Hospital Costs > Perc Cardiovasc Proc W Drug-Eluting Stent 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 |
Texas | 130 | 5,306 | $40,980.80 | $88,772.45 | $185,817.00 | $11,252.20 | $14,331.49 | $30,306.40 | $8,056.78 | $11,153.84 | $27,860.50 |
California | 124 | 5,257 | $47,866.40 | $124,789.02 | $279,335.00 | $13,935.30 | $18,671.09 | $41,467.70 | $11,330.60 | $15,787.53 | $39,364.50 |
Florida | 111 | 7,008 | $47,647.20 | $95,291.93 | $168,735.00 | $10,909.90 | $13,273.04 | $24,910.70 | $9,050.58 | $10,845.20 | $21,246.40 |
Illinois | 82 | 3,616 | $43,709.30 | $81,441.26 | $216,833.00 | $11,514.00 | $15,918.69 | $29,748.70 | $7,483.40 | $11,801.32 | $19,860.60 |
Pennsylvania | 68 | 3,553 | $21,381.00 | $90,218.87 | $264,369.00 | $10,834.00 | $15,124.67 | $25,477.80 | $7,474.50 | $11,986.71 | $20,331.20 |
Ohio | 63 | 3,550 | $39,781.30 | $65,021.46 | $122,036.00 | $11,281.40 | $14,310.60 | $19,697.50 | $8,515.53 | $11,316.36 | $17,164.20 |
New York | 53 | 4,758 | $22,688.80 | $66,907.05 | $132,855.00 | $11,950.10 | $19,749.20 | $29,633.90 | $9,495.14 | $15,919.41 | $27,804.90 |
Georgia | 47 | 2,324 | $46,668.20 | $67,768.94 | $121,517.00 | $11,243.60 | $13,434.10 | $18,882.40 | $9,260.56 | $10,982.48 | $15,907.10 |
Indiana | 43 | 2,432 | $33,883.30 | $71,990.43 | $107,068.00 | $11,185.40 | $14,011.05 | $20,227.80 | $8,698.36 | $11,191.16 | $17,677.30 |
Missouri | 43 | 2,258 | $43,109.00 | $65,623.71 | $146,552.00 | $11,154.30 | $13,272.28 | $19,618.10 | $9,218.61 | $10,959.91 | $16,080.70 |
Arizona | 38 | 1,664 | $47,798.90 | $89,170.90 | $211,382.00 | $11,698.30 | $15,129.40 | $24,014.20 | $9,620.54 | $12,294.84 | $19,379.80 |
Tennessee | 37 | 2,658 | $39,384.60 | $75,855.02 | $145,168.00 | $10,369.00 | $13,115.54 | $19,551.00 | $8,054.47 | $10,282.45 | $13,982.80 |
New Jersey | 37 | 2,556 | $68,949.90 | $101,451.57 | $221,482.00 | $11,698.70 | $16,326.45 | $22,490.80 | $9,391.83 | $13,838.62 | $18,886.00 |
Michigan | 36 | 3,422 | $33,158.90 | $57,509.20 | $101,032.00 | $11,751.00 | $15,234.56 | $24,022.00 | $9,695.12 | $12,775.09 | $17,514.20 |
Virginia | 36 | 2,089 | $37,398.00 | $74,112.16 | $128,990.00 | $10,953.20 | $14,768.46 | $19,810.30 | $8,581.72 | $11,462.54 | $16,198.90 |
Louisiana | 36 | 1,505 | $43,342.60 | $81,918.75 | $153,381.00 | $10,379.40 | $13,648.27 | $26,212.50 | $8,327.83 | $10,648.44 | $23,621.70 |
Wisconsin | 33 | 1,472 | $28,451.10 | $60,340.56 | $94,185.50 | $11,953.00 | $15,188.30 | $20,169.50 | $8,999.67 | $11,774.03 | $14,584.60 |
North Carolina | 30 | 2,852 | $38,029.60 | $67,068.18 | $94,560.90 | $11,349.50 | $14,534.68 | $18,958.10 | $9,073.47 | $11,787.97 | $16,000.80 |
Washington | 29 | 1,386 | $49,934.70 | $79,173.82 | $118,758.00 | $12,942.00 | $16,322.82 | $22,621.60 | $10,687.50 | $12,562.78 | $18,648.80 |
Colorado | 28 | 990 | $52,810.20 | $90,524.55 | $160,509.00 | $12,319.60 | $14,954.41 | $20,211.30 | $8,685.81 | $11,791.79 | $17,041.10 |
Alabama | 27 | 1,778 | $35,333.80 | $78,786.94 | $167,926.00 | $9,585.91 | $11,549.78 | $14,288.90 | $8,159.09 | $9,856.64 | $11,768.70 |
Kentucky | 25 | 1,708 | $34,121.50 | $66,784.44 | $97,859.80 | $10,997.30 | $13,612.74 | $17,365.80 | $8,379.23 | $11,356.87 | $14,617.80 |
Massachusetts | 24 | 1,531 | $32,089.20 | $50,576.19 | $86,343.30 | $15,176.60 | $19,363.02 | $24,106.70 | $12,179.90 | $16,529.14 | $22,052.40 |
Arkansas | 23 | 1,496 | $25,357.70 | $67,800.53 | $144,169.00 | $10,647.10 | $12,062.38 | $17,585.30 | $9,028.81 | $10,081.02 | $13,870.50 |
Iowa | 23 | 1,127 | $42,483.70 | $58,810.29 | $95,182.90 | $11,087.20 | $12,935.39 | $19,812.00 | $9,310.63 | $10,929.32 | $16,023.20 |
Oklahoma | 23 | 1,278 | $40,126.20 | $77,610.14 | $204,111.00 | $10,667.00 | $13,139.02 | $19,736.90 | $8,379.99 | $10,692.26 | $17,813.90 |
Maryland | 21 | 1,225 | $15,902.20 | $20,344.11 | $31,762.00 | $14,740.80 | $18,872.88 | $29,278.20 | $12,143.70 | $16,981.80 | $28,322.20 |
South Carolina | 19 | 1,532 | $46,099.60 | $80,927.51 | $155,834.00 | $11,630.70 | $14,009.52 | $18,006.30 | $9,249.98 | $11,006.21 | $15,359.70 |
Minnesota | 19 | 1,882 | $40,520.30 | $62,104.40 | $74,760.30 | $12,664.60 | $15,923.19 | $22,124.10 | $10,813.40 | $12,890.28 | $17,528.90 |
Kansas | 18 | 851 | $31,993.40 | $79,258.30 | $113,253.00 | $11,080.10 | $14,239.60 | $18,317.00 | $8,041.60 | $11,273.45 | $15,964.20 |
Oregon | 18 | 652 | $32,765.70 | $51,722.67 | $75,513.40 | $13,164.70 | $15,857.60 | $20,383.40 | $10,708.10 | $13,247.60 | $17,808.90 |
Mississippi | 17 | 1,007 | $40,525.10 | $75,723.92 | $168,019.00 | $11,086.30 | $13,263.51 | $19,516.30 | $9,083.34 | $10,809.50 | $17,066.10 |
Nevada | 16 | 633 | $68,852.70 | $111,778.27 | $167,784.00 | $12,745.40 | $14,938.54 | $20,650.10 | $10,060.90 | $12,415.20 | $16,313.50 |
Nebraska | 13 | 488 | $26,386.00 | $61,036.12 | $105,473.00 | $11,335.70 | $14,280.32 | $19,228.70 | $9,424.82 | $11,689.98 | $15,012.40 |
West Virginia | 13 | 987 | $32,160.80 | $47,714.52 | $69,282.40 | $11,724.20 | $13,583.11 | $18,222.70 | $9,075.05 | $10,891.35 | $14,634.20 |
Connecticut | 11 | 705 | $52,973.40 | $70,861.35 | $91,608.90 | $16,793.70 | $19,611.33 | $23,983.20 | $13,053.60 | $16,115.32 | $20,536.40 |
Utah | 10 | 495 | $41,270.50 | $56,376.09 | $99,605.90 | $13,456.90 | $15,062.62 | $18,237.10 | $10,248.50 | $11,590.91 | $15,361.40 |
Montana | 8 | 340 | $29,630.00 | $53,492.02 | $70,218.00 | $12,538.50 | $13,961.99 | $15,428.40 | $9,709.54 | $11,178.33 | $14,226.10 |
Idaho | 8 | 378 | $39,020.70 | $59,521.99 | $85,719.40 | $12,822.30 | $14,795.43 | $17,148.10 | $10,634.10 | $12,042.24 | $15,897.20 |
New Hampshire | 8 | 459 | $51,860.00 | $67,157.76 | $100,075.00 | $13,884.20 | $16,417.08 | $19,477.80 | $11,208.40 | $13,604.66 | $16,505.00 |
New Mexico | 8 | 394 | $47,527.20 | $69,720.70 | $87,187.70 | $12,405.00 | $15,410.64 | $22,270.90 | $10,736.20 | $12,464.74 | $19,833.40 |
North Dakota | 6 | 478 | $45,352.40 | $50,770.99 | $57,062.10 | $12,912.30 | $13,625.55 | $14,324.40 | $10,522.90 | $11,376.35 | $12,197.40 |
South Dakota | 5 | 386 | $37,422.50 | $56,318.87 | $60,338.10 | $11,638.00 | $13,678.08 | $15,764.00 | $10,260.50 | $11,881.55 | $14,595.30 |
Delaware | 5 | 432 | $47,241.10 | $65,135.93 | $80,732.40 | $13,676.90 | $17,381.00 | $19,929.50 | $11,058.10 | $13,405.10 | $14,664.80 |
Hawaii | 4 | 133 | $53,444.80 | $65,033.47 | $76,179.80 | $16,547.30 | $19,423.58 | $26,349.50 | $10,637.90 | $15,050.34 | $23,787.30 |
Maine | 4 | 471 | $48,795.00 | $53,851.87 | $69,884.20 | $14,463.90 | $26,168.83 | $296,776.00 | $11,850.70 | $12,356.88 | $13,106.10 |
Rhode Island | 3 | 226 | $81,894.60 | $88,895.43 | $96,654.40 | $15,930.30 | $18,070.08 | $19,892.30 | $11,278.30 | $14,435.88 | $16,777.00 |
Alaska | 3 | 122 | $67,266.20 | $95,480.17 | $121,510.00 | $16,735.00 | $20,106.91 | $27,568.10 | $15,138.30 | $17,918.30 | $26,362.70 |
Wyoming | 3 | 142 | $57,974.00 | $60,379.42 | $63,540.90 | $16,694.30 | $17,588.17 | $20,762.40 | $10,529.60 | $13,916.23 | $19,548.70 |
Washington DC | 2 | 230 | $67,536.20 | $72,731.28 | $73,393.40 | $17,767.20 | $17,886.87 | $18,825.80 | $14,002.80 | $14,274.83 | $16,409.20 |
Vermont | 1 | 185 | $49,870.80 | $49,870.80 | $49,870.80 | $18,469.90 | $18,469.90 | $18,469.90 | $15,085.40 | $15,085.40 | $15,085.40 | TOTAL US | 1,492 | 84,407 | $15,902.20 | $77.530,04 | $279,335.00 | $9,585.91 | $15.213,46 | $296,776.00 | $7,474.50 | $12.275,30 | $39,364.50 |
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.