Hospital Costs > Respiratory Infections & Inflammations W/O Cc/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 |
| Indiana | 1 | 12 | $20,723.90 | $20,723.90 | $20,723.90 | $5,477.67 | $5,477.67 | $5,477.67 | $4,795.83 | $4,795.83 | $4,795.83 |
| Arizona | 1 | 13 | $29,600.50 | $29,600.50 | $29,600.50 | $5,675.46 | $5,675.46 | $5,675.46 | $4,534.15 | $4,534.15 | $4,534.15 |
| Alabama | 3 | 39 | $10,979.00 | $22,137.51 | $29,755.30 | $5,279.21 | $5,686.13 | $6,018.71 | $4,175.45 | $4,543.31 | $4,873.57 |
| Oklahoma | 1 | 19 | $20,194.20 | $20,194.20 | $20,194.20 | $5,744.63 | $5,744.63 | $5,744.63 | $4,665.05 | $4,665.05 | $4,665.05 |
| South Carolina | 1 | 12 | $28,547.10 | $28,547.10 | $28,547.10 | $5,916.92 | $5,916.92 | $5,916.92 | $4,767.92 | $4,767.92 | $4,767.92 |
| Mississippi | 3 | 44 | $18,636.10 | $21,335.86 | $25,418.40 | $5,431.06 | $5,923.48 | $6,625.87 | $4,204.08 | $4,555.39 | $4,919.93 |
| Missouri | 5 | 71 | $11,140.50 | $20,334.83 | $39,513.10 | $5,102.31 | $5,964.77 | $6,472.58 | $4,346.31 | $5,131.24 | $5,619.25 |
| Iowa | 2 | 25 | $16,213.70 | $17,129.92 | $17,849.80 | $5,151.45 | $5,995.44 | $6,658.57 | $4,106.91 | $4,857.76 | $5,447.71 |
| West Virginia | 1 | 13 | $16,052.00 | $16,052.00 | $16,052.00 | $6,038.31 | $6,038.31 | $6,038.31 | $4,764.15 | $4,764.15 | $4,764.15 |
| Louisiana | 3 | 40 | $18,575.00 | $38,794.58 | $62,887.50 | $5,581.13 | $6,051.02 | $6,444.46 | $4,540.07 | $5,139.02 | $5,582.92 |
| Tennessee | 4 | 47 | $11,762.90 | $18,089.58 | $26,854.50 | $5,562.00 | $6,275.94 | $8,022.18 | $4,286.27 | $5,341.02 | $6,621.09 |
| Virginia | 2 | 22 | $14,137.60 | $28,607.35 | $43,077.10 | $6,262.09 | $6,343.50 | $6,424.91 | $5,310.27 | $5,369.36 | $5,428.45 |
| Florida | 16 | 289 | $20,739.00 | $34,967.01 | $65,591.30 | $5,071.53 | $6,436.58 | $12,224.10 | $4,105.13 | $5,330.02 | $8,974.33 |
| Washington | 1 | 13 | $16,990.80 | $16,990.80 | $16,990.80 | $6,460.38 | $6,460.38 | $6,460.38 | $4,654.77 | $4,654.77 | $4,654.77 |
| Texas | 12 | 173 | $17,664.00 | $34,959.60 | $55,406.10 | $5,889.00 | $6,508.94 | $8,033.44 | $4,859.38 | $5,328.53 | $5,807.94 |
| Illinois | 3 | 72 | $23,889.10 | $24,531.50 | $26,436.60 | $5,444.38 | $6,568.11 | $7,142.23 | $4,329.31 | $4,803.14 | $4,978.36 |
| Georgia | 1 | 13 | $19,145.30 | $19,145.30 | $19,145.30 | $6,707.15 | $6,707.15 | $6,707.15 | $6,054.85 | $6,054.85 | $6,054.85 |
| Kentucky | 2 | 37 | $24,024.20 | $25,096.52 | $27,076.20 | $5,500.54 | $6,833.86 | $7,556.08 | $4,877.62 | $5,566.38 | $5,939.46 |
| Delaware | 2 | 36 | $16,454.50 | $17,808.78 | $19,020.50 | $6,068.11 | $7,077.17 | $8,204.94 | $4,820.89 | $5,436.30 | $6,124.12 |
| Wisconsin | 4 | 48 | $13,759.50 | $18,467.08 | $22,501.80 | $5,861.64 | $7,430.29 | $11,060.50 | $4,999.93 | $5,408.75 | $5,891.73 |
| New Jersey | 7 | 104 | $27,773.80 | $45,799.35 | $64,568.20 | $5,944.71 | $7,452.89 | $8,365.82 | $5,252.14 | $6,001.79 | $7,113.08 |
| Ohio | 1 | 14 | $24,728.90 | $24,728.90 | $24,728.90 | $7,677.14 | $7,677.14 | $7,677.14 | $5,975.21 | $5,975.21 | $5,975.21 |
| North Carolina | 7 | 93 | $13,333.20 | $18,142.85 | $24,889.90 | $6,600.14 | $7,805.91 | $10,770.30 | $4,829.27 | $5,747.50 | $7,093.35 |
| California | 7 | 90 | $28,697.10 | $50,920.14 | $97,299.30 | $7,511.42 | $7,994.47 | $8,519.00 | $6,508.75 | $6,978.62 | $7,640.45 |
| Maryland | 9 | 135 | $5,952.92 | $8,929.36 | $15,462.20 | $5,507.92 | $8,294.82 | $14,550.50 | $4,305.25 | $7,063.77 | $11,464.20 |
| Michigan | 5 | 63 | $11,315.20 | $19,515.05 | $30,709.50 | $5,907.83 | $8,350.63 | $13,398.30 | $4,916.50 | $5,990.65 | $6,715.00 |
| Hawaii | 1 | 12 | $54,657.90 | $54,657.90 | $54,657.90 | $8,924.17 | $8,924.17 | $8,924.17 | $8,417.50 | $8,417.50 | $8,417.50 |
| New York | 8 | 114 | $13,961.50 | $31,551.92 | $48,241.50 | $6,412.27 | $9,102.42 | $11,644.50 | $5,338.00 | $6,806.50 | $9,687.07 |
| Connecticut | 4 | 65 | $15,916.00 | $23,357.86 | $29,035.20 | $7,286.38 | $9,155.19 | $10,803.60 | $6,360.85 | $7,575.00 | $8,615.23 |
| Massachusetts | 4 | 73 | $12,956.30 | $22,333.65 | $55,627.70 | $7,189.53 | $9,166.23 | $12,375.00 | $6,225.27 | $7,327.70 | $9,576.08 |
| Pennsylvania | 6 | 78 | $23,341.80 | $38,392.07 | $86,277.30 | $5,755.83 | $9,178.09 | $13,187.30 | $4,898.43 | $5,961.18 | $8,883.91 |
| Minnesota | 3 | 41 | $12,040.60 | $24,042.08 | $29,870.20 | $6,311.55 | $9,676.46 | $11,183.20 | $5,246.55 | $6,233.61 | $6,663.39 |
| Colorado | 1 | 14 | $90,640.40 | $90,640.40 | $90,640.40 | $13,649.10 | $13,649.10 | $13,649.10 | $8,309.64 | $8,309.64 | $8,309.64 | TOTAL US | 131 | 1,934 | $5,952.92 | $28.740,75 | $97,299.30 | $5,071.53 | $7.400,06 | $14,550.50 | $4,105.13 | $5.849,80 | $11,464.20 |
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.