Hospital Costs > Pathological Fractures & Musculoskelet & Conn Tiss Malig 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 |
| Pennsylvania | 1 | 11 | $25,496.50 | $25,496.50 | $25,496.50 | $12,693.50 | $12,693.50 | $12,693.50 | $8,577.45 | $8,577.45 | $8,577.45 |
| Missouri | 3 | 51 | $21,299.30 | $39,771.06 | $63,640.00 | $9,967.16 | $11,909.40 | $16,788.60 | $9,015.58 | $10,495.61 | $13,965.30 |
| Virginia | 1 | 11 | $29,611.80 | $29,611.80 | $29,611.80 | $12,373.50 | $12,373.50 | $12,373.50 | $10,663.50 | $10,663.50 | $10,663.50 |
| Arizona | 1 | 15 | $38,132.60 | $38,132.60 | $38,132.60 | $15,133.50 | $15,133.50 | $15,133.50 | $10,875.30 | $10,875.30 | $10,875.30 |
| Ohio | 1 | 15 | $69,935.50 | $69,935.50 | $69,935.50 | $18,377.40 | $18,377.40 | $18,377.40 | $11,220.20 | $11,220.20 | $11,220.20 |
| Illinois | 6 | 85 | $41,779.00 | $51,500.37 | $65,362.90 | $10,015.90 | $14,505.65 | $19,354.00 | $9,269.19 | $11,555.12 | $15,869.60 |
| New Jersey | 1 | 18 | $63,735.20 | $63,735.20 | $63,735.20 | $14,664.40 | $14,664.40 | $14,664.40 | $11,725.40 | $11,725.40 | $11,725.40 |
| Wisconsin | 2 | 22 | $37,414.60 | $42,604.40 | $47,794.20 | $13,634.00 | $14,174.80 | $14,715.60 | $11,372.50 | $11,829.25 | $12,286.00 |
| Tennessee | 3 | 69 | $36,756.30 | $43,438.78 | $61,489.80 | $13,273.90 | $13,877.42 | $15,731.10 | $11,109.60 | $12,330.30 | $15,045.40 |
| Washington | 2 | 29 | $26,549.10 | $29,942.91 | $34,750.80 | $12,899.00 | $13,493.33 | $14,335.30 | $11,853.80 | $12,375.26 | $13,114.00 |
| North Carolina | 2 | 32 | $41,734.60 | $45,623.72 | $49,055.30 | $16,138.80 | $17,031.09 | $17,818.40 | $11,417.50 | $12,518.78 | $13,490.50 |
| Minnesota | 2 | 26 | $30,857.40 | $33,478.77 | $35,401.10 | $13,514.50 | $15,737.27 | $17,367.30 | $10,170.80 | $12,792.92 | $14,715.80 |
| Florida | 2 | 36 | $80,523.80 | $82,088.47 | $85,217.80 | $13,217.10 | $14,368.57 | $16,671.50 | $11,547.80 | $12,989.10 | $15,871.70 |
| California | 2 | 25 | $87,023.40 | $116,388.46 | $139,461.00 | $14,183.40 | $19,476.35 | $23,635.10 | $12,795.00 | $13,672.74 | $14,362.40 |
| Michigan | 3 | 65 | $29,043.00 | $41,788.38 | $62,617.90 | $13,725.30 | $18,800.42 | $27,986.20 | $12,129.60 | $14,520.05 | $17,723.90 |
| Texas | 1 | 14 | $113,418.00 | $113,418.00 | $113,418.00 | $18,845.40 | $18,845.40 | $18,845.40 | $14,882.60 | $14,882.60 | $14,882.60 |
| Massachusetts | 2 | 26 | $75,509.80 | $83,407.55 | $91,305.30 | $20,158.10 | $20,854.15 | $21,550.20 | $17,393.70 | $18,167.30 | $18,940.90 |
| New York | 4 | 68 | $105,127.00 | $120,041.40 | $155,893.00 | $19,861.80 | $26,118.90 | $29,601.20 | $17,266.60 | $20,593.66 | $24,910.30 |
| Connecticut | 2 | 32 | $61,420.50 | $96,398.95 | $114,721.00 | $18,329.90 | $25,869.16 | $29,818.30 | $15,662.00 | $21,036.03 | $23,851.00 | TOTAL US | 41 | 650 | $21,299.30 | $62.305,84 | $155,893.00 | $9,967.16 | $17.128,81 | $29,818.30 | $8,577.45 | $13.818,76 | $24,910.30 |
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.