Hospital Costs > Other Skin, Subcut Tiss & Breast Proc 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 |
| Oklahoma | 1 | 11 | $18,146.10 | $18,146.10 | $18,146.10 | $9,750.09 | $9,750.09 | $9,750.09 | $6,097.27 | $6,097.27 | $6,097.27 |
| Mississippi | 1 | 12 | $29,857.70 | $29,857.70 | $29,857.70 | $7,908.42 | $7,908.42 | $7,908.42 | $6,881.75 | $6,881.75 | $6,881.75 |
| Louisiana | 1 | 16 | $41,036.80 | $41,036.80 | $41,036.80 | $9,115.62 | $9,115.62 | $9,115.62 | $7,944.00 | $7,944.00 | $7,944.00 |
| Montana | 1 | 11 | $19,166.00 | $19,166.00 | $19,166.00 | $9,875.91 | $9,875.91 | $9,875.91 | $8,082.18 | $8,082.18 | $8,082.18 |
| Arkansas | 1 | 11 | $35,727.60 | $35,727.60 | $35,727.60 | $9,146.73 | $9,146.73 | $9,146.73 | $8,098.55 | $8,098.55 | $8,098.55 |
| West Virginia | 2 | 28 | $27,173.50 | $27,522.04 | $28,060.70 | $9,880.91 | $9,979.75 | $10,043.70 | $6,837.82 | $7,621.22 | $8,128.12 |
| South Carolina | 2 | 23 | $45,173.80 | $47,661.71 | $50,375.80 | $10,812.50 | $12,260.80 | $13,588.40 | $7,484.09 | $7,872.31 | $8,228.17 |
| Nebraska | 1 | 15 | $40,416.70 | $40,416.70 | $40,416.70 | $11,093.60 | $11,093.60 | $11,093.60 | $8,236.87 | $8,236.87 | $8,236.87 |
| Tennessee | 3 | 34 | $23,590.20 | $31,062.08 | $40,187.20 | $9,518.45 | $10,093.07 | $11,028.20 | $7,224.18 | $7,829.26 | $8,660.08 |
| Delaware | 1 | 22 | $23,443.00 | $23,443.00 | $23,443.00 | $11,739.60 | $11,739.60 | $11,739.60 | $8,899.09 | $8,899.09 | $8,899.09 |
| Ohio | 1 | 17 | $51,692.50 | $51,692.50 | $51,692.50 | $12,903.50 | $12,903.50 | $12,903.50 | $8,913.12 | $8,913.12 | $8,913.12 |
| South Dakota | 1 | 17 | $50,331.30 | $50,331.30 | $50,331.30 | $10,253.20 | $10,253.20 | $10,253.20 | $9,093.29 | $9,093.29 | $9,093.29 |
| Kentucky | 3 | 45 | $29,069.60 | $32,523.58 | $36,869.80 | $9,141.71 | $10,452.20 | $11,145.10 | $6,736.36 | $8,377.62 | $9,184.29 |
| Illinois | 6 | 81 | $33,357.10 | $43,510.90 | $63,292.50 | $8,593.08 | $10,848.52 | $11,927.10 | $7,671.93 | $8,701.76 | $9,601.82 |
| Texas | 6 | 97 | $50,965.60 | $57,634.32 | $76,707.00 | $9,013.47 | $11,450.76 | $18,042.90 | $7,746.27 | $8,460.48 | $9,793.60 |
| Washington | 1 | 12 | $31,410.90 | $31,410.90 | $31,410.90 | $10,817.50 | $10,817.50 | $10,817.50 | $9,852.67 | $9,852.67 | $9,852.67 |
| Virginia | 2 | 25 | $58,638.30 | $91,510.69 | $117,339.00 | $11,702.10 | $15,296.90 | $19,872.10 | $7,464.07 | $8,564.72 | $9,965.55 |
| New Jersey | 5 | 67 | $48,747.20 | $77,193.12 | $99,843.80 | $8,083.73 | $10,058.16 | $11,842.80 | $6,984.09 | $8,746.41 | $10,457.50 |
| North Carolina | 4 | 52 | $29,116.60 | $32,835.88 | $42,694.10 | $9,648.36 | $12,070.23 | $15,236.00 | $7,837.06 | $9,241.93 | $10,764.80 |
| Georgia | 1 | 12 | $48,085.00 | $48,085.00 | $48,085.00 | $14,792.70 | $14,792.70 | $14,792.70 | $10,935.50 | $10,935.50 | $10,935.50 |
| Alabama | 4 | 62 | $31,279.70 | $47,719.03 | $71,873.50 | $8,414.92 | $10,206.70 | $12,156.20 | $7,614.92 | $8,923.51 | $11,126.90 |
| Arizona | 4 | 52 | $38,987.00 | $48,337.52 | $56,551.40 | $10,477.90 | $13,791.87 | $23,406.50 | $7,434.18 | $9,007.79 | $11,206.50 |
| Wisconsin | 1 | 12 | $41,519.90 | $41,519.90 | $41,519.90 | $15,211.80 | $15,211.80 | $15,211.80 | $11,545.30 | $11,545.30 | $11,545.30 |
| Florida | 6 | 102 | $37,844.50 | $58,942.19 | $102,213.00 | $9,353.57 | $11,963.53 | $16,373.40 | $5,278.83 | $8,715.57 | $11,637.70 |
| Minnesota | 3 | 60 | $39,682.70 | $40,407.27 | $41,862.50 | $13,134.70 | $14,190.87 | $14,948.50 | $8,884.14 | $11,028.49 | $11,771.90 |
| Iowa | 2 | 23 | $32,631.70 | $41,737.02 | $51,670.10 | $10,173.40 | $15,607.78 | $21,536.20 | $8,322.00 | $10,089.46 | $12,017.60 |
| Connecticut | 1 | 19 | $60,269.50 | $60,269.50 | $60,269.50 | $15,508.30 | $15,508.30 | $15,508.30 | $12,209.20 | $12,209.20 | $12,209.20 |
| Indiana | 2 | 22 | $38,694.00 | $52,939.85 | $67,185.70 | $8,879.45 | $12,053.93 | $15,228.40 | $6,947.82 | $9,806.76 | $12,665.70 |
| Massachusetts | 4 | 61 | $20,905.80 | $49,652.39 | $88,636.20 | $13,587.10 | $14,881.38 | $15,777.90 | $12,476.10 | $13,240.91 | $13,955.20 |
| New York | 8 | 114 | $37,300.80 | $54,169.73 | $73,414.80 | $9,324.73 | $15,020.40 | $18,579.00 | $7,981.75 | $11,877.84 | $14,000.30 |
| Washington DC | 2 | 42 | $43,905.10 | $65,840.05 | $87,775.00 | $13,705.10 | $16,789.50 | $19,873.90 | $10,071.10 | $12,173.55 | $14,276.00 |
| Pennsylvania | 6 | 77 | $27,559.40 | $98,868.52 | $207,540.00 | $8,202.46 | $14,508.06 | $22,351.20 | $5,747.27 | $10,098.99 | $14,904.20 |
| Michigan | 6 | 85 | $32,399.70 | $41,333.16 | $62,541.30 | $10,699.50 | $13,889.80 | $17,985.80 | $7,629.18 | $10,792.50 | $14,961.40 |
| California | 5 | 74 | $55,555.00 | $116,898.39 | $169,577.00 | $14,276.90 | $17,672.53 | $23,761.20 | $12,078.50 | $14,139.24 | $16,780.90 |
| Maryland | 5 | 66 | $11,117.80 | $16,068.63 | $29,709.60 | $10,262.20 | $14,871.79 | $27,381.50 | $9,248.00 | $13,613.94 | $26,731.60 | TOTAL US | 103 | 1,479 | $11,117.80 | $53.266,09 | $207,540.00 | $7,908.42 | $12.959,22 | $27,381.50 | $5,278.83 | $10.058,86 | $26,731.60 |
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.