Hospital Costs > Other Respiratory System Diagnoses W/O 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 |
Maryland | 13 | 227 | $6,558.14 | $11,088.78 | $17,978.90 | $6,059.19 | $10,286.84 | $16,574.60 | $4,931.76 | $9,155.29 | $15,946.50 |
Michigan | 20 | 415 | $7,607.50 | $16,095.60 | $25,562.80 | $4,818.71 | $6,558.76 | $10,017.30 | $3,841.07 | $5,028.30 | $7,411.19 |
Massachusetts | 20 | 334 | $8,211.07 | $16,034.77 | $33,625.60 | $5,792.10 | $7,420.66 | $10,265.10 | $4,624.73 | $5,981.40 | $8,522.27 |
New York | 22 | 479 | $9,805.67 | $30,878.97 | $44,300.80 | $5,390.00 | $9,735.51 | $18,656.00 | $3,810.62 | $7,590.28 | $17,279.40 |
Oklahoma | 2 | 32 | $10,080.50 | $12,988.74 | $17,835.80 | $5,474.75 | $5,510.91 | $5,571.17 | $3,202.25 | $3,280.81 | $3,327.95 |
Pennsylvania | 26 | 500 | $10,674.40 | $37,905.76 | $71,974.80 | $4,131.50 | $7,122.44 | $13,064.90 | $2,855.25 | $4,921.62 | $10,210.60 |
Virginia | 12 | 199 | $10,899.60 | $23,024.39 | $35,114.30 | $4,382.55 | $6,397.23 | $9,627.50 | $3,276.18 | $4,649.30 | $6,549.79 |
Ohio | 9 | 141 | $11,615.60 | $24,654.88 | $36,561.30 | $5,526.00 | $6,908.26 | $8,878.58 | $4,008.75 | $5,026.58 | $6,324.65 |
North Carolina | 13 | 266 | $12,333.00 | $29,320.11 | $61,048.20 | $4,505.93 | $7,695.57 | $10,477.10 | $3,226.50 | $5,513.04 | $7,222.58 |
Kentucky | 5 | 71 | $13,060.90 | $22,977.41 | $31,171.70 | $4,594.00 | $6,792.03 | $9,645.72 | $4,026.55 | $5,162.25 | $6,090.11 |
Alabama | 4 | 77 | $13,271.00 | $24,306.95 | $45,556.10 | $4,674.91 | $5,598.78 | $7,577.71 | $3,950.74 | $4,591.48 | $5,983.94 |
Indiana | 8 | 152 | $13,388.20 | $24,756.49 | $29,375.10 | $4,562.75 | $6,629.00 | $9,022.07 | $3,097.89 | $5,045.91 | $6,774.09 |
Missouri | 5 | 121 | $13,430.20 | $28,191.25 | $40,459.80 | $4,134.93 | $6,911.40 | $9,204.43 | $2,925.79 | $4,699.98 | $6,378.57 |
Nebraska | 3 | 38 | $14,020.70 | $23,332.97 | $30,629.10 | $5,278.27 | $6,627.16 | $8,343.19 | $3,095.36 | $4,237.16 | $5,257.56 |
Mississippi | 5 | 67 | $14,157.80 | $19,183.41 | $27,758.50 | $4,484.08 | $6,035.79 | $12,030.20 | $3,387.53 | $4,735.33 | $9,339.45 |
Delaware | 1 | 44 | $14,554.50 | $14,554.50 | $14,554.50 | $7,607.45 | $7,607.45 | $7,607.45 | $4,785.66 | $4,785.66 | $4,785.66 |
Florida | 33 | 614 | $15,083.90 | $33,338.36 | $75,557.20 | $4,115.93 | $5,740.50 | $9,220.76 | $3,158.07 | $4,374.82 | $6,940.16 |
Maine | 1 | 17 | $15,209.50 | $15,209.50 | $15,209.50 | $5,638.94 | $5,638.94 | $5,638.94 | $4,789.59 | $4,789.59 | $4,789.59 |
Wisconsin | 4 | 73 | $15,659.90 | $24,366.61 | $26,641.00 | $6,001.09 | $8,483.27 | $10,569.10 | $4,412.54 | $5,143.52 | $5,918.96 |
California | 18 | 345 | $16,066.90 | $53,080.82 | $208,514.00 | $6,041.65 | $9,174.49 | $20,904.20 | $4,937.65 | $7,574.96 | $18,038.20 |
Utah | 3 | 43 | $16,156.90 | $17,678.94 | $19,132.40 | $5,421.55 | $6,441.37 | $7,176.35 | $3,907.25 | $4,395.09 | $4,973.92 |
Nevada | 2 | 27 | $16,360.00 | $30,515.45 | $51,105.20 | $5,593.38 | $6,017.74 | $6,635.00 | $3,878.36 | $4,221.48 | $4,457.38 |
Connecticut | 8 | 143 | $16,422.10 | $23,924.24 | $27,871.60 | $6,217.09 | $7,873.75 | $9,054.64 | $5,019.45 | $6,566.83 | $7,839.73 |
Georgia | 5 | 68 | $16,630.40 | $24,406.16 | $30,957.80 | $5,033.92 | $5,802.53 | $6,667.93 | $4,107.25 | $4,799.50 | $5,521.73 |
West Virginia | 2 | 27 | $18,604.70 | $20,271.37 | $21,819.00 | $6,227.36 | $7,251.63 | $8,354.69 | $4,824.86 | $5,640.08 | $6,518.00 |
South Carolina | 3 | 41 | $18,724.50 | $22,117.13 | $25,657.20 | $4,833.18 | $5,390.27 | $5,785.69 | $3,449.53 | $3,818.22 | $4,108.55 |
Tennessee | 7 | 101 | $18,755.40 | $22,891.71 | $33,336.20 | $4,106.00 | $5,729.49 | $7,576.67 | $3,050.00 | $4,814.40 | $6,846.00 |
Arkansas | 1 | 15 | $19,207.90 | $19,207.90 | $19,207.90 | $5,223.00 | $5,223.00 | $5,223.00 | $3,786.07 | $3,786.07 | $3,786.07 |
Texas | 17 | 260 | $19,533.30 | $44,950.12 | $108,527.00 | $4,591.20 | $8,681.84 | $20,727.60 | $3,439.47 | $6,136.89 | $13,923.50 |
Kansas | 6 | 82 | $20,288.80 | $29,247.85 | $54,119.00 | $4,844.87 | $7,897.62 | $16,771.90 | $3,386.91 | $4,126.50 | $4,853.64 |
Washington | 1 | 16 | $20,849.60 | $20,849.60 | $20,849.60 | $6,268.44 | $6,268.44 | $6,268.44 | $5,233.25 | $5,233.25 | $5,233.25 |
Iowa | 1 | 29 | $21,224.40 | $21,224.40 | $21,224.40 | $9,972.48 | $9,972.48 | $9,972.48 | $6,655.90 | $6,655.90 | $6,655.90 |
Minnesota | 4 | 67 | $21,243.10 | $21,835.48 | $22,326.20 | $5,916.62 | $7,839.10 | $8,965.12 | $4,859.00 | $6,238.13 | $7,306.12 |
Colorado | 5 | 90 | $21,506.50 | $34,484.16 | $43,071.90 | $5,149.27 | $7,183.84 | $9,802.19 | $3,805.13 | $5,292.82 | $7,222.22 |
Illinois | 12 | 194 | $21,832.40 | $26,902.74 | $41,456.00 | $4,494.47 | $6,539.25 | $9,242.63 | $3,525.93 | $4,861.87 | $6,850.00 |
Louisiana | 2 | 29 | $22,302.70 | $28,810.83 | $33,404.80 | $5,758.58 | $8,253.31 | $10,014.30 | $3,721.75 | $4,603.48 | $5,225.88 |
Rhode Island | 3 | 64 | $22,313.50 | $22,590.19 | $22,911.40 | $6,013.70 | $7,206.19 | $8,393.58 | $4,993.40 | $5,991.79 | $7,011.35 |
Washington DC | 1 | 17 | $23,468.10 | $23,468.10 | $23,468.10 | $7,766.41 | $7,766.41 | $7,766.41 | $5,948.18 | $5,948.18 | $5,948.18 |
Oregon | 1 | 14 | $25,322.60 | $25,322.60 | $25,322.60 | $10,555.90 | $10,555.90 | $10,555.90 | $8,775.50 | $8,775.50 | $8,775.50 |
New Jersey | 14 | 257 | $26,137.70 | $43,637.07 | $69,727.30 | $4,837.53 | $7,958.62 | $15,604.70 | $3,787.93 | $4,916.37 | $6,784.05 |
Arizona | 1 | 15 | $68,385.10 | $68,385.10 | $68,385.10 | $10,981.20 | $10,981.20 | $10,981.20 | $7,425.80 | $7,425.80 | $7,425.80 |
North Dakota | 0 | 0 | - | - | - | - | - | - | - | - | - |
South Dakota | 0 | 0 | - | - | - | - | - | - | - | - | - |
New Mexico | 0 | 0 | - | - | - | - | - | - | - | - | - |
New Hampshire | 0 | 0 | - | - | - | - | - | - | - | - | - |
Vermont | 0 | 0 | - | - | - | - | - | - | - | - | - |
Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - |
Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - |
Hawaii | 0 | 0 | - | - | - | - | - | - | - | - | - |
Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - |
Montana | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 323 | 5,811 | $6,558.14 | $29.202,10 | $208,514.00 | $4,106.00 | $7.458,73 | $20,904.20 | $2,855.25 | $5.601,46 | $18,038.20 |
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.