Hospital Costs > Revision Of Hip Or Knee Replacement W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Missouri | 15 | 458 | $37,418.10 | $81,092.76 | $112,933.00 | $15,874.20 | $22,408.03 | $26,392.50 | $14,596.60 | $20,096.68 | $25,406.40 |
| Alabama | 16 | 428 | $39,586.20 | $83,273.33 | $181,032.00 | $16,218.20 | $19,462.16 | $22,770.30 | $13,588.90 | $17,274.20 | $20,409.60 |
| Florida | 58 | 1,449 | $38,856.10 | $110,749.07 | $195,158.00 | $16,861.30 | $21,209.68 | $33,716.60 | $15,861.00 | $18,809.60 | $31,080.00 |
| South Carolina | 12 | 257 | $60,179.00 | $103,227.94 | $191,239.00 | $16,922.40 | $21,646.80 | $27,047.40 | $15,714.00 | $18,868.36 | $24,087.40 |
| Tennessee | 17 | 444 | $45,373.40 | $87,048.72 | $144,397.00 | $17,056.00 | $21,013.13 | $27,830.30 | $14,218.00 | $17,286.88 | $21,805.50 |
| Arkansas | 6 | 181 | $36,479.50 | $75,184.83 | $114,304.00 | $17,079.60 | $18,519.71 | $19,520.40 | $14,867.30 | $16,864.31 | $18,364.10 |
| Kansas | 14 | 303 | $36,351.30 | $79,846.50 | $121,907.00 | $17,182.50 | $22,646.87 | $27,540.50 | $14,127.20 | $19,455.41 | $26,632.50 |
| Louisiana | 7 | 157 | $61,347.40 | $82,113.44 | $107,583.00 | $17,198.80 | $22,246.63 | $29,542.20 | $16,370.80 | $18,583.33 | $22,506.50 |
| North Carolina | 19 | 634 | $38,126.80 | $80,096.34 | $111,687.00 | $17,505.10 | $22,836.02 | $31,005.90 | $15,893.50 | $20,041.26 | $27,063.60 |
| Ohio | 25 | 612 | $46,764.10 | $82,255.87 | $120,604.00 | $17,590.30 | $23,257.78 | $29,534.30 | $13,900.90 | $19,507.44 | $26,522.10 |
| Pennsylvania | 28 | 684 | $38,139.00 | $108,732.67 | $178,001.00 | $17,733.10 | $24,418.14 | $31,694.00 | $15,388.50 | $20,729.68 | $26,363.40 |
| Georgia | 19 | 397 | $43,543.60 | $79,027.00 | $132,547.00 | $17,966.70 | $22,212.14 | $28,716.10 | $14,285.60 | $18,911.97 | $27,733.00 |
| Texas | 41 | 1,168 | $47,476.80 | $117,136.37 | $285,912.00 | $17,998.80 | $23,429.12 | $52,793.60 | $15,365.90 | $19,379.54 | $52,060.80 |
| Indiana | 14 | 326 | $48,043.20 | $87,861.99 | $148,335.00 | $18,035.50 | $22,852.39 | $29,125.20 | $15,094.50 | $19,803.71 | $24,744.80 |
| Oklahoma | 10 | 323 | $53,593.20 | $73,333.14 | $207,846.00 | $18,188.80 | $21,612.91 | $24,141.90 | $16,349.50 | $19,425.95 | $22,085.90 |
| Iowa | 10 | 272 | $43,066.60 | $74,857.39 | $95,829.70 | $18,207.60 | $23,429.48 | $31,186.20 | $16,906.80 | $20,332.80 | $24,998.10 |
| Mississippi | 4 | 98 | $57,136.80 | $71,831.61 | $131,950.00 | $18,276.30 | $21,288.62 | $29,378.00 | $14,235.70 | $17,980.39 | $25,075.00 |
| New York | 27 | 797 | $42,442.90 | $96,996.27 | $171,864.00 | $18,326.70 | $30,484.63 | $41,662.50 | $14,698.90 | $26,431.07 | $36,523.80 |
| Kentucky | 13 | 314 | $47,689.10 | $91,655.93 | $171,284.00 | $18,350.20 | $23,703.43 | $33,498.40 | $14,672.60 | $19,772.13 | $25,719.70 |
| Arizona | 18 | 464 | $47,330.80 | $83,178.82 | $147,958.00 | $18,353.10 | $21,740.69 | $35,864.50 | $16,642.60 | $19,699.65 | $34,942.20 |
| Illinois | 32 | 828 | $54,112.40 | $89,294.99 | $192,186.00 | $18,757.30 | $25,292.69 | $42,408.10 | $16,618.60 | $21,458.66 | $36,082.60 |
| West Virginia | 4 | 81 | $43,645.90 | $71,616.84 | $89,775.10 | $18,758.50 | $24,245.97 | $28,814.30 | $14,722.40 | $19,288.91 | $21,963.90 |
| Utah | 8 | 153 | $39,201.40 | $61,114.46 | $90,973.90 | $18,798.20 | $23,505.84 | $28,494.90 | $16,382.00 | $18,882.14 | $25,591.50 |
| Virginia | 17 | 510 | $44,934.10 | $86,206.93 | $219,565.00 | $19,101.00 | $22,750.32 | $32,822.70 | $15,345.50 | $18,854.78 | $24,967.00 |
| Michigan | 27 | 594 | $35,177.60 | $63,311.26 | $105,333.00 | $19,232.40 | $23,676.06 | $34,204.10 | $18,140.60 | $21,298.62 | $28,326.00 |
| Wisconsin | 12 | 298 | $45,693.20 | $77,653.18 | $102,832.00 | $19,383.50 | $24,533.97 | $29,158.30 | $16,873.70 | $20,957.28 | $23,861.70 |
| Nebraska | 9 | 247 | $54,551.10 | $76,240.97 | $93,966.30 | $19,534.60 | $23,725.32 | $27,847.60 | $16,069.90 | $20,153.94 | $24,882.60 |
| Maine | 4 | 90 | $38,984.20 | $52,865.65 | $65,956.30 | $19,753.50 | $22,223.48 | $24,148.80 | $17,251.00 | $19,219.86 | $21,748.60 |
| New Jersey | 17 | 405 | $67,115.80 | $101,189.90 | $196,671.00 | $20,165.30 | $25,150.17 | $31,731.80 | $15,176.70 | $22,563.92 | $30,092.20 |
| Oregon | 8 | 144 | $49,549.30 | $68,754.64 | $85,789.20 | $20,292.00 | $26,431.57 | $33,439.70 | $19,169.70 | $23,202.14 | $28,614.60 |
| Montana | 2 | 51 | $43,993.00 | $57,819.76 | $67,498.50 | $20,652.00 | $21,237.82 | $22,074.70 | $18,361.40 | $18,772.67 | $19,360.20 |
| Colorado | 13 | 309 | $88,420.20 | $131,424.40 | $170,082.00 | $20,687.60 | $25,048.80 | $31,126.20 | $16,665.30 | $20,347.46 | $28,308.20 |
| Idaho | 4 | 78 | $62,384.00 | $67,477.79 | $77,869.30 | $20,741.50 | $22,818.23 | $26,779.90 | $15,890.10 | $19,691.07 | $25,758.50 |
| New Hampshire | 2 | 72 | $54,171.10 | $57,562.72 | $68,535.60 | $20,877.70 | $28,685.71 | $31,099.10 | $19,838.20 | $25,500.91 | $27,251.20 |
| Maryland | 16 | 340 | $22,742.90 | $33,753.28 | $51,015.20 | $20,970.10 | $31,291.86 | $47,174.40 | $18,836.80 | $27,992.74 | $43,095.40 |
| Minnesota | 20 | 632 | $36,635.60 | $65,198.16 | $97,508.30 | $21,066.90 | $26,307.84 | $35,417.40 | $17,942.60 | $21,914.16 | $31,675.40 |
| North Dakota | 3 | 72 | $56,085.00 | $68,493.79 | $111,374.00 | $21,269.40 | $21,684.68 | $22,631.80 | $20,208.70 | $20,561.41 | $21,450.60 |
| Washington DC | 2 | 34 | $60,536.20 | $83,849.80 | $104,573.00 | $21,433.80 | $27,635.54 | $33,148.20 | $20,331.80 | $22,150.38 | $23,766.90 |
| California | 38 | 1,023 | $67,959.40 | $161,825.63 | $282,721.00 | $21,809.90 | $30,261.52 | $41,752.00 | $19,673.00 | $27,843.57 | $37,647.40 |
| Washington | 15 | 391 | $65,036.60 | $99,414.44 | $131,350.00 | $21,862.10 | $26,263.81 | $37,685.30 | $17,626.40 | $22,135.38 | $25,802.20 |
| Nevada | 6 | 188 | $78,209.00 | $159,276.27 | $222,888.00 | $22,426.50 | $23,665.60 | $29,471.10 | $16,407.70 | $20,320.24 | $24,172.90 |
| New Mexico | 1 | 17 | $72,837.10 | $72,837.10 | $72,837.10 | $22,434.80 | $22,434.80 | $22,434.80 | $21,188.70 | $21,188.70 | $21,188.70 |
| South Dakota | 3 | 81 | $82,157.00 | $89,628.02 | $97,043.30 | $22,643.40 | $24,599.79 | $27,226.30 | $19,250.30 | $20,473.75 | $25,941.50 |
| Rhode Island | 2 | 36 | $55,306.00 | $59,887.21 | $66,300.90 | $23,539.00 | $26,310.00 | $30,189.40 | $19,810.50 | $23,409.83 | $28,448.90 |
| Massachusetts | 12 | 360 | $31,951.10 | $67,711.10 | $107,863.00 | $23,792.10 | $29,349.78 | $36,125.00 | $22,810.20 | $27,170.58 | $33,770.20 |
| Connecticut | 10 | 201 | $48,200.90 | $71,480.31 | $127,847.00 | $24,353.20 | $29,311.33 | $32,764.90 | $23,460.30 | $27,264.72 | $30,169.90 |
| Delaware | 1 | 81 | $55,232.40 | $55,232.40 | $55,232.40 | $25,745.20 | $25,745.20 | $25,745.20 | $20,925.10 | $20,925.10 | $20,925.10 |
| Vermont | 1 | 15 | $53,064.20 | $53,064.20 | $53,064.20 | $28,278.30 | $28,278.30 | $28,278.30 | $26,827.90 | $26,827.90 | $26,827.90 |
| Alaska | 2 | 27 | $102,686.00 | $109,453.22 | $114,867.00 | $29,485.70 | $33,456.59 | $38,420.20 | $21,448.20 | $22,517.09 | $23,853.20 |
| Hawaii | 1 | 11 | $113,534.00 | $113,534.00 | $113,534.00 | $34,527.90 | $34,527.90 | $34,527.90 | $25,674.30 | $25,674.30 | $25,674.30 |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 665 | 17,135 | $22,742.90 | $92.918,72 | $285,912.00 | $15,874.20 | $24.350,97 | $52,793.60 | $13,588.90 | $21.117,81 | $52,060.80 |
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.