Hospital Costs > Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Montana | 3 | 73 | $61,825.10 | $70,674.37 | $88,471.80 | $18,767.90 | $19,844.20 | $23,218.30 | $17,708.90 | $18,047.98 | $18,608.30 |
| Arkansas | 18 | 469 | $34,318.00 | $90,996.89 | $170,796.00 | $16,196.10 | $18,615.43 | $23,195.60 | $13,307.90 | $17,100.20 | $21,441.40 |
| Georgia | 27 | 868 | $64,172.80 | $92,407.25 | $144,838.00 | $17,492.30 | $20,991.22 | $28,528.10 | $13,706.50 | $18,233.63 | $21,910.70 |
| Alabama | 19 | 588 | $49,710.30 | $99,363.51 | $199,401.00 | $15,552.90 | $18,619.32 | $25,114.90 | $13,487.20 | $16,513.55 | $22,081.70 |
| Maine | 3 | 167 | $73,777.70 | $75,627.53 | $77,445.80 | $19,871.80 | $24,082.07 | $24,626.10 | $18,444.10 | $21,483.00 | $22,185.00 |
| Washington DC | 1 | 97 | $100,637.00 | $100,637.00 | $100,637.00 | $28,608.20 | $28,608.20 | $28,608.20 | $22,632.80 | $22,632.80 | $22,632.80 |
| North Dakota | 6 | 208 | $48,242.90 | $72,404.74 | $78,812.20 | $19,378.00 | $21,247.87 | $23,847.80 | $18,216.30 | $20,070.13 | $22,792.70 |
| Nebraska | 6 | 93 | $36,902.50 | $72,503.64 | $92,812.30 | $17,269.50 | $21,620.74 | $26,469.40 | $16,336.50 | $19,775.15 | $23,009.40 |
| Tennessee | 23 | 989 | $48,646.30 | $104,536.06 | $203,702.00 | $17,018.50 | $20,117.35 | $25,164.00 | $12,945.10 | $17,888.71 | $23,158.00 |
| Oklahoma | 13 | 447 | $69,026.80 | $96,460.36 | $165,257.00 | $17,380.00 | $19,959.43 | $30,132.90 | $14,861.90 | $17,278.14 | $23,476.20 |
| South Dakota | 3 | 129 | $77,053.50 | $80,674.52 | $82,530.40 | $18,638.90 | $21,410.56 | $24,805.70 | $17,684.80 | $20,005.34 | $23,748.10 |
| Louisiana | 20 | 433 | $59,005.40 | $117,656.86 | $252,942.00 | $16,773.90 | $20,829.41 | $31,467.20 | $15,462.10 | $18,187.16 | $23,872.50 |
| South Carolina | 15 | 463 | $65,324.40 | $107,571.58 | $158,910.00 | $17,783.30 | $21,754.25 | $29,956.20 | $14,503.50 | $17,904.95 | $24,006.50 |
| Wisconsin | 19 | 546 | $44,216.60 | $81,143.97 | $118,857.00 | $18,220.50 | $23,900.99 | $30,340.40 | $14,774.50 | $19,961.93 | $24,517.50 |
| New Hampshire | 5 | 135 | $71,190.40 | $86,143.57 | $123,792.00 | $19,903.50 | $27,179.00 | $31,385.60 | $18,882.00 | $23,029.76 | $24,687.60 |
| West Virginia | 10 | 292 | $33,703.80 | $69,119.80 | $81,556.00 | $16,345.90 | $20,942.55 | $27,400.20 | $14,586.30 | $18,395.38 | $24,790.80 |
| Mississippi | 15 | 372 | $57,588.10 | $102,906.45 | $219,367.00 | $17,271.40 | $20,626.45 | $27,595.70 | $14,314.00 | $18,089.34 | $24,956.80 |
| Indiana | 32 | 800 | $50,719.40 | $97,760.52 | $141,779.00 | $17,126.40 | $21,642.94 | $28,065.20 | $14,505.40 | $19,141.47 | $25,524.30 |
| Vermont | 1 | 86 | $67,656.50 | $67,656.50 | $67,656.50 | $28,154.20 | $28,154.20 | $28,154.20 | $25,600.30 | $25,600.30 | $25,600.30 |
| Idaho | 7 | 118 | $66,058.40 | $87,536.55 | $134,736.00 | $18,598.90 | $23,503.49 | $26,751.50 | $17,171.70 | $21,039.35 | $25,721.90 |
| Kansas | 11 | 279 | $34,402.20 | $112,408.92 | $148,268.00 | $17,318.90 | $21,046.48 | $26,835.60 | $12,970.30 | $19,507.67 | $25,826.90 |
| Missouri | 30 | 849 | $63,697.60 | $90,110.79 | $194,262.00 | $17,108.70 | $21,617.14 | $26,889.30 | $15,904.90 | $19,148.85 | $26,018.20 |
| Virginia | 26 | 740 | $51,489.50 | $106,737.57 | $185,675.00 | $18,025.40 | $23,760.92 | $34,104.00 | $16,185.00 | $20,472.45 | $26,045.40 |
| Iowa | 14 | 345 | $51,842.50 | $81,708.66 | $95,647.20 | $18,517.30 | $21,125.19 | $27,355.10 | $13,196.80 | $18,818.37 | $26,089.50 |
| Nevada | 10 | 215 | $106,526.00 | $171,607.60 | $264,249.00 | $20,669.50 | $24,679.90 | $30,035.10 | $18,172.30 | $21,830.01 | $26,583.20 |
| Utah | 6 | 184 | $57,611.50 | $75,600.91 | $122,048.00 | $23,090.50 | $25,042.48 | $29,384.70 | $14,791.10 | $20,484.31 | $26,795.10 |
| Ohio | 43 | 1,150 | $47,450.70 | $90,685.74 | $160,305.00 | $17,206.20 | $22,423.10 | $31,210.00 | $14,978.70 | $19,400.38 | $26,809.00 |
| Hawaii | 3 | 69 | $96,679.30 | $98,093.15 | $99,460.80 | $24,660.20 | $27,692.65 | $31,377.30 | $22,779.90 | $24,889.34 | $27,170.50 |
| Wyoming | 2 | 43 | $82,246.30 | $94,187.70 | $99,362.30 | $22,701.60 | $24,306.40 | $28,009.80 | $21,899.40 | $23,494.41 | $27,175.20 |
| New Mexico | 5 | 157 | $70,152.40 | $101,486.30 | $123,859.00 | $18,948.20 | $22,733.51 | $35,624.90 | $17,998.90 | $20,169.22 | $27,512.50 |
| North Carolina | 20 | 989 | $55,841.90 | $93,773.81 | $136,258.00 | $18,018.40 | $22,923.37 | $32,094.10 | $16,375.20 | $19,862.70 | $27,815.70 |
| Delaware | 4 | 134 | $57,848.10 | $85,177.99 | $99,578.00 | $22,498.00 | $26,783.02 | $29,935.20 | $18,438.10 | $23,816.67 | $28,088.10 |
| Rhode Island | 3 | 135 | $118,247.00 | $131,811.17 | $147,194.00 | $23,899.90 | $28,637.64 | $31,925.10 | $21,081.70 | $26,156.02 | $28,508.20 |
| Illinois | 51 | 1,196 | $68,397.00 | $112,724.25 | $227,219.00 | $17,951.50 | $23,863.49 | $31,605.40 | $14,404.80 | $20,284.01 | $28,833.20 |
| Kentucky | 22 | 594 | $48,638.10 | $92,028.73 | $141,610.00 | $17,363.90 | $21,642.32 | $30,496.30 | $16,365.90 | $19,638.83 | $29,236.80 |
| Pennsylvania | 42 | 1,063 | $44,456.90 | $135,275.29 | $297,769.00 | $17,178.60 | $23,831.74 | $37,730.70 | $15,223.10 | $20,227.86 | $29,925.60 |
| Colorado | 13 | 235 | $84,444.60 | $128,967.41 | $187,836.00 | $19,016.20 | $23,728.48 | $32,099.00 | $16,447.90 | $20,887.57 | $29,950.90 |
| Florida | 80 | 2,322 | $63,573.20 | $133,576.77 | $224,117.00 | $16,474.40 | $20,357.53 | $35,837.20 | $14,170.40 | $18,394.28 | $30,685.70 |
| Michigan | 31 | 1,167 | $51,041.90 | $79,523.21 | $126,398.00 | $18,281.40 | $23,880.88 | $34,778.90 | $17,195.70 | $21,656.29 | $30,931.80 |
| Oregon | 10 | 175 | $54,127.00 | $74,683.92 | $98,403.50 | $22,010.30 | $25,649.26 | $39,440.90 | $17,737.80 | $22,287.46 | $31,241.20 |
| New Jersey | 26 | 975 | $86,694.60 | $152,049.05 | $349,262.00 | $19,401.30 | $25,702.82 | $34,367.20 | $18,338.90 | $23,543.56 | $31,246.60 |
| Alaska | 2 | 65 | $149,951.00 | $152,006.69 | $158,859.00 | $32,856.10 | $35,722.48 | $45,277.10 | $22,622.50 | $29,741.27 | $31,876.90 |
| Minnesota | 15 | 770 | $56,200.70 | $90,715.87 | $138,421.00 | $20,332.60 | $25,469.12 | $38,357.40 | $18,835.80 | $21,795.88 | $32,500.10 |
| Arizona | 27 | 554 | $77,167.00 | $120,134.26 | $316,517.00 | $18,549.70 | $23,759.05 | $34,617.70 | $15,927.30 | $20,622.44 | $33,570.20 |
| Washington | 20 | 464 | $72,695.40 | $108,320.79 | $176,807.00 | $21,906.10 | $25,999.62 | $40,689.90 | $19,631.80 | $22,829.67 | $33,733.80 |
| Massachusetts | 19 | 545 | $43,242.90 | $73,959.12 | $123,685.00 | $23,826.20 | $30,270.76 | $36,376.40 | $19,410.10 | $27,185.04 | $34,244.60 |
| New York | 37 | 1,511 | $45,215.30 | $105,917.26 | $185,435.00 | $20,013.90 | $30,735.80 | $41,794.70 | $17,646.00 | $26,652.07 | $34,975.30 |
| Connecticut | 10 | 260 | $86,702.10 | $110,412.82 | $139,228.00 | $25,690.60 | $30,934.90 | $39,554.60 | $23,764.90 | $28,218.10 | $37,440.90 |
| Texas | 83 | 1,999 | $60,256.30 | $128,106.27 | $234,567.00 | $17,320.20 | $22,545.11 | $46,110.90 | $12,915.20 | $19,374.68 | $38,484.90 |
| Maryland | 14 | 382 | $27,083.90 | $33,638.39 | $48,891.00 | $24,967.20 | $31,115.14 | $45,191.90 | $23,447.20 | $28,881.56 | $43,038.50 |
| California | 96 | 2,283 | $81,993.20 | $192,627.81 | $399,734.00 | $21,613.90 | $29,748.80 | $52,163.70 | $18,972.90 | $27,503.26 | $44,321.40 | TOTAL US | 1,021 | 29,222 | $27,083.90 | $112.179,28 | $399,734.00 | $15,552.90 | $23.876,40 | $52,163.70 | $12,915.20 | $21.086,86 | $44,321.40 |
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.