00 | $6,428.45 | $9,467.75 | $11,153.60 |
| Kentucky | 3 | 59 | $36,481.70 | $45,069.80 | $56,873.80 | $9,951.11 | $12,431.74 | $14,948.50 | $7,553.83 | $9,618.81 | $10,882.80 |
| Massachusetts | 5 | 79 | $13,669.30 | $45,148.72 | $78,413.90 | $10,012.80 | $15,549.57 | $20,609.60 | $8,520.71 | $12,906.00 | $16,230.30 |
| Illinois | 4 | 68 | $24,495.10 | $45,512.10 | $50,949.80 | $9,353.19 | $11,803.06 | $13,635.00 | $8,050.82 | $9,853.95 | $11,141.80 |
| Washington | 1 | 11 | $46,352.50 | $46,352.50 | $46,352.50 | $22,990.10 | $22,990.10 | $22,990.10 | $11,284.80 | $11,284.80 | $11,284.80 |
| North Carolina | 6 | 140 | $22,170.50 | $47,461.88 | $72,204.20 | $8,800.29 | $15,420.18 | $19,331.20 | $7,741.07 | $11,547.56 | $14,443.60 |
| Indiana | 2 | 41 | $37,182.10 | $49,449.99 | $55,145.80 | $8,033.62 | $13,921.05 | $16,654.50 | $6,286.54 | $9,756.19 | $11,367.10 |
| Ohio | 4 | 81 | $31,461.60 | $49,576.10 | $65,133.60 | $9,396.50 | $13,118.98 | $17,025.70 | $7,404.75 | $9,516.42 | $13,950.80 |
| Connecticut | 2 | 34 | $41,293.30 | $50,296.45 | $60,425.00 | $13,350.30 | $15,425.50 | $17,760.10 | $11,699.50 | $13,603.74 | $15,746.00 |
| Minnesota | 3 | 63 | $30,071.50 | $51,070.00 | $67,407.70 | $10,830.80 | $15,197.84 | $18,038.80 | $10,355.40 | $11,124.93 | $11,568.10 |
| Maryland | 3 | 60 | $18,683.30 | $53,125.03 | $84,357.60 | $17,221.50 | $49,271.70 | $78,239.30 | $16,699.30 | $43,617.22 | $67,670.70 |
| Florida | 5 | 108 | $21,580.60 | $58,942.61 | $92,328.60 | $8,138.17 | $12,577.02 | $14,891.20 | $5,900.17 | $9,077.00 | $11,148.60 |
| New Jersey | 4 | 46 | $45,759.20 | $60,245.02 | $75,289.00 | $9,664.45 | $11,320.00 | $14,531.50 | $8,876.17 | $10,001.03 | $11,800.10 |
| Louisiana | 1 | 13 | $64,364.90 | $64,364.90 | $64,364.90 | $16,119.90 | $16,119.90 | $16,119.90 | $11,889.60 | $11,889.60 | $11,889.60 |
| Alabama | 2 | 53 | $26,482.10 | $71,851.91 | $86,597.10 | $8,651.31 | $14,637.19 | $16,582.60 | $7,905.46 | $9,908.81 | $10,559.90 |
| Texas | 5 | 135 | $28,327.50 | $80,686.35 | $109,840.00 | $8,903.73 | $15,626.39 | $22,252.20 | $7,053.13 | $12,097.05 | $19,769.10 |
| New York | 2 | 62 | $40,923.70 | $81,550.96 | $90,313.70 | $16,558.50 | $26,993.10 | $29,243.70 | $14,097.50 | $14,722.83 | $14,857.70 |
| California | 8 | 129 | $33,728.30 | $103,339.57 | $228,337.00 | $11,079.70 | $18,917.83 | $28,960.10 | $10,001.80 | $15,848.30 | $25,805.10 |
| Colorado | 1 | 26 | $103,452.00 | $103,452.00 | $103,452.00 | $20,414.40 | $20,414.40 | $20,414.40 | $11,531.90 | $11,531.90 | $11,531.90 |
| Arizona | 1 | 29 | $105,151.00 | $105,151.00 | $105,151.00 | $18,427.00 | $18,427.00 | $18,427.00 | $12,088.00 | $12,088.00 | $12,088.00 |
| Pennsylvania | 5 | 145 | $56,986.10 | $118,010.08 | $150,872.00 | $9,985.50 | $16,574.06 | $18,969.00 | $7,165.58 | $10,804.93 | $14,992.40 | TOTAL US | 87 | 1,773 | $13,669.30 | $62.151,51 | $228,337.00 | $7,307.00 | $16.112,17 | $78,239.30 | $5,900.17 | $12.180,10 | $67,670.70 |
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.