Hospital Costs > Otitis Media & Uri 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 |
| Mississippi | 3 | 38 | $7,462.64 | $11,578.64 | $16,102.10 | $3,915.19 | $4,048.61 | $4,227.82 | $2,783.19 | $2,939.56 | $3,136.91 |
| Kansas | 2 | 31 | $20,381.20 | $20,776.09 | $21,146.30 | $4,046.67 | $4,216.65 | $4,376.00 | $2,910.80 | $3,122.00 | $3,320.00 |
| Louisiana | 1 | 15 | $23,450.50 | $23,450.50 | $23,450.50 | $4,378.47 | $4,378.47 | $4,378.47 | $3,024.73 | $3,024.73 | $3,024.73 |
| Oklahoma | 2 | 24 | $11,113.30 | $13,303.53 | $15,156.80 | $3,989.69 | $4,233.75 | $4,522.18 | $2,411.91 | $2,698.00 | $2,940.08 |
| West Virginia | 1 | 16 | $18,600.80 | $18,600.80 | $18,600.80 | $5,141.81 | $5,141.81 | $5,141.81 | $3,572.38 | $3,572.38 | $3,572.38 |
| South Carolina | 3 | 47 | $13,971.10 | $19,681.90 | $28,179.70 | $4,298.15 | $4,740.06 | $5,155.43 | $3,087.08 | $3,273.41 | $3,473.95 |
| Maine | 2 | 23 | $10,763.20 | $12,533.39 | $14,464.50 | $4,819.91 | $5,194.52 | $5,537.92 | $3,547.55 | $3,852.48 | $4,132.00 |
| Georgia | 2 | 28 | $13,444.70 | $15,572.89 | $18,861.90 | $5,296.82 | $5,481.54 | $5,601.06 | $4,022.88 | $4,217.93 | $4,519.36 |
| Kentucky | 2 | 28 | $13,218.40 | $15,194.28 | $16,906.70 | $5,579.23 | $5,690.86 | $5,787.60 | $4,031.07 | $4,101.11 | $4,181.92 |
| Delaware | 1 | 29 | $12,000.40 | $12,000.40 | $12,000.40 | $5,842.90 | $5,842.90 | $5,842.90 | $3,973.10 | $3,973.10 | $3,973.10 |
| Nebraska | 1 | 12 | $22,368.80 | $22,368.80 | $22,368.80 | $5,959.42 | $5,959.42 | $5,959.42 | $4,908.75 | $4,908.75 | $4,908.75 |
| Missouri | 3 | 55 | $8,126.92 | $17,537.82 | $22,721.70 | $3,464.33 | $5,579.85 | $6,641.20 | $2,461.67 | $3,674.80 | $4,033.93 |
| Tennessee | 5 | 67 | $9,680.54 | $15,459.79 | $19,254.50 | $3,464.00 | $4,881.36 | $6,643.41 | $2,278.00 | $3,681.82 | $5,542.24 |
| Virginia | 3 | 42 | $11,159.50 | $16,385.28 | $20,992.80 | $4,848.00 | $6,205.40 | $6,775.29 | $2,941.64 | $3,525.59 | $4,258.64 |
| Wisconsin | 3 | 50 | $15,631.30 | $19,090.02 | $23,152.00 | $4,987.46 | $5,821.54 | $6,786.13 | $3,638.55 | $3,773.30 | $3,968.53 |
| Washington DC | 1 | 22 | $23,834.20 | $23,834.20 | $23,834.20 | $6,808.09 | $6,808.09 | $6,808.09 | $4,799.64 | $4,799.64 | $4,799.64 |
| Rhode Island | 3 | 71 | $16,852.10 | $19,257.00 | $19,950.30 | $4,982.14 | $5,893.14 | $7,226.26 | $3,441.68 | $4,378.13 | $5,712.39 |
| New Jersey | 17 | 300 | $19,329.80 | $41,993.13 | $57,888.50 | $4,198.67 | $5,627.41 | $7,374.64 | $3,018.77 | $3,940.44 | $5,969.45 |
| Ohio | 3 | 52 | $17,440.70 | $20,205.66 | $28,096.40 | $5,559.09 | $6,824.98 | $7,413.89 | $3,810.09 | $4,418.58 | $5,205.89 |
| Colorado | 1 | 17 | $23,140.50 | $23,140.50 | $23,140.50 | $7,499.53 | $7,499.53 | $7,499.53 | $5,711.35 | $5,711.35 | $5,711.35 |
| Indiana | 5 | 63 | $14,299.30 | $19,916.42 | $25,766.80 | $3,980.79 | $5,315.81 | $7,656.50 | $2,898.36 | $4,023.43 | $5,993.07 |
| Florida | 21 | 456 | $15,222.20 | $24,257.81 | $40,440.90 | $3,409.00 | $5,024.09 | $7,764.37 | $2,160.27 | $3,483.25 | $5,742.75 |
| Connecticut | 9 | 234 | $15,963.90 | $22,528.73 | $26,046.90 | $4,895.96 | $6,683.27 | $8,093.75 | $3,751.08 | $5,122.87 | $6,005.00 |
| Alabama | 6 | 86 | $8,388.23 | $27,974.18 | $63,574.10 | $3,956.12 | $5,035.88 | $8,107.31 | $2,964.12 | $3,391.50 | $3,733.19 |
| Arizona | 3 | 35 | $25,139.20 | $26,543.58 | $27,226.30 | $3,830.54 | $5,265.26 | $8,161.36 | $2,361.64 | $3,264.75 | $4,973.73 |
| North Carolina | 4 | 48 | $12,231.20 | $18,191.62 | $24,935.90 | $5,145.36 | $7,283.19 | $8,292.29 | $3,970.27 | $4,595.00 | $5,362.58 |
| Michigan | 10 | 154 | $8,431.42 | $15,308.60 | $22,194.10 | $4,130.45 | $6,024.08 | $9,014.27 | $2,994.64 | $4,318.64 | $6,376.83 |
| Texas | 13 | 228 | $16,595.50 | $24,876.42 | $33,869.30 | $4,474.18 | $5,886.40 | $9,312.59 | $2,603.06 | $3,585.89 | $6,167.15 |
| Minnesota | 5 | 83 | $9,271.42 | $17,018.58 | $23,022.60 | $4,778.75 | $7,142.01 | $9,533.71 | $3,212.42 | $4,726.77 | $7,787.64 |
| Massachusetts | 17 | 347 | $5,492.31 | $15,629.00 | $33,205.20 | $4,432.67 | $6,692.75 | $9,651.76 | $3,378.80 | $5,108.97 | $7,921.19 |
| Pennsylvania | 17 | 316 | $10,086.80 | $31,683.49 | $47,743.60 | $3,874.62 | $5,878.94 | $9,735.13 | $2,785.57 | $3,950.25 | $6,342.47 |
| Maryland | 8 | 121 | $5,363.40 | $7,733.10 | $10,533.70 | $5,082.64 | $7,187.40 | $9,737.44 | $3,476.27 | $6,080.16 | $8,724.00 |
| Illinois | 14 | 212 | $14,116.90 | $21,594.89 | $33,414.60 | $4,175.20 | $6,583.04 | $12,246.70 | $2,353.47 | $4,690.74 | $10,560.00 |
| New York | 28 | 686 | $10,312.30 | $26,663.31 | $43,196.80 | $4,237.18 | $7,955.37 | $15,278.20 | $3,225.09 | $6,159.33 | $12,658.10 |
| California | 5 | 81 | $27,803.60 | $66,000.27 | $147,200.00 | $5,350.36 | $9,988.91 | $17,536.80 | $4,007.09 | $7,009.79 | $14,154.70 | TOTAL US | 224 | 4,117 | $5,363.40 | $24.324,67 | $147,200.00 | $3,409.00 | $6.336,13 | $17,536.80 | $2,160.27 | $4.571,93 | $14,154.70 |
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.