Hospital Costs > Revision Of Hip Or Knee Replacement 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 |
| Michigan | 1 | 13 | $78,726.10 | $78,726.10 | $78,726.10 | $35,865.20 | $35,865.20 | $35,865.20 | $33,890.80 | $33,890.80 | $33,890.80 |
| Oklahoma | 1 | 14 | $92,159.50 | $92,159.50 | $92,159.50 | $31,135.70 | $31,135.70 | $31,135.70 | $30,060.10 | $30,060.10 | $30,060.10 |
| Oregon | 1 | 12 | $108,218.00 | $108,218.00 | $108,218.00 | $49,244.20 | $49,244.20 | $49,244.20 | $46,010.20 | $46,010.20 | $46,010.20 |
| Illinois | 1 | 13 | $110,715.00 | $110,715.00 | $110,715.00 | $35,639.20 | $35,639.20 | $35,639.20 | $33,680.80 | $33,680.80 | $33,680.80 |
| Tennessee | 1 | 15 | $119,936.00 | $119,936.00 | $119,936.00 | $32,332.80 | $32,332.80 | $32,332.80 | $26,909.50 | $26,909.50 | $26,909.50 |
| Indiana | 1 | 11 | $124,774.00 | $124,774.00 | $124,774.00 | $32,358.20 | $32,358.20 | $32,358.20 | $30,531.10 | $30,531.10 | $30,531.10 |
| Washington | 1 | 11 | $126,586.00 | $126,586.00 | $126,586.00 | $36,214.40 | $36,214.40 | $36,214.40 | $33,770.40 | $33,770.40 | $33,770.40 |
| Ohio | 1 | 27 | $126,786.00 | $126,786.00 | $126,786.00 | $36,775.70 | $36,775.70 | $36,775.70 | $34,189.10 | $34,189.10 | $34,189.10 |
| Alabama | 1 | 25 | $130,689.00 | $130,689.00 | $130,689.00 | $35,117.40 | $35,117.40 | $35,117.40 | $33,983.60 | $33,983.60 | $33,983.60 |
| Kansas | 1 | 17 | $137,195.00 | $137,195.00 | $137,195.00 | $32,019.30 | $32,019.30 | $32,019.30 | $31,238.10 | $31,238.10 | $31,238.10 |
| Massachusetts | 1 | 21 | $139,883.00 | $139,883.00 | $139,883.00 | $45,463.20 | $45,463.20 | $45,463.20 | $41,158.10 | $41,158.10 | $41,158.10 |
| Minnesota | 2 | 33 | $62,300.80 | $100,563.68 | $141,218.00 | $43,495.90 | $43,644.89 | $43,803.20 | $34,345.60 | $38,182.30 | $42,258.80 |
| Missouri | 2 | 22 | $92,243.90 | $117,940.95 | $143,638.00 | $25,255.30 | $31,015.20 | $36,775.10 | $24,493.10 | $29,695.90 | $34,898.70 |
| Connecticut | 1 | 18 | $151,235.00 | $151,235.00 | $151,235.00 | $49,537.90 | $49,537.90 | $49,537.90 | $45,549.70 | $45,549.70 | $45,549.70 |
| North Carolina | 2 | 29 | $82,923.30 | $126,316.77 | $152,835.00 | $36,036.90 | $38,088.09 | $39,341.60 | $35,008.70 | $35,425.12 | $35,679.60 |
| New York | 2 | 32 | $111,311.00 | $127,714.75 | $159,031.00 | $41,338.50 | $46,834.13 | $57,325.80 | $37,101.80 | $41,789.00 | $50,737.30 |
| Texas | 3 | 61 | $88,968.30 | $162,248.57 | $187,541.00 | $25,596.50 | $36,110.33 | $41,314.60 | $24,463.20 | $31,925.24 | $34,919.90 |
| Nevada | 1 | 12 | $188,391.00 | $188,391.00 | $188,391.00 | $28,262.90 | $28,262.90 | $28,262.90 | $27,378.90 | $27,378.90 | $27,378.90 |
| Colorado | 2 | 28 | $147,427.00 | $182,601.46 | $213,086.00 | $37,500.70 | $37,509.20 | $37,519.00 | $34,035.00 | $35,168.65 | $36,476.70 |
| Florida | 6 | 82 | $89,961.90 | $158,113.07 | $229,865.00 | $25,852.70 | $32,659.30 | $43,233.30 | $24,991.10 | $28,379.26 | $33,419.30 |
| California | 2 | 26 | $212,704.00 | $279,591.15 | $336,923.00 | $39,874.60 | $61,264.72 | $79,599.10 | $36,412.00 | $57,298.44 | $75,201.10 | TOTAL US | 34 | 522 | $62,300.80 | $144.572,44 | $336,923.00 | $25,255.30 | $38.402,77 | $79,599.10 | $24,463.20 | $35.068,55 | $75,201.10 |
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.