Hospital Costs > Soft Tissue Procedures 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 |
| Michigan | 1 | 14 | $22,792.20 | $22,792.20 | $22,792.20 | $11,384.60 | $11,384.60 | $11,384.60 | $10,375.80 | $10,375.80 | $10,375.80 |
| Maryland | 1 | 13 | $31,242.50 | $31,242.50 | $31,242.50 | $28,793.50 | $28,793.50 | $28,793.50 | $28,141.20 | $28,141.20 | $28,141.20 |
| Iowa | 1 | 15 | $39,661.40 | $39,661.40 | $39,661.40 | $15,865.30 | $15,865.30 | $15,865.30 | $12,415.50 | $12,415.50 | $12,415.50 |
| Minnesota | 5 | 80 | $18,758.00 | $41,342.79 | $58,223.40 | $10,889.50 | $14,569.92 | $19,103.50 | $8,549.78 | $11,728.90 | $15,399.70 |
| Delaware | 1 | 20 | $42,070.60 | $42,070.60 | $42,070.60 | $14,437.50 | $14,437.50 | $14,437.50 | $11,839.00 | $11,839.00 | $11,839.00 |
| North Carolina | 2 | 24 | $42,098.00 | $42,953.75 | $43,965.10 | $10,047.80 | $11,448.60 | $13,104.10 | $8,875.92 | $9,805.23 | $10,903.50 |
| Connecticut | 1 | 13 | $43,507.70 | $43,507.70 | $43,507.70 | $15,602.50 | $15,602.50 | $15,602.50 | $12,632.50 | $12,632.50 | $12,632.50 |
| Wisconsin | 2 | 28 | $38,963.20 | $45,253.93 | $49,324.40 | $11,446.10 | $13,358.02 | $16,312.80 | $10,079.10 | $10,237.03 | $10,481.10 |
| Ohio | 1 | 13 | $47,240.90 | $47,240.90 | $47,240.90 | $12,536.70 | $12,536.70 | $12,536.70 | $9,264.54 | $9,264.54 | $9,264.54 |
| Washington | 2 | 34 | $41,844.80 | $48,467.39 | $53,103.20 | $15,439.60 | $16,294.78 | $16,893.40 | $9,504.36 | $12,833.97 | $15,164.70 |
| Alabama | 2 | 26 | $41,021.70 | $50,108.30 | $56,771.80 | $9,267.91 | $11,718.33 | $13,515.30 | $8,497.00 | $8,620.69 | $8,711.40 |
| Texas | 3 | 43 | $45,400.60 | $51,343.07 | $61,307.10 | $10,516.10 | $12,066.83 | $13,961.40 | $7,772.82 | $9,017.93 | $9,771.24 |
| New Jersey | 1 | 14 | $62,200.60 | $62,200.60 | $62,200.60 | $13,062.10 | $13,062.10 | $13,062.10 | $11,598.10 | $11,598.10 | $11,598.10 |
| Indiana | 1 | 22 | $64,385.00 | $64,385.00 | $64,385.00 | $15,149.90 | $15,149.90 | $15,149.90 | $12,604.70 | $12,604.70 | $12,604.70 |
| Florida | 3 | 45 | $43,712.20 | $65,228.68 | $78,120.80 | $8,810.08 | $10,901.21 | $12,670.10 | $8,106.00 | $9,435.30 | $10,104.80 |
| Tennessee | 1 | 12 | $65,653.00 | $65,653.00 | $65,653.00 | $13,268.60 | $13,268.60 | $13,268.60 | $12,564.60 | $12,564.60 | $12,564.60 |
| Massachusetts | 3 | 40 | $13,497.60 | $68,719.11 | $117,065.00 | $13,049.40 | $16,208.21 | $19,523.60 | $11,579.70 | $14,036.75 | $16,613.50 |
| New York | 2 | 25 | $69,957.50 | $71,247.96 | $72,261.90 | $16,650.50 | $20,213.84 | $23,013.60 | $13,460.60 | $16,179.12 | $18,315.10 |
| Pennsylvania | 2 | 27 | $101,539.00 | $101,683.22 | $101,893.00 | $15,191.50 | $16,680.92 | $17,704.90 | $10,064.50 | $12,588.71 | $14,324.10 |
| California | 2 | 24 | $52,222.80 | $108,180.33 | $155,529.00 | $11,806.20 | $17,239.98 | $21,837.80 | $11,028.50 | $15,572.16 | $19,416.80 | TOTAL US | 37 | 532 | $13,497.60 | $56.367,17 | $155,529.00 | $8,810.08 | $14.665,34 | $28,793.50 | $7,772.82 | $12.071,29 | $28,141.20 |
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.