Hospital Costs > Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc 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 |
| Minnesota | 1 | 12 | $34,480.70 | $34,480.70 | $34,480.70 | $15,385.20 | $15,385.20 | $15,385.20 | $9,878.50 | $9,878.50 | $9,878.50 |
| Tennessee | 1 | 12 | $43,240.40 | $43,240.40 | $43,240.40 | $10,714.90 | $10,714.90 | $10,714.90 | $9,709.58 | $9,709.58 | $9,709.58 |
| North Carolina | 1 | 13 | $46,467.90 | $46,467.90 | $46,467.90 | $12,810.40 | $12,810.40 | $12,810.40 | $8,056.38 | $8,056.38 | $8,056.38 |
| New York | 1 | 12 | $50,417.80 | $50,417.80 | $50,417.80 | $17,712.30 | $17,712.30 | $17,712.30 | $15,730.50 | $15,730.50 | $15,730.50 |
| Florida | 2 | 49 | $37,976.80 | $62,452.68 | $69,537.80 | $8,834.00 | $10,771.61 | $11,332.50 | $8,063.09 | $8,346.90 | $8,429.05 | TOTAL US | 6 | 98 | $34,480.70 | $53.080,93 | $69,537.80 | $8,834.00 | $12.449,93 | $17,712.30 | $8,056.38 | $9.566,88 | $15,730.50 |
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.