Hospital Costs > Other Skin, Subcut Tiss & Breast Proc 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 |
| Mississippi | 1 | 13 | $54,287.40 | $54,287.40 | $54,287.40 | $12,553.50 | $12,553.50 | $12,553.50 | $11,862.80 | $11,862.80 | $11,862.80 |
| Alabama | 1 | 13 | $68,354.30 | $68,354.30 | $68,354.30 | $15,032.80 | $15,032.80 | $15,032.80 | $14,289.50 | $14,289.50 | $14,289.50 |
| West Virginia | 1 | 17 | $31,381.20 | $31,381.20 | $31,381.20 | $16,085.30 | $16,085.30 | $16,085.30 | $14,406.80 | $14,406.80 | $14,406.80 |
| Kentucky | 2 | 23 | $30,536.20 | $43,023.40 | $56,645.80 | $15,939.80 | $16,168.50 | $16,418.00 | $14,597.60 | $14,603.65 | $14,609.20 |
| Indiana | 1 | 17 | $41,460.80 | $41,460.80 | $41,460.80 | $16,637.10 | $16,637.10 | $16,637.10 | $15,355.40 | $15,355.40 | $15,355.40 |
| Tennessee | 4 | 64 | $44,257.70 | $49,979.81 | $62,981.20 | $13,580.90 | $15,228.13 | $16,639.30 | $13,009.80 | $14,112.96 | $14,998.90 |
| Texas | 5 | 70 | $55,197.40 | $67,617.61 | $73,626.20 | $14,688.00 | $15,680.67 | $17,046.60 | $11,844.90 | $13,546.60 | $15,845.80 |
| Michigan | 1 | 11 | $38,899.90 | $38,899.90 | $38,899.90 | $17,219.00 | $17,219.00 | $17,219.00 | $15,802.70 | $15,802.70 | $15,802.70 |
| Virginia | 2 | 23 | $141,785.00 | $158,347.17 | $176,415.00 | $16,783.80 | $17,433.21 | $18,028.50 | $15,056.20 | $15,432.78 | $15,843.60 |
| South Carolina | 1 | 13 | $75,607.60 | $75,607.60 | $75,607.60 | $18,104.70 | $18,104.70 | $18,104.70 | $16,200.80 | $16,200.80 | $16,200.80 |
| Florida | 3 | 48 | $58,192.20 | $93,670.15 | $137,620.00 | $16,009.20 | $16,755.63 | $18,107.50 | $14,228.50 | $15,491.45 | $17,575.50 |
| Wisconsin | 1 | 16 | $80,290.40 | $80,290.40 | $80,290.40 | $18,427.30 | $18,427.30 | $18,427.30 | $15,916.60 | $15,916.60 | $15,916.60 |
| Pennsylvania | 1 | 15 | $114,710.00 | $114,710.00 | $114,710.00 | $19,043.10 | $19,043.10 | $19,043.10 | $16,584.30 | $16,584.30 | $16,584.30 |
| New Jersey | 1 | 12 | $125,194.00 | $125,194.00 | $125,194.00 | $19,349.60 | $19,349.60 | $19,349.60 | $14,555.40 | $14,555.40 | $14,555.40 |
| California | 3 | 39 | $41,329.70 | $74,659.99 | $141,189.00 | $15,655.30 | $19,154.40 | $21,215.10 | $15,102.70 | $18,590.74 | $20,761.10 |
| Ohio | 1 | 17 | $69,130.00 | $69,130.00 | $69,130.00 | $21,607.40 | $21,607.40 | $21,607.40 | $16,999.20 | $16,999.20 | $16,999.20 |
| Illinois | 4 | 51 | $43,755.80 | $53,614.51 | $58,758.40 | $14,093.50 | $18,499.71 | $21,896.10 | $13,456.30 | $15,961.13 | $17,227.30 |
| Missouri | 2 | 25 | $37,208.50 | $47,142.84 | $54,948.40 | $13,283.50 | $18,748.76 | $23,042.90 | $12,951.80 | $14,816.66 | $16,281.90 |
| Colorado | 1 | 11 | $195,164.00 | $195,164.00 | $195,164.00 | $23,279.10 | $23,279.10 | $23,279.10 | $19,259.80 | $19,259.80 | $19,259.80 |
| Washington DC | 1 | 23 | $82,772.60 | $82,772.60 | $82,772.60 | $23,484.20 | $23,484.20 | $23,484.20 | $18,628.60 | $18,628.60 | $18,628.60 |
| Connecticut | 1 | 12 | $70,544.80 | $70,544.80 | $70,544.80 | $23,721.00 | $23,721.00 | $23,721.00 | $21,970.90 | $21,970.90 | $21,970.90 |
| Delaware | 1 | 12 | $65,846.60 | $65,846.60 | $65,846.60 | $25,464.60 | $25,464.60 | $25,464.60 | $21,073.80 | $21,073.80 | $21,073.80 |
| Iowa | 1 | 12 | $70,381.00 | $70,381.00 | $70,381.00 | $35,973.70 | $35,973.70 | $35,973.70 | $19,706.70 | $19,706.70 | $19,706.70 |
| New York | 4 | 67 | $55,053.40 | $97,506.22 | $135,552.00 | $22,762.80 | $31,935.52 | $43,858.90 | $20,674.10 | $25,741.40 | $35,511.70 | TOTAL US | 44 | 624 | $30,536.20 | $75.120,72 | $195,164.00 | $12,553.50 | $19.689,19 | $43,858.90 | $11,844.90 | $16.844,32 | $35,511.70 |
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.