Hospital Costs > Pulmonary Edema & Respiratory Failure - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Alabama | 46 | 2,287 | $5,516.27 | $36,127.54 | $129,025.00 | $5,981.04 | $7,387.15 | $11,284.50 | $4,846.80 | $6,179.93 | $9,061.88 |
| Tennessee | 57 | 3,559 | $11,612.00 | $29,916.75 | $59,810.10 | $5,702.92 | $7,585.81 | $10,688.30 | $4,424.50 | $6,382.37 | $9,810.76 |
| Arkansas | 31 | 1,688 | $12,245.20 | $26,065.31 | $65,556.50 | $6,322.00 | $7,424.52 | $11,515.40 | $5,443.28 | $6,414.79 | $9,733.15 |
| Kentucky | 52 | 3,129 | $13,141.90 | $26,376.96 | $52,256.50 | $6,362.79 | $7,955.04 | $14,907.60 | $4,869.28 | $6,662.59 | $10,756.10 |
| Louisiana | 36 | 1,561 | $11,860.00 | $31,630.87 | $75,748.10 | $6,565.86 | $8,092.84 | $15,265.30 | $5,632.98 | $6,740.79 | $12,217.40 |
| Virginia | 66 | 4,476 | $12,556.40 | $31,074.50 | $73,187.20 | $6,027.57 | $8,303.41 | $15,957.60 | $5,266.52 | $6,745.98 | $11,295.60 |
| West Virginia | 23 | 1,425 | $10,384.80 | $23,429.87 | $37,409.20 | $6,818.05 | $8,160.23 | $12,259.00 | $5,490.30 | $6,746.80 | $10,650.70 |
| North Dakota | 6 | 354 | $14,540.40 | $21,009.34 | $27,208.30 | $7,537.71 | $8,133.76 | $8,540.15 | $6,412.80 | $6,846.00 | $7,144.49 |
| North Carolina | 75 | 5,332 | $11,204.80 | $24,002.05 | $39,122.10 | $6,658.55 | $8,341.82 | $13,002.70 | $5,257.26 | $6,851.04 | $10,434.50 |
| Kansas | 24 | 1,803 | $15,773.20 | $37,310.11 | $96,322.70 | $6,236.75 | $8,093.01 | $15,383.80 | $5,185.08 | $6,856.99 | $8,603.47 |
| Mississippi | 36 | 1,588 | $12,508.10 | $33,437.52 | $73,214.90 | $6,343.24 | $7,855.63 | $14,290.10 | $5,559.38 | $6,882.63 | $11,802.10 |
| Iowa | 26 | 1,498 | $14,873.00 | $27,803.71 | $46,078.80 | $6,812.64 | $8,137.01 | $14,781.30 | $5,176.12 | $6,902.95 | $11,657.10 |
| South Carolina | 44 | 2,436 | $12,488.40 | $38,245.40 | $83,039.90 | $6,288.17 | $8,369.17 | $13,809.60 | $5,359.36 | $6,986.13 | $10,996.00 |
| Indiana | 63 | 3,802 | $12,614.10 | $27,399.48 | $56,608.70 | $6,645.50 | $8,161.93 | $13,307.10 | $5,504.39 | $7,031.22 | $12,145.10 |
| Ohio | 97 | 4,931 | $9,267.26 | $30,432.45 | $71,400.30 | $6,333.38 | $8,559.20 | $16,007.20 | $5,003.18 | $7,033.79 | $12,247.40 |
| Missouri | 54 | 4,192 | $12,042.40 | $31,876.95 | $61,880.50 | $6,273.11 | $9,713.29 | $22,507.80 | $5,369.89 | $7,042.80 | $12,860.40 |
| Florida | 144 | 6,132 | $15,375.00 | $47,043.94 | $96,938.10 | $6,087.00 | $8,236.44 | $22,826.60 | $4,894.96 | $7,075.97 | $17,612.60 |
| Pennsylvania | 105 | 4,115 | $9,227.40 | $41,558.98 | $158,518.00 | $6,243.37 | $8,898.18 | $18,718.90 | $4,862.09 | $7,131.64 | $12,589.40 |
| Nebraska | 15 | 802 | $21,925.20 | $35,666.40 | $52,118.40 | $7,248.21 | $8,619.55 | $12,125.40 | $6,065.66 | $7,186.96 | $8,535.39 |
| Montana | 9 | 435 | $11,682.00 | $23,067.05 | $41,760.80 | $6,948.23 | $8,208.32 | $11,613.30 | $6,030.82 | $7,186.98 | $10,534.50 |
| Texas | 161 | 6,838 | $15,801.40 | $45,561.80 | $107,234.00 | $6,478.23 | $8,628.49 | $21,873.90 | $5,395.56 | $7,227.04 | $18,709.40 |
| Georgia | 73 | 3,537 | $11,247.00 | $33,148.37 | $167,417.00 | $6,480.85 | $8,308.46 | $33,720.80 | $5,736.38 | $7,232.05 | $32,426.80 |
| Oklahoma | 40 | 1,494 | $7,325.45 | $33,531.23 | $80,518.20 | $6,445.43 | $8,509.29 | $14,527.30 | $5,272.62 | $7,260.06 | $11,131.50 |
| Wisconsin | 50 | 1,890 | $13,218.70 | $25,533.13 | $44,980.10 | $6,887.51 | $8,724.85 | $14,708.70 | $5,015.44 | $7,280.37 | $10,012.70 |
| Illinois | 98 | 4,403 | $14,091.50 | $37,075.29 | $68,892.80 | $6,245.76 | $8,680.37 | $18,515.10 | $5,550.24 | $7,289.96 | $13,524.30 |
| Maine | 15 | 619 | $14,097.90 | $21,635.47 | $39,034.80 | $6,950.05 | $8,688.53 | $11,314.50 | $6,166.05 | $7,462.87 | $10,305.20 |
| New Hampshire | 13 | 631 | $15,166.40 | $25,399.28 | $57,194.60 | $7,487.81 | $8,852.73 | $12,883.20 | $6,365.14 | $7,498.79 | $10,182.00 |
| Utah | 10 | 279 | $20,498.80 | $25,593.62 | $43,636.30 | $7,846.91 | $9,417.24 | $12,825.60 | $6,578.06 | $7,542.90 | $10,696.40 |
| South Dakota | 7 | 364 | $12,337.90 | $30,791.73 | $49,872.60 | $6,243.61 | $8,717.32 | $9,542.30 | $5,815.40 | $7,601.49 | $8,548.03 |
| Colorado | 36 | 1,675 | $15,364.20 | $42,028.57 | $89,424.00 | $6,748.44 | $9,087.53 | $16,917.10 | $5,758.17 | $7,634.66 | $15,246.90 |
| Idaho | 9 | 551 | $18,552.70 | $24,676.12 | $36,704.90 | $7,865.92 | $8,762.29 | $10,441.00 | $6,833.62 | $7,652.46 | $9,302.03 |
| Michigan | 77 | 5,060 | $7,715.76 | $23,542.38 | $60,871.40 | $6,933.00 | $8,994.40 | $16,946.00 | $5,166.96 | $7,658.29 | $14,472.50 |
| Nevada | 16 | 873 | $22,802.20 | $59,529.38 | $102,299.00 | $7,563.16 | $9,120.71 | $11,698.70 | $6,438.35 | $7,709.01 | $9,700.82 |
| Delaware | 5 | 515 | $16,562.50 | $24,407.80 | $32,072.10 | $7,813.30 | $9,045.91 | $10,053.20 | $6,897.38 | $7,774.15 | $9,048.46 |
| Washington | 41 | 2,939 | $14,935.30 | $33,646.88 | $63,833.10 | $7,637.49 | $9,355.01 | $15,275.30 | $6,575.73 | $7,955.43 | $12,318.40 |
| Arizona | 37 | 1,735 | $25,160.50 | $40,945.00 | $105,957.00 | $6,947.85 | $9,391.48 | $24,794.50 | $6,139.28 | $7,996.63 | $23,168.00 |
| New Jersey | 50 | 2,310 | $29,660.20 | $71,690.69 | $154,018.00 | $7,283.85 | $9,468.96 | $14,442.20 | $6,341.32 | $8,059.78 | $10,949.20 |
| New Mexico | 10 | 455 | $11,141.50 | $28,845.70 | $59,309.50 | $7,415.25 | $9,593.84 | $19,592.90 | $6,632.58 | $8,317.50 | $15,371.70 |
| Minnesota | 34 | 2,006 | $16,286.50 | $28,106.88 | $40,889.40 | $7,549.19 | $9,746.42 | $15,720.90 | $6,291.12 | $8,374.69 | $13,190.50 |
| Oregon | 24 | 961 | $15,019.80 | $29,088.25 | $47,319.70 | $7,788.59 | $9,707.09 | $14,714.70 | $6,993.00 | $8,522.80 | $12,559.70 |
| Wyoming | 4 | 247 | $21,776.80 | $26,052.77 | $32,669.50 | $8,020.48 | $9,754.78 | $14,471.10 | $6,868.63 | $8,591.91 | $13,596.40 |
| New York | 106 | 4,167 | $9,236.18 | $35,598.36 | $77,768.50 | $6,686.47 | $10,642.51 | $23,827.70 | $5,529.88 | $9,192.78 | $21,217.50 |
| Rhode Island | 9 | 337 | $17,115.20 | $39,073.52 | $52,894.10 | $7,918.38 | $10,687.06 | $13,123.30 | $6,404.94 | $9,199.09 | $11,227.20 |
| Massachusetts | 48 | 2,572 | $8,135.14 | $18,454.91 | $68,562.30 | $8,364.62 | $10,423.04 | $16,279.20 | $6,993.12 | $9,290.80 | $14,410.90 |
| Connecticut | 28 | 1,727 | $14,263.80 | $30,911.40 | $59,759.40 | $8,355.52 | $10,763.57 | $14,285.40 | $7,134.02 | $9,353.38 | $12,392.90 |
| Hawaii | 4 | 86 | $26,511.70 | $38,819.00 | $54,005.20 | $9,702.73 | $11,465.55 | $14,644.50 | $8,776.42 | $9,416.76 | $10,178.90 |
| Vermont | 5 | 289 | $16,007.00 | $22,619.60 | $27,288.30 | $7,955.83 | $10,792.39 | $12,429.90 | $7,227.39 | $9,549.60 | $11,822.00 |
| Washington DC | 5 | 148 | $28,915.80 | $37,772.19 | $48,301.50 | $9,968.85 | $12,069.75 | $18,531.00 | $9,064.67 | $9,920.82 | $13,648.00 |
| California | 181 | 6,607 | $19,802.30 | $70,506.57 | $151,589.00 | $7,979.31 | $11,402.00 | $29,490.20 | $6,798.54 | $10,237.64 | $26,544.30 |
| Alaska | 3 | 70 | $46,362.60 | $63,573.32 | $69,135.60 | $10,356.50 | $12,279.50 | $12,858.60 | $8,009.67 | $11,039.36 | $11,818.60 |
| Maryland | 41 | 3,225 | $9,842.02 | $20,249.75 | $77,427.60 | $9,189.34 | $18,703.84 | $71,496.50 | $8,018.68 | $17,172.97 | $62,984.50 | TOTAL US | 2,249 | 114,155 | $5,516.27 | $35.677,25 | $167,417.00 | $5,702.92 | $9.190,39 | $71,496.50 | $4,424.50 | $7.800,80 | $62,984.50 |
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.