Hospital Costs > Simple Pneumonia & Pleurisy 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 |
| Texas | 223 | 11,296 | $9,290.25 | $34,947.70 | $90,273.00 | $4,991.28 | $7,028.80 | $22,819.50 | $3,785.42 | $5,599.84 | $21,071.00 |
| Florida | 162 | 10,752 | $13,919.00 | $37,068.56 | $80,729.30 | $4,817.12 | $6,561.13 | $17,051.70 | $3,780.46 | $5,317.80 | $14,973.10 |
| California | 225 | 9,649 | $14,823.80 | $52,031.36 | $116,747.00 | $6,257.74 | $9,163.51 | $29,743.20 | $5,220.29 | $7,797.71 | $28,150.00 |
| New York | 142 | 7,812 | $7,605.72 | $29,700.36 | $85,465.30 | $4,844.28 | $9,126.91 | $20,916.60 | $3,697.17 | $7,513.11 | $18,799.40 |
| Illinois | 119 | 7,407 | $10,426.40 | $28,412.66 | $78,678.70 | $5,359.37 | $7,070.03 | $15,326.20 | $3,781.51 | $5,522.68 | $13,567.30 |
| Pennsylvania | 127 | 6,216 | $7,793.25 | $30,779.09 | $90,031.90 | $4,717.67 | $7,113.29 | $14,775.70 | $3,384.89 | $5,392.25 | $12,506.70 |
| Ohio | 117 | 5,732 | $7,484.72 | $19,854.28 | $38,135.00 | $5,002.64 | $6,672.11 | $11,220.70 | $3,658.96 | $5,208.57 | $8,987.27 |
| New Jersey | 63 | 4,907 | $24,149.20 | $56,400.39 | $155,169.00 | $5,858.90 | $7,759.71 | $16,292.40 | $4,450.89 | $6,222.28 | $14,806.30 |
| Tennessee | 83 | 4,483 | $6,378.67 | $24,307.88 | $53,937.90 | $4,987.59 | $5,995.61 | $8,907.27 | $3,842.70 | $4,894.97 | $8,140.15 |
| Maryland | 43 | 4,427 | $6,533.60 | $9,504.31 | $17,402.20 | $6,038.05 | $8,803.02 | $16,088.30 | $5,074.40 | $7,719.53 | $14,924.30 |
| North Carolina | 79 | 4,394 | $8,923.25 | $19,504.35 | $34,099.00 | $5,227.45 | $6,775.04 | $10,869.80 | $4,127.09 | $5,294.27 | $8,069.90 |
| Georgia | 90 | 4,386 | $11,831.30 | $24,881.73 | $58,047.20 | $5,379.86 | $6,757.30 | $16,645.30 | $4,069.61 | $5,478.31 | $10,591.50 |
| Massachusetts | 57 | 4,347 | $7,561.30 | $15,308.39 | $36,595.00 | $6,194.34 | $8,454.26 | $13,028.20 | $5,209.92 | $7,075.02 | $11,359.10 |
| Michigan | 81 | 4,249 | $9,042.06 | $17,481.07 | $26,864.10 | $5,193.43 | $7,216.66 | $11,948.20 | $4,241.50 | $5,877.30 | $9,917.31 |
| Alabama | 74 | 3,953 | $5,411.27 | $26,384.01 | $73,314.40 | $4,654.47 | $6,015.24 | $9,608.53 | $3,646.55 | $4,710.65 | $8,189.70 |
| Indiana | 73 | 3,827 | $11,220.50 | $21,729.88 | $42,614.30 | $5,329.03 | $6,554.00 | $11,349.60 | $4,131.75 | $5,261.36 | $10,034.70 |
| Kentucky | 65 | 3,823 | $10,365.90 | $21,190.42 | $71,597.40 | $5,259.04 | $6,326.28 | $10,409.20 | $3,892.13 | $5,091.83 | $7,635.04 |
| Missouri | 73 | 3,735 | $7,591.91 | $23,866.91 | $54,251.40 | $4,736.61 | $6,536.19 | $12,058.00 | $3,822.18 | $5,341.91 | $11,221.80 |
| Virginia | 68 | 3,451 | $10,528.70 | $21,159.75 | $59,546.80 | $5,172.77 | $6,646.54 | $11,486.70 | $3,992.40 | $5,090.69 | $8,444.39 |
| Louisiana | 64 | 3,030 | $8,486.62 | $26,218.15 | $61,300.80 | $5,026.62 | $6,474.56 | $12,359.30 | $3,918.92 | $5,297.32 | $10,410.90 |
| Oklahoma | 68 | 2,880 | $6,287.40 | $24,392.61 | $65,382.40 | $4,792.58 | $6,466.28 | $12,371.10 | $3,847.12 | $5,260.19 | $9,588.80 |
| South Carolina | 52 | 2,675 | $10,896.10 | $30,638.81 | $55,520.60 | $5,132.40 | $6,734.29 | $12,418.00 | $3,671.67 | $5,276.10 | $7,289.60 |
| Mississippi | 55 | 2,457 | $4,891.75 | $26,072.61 | $66,307.80 | $4,449.45 | $6,260.91 | $12,835.30 | $3,537.45 | $5,107.46 | $9,605.58 |
| Wisconsin | 57 | 2,372 | $8,621.83 | $20,174.44 | $34,861.40 | $5,097.20 | $6,809.24 | $10,758.60 | $4,037.14 | $5,441.01 | $7,196.02 |
| Arizona | 50 | 2,320 | $9,089.71 | $30,936.21 | $74,764.20 | $5,246.29 | $7,489.11 | $15,655.10 | $4,252.57 | $6,230.75 | $14,615.10 |
| Arkansas | 43 | 2,283 | $7,079.29 | $20,852.35 | $45,216.70 | $4,678.95 | $6,101.77 | $11,076.90 | $3,852.00 | $4,922.16 | $8,404.04 |
| Connecticut | 29 | 2,099 | $7,436.06 | $24,807.23 | $34,871.30 | $6,406.00 | $8,781.90 | $12,002.20 | $5,587.42 | $7,251.31 | $9,688.94 |
| Washington | 44 | 1,805 | $11,714.10 | $24,265.92 | $37,946.50 | $5,998.59 | $7,476.29 | $15,226.90 | $4,160.86 | $6,006.46 | $9,665.55 |
| Minnesota | 46 | 1,799 | $10,995.40 | $17,101.33 | $29,496.60 | $5,465.76 | $7,412.80 | $12,503.20 | $4,487.48 | $6,124.49 | $10,639.50 |
| West Virginia | 29 | 1,665 | $8,879.97 | $16,604.40 | $25,384.80 | $4,991.36 | $6,704.63 | $12,227.00 | $4,053.29 | $5,206.96 | $10,797.70 |
| Iowa | 31 | 1,620 | $9,799.47 | $18,469.31 | $27,036.20 | $4,984.44 | $6,305.91 | $10,475.70 | $3,975.44 | $5,118.68 | $8,669.92 |
| Kansas | 38 | 1,512 | $8,282.78 | $24,382.58 | $48,131.80 | $4,851.47 | $6,407.62 | $9,232.93 | $3,782.29 | $5,201.02 | $7,695.79 |
| Colorado | 34 | 1,415 | $13,073.10 | $29,192.23 | $56,178.70 | $4,925.00 | $6,717.11 | $10,969.50 | $3,960.47 | $5,365.05 | $7,978.72 |
| New Mexico | 25 | 974 | $7,840.50 | $23,368.84 | $42,637.80 | $5,108.42 | $8,150.63 | $14,474.60 | $4,162.06 | $7,001.91 | $12,053.50 |
| Nebraska | 18 | 964 | $13,906.30 | $24,228.50 | $40,891.20 | $5,347.00 | $6,840.92 | $10,480.00 | $4,347.05 | $5,391.61 | $7,393.32 |
| Nevada | 19 | 951 | $22,761.60 | $45,082.38 | $75,493.20 | $5,944.76 | $7,727.34 | $12,314.90 | $4,467.88 | $5,955.80 | $9,230.20 |
| Oregon | 27 | 935 | $11,983.00 | $20,388.42 | $37,107.50 | $6,290.74 | $7,751.69 | $11,685.60 | $4,861.13 | $6,180.85 | $10,211.60 |
| Maine | 18 | 757 | $11,034.40 | $15,153.03 | $24,475.80 | $5,895.92 | $6,807.18 | $9,450.88 | $4,585.31 | $5,650.18 | $8,466.88 |
| Utah | 23 | 699 | $10,953.30 | $17,981.78 | $24,928.60 | $4,890.00 | $7,085.63 | $10,394.60 | $3,980.67 | $5,498.94 | $8,232.65 |
| Delaware | 6 | 675 | $13,392.80 | $17,390.81 | $25,663.00 | $6,282.09 | $7,671.59 | $8,237.17 | $4,583.42 | $5,971.80 | $6,953.90 |
| New Hampshire | 13 | 636 | $11,643.80 | $19,859.77 | $32,359.70 | $6,079.46 | $6,771.81 | $9,613.72 | $4,453.79 | $5,669.80 | $8,059.75 |
| South Dakota | 10 | 489 | $10,417.00 | $21,672.48 | $28,924.40 | $5,122.11 | $6,783.51 | $7,603.87 | $4,137.22 | $5,598.81 | $6,488.23 |
| Rhode Island | 10 | 416 | $13,315.80 | $21,998.25 | $26,530.20 | $5,988.24 | $7,928.46 | $10,091.00 | $4,845.53 | $6,392.95 | $8,338.45 |
| Montana | 10 | 381 | $9,735.58 | $17,700.05 | $27,389.30 | $5,559.32 | $6,977.40 | $9,081.16 | $4,613.30 | $5,907.72 | $8,179.51 |
| Washington DC | 7 | 375 | $18,987.40 | $28,155.07 | $35,792.90 | $5,900.44 | $9,166.77 | $14,314.70 | $4,633.63 | $7,058.27 | $10,173.20 |
| Vermont | 6 | 364 | $12,307.60 | $15,653.00 | $21,335.10 | $6,581.36 | $8,438.11 | $9,251.88 | $5,294.50 | $7,190.89 | $8,218.53 |
| North Dakota | 7 | 329 | $12,408.90 | $14,233.29 | $16,939.30 | $6,067.50 | $6,712.95 | $10,248.20 | $4,916.06 | $5,482.22 | $9,419.58 |
| Idaho | 8 | 319 | $10,731.00 | $19,666.81 | $26,141.60 | $6,431.06 | $7,291.59 | $8,724.57 | $5,435.37 | $5,885.21 | $6,688.29 |
| Hawaii | 10 | 305 | $19,007.20 | $26,806.24 | $35,892.40 | $7,473.33 | $10,211.12 | $14,345.40 | $6,373.70 | $8,457.91 | $12,073.60 |
| Wyoming | 9 | 243 | $14,832.00 | $18,652.14 | $27,157.10 | $6,177.32 | $8,699.79 | $10,691.50 | $5,192.05 | $7,633.03 | $9,648.33 |
| Alaska | 7 | 218 | $8,267.08 | $34,501.29 | $44,170.40 | $9,566.92 | $11,637.61 | $17,342.80 | $8,549.30 | $10,463.74 | $16,131.80 | TOTAL US | 2,837 | 148,808 | $4,891.75 | $28.175,84 | $155,169.00 | $4,449.45 | $7.239,97 | $29,743.20 | $3,384.89 | $5.863,56 | $28,150.00 |
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.