Hospital Costs > Postoperative Or Post-Traumatic Infections W O.R. Proc 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 |
| Nebraska | 1 | 12 | $79,816.20 | $79,816.20 | $79,816.20 | $39,586.80 | $39,586.80 | $39,586.80 | $22,877.70 | $22,877.70 | $22,877.70 |
| Louisiana | 1 | 11 | $78,485.50 | $78,485.50 | $78,485.50 | $26,282.60 | $26,282.60 | $26,282.60 | $24,236.40 | $24,236.40 | $24,236.40 |
| Mississippi | 1 | 11 | $94,258.20 | $94,258.20 | $94,258.20 | $27,018.50 | $27,018.50 | $27,018.50 | $26,076.60 | $26,076.60 | $26,076.60 |
| Alabama | 2 | 40 | $109,785.00 | $136,994.20 | $177,808.00 | $28,628.50 | $29,012.58 | $29,588.70 | $27,272.60 | $27,601.34 | $27,820.50 |
| Maine | 1 | 14 | $53,643.90 | $53,643.90 | $53,643.90 | $30,285.70 | $30,285.70 | $30,285.70 | $28,286.30 | $28,286.30 | $28,286.30 |
| Arkansas | 3 | 41 | $66,126.90 | $76,420.51 | $91,537.20 | $24,078.60 | $28,479.99 | $35,351.30 | $23,022.60 | $25,516.08 | $28,585.60 |
| Kentucky | 2 | 39 | $104,688.00 | $114,023.38 | $127,443.00 | $29,725.10 | $31,005.84 | $32,846.90 | $27,163.00 | $27,890.43 | $28,936.10 |
| Colorado | 2 | 28 | $181,399.00 | $184,141.14 | $188,379.00 | $33,665.50 | $38,587.00 | $41,771.50 | $33,444.30 | $34,191.39 | $34,674.80 |
| Ohio | 3 | 56 | $110,814.00 | $128,015.20 | $136,643.00 | $32,145.50 | $36,743.18 | $39,660.30 | $30,342.10 | $32,690.10 | $35,401.00 |
| Washington DC | 1 | 20 | $142,029.00 | $142,029.00 | $142,029.00 | $53,746.00 | $53,746.00 | $53,746.00 | $35,705.10 | $35,705.10 | $35,705.10 |
| South Carolina | 3 | 39 | $110,411.00 | $123,200.15 | $149,668.00 | $32,879.80 | $37,750.37 | $43,430.60 | $30,835.10 | $33,125.77 | $35,777.70 |
| Arizona | 2 | 35 | $101,265.00 | $130,716.83 | $146,083.00 | $27,839.80 | $35,294.63 | $39,184.10 | $27,411.80 | $33,089.71 | $36,052.10 |
| Missouri | 2 | 34 | $91,994.70 | $109,391.02 | $117,711.00 | $25,286.80 | $34,108.65 | $38,327.80 | $25,065.70 | $32,598.06 | $36,200.50 |
| Florida | 4 | 86 | $114,330.00 | $210,833.19 | $316,715.00 | $29,964.90 | $44,100.35 | $54,127.70 | $27,050.00 | $34,569.03 | $36,219.90 |
| Georgia | 3 | 37 | $128,969.00 | $146,175.70 | $160,538.00 | $33,068.20 | $43,308.19 | $58,068.90 | $27,398.50 | $32,128.87 | $36,561.10 |
| Tennessee | 7 | 103 | $100,578.00 | $123,298.88 | $153,748.00 | $27,076.10 | $32,711.14 | $38,730.10 | $21,043.40 | $29,846.71 | $37,677.50 |
| Indiana | 3 | 36 | $58,925.90 | $105,289.63 | $144,454.00 | $22,726.20 | $31,080.40 | $41,939.90 | $22,454.80 | $29,118.50 | $37,698.40 |
| Kansas | 2 | 29 | $143,285.00 | $163,677.97 | $188,777.00 | $33,048.20 | $35,487.72 | $38,490.20 | $29,033.20 | $33,188.72 | $38,303.20 |
| New Jersey | 5 | 77 | $128,636.00 | $196,628.23 | $355,654.00 | $29,762.00 | $40,266.31 | $49,809.70 | $27,595.30 | $32,685.48 | $39,237.90 |
| Rhode Island | 1 | 14 | $108,861.00 | $108,861.00 | $108,861.00 | $42,462.10 | $42,462.10 | $42,462.10 | $39,366.60 | $39,366.60 | $39,366.60 |
| Wisconsin | 2 | 41 | $113,803.00 | $136,002.56 | $148,810.00 | $34,907.20 | $40,539.81 | $50,303.00 | $32,102.00 | $35,049.46 | $40,158.40 |
| Illinois | 5 | 67 | $100,001.00 | $133,876.13 | $159,113.00 | $29,139.20 | $37,707.02 | $49,095.20 | $26,927.60 | $34,482.49 | $42,424.50 |
| Maryland | 2 | 31 | $48,231.10 | $49,466.39 | $50,145.80 | $44,432.50 | $45,598.69 | $46,240.10 | $44,322.00 | $44,389.03 | $44,425.90 |
| Delaware | 1 | 14 | $115,149.00 | $115,149.00 | $115,149.00 | $48,221.40 | $48,221.40 | $48,221.40 | $45,118.90 | $45,118.90 | $45,118.90 |
| Texas | 7 | 132 | $74,455.60 | $115,398.58 | $183,984.00 | $22,301.80 | $30,529.09 | $55,227.40 | $20,664.00 | $26,900.13 | $47,514.60 |
| Michigan | 8 | 105 | $44,233.80 | $89,831.98 | $143,725.00 | $22,172.80 | $41,307.60 | $85,631.50 | $21,589.20 | $33,336.91 | $48,606.70 |
| New York | 6 | 100 | $129,976.00 | $174,057.52 | $204,348.00 | $38,770.90 | $49,306.03 | $59,507.70 | $31,257.90 | $41,793.94 | $49,905.50 |
| Connecticut | 1 | 25 | $163,266.00 | $163,266.00 | $163,266.00 | $53,790.80 | $53,790.80 | $53,790.80 | $51,075.30 | $51,075.30 | $51,075.30 |
| Massachusetts | 6 | 87 | $53,995.70 | $122,778.68 | $210,880.00 | $40,808.60 | $47,806.75 | $57,299.90 | $38,043.20 | $42,909.18 | $51,738.20 |
| North Carolina | 7 | 112 | $55,626.90 | $115,208.05 | $161,164.00 | $32,510.70 | $42,738.85 | $67,062.80 | $25,514.50 | $34,763.84 | $52,900.90 |
| Oregon | 1 | 13 | $129,094.00 | $129,094.00 | $129,094.00 | $58,284.40 | $58,284.40 | $58,284.40 | $52,922.90 | $52,922.90 | $52,922.90 |
| Minnesota | 2 | 45 | $67,271.10 | $124,519.03 | $147,776.00 | $36,646.80 | $57,864.08 | $66,483.60 | $36,037.50 | $53,177.27 | $60,140.30 |
| Pennsylvania | 5 | 79 | $138,129.00 | $254,403.82 | $413,653.00 | $27,564.70 | $46,664.25 | $75,416.30 | $25,013.20 | $35,894.30 | $60,156.20 |
| Virginia | 2 | 34 | $57,027.80 | $133,544.19 | $293,533.00 | $32,753.60 | $48,921.56 | $82,727.30 | $26,795.90 | $40,132.07 | $68,016.80 |
| California | 4 | 54 | $154,003.00 | $300,426.98 | $398,145.00 | $41,210.90 | $61,215.69 | $79,027.10 | $40,574.40 | $54,583.72 | $70,985.60 | TOTAL US | 108 | 1,701 | $44,233.80 | $142.237,95 | $413,653.00 | $22,172.80 | $40.912,96 | $85,631.50 | $20,664.00 | $35.246,80 | $70,985.60 |
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.