Hospital Costs > Pathological Fractures & Musculoskelet & Conn Tiss Malig 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 |
| Arkansas | 1 | 12 | $31,332.20 | $31,332.20 | $31,332.20 | $5,790.42 | $5,790.42 | $5,790.42 | $4,777.08 | $4,777.08 | $4,777.08 |
| Alabama | 2 | 29 | $20,417.00 | $23,656.79 | $27,128.00 | $6,228.36 | $6,290.76 | $6,349.00 | $5,197.50 | $5,415.72 | $5,619.40 |
| West Virginia | 1 | 16 | $23,145.60 | $23,145.60 | $23,145.60 | $8,092.44 | $8,092.44 | $8,092.44 | $6,089.31 | $6,089.31 | $6,089.31 |
| Louisiana | 1 | 11 | $23,863.00 | $23,863.00 | $23,863.00 | $7,297.27 | $7,297.27 | $7,297.27 | $6,097.18 | $6,097.18 | $6,097.18 |
| Montana | 1 | 13 | $25,114.60 | $25,114.60 | $25,114.60 | $7,392.85 | $7,392.85 | $7,392.85 | $6,505.15 | $6,505.15 | $6,505.15 |
| North Dakota | 1 | 16 | $28,667.60 | $28,667.60 | $28,667.60 | $7,775.25 | $7,775.25 | $7,775.25 | $6,847.31 | $6,847.31 | $6,847.31 |
| Oklahoma | 2 | 28 | $20,297.70 | $23,715.79 | $28,998.30 | $7,352.94 | $7,464.86 | $7,637.82 | $6,251.53 | $6,494.43 | $6,869.82 |
| Kansas | 2 | 29 | $15,383.20 | $28,432.89 | $36,407.70 | $6,637.55 | $7,637.52 | $8,248.61 | $5,427.36 | $6,466.52 | $7,101.56 |
| Ohio | 11 | 161 | $12,349.60 | $26,680.00 | $47,212.70 | $5,582.09 | $7,510.09 | $10,938.00 | $4,626.82 | $5,634.41 | $7,111.55 |
| Texas | 9 | 146 | $27,928.30 | $44,239.82 | $68,666.10 | $6,794.71 | $8,640.96 | $11,472.00 | $5,311.07 | $6,463.13 | $7,134.82 |
| Oregon | 1 | 21 | $18,302.90 | $18,302.90 | $18,302.90 | $8,184.62 | $8,184.62 | $8,184.62 | $7,203.81 | $7,203.81 | $7,203.81 |
| Maine | 1 | 20 | $19,159.80 | $19,159.80 | $19,159.80 | $8,674.15 | $8,674.15 | $8,674.15 | $7,261.50 | $7,261.50 | $7,261.50 |
| Kentucky | 4 | 64 | $18,001.90 | $26,650.22 | $31,707.90 | $8,012.91 | $9,784.95 | $13,343.70 | $5,155.17 | $6,667.84 | $7,284.91 |
| Georgia | 3 | 46 | $21,816.60 | $32,055.62 | $41,625.00 | $7,457.10 | $8,015.96 | $8,939.92 | $6,631.14 | $6,936.61 | $7,293.77 |
| Missouri | 6 | 125 | $12,886.70 | $21,901.96 | $30,070.10 | $5,562.95 | $7,381.67 | $10,413.70 | $4,569.93 | $5,922.03 | $7,422.58 |
| Nebraska | 4 | 46 | $17,099.30 | $22,325.45 | $26,627.20 | $6,356.42 | $7,466.76 | $9,235.18 | $5,309.25 | $5,999.33 | $7,472.73 |
| Delaware | 1 | 28 | $24,417.70 | $24,417.70 | $24,417.70 | $9,449.61 | $9,449.61 | $9,449.61 | $7,580.18 | $7,580.18 | $7,580.18 |
| New Mexico | 1 | 12 | $26,041.40 | $26,041.40 | $26,041.40 | $8,764.58 | $8,764.58 | $8,764.58 | $7,583.08 | $7,583.08 | $7,583.08 |
| Washington | 7 | 94 | $17,410.40 | $25,754.61 | $40,617.20 | $6,296.57 | $7,741.82 | $8,888.15 | $5,258.86 | $6,643.77 | $7,780.46 |
| Colorado | 2 | 25 | $37,327.80 | $46,259.13 | $53,276.60 | $8,584.14 | $8,782.32 | $9,034.55 | $7,329.07 | $7,611.40 | $7,970.73 |
| Wisconsin | 5 | 99 | $20,356.50 | $27,747.06 | $47,084.80 | $7,873.85 | $9,601.39 | $13,001.80 | $6,825.26 | $7,366.28 | $8,135.96 |
| South Carolina | 4 | 61 | $29,789.60 | $36,228.85 | $44,547.10 | $6,066.65 | $8,998.18 | $12,750.80 | $5,142.41 | $6,595.64 | $8,294.36 |
| Florida | 19 | 363 | $19,214.80 | $41,222.70 | $58,663.90 | $5,741.83 | $7,560.79 | $11,060.20 | $4,479.00 | $6,065.91 | $8,612.00 |
| Michigan | 12 | 239 | $15,672.70 | $24,457.99 | $38,582.10 | $7,013.34 | $9,298.54 | $18,684.50 | $5,874.64 | $7,008.70 | $8,821.81 |
| Tennessee | 4 | 81 | $25,218.00 | $31,349.37 | $39,451.00 | $5,787.48 | $7,669.53 | $10,011.40 | $4,840.00 | $6,750.33 | $9,132.82 |
| Rhode Island | 1 | 19 | $29,637.50 | $29,637.50 | $29,637.50 | $10,755.20 | $10,755.20 | $10,755.20 | $9,202.26 | $9,202.26 | $9,202.26 |
| New Hampshire | 2 | 25 | $15,031.00 | $22,344.54 | $28,090.90 | $9,754.55 | $10,509.68 | $11,103.00 | $5,823.64 | $7,733.12 | $9,233.43 |
| Utah | 1 | 17 | $22,242.80 | $22,242.80 | $22,242.80 | $11,392.70 | $11,392.70 | $11,392.70 | $9,475.47 | $9,475.47 | $9,475.47 |
| North Carolina | 11 | 193 | $20,679.80 | $29,617.22 | $41,480.60 | $6,505.19 | $9,639.81 | $12,486.60 | $5,240.94 | $7,368.54 | $9,539.25 |
| Indiana | 5 | 75 | $20,562.90 | $27,325.56 | $33,496.40 | $6,002.77 | $7,944.90 | $11,624.90 | $5,109.85 | $6,790.60 | $9,694.33 |
| Pennsylvania | 15 | 239 | $14,550.90 | $41,763.53 | $58,147.80 | $5,490.91 | $8,792.87 | $13,309.30 | $4,821.45 | $6,691.58 | $9,717.15 |
| Hawaii | 1 | 15 | $25,883.10 | $25,883.10 | $25,883.10 | $11,877.30 | $11,877.30 | $11,877.30 | $9,877.27 | $9,877.27 | $9,877.27 |
| Arizona | 5 | 64 | $24,186.70 | $36,626.85 | $71,628.60 | $6,448.00 | $8,581.95 | $12,071.70 | $5,518.25 | $6,723.08 | $9,926.08 |
| Iowa | 2 | 40 | $31,020.90 | $35,062.06 | $39,528.60 | $8,249.68 | $10,549.45 | $12,630.20 | $6,100.32 | $8,118.88 | $9,945.19 |
| New Jersey | 19 | 374 | $27,697.80 | $61,362.28 | $116,045.00 | $6,729.06 | $8,905.87 | $11,613.60 | $5,722.59 | $7,434.26 | $10,015.60 |
| Virginia | 6 | 133 | $13,832.40 | $29,115.65 | $66,875.90 | $6,987.39 | $8,594.04 | $15,756.30 | $5,511.67 | $6,527.92 | $10,427.20 |
| Mississippi | 4 | 48 | $29,664.80 | $37,226.37 | $45,773.40 | $6,584.82 | $9,005.01 | $13,684.20 | $5,712.09 | $7,589.75 | $10,465.50 |
| Illinois | 22 | 463 | $24,061.90 | $35,913.07 | $63,416.20 | $6,038.27 | $8,211.72 | $13,578.00 | $5,065.35 | $6,733.97 | $10,688.40 |
| Connecticut | 7 | 133 | $18,051.70 | $37,358.64 | $54,657.10 | $8,310.94 | $10,521.54 | $12,518.80 | $7,224.00 | $8,981.94 | $10,784.50 |
| Vermont | 2 | 24 | $14,108.70 | $24,664.70 | $33,596.70 | $10,361.70 | $11,886.55 | $13,176.80 | $9,163.18 | $10,186.02 | $11,051.50 |
| Washington DC | 2 | 29 | $27,798.50 | $51,964.46 | $71,599.30 | $10,198.10 | $14,919.42 | $18,755.50 | $8,423.46 | $10,253.94 | $11,741.20 |
| Minnesota | 11 | 175 | $11,389.40 | $23,125.97 | $33,013.70 | $6,804.73 | $9,298.15 | $15,101.20 | $6,057.93 | $7,902.88 | $12,317.00 |
| Massachusetts | 16 | 318 | $8,826.93 | $24,148.43 | $53,565.60 | $7,426.21 | $10,742.17 | $14,381.30 | $6,564.50 | $9,088.13 | $12,497.80 |
| New York | 32 | 536 | $13,275.00 | $48,982.21 | $89,482.40 | $6,778.09 | $12,033.25 | $18,061.20 | $5,647.09 | $9,551.18 | $14,118.80 |
| California | 21 | 314 | $35,170.00 | $66,517.59 | $116,313.00 | $7,267.36 | $11,348.07 | $17,447.10 | $6,266.23 | $9,477.97 | $14,565.60 |
| Maryland | 9 | 129 | $8,116.27 | $12,977.62 | $20,356.80 | $7,602.73 | $12,012.15 | $18,767.90 | $6,712.18 | $11,003.47 | $18,011.90 | TOTAL US | 299 | 5,148 | $8,116.27 | $37.207,04 | $116,313.00 | $5,490.91 | $9.400,50 | $18,767.90 | $4,479.00 | $7.603,62 | $18,011.90 |
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.