Hospital Costs > Simple Pneumonia & Pleurisy 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 |
| Texas | 162 | 4,062 | $7,638.85 | $25,602.25 | $52,096.90 | $3,790.45 | $5,199.28 | $17,357.60 | $2,426.69 | $3,839.60 | $14,938.60 |
| California | 134 | 2,669 | $15,040.30 | $40,722.94 | $102,541.00 | $4,541.22 | $6,657.03 | $11,150.20 | $3,234.27 | $5,334.23 | $10,027.40 |
| Florida | 133 | 4,148 | $8,911.50 | $27,725.60 | $54,464.90 | $3,614.23 | $4,886.63 | $13,655.70 | $2,359.31 | $3,594.19 | $10,841.30 |
| New York | 100 | 2,700 | $5,530.67 | $22,369.45 | $53,754.70 | $4,208.61 | $6,849.26 | $17,387.10 | $3,121.58 | $5,330.56 | $14,959.60 |
| Illinois | 98 | 2,575 | $8,075.57 | $20,317.37 | $52,481.50 | $3,600.59 | $5,201.74 | $12,145.30 | $2,519.21 | $3,637.50 | $10,616.40 |
| Pennsylvania | 88 | 1,999 | $6,284.77 | $20,904.46 | $67,806.50 | $3,645.96 | $5,049.49 | $11,527.20 | $2,175.00 | $3,553.27 | $7,349.59 |
| Ohio | 77 | 1,701 | $7,791.67 | $14,888.82 | $27,323.60 | $3,642.00 | $4,933.37 | $9,323.47 | $2,412.21 | $3,531.89 | $7,351.24 |
| Tennessee | 57 | 1,476 | $5,288.31 | $18,206.79 | $34,428.90 | $2,877.08 | $4,473.85 | $7,131.04 | $2,071.75 | $3,332.50 | $5,797.96 |
| Georgia | 56 | 1,234 | $10,027.40 | $18,411.18 | $42,256.70 | $3,858.17 | $5,052.82 | $8,957.29 | $2,781.67 | $3,730.02 | $7,261.33 |
| Kentucky | 55 | 1,427 | $7,634.64 | $15,922.36 | $32,279.40 | $3,853.40 | $4,781.53 | $7,759.36 | $2,583.76 | $3,509.00 | $5,851.91 |
| North Carolina | 55 | 1,267 | $7,989.58 | $14,535.37 | $26,572.90 | $3,944.84 | $5,033.40 | $8,131.36 | $2,581.93 | $3,504.52 | $5,848.29 |
| New Jersey | 55 | 1,638 | $18,927.50 | $41,848.78 | $104,788.00 | $4,130.23 | $5,719.04 | $9,582.76 | $2,739.29 | $4,141.67 | $7,744.06 |
| Alabama | 53 | 1,369 | $5,843.82 | $19,753.11 | $52,647.50 | $3,335.53 | $4,444.56 | $6,782.17 | $2,190.26 | $3,177.92 | $4,457.94 |
| Michigan | 52 | 1,228 | $8,055.82 | $12,987.24 | $19,480.80 | $4,137.92 | $5,354.94 | $8,420.00 | $3,025.92 | $4,002.54 | $7,056.13 |
| Missouri | 51 | 1,321 | $6,977.58 | $18,260.74 | $39,495.70 | $3,428.46 | $4,789.96 | $11,226.70 | $2,302.33 | $3,606.83 | $10,182.40 |
| Oklahoma | 50 | 1,101 | $6,024.82 | $17,147.86 | $46,984.60 | $3,661.61 | $4,823.06 | $10,440.30 | $2,471.43 | $3,613.20 | $8,236.48 |
| Indiana | 50 | 1,202 | $10,126.60 | $16,628.33 | $26,833.10 | $3,928.50 | $4,855.62 | $8,135.97 | $2,789.83 | $3,584.22 | $6,227.34 |
| Massachusetts | 46 | 1,337 | $5,583.31 | $10,605.80 | $25,906.10 | $4,814.35 | $6,030.73 | $8,403.30 | $3,663.35 | $4,732.30 | $6,953.61 |
| Virginia | 44 | 990 | $7,079.32 | $16,534.03 | $39,863.10 | $3,741.04 | $4,877.57 | $8,946.00 | $2,449.00 | $3,450.27 | $6,431.81 |
| Louisiana | 44 | 1,232 | $7,730.54 | $19,292.79 | $42,304.40 | $3,977.15 | $4,736.88 | $6,650.12 | $2,632.43 | $3,519.34 | $5,240.91 |
| Mississippi | 39 | 976 | $6,247.50 | $19,586.02 | $47,279.50 | $3,918.67 | $4,642.88 | $6,136.42 | $2,721.83 | $3,535.39 | $4,498.80 |
| Maryland | 37 | 1,251 | $4,568.67 | $6,743.05 | $9,260.06 | $4,281.67 | $6,265.70 | $8,552.94 | $2,836.52 | $5,106.47 | $7,418.94 |
| South Carolina | 36 | 860 | $8,204.77 | $20,965.63 | $39,801.20 | $3,597.32 | $4,929.48 | $7,610.86 | $2,439.54 | $3,560.10 | $5,300.21 |
| Arkansas | 35 | 989 | $5,427.74 | $14,654.95 | $36,509.50 | $3,920.62 | $4,533.04 | $7,899.13 | $2,501.00 | $3,296.25 | $5,964.27 |
| Wisconsin | 28 | 594 | $10,834.40 | $16,501.13 | $26,991.60 | $3,712.44 | $5,108.30 | $7,824.67 | $2,622.07 | $3,784.71 | $5,335.17 |
| Iowa | 26 | 571 | $7,819.12 | $14,192.10 | $22,517.40 | $3,810.51 | $4,616.88 | $8,176.06 | $2,385.88 | $3,422.31 | $6,897.17 |
| Arizona | 26 | 702 | $7,525.48 | $21,465.28 | $61,916.50 | $3,732.41 | $5,884.74 | $12,187.60 | $2,724.39 | $4,590.01 | $11,149.90 |
| Minnesota | 25 | 492 | $8,610.22 | $12,452.13 | $17,392.90 | $4,152.10 | $5,389.26 | $10,000.20 | $3,025.70 | $4,108.72 | $8,229.92 |
| Kansas | 24 | 516 | $7,246.19 | $17,727.86 | $26,062.40 | $3,538.45 | $4,571.58 | $6,209.75 | $2,399.43 | $3,479.26 | $5,204.42 |
| Connecticut | 23 | 594 | $7,052.33 | $18,309.09 | $24,655.90 | $4,785.92 | $6,445.60 | $8,663.06 | $3,518.53 | $5,063.24 | $6,998.59 |
| West Virginia | 22 | 560 | $5,948.82 | $11,571.25 | $16,551.30 | $4,076.75 | $5,092.61 | $7,929.25 | $2,410.27 | $3,465.86 | $5,788.79 |
| Colorado | 21 | 442 | $10,378.60 | $22,729.94 | $39,226.90 | $3,886.80 | $4,985.77 | $7,852.27 | $2,651.74 | $3,638.54 | $5,545.18 |
| New Mexico | 21 | 519 | $6,116.39 | $17,561.93 | $32,543.40 | $4,387.85 | $5,986.32 | $10,426.10 | $3,272.77 | $4,783.21 | $8,551.93 |
| Nebraska | 17 | 359 | $12,857.30 | $18,344.35 | $27,452.00 | $3,853.05 | $5,003.51 | $7,867.08 | $2,719.48 | $3,592.22 | $5,322.08 |
| Utah | 17 | 304 | $6,998.45 | $14,645.69 | $19,245.10 | $3,570.64 | $5,126.11 | $6,258.54 | $2,575.73 | $3,874.21 | $5,138.54 |
| Washington | 17 | 317 | $8,476.19 | $18,985.06 | $31,751.90 | $4,399.83 | $5,496.08 | $7,611.05 | $3,232.90 | $4,052.79 | $5,046.42 |
| Nevada | 15 | 310 | $19,111.70 | $36,155.99 | $53,066.90 | $4,533.48 | $5,910.08 | $10,219.10 | $2,604.55 | $4,334.48 | $8,313.67 |
| Oregon | 10 | 194 | $10,044.80 | $16,557.95 | $20,550.90 | $4,628.08 | $5,205.48 | $6,251.43 | $2,893.25 | $3,955.86 | $4,750.00 |
| South Dakota | 8 | 170 | $6,096.94 | $15,604.51 | $21,569.00 | $4,010.55 | $5,896.60 | $10,802.80 | $2,863.35 | $4,595.24 | $9,898.75 |
| New Hampshire | 8 | 173 | $10,621.80 | $14,538.71 | $16,344.20 | $4,398.77 | $5,062.50 | $7,300.92 | $3,397.63 | $3,824.44 | $5,809.54 |
| Montana | 7 | 123 | $7,877.46 | $11,948.01 | $14,935.10 | $3,990.77 | $4,732.67 | $5,663.17 | $2,819.93 | $3,665.45 | $4,717.39 |
| Maine | 7 | 137 | $9,607.08 | $12,202.90 | $13,752.50 | $4,050.62 | $5,017.96 | $6,684.11 | $2,952.62 | $3,587.93 | $4,336.71 |
| Vermont | 6 | 112 | $9,993.79 | $11,163.04 | $14,404.90 | $4,599.20 | $6,068.05 | $6,561.24 | $3,389.60 | $4,932.35 | $5,306.67 |
| Rhode Island | 6 | 136 | $8,287.50 | $16,546.29 | $20,305.40 | $4,379.54 | $5,917.01 | $7,629.22 | $3,178.31 | $4,578.26 | $6,331.11 |
| Delaware | 5 | 215 | $10,031.80 | $12,845.92 | $17,573.20 | $4,807.18 | $5,867.06 | $6,328.89 | $2,981.05 | $3,934.49 | $4,442.33 |
| Washington DC | 5 | 128 | $14,153.90 | $16,823.76 | $19,952.20 | $4,176.18 | $6,136.78 | $8,137.27 | $2,976.77 | $4,591.33 | $5,849.27 |
| Idaho | 5 | 113 | $11,340.20 | $16,043.20 | $21,010.30 | $4,846.25 | $5,358.67 | $7,187.17 | $3,705.85 | $3,913.58 | $4,778.17 |
| North Dakota | 4 | 77 | $8,803.09 | $10,730.47 | $11,815.00 | $4,554.24 | $5,187.91 | $7,836.36 | $3,433.13 | $4,094.47 | $7,010.18 |
| Hawaii | 4 | 55 | $14,748.90 | $21,710.57 | $28,215.10 | $5,994.29 | $7,343.04 | $9,008.56 | $4,780.57 | $5,877.04 | $7,954.56 |
| Wyoming | 4 | 95 | $12,695.80 | $14,531.10 | $17,433.30 | $6,721.29 | $6,956.76 | $7,596.15 | $5,061.79 | $5,644.64 | $6,032.81 |
| Alaska | 3 | 38 | $19,696.10 | $24,138.04 | $32,506.80 | $5,859.36 | $7,321.18 | $9,711.08 | $4,915.36 | $6,243.29 | $8,508.42 | TOTAL US | 1,971 | 48,798 | $4,568.67 | $21.030,97 | $104,788.00 | $2,877.08 | $5.300,64 | $17,387.10 | $2,071.75 | $3.953,29 | $14,959.60 |
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.