Hospital Costs > Revision Of Hip Or Knee Replacement 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 |
| California | 41 | 896 | $72,780.50 | $133,117.33 | $221,972.00 | $17,929.10 | $24,364.84 | $33,656.20 | $15,162.60 | $21,816.08 | $31,241.00 |
| Florida | 33 | 806 | $25,997.70 | $84,119.57 | $150,969.00 | $13,963.90 | $17,426.27 | $26,913.10 | $12,495.20 | $14,960.17 | $24,628.60 |
| Texas | 32 | 681 | $55,367.60 | $91,293.75 | $241,525.00 | $14,262.30 | $19,322.98 | $30,441.80 | $12,217.00 | $14,767.40 | $24,831.50 |
| North Carolina | 20 | 528 | $33,781.10 | $67,188.66 | $90,083.40 | $15,328.40 | $18,591.27 | $23,508.60 | $10,925.60 | $15,670.32 | $20,127.10 |
| New York | 17 | 522 | $32,936.80 | $62,218.78 | $112,212.00 | $16,923.00 | $24,598.75 | $29,352.00 | $14,320.80 | $19,857.86 | $26,933.00 |
| Pennsylvania | 21 | 489 | $40,068.70 | $84,939.37 | $139,728.00 | $16,526.30 | $20,967.69 | $25,736.30 | $12,651.40 | $17,071.26 | $21,176.90 |
| Virginia | 20 | 470 | $47,316.70 | $83,919.63 | $217,376.00 | $14,803.30 | $19,421.79 | $26,902.80 | $12,559.20 | $16,089.05 | $24,284.20 |
| Michigan | 20 | 460 | $31,200.70 | $49,018.74 | $98,986.80 | $16,324.90 | $19,226.38 | $24,679.30 | $13,690.70 | $16,027.67 | $22,583.20 |
| Georgia | 17 | 444 | $36,268.00 | $61,444.30 | $93,402.00 | $14,788.30 | $17,395.90 | $21,346.30 | $12,302.80 | $14,496.99 | $18,923.60 |
| Illinois | 19 | 355 | $41,885.80 | $74,485.92 | $152,428.00 | $15,160.60 | $20,554.78 | $39,606.30 | $13,558.80 | $15,739.38 | $22,833.00 |
| Ohio | 15 | 353 | $39,757.40 | $73,253.33 | $98,501.20 | $14,925.30 | $19,542.50 | $24,694.70 | $13,450.70 | $15,261.14 | $20,335.50 |
| Massachusetts | 8 | 326 | $29,030.90 | $49,528.20 | $86,727.60 | $20,012.60 | $22,609.11 | $27,624.90 | $17,384.80 | $19,553.33 | $23,666.00 |
| Arizona | 16 | 317 | $41,749.50 | $77,186.44 | $149,208.00 | $15,709.20 | $17,178.70 | $23,310.20 | $12,487.60 | $15,074.33 | $21,155.30 |
| Indiana | 15 | 305 | $45,460.70 | $71,630.13 | $118,759.00 | $14,743.60 | $18,059.26 | $26,886.60 | $12,378.90 | $14,955.47 | $21,463.30 |
| Maryland | 12 | 299 | $15,314.10 | $30,032.53 | $50,233.50 | $14,235.90 | $27,809.82 | $46,357.60 | $12,305.00 | $25,210.74 | $44,191.70 |
| Missouri | 12 | 296 | $36,839.20 | $67,218.03 | $131,940.00 | $14,750.00 | $18,430.38 | $25,272.20 | $11,734.50 | $14,569.01 | $19,303.00 |
| Alabama | 11 | 265 | $36,367.50 | $77,244.60 | $176,488.00 | $13,320.00 | $14,863.28 | $18,059.10 | $12,116.40 | $12,975.93 | $15,074.20 |
| New Jersey | 9 | 255 | $45,020.00 | $89,492.66 | $136,333.00 | $16,834.90 | $20,064.09 | $23,312.60 | $15,505.40 | $18,272.28 | $21,722.70 |
| Minnesota | 8 | 254 | $33,035.90 | $46,271.58 | $69,702.90 | $17,119.10 | $22,491.85 | $25,957.10 | $10,918.20 | $18,042.01 | $19,719.70 |
| Utah | 10 | 252 | $38,221.50 | $48,819.62 | $71,998.30 | $15,452.00 | $19,375.84 | $23,430.50 | $11,745.20 | $15,078.69 | $20,596.10 |
| Tennessee | 12 | 241 | $62,298.00 | $72,182.77 | $92,791.90 | $14,098.40 | $17,867.07 | $24,549.10 | $11,140.10 | $13,439.21 | $16,920.50 |
| Colorado | 9 | 224 | $58,433.80 | $86,219.21 | $146,985.00 | $16,761.40 | $20,245.65 | $25,664.90 | $13,444.30 | $15,924.35 | $22,673.60 |
| Kentucky | 6 | 210 | $59,718.30 | $72,122.33 | $112,910.00 | $15,437.70 | $18,811.89 | $22,950.80 | $13,431.30 | $14,672.31 | $16,864.20 |
| South Carolina | 10 | 203 | $53,676.60 | $83,535.09 | $173,560.00 | $14,342.40 | $18,220.71 | $23,321.40 | $11,718.90 | $14,777.44 | $20,339.30 |
| Oklahoma | 9 | 193 | $40,888.20 | $66,576.23 | $149,766.00 | $14,173.30 | $17,125.89 | $20,268.50 | $12,058.80 | $14,627.49 | $18,424.90 |
| Arkansas | 5 | 180 | $37,643.80 | $62,999.71 | $68,249.10 | $14,153.40 | $15,979.16 | $17,316.60 | $12,155.10 | $13,696.29 | $14,320.20 |
| Washington | 9 | 155 | $52,920.80 | $87,207.42 | $134,649.00 | $18,714.00 | $23,172.77 | $28,145.20 | $14,155.00 | $18,263.86 | $21,812.10 |
| Wisconsin | 10 | 148 | $29,992.10 | $57,433.73 | $75,263.60 | $15,550.90 | $19,296.30 | $24,550.10 | $13,012.20 | $16,553.15 | $21,704.10 |
| Kansas | 7 | 143 | $35,692.40 | $74,281.42 | $99,245.10 | $14,251.70 | $17,154.47 | $20,070.40 | $11,792.30 | $14,907.24 | $18,150.90 |
| Oregon | 8 | 140 | $45,000.30 | $56,588.21 | $62,911.80 | $16,538.00 | $20,320.69 | $26,891.60 | $15,332.70 | $17,411.10 | $21,840.60 |
| Nevada | 5 | 131 | $67,344.20 | $119,346.87 | $191,000.00 | $17,743.00 | $19,151.67 | $21,486.00 | $14,481.90 | $16,989.63 | $18,950.80 |
| Connecticut | 6 | 128 | $43,030.40 | $54,678.86 | $85,594.60 | $20,132.30 | $23,960.53 | $26,690.50 | $19,044.70 | $21,685.64 | $24,640.40 |
| Washington DC | 4 | 114 | $33,118.60 | $62,709.89 | $102,798.00 | $16,483.80 | $21,648.09 | $26,465.50 | $14,768.80 | $16,521.49 | $18,837.00 |
| Idaho | 5 | 112 | $37,151.80 | $56,312.09 | $76,830.10 | $18,178.20 | $19,914.58 | $23,254.80 | $13,144.80 | $15,886.40 | $18,571.10 |
| Nebraska | 6 | 110 | $45,122.30 | $55,802.79 | $66,458.30 | $15,667.10 | $18,350.25 | $21,627.10 | $14,458.50 | $15,949.42 | $17,786.30 |
| Iowa | 6 | 107 | $36,067.70 | $57,477.18 | $75,337.90 | $14,729.30 | $16,042.45 | $17,062.10 | $13,000.90 | $14,215.17 | $14,885.80 |
| New Hampshire | 4 | 105 | $40,181.50 | $61,892.69 | $144,573.00 | $17,640.00 | $23,664.42 | $27,781.10 | $16,001.30 | $18,732.28 | $23,583.60 |
| Mississippi | 4 | 101 | $52,610.10 | $63,048.05 | $106,067.00 | $14,260.60 | $16,133.42 | $24,216.40 | $13,166.20 | $14,408.74 | $22,038.90 |
| Maine | 3 | 78 | $29,281.40 | $47,339.73 | $55,108.10 | $17,634.40 | $20,207.84 | $20,935.40 | $13,843.70 | $16,051.69 | $17,449.10 |
| Montana | 4 | 77 | $35,713.40 | $52,523.50 | $59,942.00 | $15,736.80 | $16,936.74 | $17,463.70 | $14,640.10 | $15,546.11 | $16,016.40 |
| Delaware | 2 | 68 | $44,277.50 | $49,433.12 | $54,901.20 | $19,320.30 | $20,431.96 | $21,480.10 | $14,827.30 | $16,166.77 | $17,429.70 |
| Louisiana | 4 | 66 | $42,798.10 | $60,533.14 | $83,543.20 | $14,622.60 | $17,452.89 | $19,086.80 | $12,596.60 | $13,768.18 | $15,020.60 |
| New Mexico | 2 | 61 | $64,937.00 | $68,215.18 | $81,601.10 | $20,517.50 | $20,546.75 | $20,666.20 | $11,577.80 | $14,333.13 | $15,007.90 |
| Alaska | 2 | 60 | $79,615.00 | $85,917.75 | $101,860.00 | $22,075.10 | $24,332.89 | $25,225.50 | $19,544.50 | $21,689.84 | $22,538.00 |
| South Dakota | 2 | 52 | $54,873.60 | $72,787.90 | $86,995.80 | $15,787.60 | $16,973.59 | $17,914.20 | $14,685.70 | $15,364.41 | $15,902.70 |
| West Virginia | 2 | 37 | $47,989.40 | $56,363.11 | $64,296.10 | $15,627.60 | $18,933.34 | $22,065.10 | $13,007.90 | $16,612.71 | $20,027.80 |
| Rhode Island | 2 | 36 | $39,348.10 | $42,977.53 | $50,236.40 | $18,522.10 | $20,608.47 | $24,781.20 | $14,155.50 | $17,140.13 | $23,109.40 |
| North Dakota | 1 | 34 | $46,936.90 | $46,936.90 | $46,936.90 | $17,629.90 | $17,629.90 | $17,629.90 | $15,668.40 | $15,668.40 | $15,668.40 |
| Vermont | 2 | 24 | $51,222.70 | $54,764.15 | $58,949.50 | $22,712.60 | $24,602.35 | $26,835.70 | $20,079.20 | $22,480.50 | $25,318.40 |
| Hawaii | 1 | 12 | $78,110.80 | $78,110.80 | $78,110.80 | $28,353.40 | $28,353.40 | $28,353.40 | $14,975.70 | $14,975.70 | $14,975.70 | TOTAL US | 508 | 11,923 | $15,314.10 | $74.601,44 | $241,525.00 | $13,320.00 | $19.970,94 | $46,357.60 | $10,918.20 | $16.635,34 | $44,191.70 |
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.