Hospital Costs > Soft Tissue Procedures 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 |
| Wisconsin | 1 | 13 | $35,372.30 | $35,372.30 | $35,372.30 | $10,192.20 | $10,192.20 | $10,192.20 | $4,039.38 | $4,039.38 | $4,039.38 |
| Michigan | 1 | 20 | $19,817.50 | $19,817.50 | $19,817.50 | $8,316.95 | $8,316.95 | $8,316.95 | $6,543.05 | $6,543.05 | $6,543.05 |
| Minnesota | 2 | 33 | $24,945.80 | $26,527.29 | $27,431.00 | $9,301.33 | $10,931.80 | $11,863.50 | $6,279.33 | $6,693.94 | $6,930.86 |
| Pennsylvania | 1 | 14 | $66,152.60 | $66,152.60 | $66,152.60 | $10,513.10 | $10,513.10 | $10,513.10 | $6,776.71 | $6,776.71 | $6,776.71 |
| Florida | 3 | 47 | $27,826.80 | $38,151.34 | $45,559.60 | $6,562.75 | $9,178.27 | $11,395.10 | $5,382.67 | $6,813.20 | $9,335.71 |
| Alabama | 1 | 12 | $44,184.40 | $44,184.40 | $44,184.40 | $9,037.50 | $9,037.50 | $9,037.50 | $7,105.58 | $7,105.58 | $7,105.58 |
| Ohio | 2 | 23 | $42,172.70 | $49,838.17 | $58,200.50 | $11,033.10 | $11,450.86 | $11,906.60 | $5,978.00 | $7,220.35 | $8,575.64 |
| North Carolina | 2 | 25 | $38,570.30 | $39,972.82 | $41,074.80 | $9,941.79 | $10,684.82 | $11,630.50 | $7,822.93 | $8,252.80 | $8,799.91 |
| New York | 4 | 94 | $21,614.90 | $35,972.01 | $40,607.30 | $10,021.30 | $12,176.19 | $14,556.50 | $6,753.23 | $8,673.55 | $11,615.80 |
| Massachusetts | 2 | 31 | $49,716.00 | $55,426.51 | $62,360.70 | $12,428.50 | $13,062.56 | $13,832.50 | $8,482.29 | $8,897.26 | $9,239.00 |
| Tennessee | 1 | 16 | $50,142.50 | $50,142.50 | $50,142.50 | $10,085.50 | $10,085.50 | $10,085.50 | $9,027.50 | $9,027.50 | $9,027.50 |
| Oregon | 1 | 11 | $32,617.60 | $32,617.60 | $32,617.60 | $13,016.80 | $13,016.80 | $13,016.80 | $9,677.00 | $9,677.00 | $9,677.00 |
| Washington | 1 | 26 | $42,494.20 | $42,494.20 | $42,494.20 | $12,183.20 | $12,183.20 | $12,183.20 | $10,686.00 | $10,686.00 | $10,686.00 |
| California | 1 | 11 | $115,308.00 | $115,308.00 | $115,308.00 | $16,317.50 | $16,317.50 | $16,317.50 | $11,500.90 | $11,500.90 | $11,500.90 |
| Maryland | 1 | 11 | $15,604.50 | $15,604.50 | $15,604.50 | $14,398.90 | $14,398.90 | $14,398.90 | $13,194.50 | $13,194.50 | $13,194.50 | TOTAL US | 24 | 387 | $15,604.50 | $41.168,48 | $115,308.00 | $6,562.75 | $11.332,78 | $16,317.50 | $4,039.38 | $8.187,40 | $13,194.50 |
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.