Hospital Costs > Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc 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 |
| Maine | 1 | 13 | $24,180.20 | $24,180.20 | $24,180.20 | $8,758.23 | $8,758.23 | $8,758.23 | $6,040.85 | $6,040.85 | $6,040.85 |
| Maryland | 1 | 11 | $26,332.60 | $26,332.60 | $26,332.60 | $24,277.40 | $24,277.40 | $24,277.40 | $23,291.20 | $23,291.20 | $23,291.20 |
| Minnesota | 1 | 12 | $28,361.50 | $28,361.50 | $28,361.50 | $10,595.50 | $10,595.50 | $10,595.50 | $8,693.33 | $8,693.33 | $8,693.33 |
| Alabama | 1 | 13 | $33,575.90 | $33,575.90 | $33,575.90 | $6,507.85 | $6,507.85 | $6,507.85 | $5,301.69 | $5,301.69 | $5,301.69 |
| New York | 1 | 20 | $36,192.00 | $36,192.00 | $36,192.00 | $13,928.00 | $13,928.00 | $13,928.00 | $12,368.70 | $12,368.70 | $12,368.70 |
| Massachusetts | 1 | 15 | $47,463.10 | $47,463.10 | $47,463.10 | $12,322.90 | $12,322.90 | $12,322.90 | $10,517.10 | $10,517.10 | $10,517.10 |
| Florida | 2 | 75 | $31,779.20 | $49,636.11 | $53,380.30 | $8,554.50 | $8,701.37 | $9,401.85 | $6,276.31 | $6,353.02 | $6,369.10 | TOTAL US | 8 | 159 | $24,180.20 | $41.127,80 | $53,380.30 | $6,507.85 | $10.746,31 | $24,277.40 | $5,301.69 | $8.739,52 | $23,291.20 |
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.