Hospital Costs > Simple Pneumonia & Pleurisy 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 |
| North Dakota | 6 | 349 | $17,863.10 | $22,034.85 | $30,995.90 | $8,520.09 | $9,570.54 | $10,563.90 | $7,570.54 | $8,296.91 | $9,231.87 |
| Montana | 9 | 533 | $16,794.80 | $22,600.80 | $31,865.50 | $8,209.84 | $9,583.36 | $10,880.00 | $7,113.63 | $8,260.55 | $9,914.51 |
| South Dakota | 10 | 478 | $18,398.10 | $30,490.90 | $41,082.70 | $7,520.04 | $10,120.30 | $11,396.70 | $6,681.09 | $8,890.22 | $10,353.40 |
| Alabama | 51 | 2,848 | $12,284.90 | $41,928.66 | $121,680.00 | $6,880.97 | $8,539.63 | $11,430.20 | $5,622.00 | $7,286.80 | $9,759.68 |
| Delaware | 6 | 689 | $18,204.00 | $25,292.52 | $29,678.10 | $8,950.54 | $10,566.08 | $11,846.00 | $7,191.87 | $8,973.99 | $10,382.10 |
| Idaho | 8 | 375 | $18,083.10 | $27,628.32 | $35,526.60 | $8,643.31 | $10,031.23 | $12,058.10 | $7,616.85 | $8,821.67 | $10,811.90 |
| Kansas | 31 | 1,621 | $7,702.00 | $40,680.73 | $65,707.50 | $7,304.55 | $9,381.96 | $12,886.40 | $6,008.55 | $8,172.47 | $12,111.60 |
| Tennessee | 72 | 4,537 | $12,292.80 | $34,105.49 | $73,048.50 | $6,707.00 | $8,482.08 | $13,154.60 | $5,734.69 | $7,360.83 | $11,154.50 |
| Vermont | 6 | 283 | $17,616.30 | $21,503.78 | $30,491.40 | $9,423.84 | $12,011.96 | $13,925.80 | $8,604.77 | $10,895.71 | $13,058.80 |
| Maine | 16 | 671 | $15,395.60 | $21,605.42 | $28,702.40 | $8,414.93 | $9,708.52 | $13,977.80 | $7,489.07 | $8,599.23 | $13,177.80 |
| West Virginia | 26 | 1,217 | $11,377.50 | $24,841.83 | $46,954.90 | $7,678.42 | $9,313.92 | $14,184.60 | $5,810.47 | $7,667.71 | $10,731.50 |
| Indiana | 64 | 3,987 | $15,993.90 | $30,429.75 | $68,245.70 | $7,438.05 | $9,250.57 | $14,454.80 | $5,889.48 | $8,029.99 | $13,161.20 |
| New Hampshire | 13 | 660 | $17,456.80 | $26,026.92 | $39,215.40 | $8,742.12 | $9,940.59 | $14,472.10 | $7,746.21 | $8,629.66 | $12,384.20 |
| Rhode Island | 9 | 344 | $19,785.20 | $33,351.73 | $47,512.10 | $8,952.65 | $11,202.01 | $14,578.30 | $7,734.04 | $9,703.65 | $12,307.40 |
| Iowa | 28 | 1,721 | $14,212.30 | $27,362.09 | $45,612.60 | $7,701.65 | $8,977.01 | $14,665.70 | $6,632.90 | $7,804.55 | $12,249.30 |
| Wyoming | 6 | 236 | $18,440.90 | $25,976.42 | $29,084.30 | $9,658.75 | $12,554.86 | $14,821.60 | $7,667.71 | $11,086.64 | $13,902.60 |
| Arkansas | 37 | 1,919 | $7,925.62 | $30,189.05 | $65,834.90 | $6,577.09 | $8,586.18 | $14,886.50 | $5,922.55 | $7,325.25 | $11,723.50 |
| Nevada | 19 | 1,102 | $25,466.70 | $65,932.37 | $135,262.00 | $8,861.62 | $10,765.69 | $14,940.00 | $7,614.59 | $9,245.53 | $11,726.30 |
| Georgia | 82 | 4,217 | $9,332.67 | $35,594.05 | $79,582.50 | $7,111.37 | $9,281.14 | $15,526.80 | $6,225.47 | $8,130.27 | $14,168.20 |
| Missouri | 63 | 3,966 | $13,667.20 | $34,296.15 | $77,173.10 | $6,712.84 | $9,083.47 | $15,620.40 | $5,892.36 | $7,990.44 | $14,552.70 |
| Wisconsin | 58 | 2,170 | $12,335.90 | $28,973.23 | $50,522.00 | $7,188.85 | $9,874.22 | $15,644.40 | $6,141.46 | $8,445.51 | $11,628.50 |
| Nebraska | 17 | 826 | $27,221.30 | $37,517.15 | $54,188.20 | $8,354.42 | $10,340.58 | $15,645.00 | $6,944.92 | $8,554.86 | $12,063.60 |
| South Carolina | 44 | 2,497 | $15,848.90 | $43,677.95 | $101,724.00 | $7,518.77 | $9,733.75 | $15,718.50 | $6,540.60 | $8,073.49 | $13,343.10 |
| Oregon | 27 | 830 | $14,176.20 | $28,537.25 | $47,263.10 | $9,184.65 | $10,998.29 | $15,781.80 | $8,044.36 | $9,690.50 | $14,471.60 |
| Ohio | 110 | 5,799 | $11,036.70 | $30,305.02 | $62,145.80 | $7,363.30 | $9,515.49 | $15,943.40 | $6,233.56 | $7,855.56 | $12,947.30 |
| Louisiana | 44 | 2,039 | $13,508.60 | $42,045.49 | $109,593.00 | $7,450.31 | $9,081.29 | $15,944.00 | $6,536.41 | $7,847.37 | $13,638.20 |
| Oklahoma | 40 | 1,854 | $11,431.70 | $39,661.13 | $87,612.90 | $7,377.82 | $9,573.87 | $16,020.00 | $6,390.32 | $8,153.49 | $13,382.90 |
| North Carolina | 76 | 5,543 | $10,979.80 | $26,305.55 | $54,782.10 | $7,477.68 | $9,607.02 | $16,151.40 | $6,343.18 | $8,031.42 | $12,463.60 |
| Mississippi | 48 | 1,991 | $13,760.90 | $37,464.24 | $112,620.00 | $7,017.50 | $8,975.00 | $16,186.20 | $6,314.50 | $7,815.32 | $12,900.40 |
| Virginia | 70 | 3,720 | $12,797.60 | $31,888.94 | $70,143.20 | $7,558.56 | $9,432.14 | $16,240.00 | $6,170.00 | $7,814.62 | $11,786.30 |
| Kentucky | 55 | 3,936 | $11,360.00 | $29,097.30 | $83,288.10 | $7,520.10 | $9,070.67 | $16,286.70 | $6,146.04 | $7,750.59 | $12,003.20 |
| Arizona | 43 | 2,096 | $21,046.60 | $44,203.37 | $120,625.00 | $7,616.48 | $10,492.37 | $16,428.70 | $6,613.45 | $9,190.58 | $15,220.10 |
| Utah | 18 | 566 | $12,249.30 | $26,374.15 | $37,920.20 | $6,989.91 | $10,009.32 | $16,470.40 | $5,896.09 | $8,232.18 | $12,582.00 |
| Washington | 43 | 2,104 | $14,991.90 | $35,346.79 | $55,440.00 | $8,909.23 | $10,825.64 | $17,219.70 | $7,926.43 | $9,348.98 | $14,001.40 |
| Massachusetts | 55 | 3,423 | $8,677.07 | $20,975.06 | $64,103.80 | $9,017.52 | $11,848.15 | $17,322.30 | $7,932.83 | $10,536.79 | $15,638.50 |
| Alaska | 4 | 96 | $31,401.20 | $55,529.40 | $62,881.20 | $11,948.80 | $14,984.96 | $17,601.80 | $11,146.10 | $14,027.45 | $16,593.80 |
| Colorado | 34 | 1,546 | $19,092.60 | $43,211.70 | $86,369.70 | $7,798.38 | $9,917.63 | $18,542.50 | $6,578.73 | $8,396.59 | $16,762.40 |
| New Mexico | 20 | 785 | $12,812.40 | $32,065.72 | $60,104.80 | $8,271.56 | $11,108.83 | $18,754.90 | $7,395.58 | $9,830.24 | $15,628.80 |
| Pennsylvania | 115 | 4,774 | $7,988.26 | $44,615.43 | $106,727.00 | $7,238.52 | $9,927.56 | $18,870.90 | $5,624.52 | $8,216.60 | $14,829.50 |
| Connecticut | 27 | 1,785 | $18,658.40 | $36,900.93 | $62,022.10 | $9,570.61 | $12,732.83 | $18,898.70 | $8,575.13 | $11,087.16 | $16,520.50 |
| Michigan | 79 | 4,780 | $9,560.59 | $25,462.43 | $62,507.30 | $7,356.46 | $10,254.21 | $19,114.80 | $6,339.85 | $8,822.97 | $15,442.40 |
| Washington DC | 7 | 282 | $26,721.20 | $43,381.74 | $62,902.70 | $9,578.43 | $13,668.91 | $19,343.80 | $8,299.82 | $10,579.33 | $14,037.00 |
| Hawaii | 10 | 266 | $21,814.50 | $35,969.94 | $48,135.00 | $11,233.20 | $14,168.78 | $19,397.10 | $5,339.42 | $11,814.04 | $18,615.40 |
| Minnesota | 36 | 1,723 | $15,392.50 | $28,020.99 | $62,855.00 | $8,284.08 | $10,907.93 | $19,500.60 | $6,817.14 | $9,417.73 | $16,213.40 |
| New Jersey | 60 | 3,566 | $32,743.10 | $80,334.88 | $195,867.00 | $8,871.00 | $11,191.54 | $21,055.40 | $7,499.73 | $9,485.63 | $18,459.40 |
| Florida | 156 | 8,547 | $17,484.10 | $54,033.32 | $112,058.00 | $7,108.39 | $9,324.63 | $21,966.00 | $6,031.30 | $8,057.13 | $16,914.30 |
| Illinois | 110 | 6,277 | $11,793.30 | $42,101.56 | $132,270.00 | $7,786.00 | $10,053.19 | $22,901.40 | $6,689.95 | $8,464.14 | $21,035.50 |
| California | 203 | 9,022 | $15,979.50 | $73,871.16 | $174,987.00 | $8,694.27 | $12,738.01 | $23,571.20 | $7,745.45 | $11,508.84 | $21,843.50 |
| Maryland | 40 | 2,033 | $11,046.30 | $14,158.40 | $30,359.50 | $10,188.20 | $13,088.55 | $28,087.50 | $8,621.07 | $12,015.74 | $25,598.60 |
| New York | 126 | 5,745 | $9,755.46 | $44,164.07 | $110,475.00 | $8,066.00 | $13,121.46 | $32,154.30 | $5,844.19 | $11,455.51 | $28,291.80 |
| Texas | 193 | 10,295 | $13,141.30 | $51,342.46 | $131,767.00 | $7,617.27 | $9,946.91 | $33,206.00 | $5,783.82 | $8,409.82 | $24,636.70 | TOTAL US | 2,530 | 132,669 | $7,702.00 | $40.702,03 | $195,867.00 | $6,577.09 | $10.203,04 | $33,206.00 | $5,339.42 | $8.785,63 | $28,291.80 |
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.