Hospital Costs > Pulmonary Embolism 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 |
| Maryland | 33 | 1,007 | $5,681.08 | $10,156.55 | $16,261.30 | $5,350.85 | $9,424.08 | $15,016.50 | $3,941.92 | $8,262.27 | $14,189.20 |
| Massachusetts | 36 | 935 | $6,631.31 | $17,125.93 | $36,824.70 | $6,696.23 | $8,632.55 | $13,007.30 | $4,867.17 | $7,152.68 | $11,494.70 |
| Wisconsin | 29 | 561 | $7,213.36 | $21,251.22 | $30,564.00 | $5,351.27 | $7,150.91 | $9,899.17 | $3,719.13 | $5,694.61 | $7,476.69 |
| Ohio | 54 | 1,097 | $7,226.81 | $24,379.70 | $44,288.00 | $4,970.12 | $7,073.11 | $10,822.90 | $3,664.26 | $5,343.39 | $9,145.00 |
| New York | 58 | 1,237 | $8,394.82 | $32,785.55 | $65,380.30 | $5,828.91 | $9,275.66 | $21,544.70 | $4,652.32 | $7,383.09 | $19,414.80 |
| Minnesota | 22 | 509 | $8,473.41 | $18,726.47 | $27,073.20 | $5,803.79 | $7,564.95 | $10,765.90 | $4,660.00 | $5,861.11 | $7,644.53 |
| Arkansas | 17 | 323 | $8,788.48 | $20,815.70 | $42,492.50 | $5,107.81 | $5,828.72 | $6,658.94 | $4,006.00 | $4,832.46 | $5,392.22 |
| Michigan | 52 | 1,269 | $8,814.23 | $19,947.83 | $31,755.50 | $5,728.38 | $7,653.08 | $12,143.60 | $4,279.55 | $5,933.54 | $9,223.57 |
| Virginia | 38 | 961 | $9,833.04 | $22,330.32 | $55,167.30 | $5,334.55 | $6,983.66 | $11,884.70 | $3,707.32 | $5,237.98 | $8,154.64 |
| North Dakota | 6 | 106 | $10,439.40 | $16,101.21 | $23,921.70 | $5,996.50 | $7,483.04 | $9,799.85 | $4,809.29 | $5,346.09 | $5,631.82 |
| Alabama | 29 | 657 | $10,465.50 | $27,305.11 | $75,792.40 | $4,890.38 | $6,034.52 | $7,945.45 | $3,509.12 | $4,731.06 | $6,970.45 |
| Indiana | 35 | 730 | $10,592.70 | $24,724.66 | $45,208.30 | $5,338.64 | $6,680.44 | $10,533.20 | $4,145.64 | $5,388.12 | $7,591.81 |
| West Virginia | 12 | 252 | $11,122.70 | $19,515.95 | $29,948.40 | $5,664.93 | $7,305.50 | $10,204.30 | $4,115.00 | $5,396.72 | $7,275.81 |
| Pennsylvania | 63 | 1,426 | $11,155.10 | $34,686.58 | $83,146.50 | $4,949.31 | $7,530.13 | $15,060.90 | $3,426.56 | $5,533.02 | $11,269.20 |
| Tennessee | 28 | 700 | $11,256.50 | $23,773.03 | $49,330.20 | $4,279.33 | $6,537.79 | $11,692.90 | $3,575.33 | $5,146.27 | $7,681.27 |
| Iowa | 19 | 435 | $11,513.30 | $20,051.17 | $34,163.60 | $4,929.96 | $6,592.53 | $10,837.60 | $3,960.68 | $5,108.96 | $7,818.10 |
| Idaho | 7 | 153 | $11,699.30 | $18,571.69 | $23,015.20 | $6,428.00 | $7,270.62 | $8,286.72 | $4,623.43 | $5,783.31 | $7,263.49 |
| South Carolina | 26 | 623 | $11,777.20 | $29,205.65 | $45,823.50 | $5,018.55 | $7,214.84 | $10,433.50 | $3,872.25 | $5,426.75 | $8,053.21 |
| Oklahoma | 14 | 290 | $11,811.70 | $26,384.14 | $65,727.70 | $5,317.11 | $6,916.05 | $12,350.50 | $3,812.41 | $5,503.97 | $9,898.31 |
| North Carolina | 48 | 1,227 | $11,901.80 | $20,948.25 | $33,304.80 | $5,532.82 | $7,243.57 | $10,448.40 | $4,114.32 | $5,515.71 | $8,555.88 |
| Oregon | 13 | 223 | $12,293.20 | $19,648.75 | $27,890.30 | $6,104.44 | $7,362.70 | $11,097.80 | $4,752.33 | $6,078.21 | $9,174.00 |
| Utah | 10 | 291 | $12,373.20 | $17,595.21 | $22,090.70 | $5,843.16 | $7,137.94 | $10,737.30 | $4,760.21 | $5,545.64 | $8,452.50 |
| Florida | 80 | 2,003 | $12,605.20 | $35,563.92 | $74,695.80 | $4,829.75 | $6,614.97 | $16,391.80 | $3,493.62 | $5,238.84 | $11,863.10 |
| Missouri | 33 | 687 | $12,728.00 | $27,671.21 | $52,665.90 | $5,012.15 | $6,714.47 | $12,120.70 | $3,998.00 | $5,394.26 | $8,839.80 |
| Kentucky | 17 | 378 | $13,240.50 | $24,010.92 | $35,847.10 | $5,205.27 | $6,960.92 | $10,519.50 | $3,886.27 | $5,495.26 | $8,819.15 |
| New Mexico | 6 | 113 | $14,139.10 | $24,661.37 | $32,798.90 | $5,688.62 | $8,063.91 | $13,662.50 | $4,321.31 | $6,369.31 | $11,789.20 |
| Montana | 6 | 102 | $14,150.80 | $18,075.73 | $21,580.60 | $5,625.92 | $6,339.58 | $6,875.89 | $4,695.86 | $5,278.87 | $5,676.13 |
| Mississippi | 14 | 348 | $14,190.00 | $24,418.16 | $61,639.00 | $5,524.51 | $6,692.62 | $12,165.00 | $4,100.50 | $5,209.13 | $9,781.76 |
| Illinois | 64 | 1,563 | $14,385.50 | $30,345.14 | $52,597.50 | $4,939.86 | $7,321.78 | $15,193.80 | $3,694.06 | $5,520.42 | $13,253.20 |
| Washington | 26 | 535 | $14,685.50 | $27,173.79 | $42,646.10 | $5,727.07 | $7,744.92 | $9,835.71 | $4,760.73 | $5,939.06 | $7,462.55 |
| Connecticut | 18 | 380 | $14,756.40 | $28,211.77 | $35,954.10 | $6,782.09 | $9,228.93 | $11,481.70 | $6,011.18 | $7,307.71 | $9,136.42 |
| Colorado | 21 | 472 | $15,061.80 | $30,445.72 | $51,582.80 | $5,439.00 | $7,114.11 | $10,688.50 | $4,369.00 | $5,410.36 | $7,928.84 |
| Maine | 5 | 110 | $15,245.70 | $17,778.19 | $18,685.50 | $5,558.06 | $7,072.01 | $8,419.61 | $4,703.47 | $5,991.34 | $7,367.21 |
| Kansas | 12 | 257 | $15,445.40 | $26,015.21 | $33,026.20 | $5,347.60 | $6,520.25 | $7,486.21 | $4,005.20 | $5,260.93 | $6,602.00 |
| New Hampshire | 10 | 196 | $15,652.20 | $23,254.08 | $39,123.10 | $6,083.28 | $7,033.11 | $10,111.70 | $4,728.32 | $5,635.47 | $7,490.53 |
| Georgia | 41 | 874 | $16,151.40 | $26,364.47 | $42,112.00 | $5,441.25 | $6,931.69 | $11,539.90 | $4,363.46 | $5,629.33 | $10,449.80 |
| Nebraska | 12 | 250 | $16,311.60 | $23,472.71 | $33,043.20 | $5,608.81 | $7,192.44 | $10,994.40 | $4,105.19 | $5,189.94 | $7,425.78 |
| Wyoming | 2 | 42 | $16,539.10 | $19,950.49 | $22,768.60 | $6,226.11 | $7,633.24 | $8,795.65 | $5,333.47 | $6,487.24 | $7,440.35 |
| Louisiana | 17 | 336 | $17,608.70 | $27,382.73 | $43,977.40 | $5,646.23 | $6,654.68 | $9,387.75 | $4,262.88 | $5,111.30 | $6,216.92 |
| Arizona | 35 | 743 | $17,831.40 | $31,127.80 | $65,290.30 | $5,332.14 | $7,427.05 | $11,953.70 | $4,249.66 | $5,885.00 | $8,840.37 |
| Texas | 73 | 1,463 | $18,199.50 | $35,279.29 | $70,848.30 | $5,353.77 | $7,513.47 | $23,462.10 | $3,588.21 | $5,644.91 | $20,987.60 |
| Delaware | 3 | 158 | $18,281.70 | $20,058.36 | $23,626.10 | $6,572.20 | $7,434.88 | $7,921.14 | $4,552.22 | $5,814.49 | $6,450.71 |
| Washington DC | 5 | 135 | $18,445.40 | $31,638.52 | $48,459.60 | $5,906.29 | $9,677.40 | $13,345.40 | $4,879.50 | $7,235.49 | $8,699.19 |
| New Jersey | 36 | 933 | $18,479.10 | $58,204.15 | $122,408.00 | $5,633.67 | $7,805.94 | $16,238.10 | $4,491.09 | $6,194.60 | $8,990.94 |
| South Dakota | 3 | 84 | $19,455.70 | $21,454.04 | $23,267.30 | $7,082.26 | $7,300.77 | $7,694.19 | $6,129.80 | $6,308.48 | $6,757.48 |
| California | 78 | 1,353 | $20,952.50 | $53,478.82 | $165,846.00 | $6,510.83 | $9,201.00 | $15,484.10 | $5,088.45 | $7,385.90 | $12,871.20 |
| Rhode Island | 5 | 82 | $21,390.80 | $27,220.90 | $29,576.40 | $6,861.07 | $8,366.36 | $10,907.30 | $5,515.67 | $6,635.06 | $7,971.17 |
| Vermont | 2 | 47 | $21,819.80 | $21,883.53 | $22,019.50 | $8,021.87 | $8,860.02 | $9,252.91 | $6,974.40 | $7,483.57 | $7,722.25 |
| Nevada | 6 | 116 | $23,314.20 | $42,385.03 | $65,054.60 | $6,653.55 | $7,602.28 | $8,551.13 | $4,897.33 | $6,211.59 | $6,815.55 |
| Hawaii | 1 | 15 | $38,255.70 | $38,255.70 | $38,255.70 | $8,193.87 | $8,193.87 | $8,193.87 | $7,161.07 | $7,161.07 | $7,161.07 |
| Alaska | 1 | 12 | $48,746.90 | $48,746.90 | $48,746.90 | $9,970.00 | $9,970.00 | $9,970.00 | $9,168.00 | $9,168.00 | $9,168.00 | TOTAL US | 1,281 | 28,799 | $5,681.08 | $28.523,95 | $165,846.00 | $4,279.33 | $7.482,28 | $23,462.10 | $3,426.56 | $5.870,22 | $20,987.60 |
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.