Hospital Costs > Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/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 |
| Missouri | 1 | 21 | $10,925.20 | $10,925.20 | $10,925.20 | $4,133.95 | $4,133.95 | $4,133.95 | $3,100.81 | $3,100.81 | $3,100.81 |
| Illinois | 1 | 18 | $20,433.40 | $20,433.40 | $20,433.40 | $4,441.22 | $4,441.22 | $4,441.22 | $3,369.22 | $3,369.22 | $3,369.22 |
| Michigan | 1 | 13 | $10,309.30 | $10,309.30 | $10,309.30 | $4,713.38 | $4,713.38 | $4,713.38 | $4,028.46 | $4,028.46 | $4,028.46 |
| Florida | 3 | 40 | $26,455.90 | $28,168.11 | $32,107.90 | $4,328.45 | $4,902.48 | $5,357.56 | $3,251.73 | $3,691.87 | $4,074.36 |
| New Jersey | 1 | 14 | $26,853.30 | $26,853.30 | $26,853.30 | $6,062.07 | $6,062.07 | $6,062.07 | $4,877.14 | $4,877.14 | $4,877.14 |
| Wisconsin | 1 | 12 | $19,802.10 | $19,802.10 | $19,802.10 | $8,782.67 | $8,782.67 | $8,782.67 | $5,918.67 | $5,918.67 | $5,918.67 |
| Massachusetts | 1 | 11 | $32,819.20 | $32,819.20 | $32,819.20 | $8,495.36 | $8,495.36 | $8,495.36 | $6,639.36 | $6,639.36 | $6,639.36 |
| New York | 2 | 23 | $32,828.30 | $37,904.14 | $42,557.00 | $8,613.91 | $9,549.75 | $10,407.60 | $7,646.00 | $7,928.09 | $8,186.67 | TOTAL US | 11 | 152 | $10,309.30 | $24.370,75 | $42,557.00 | $4,133.95 | $6.101,86 | $10,407.60 | $3,100.81 | $4.740,07 | $8,186.67 |
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.