Hospital Costs > Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus 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 |
| Nebraska | 1 | 13 | $170,737.00 | $170,737.00 | $170,737.00 | $57,160.20 | $57,160.20 | $57,160.20 | $31,378.50 | $31,378.50 | $31,378.50 |
| Kentucky | 1 | 17 | $216,229.00 | $216,229.00 | $216,229.00 | $55,022.60 | $55,022.60 | $55,022.60 | $34,184.60 | $34,184.60 | $34,184.60 |
| Arkansas | 1 | 26 | $126,550.00 | $126,550.00 | $126,550.00 | $38,984.60 | $38,984.60 | $38,984.60 | $35,863.40 | $35,863.40 | $35,863.40 |
| Oklahoma | 1 | 23 | $152,795.00 | $152,795.00 | $152,795.00 | $44,197.00 | $44,197.00 | $44,197.00 | $36,420.20 | $36,420.20 | $36,420.20 |
| Alabama | 1 | 17 | $131,997.00 | $131,997.00 | $131,997.00 | $41,244.50 | $41,244.50 | $41,244.50 | $37,853.00 | $37,853.00 | $37,853.00 |
| Wyoming | 1 | 15 | $98,847.40 | $98,847.40 | $98,847.40 | $39,314.00 | $39,314.00 | $39,314.00 | $38,311.30 | $38,311.30 | $38,311.30 |
| North Dakota | 1 | 17 | $87,311.50 | $87,311.50 | $87,311.50 | $40,285.10 | $40,285.10 | $40,285.10 | $38,880.20 | $38,880.20 | $38,880.20 |
| Kansas | 3 | 51 | $93,976.80 | $154,225.41 | $196,678.00 | $35,195.90 | $42,086.77 | $46,369.30 | $33,984.10 | $39,288.19 | $41,633.00 |
| Ohio | 2 | 27 | $88,735.70 | $117,067.66 | $147,579.00 | $36,793.80 | $43,680.19 | $51,096.30 | $35,751.10 | $38,795.56 | $42,074.20 |
| Texas | 6 | 105 | $139,920.00 | $209,870.60 | $287,946.00 | $42,694.70 | $46,526.35 | $49,983.60 | $34,901.20 | $39,647.21 | $42,800.70 |
| Georgia | 1 | 17 | $127,511.00 | $127,511.00 | $127,511.00 | $45,999.80 | $45,999.80 | $45,999.80 | $44,107.10 | $44,107.10 | $44,107.10 |
| Wisconsin | 1 | 12 | $82,074.40 | $82,074.40 | $82,074.40 | $57,833.70 | $57,833.70 | $57,833.70 | $50,424.70 | $50,424.70 | $50,424.70 |
| Iowa | 2 | 31 | $94,448.70 | $141,354.37 | $170,979.00 | $37,616.00 | $56,683.54 | $68,726.20 | $36,400.00 | $45,496.95 | $51,242.40 |
| Minnesota | 3 | 69 | $78,404.30 | $118,727.38 | $130,717.00 | $43,665.60 | $52,814.64 | $65,802.00 | $42,676.50 | $46,593.89 | $51,970.70 |
| Arizona | 2 | 67 | $146,379.00 | $228,793.48 | $254,649.00 | $44,967.70 | $52,582.76 | $54,971.80 | $30,510.30 | $47,158.37 | $52,381.30 |
| Pennsylvania | 3 | 69 | $126,726.00 | $247,273.72 | $352,109.00 | $38,716.60 | $53,842.54 | $62,961.20 | $37,578.90 | $45,356.50 | $52,659.20 |
| Illinois | 4 | 130 | $148,485.00 | $226,745.69 | $265,431.00 | $43,462.60 | $53,735.41 | $65,131.40 | $42,404.70 | $47,910.88 | $53,740.50 |
| Michigan | 5 | 129 | $44,176.90 | $100,796.94 | $165,215.00 | $39,632.40 | $50,641.78 | $66,457.70 | $35,881.60 | $44,722.18 | $54,271.70 |
| North Carolina | 5 | 138 | $77,741.00 | $175,788.33 | $209,085.00 | $38,346.90 | $53,162.20 | $60,966.20 | $34,848.40 | $46,775.52 | $55,328.70 |
| Florida | 9 | 131 | $73,266.60 | $188,029.75 | $326,624.00 | $36,300.80 | $48,849.79 | $66,421.20 | $35,188.80 | $43,017.42 | $56,830.60 |
| Rhode Island | 1 | 13 | $133,343.00 | $133,343.00 | $133,343.00 | $59,040.80 | $59,040.80 | $59,040.80 | $56,953.20 | $56,953.20 | $56,953.20 |
| Missouri | 2 | 62 | $169,922.00 | $223,620.39 | $236,508.00 | $42,284.50 | $66,703.37 | $72,563.90 | $41,076.50 | $54,383.84 | $57,577.60 |
| Indiana | 1 | 11 | $297,165.00 | $297,165.00 | $297,165.00 | $63,714.50 | $63,714.50 | $63,714.50 | $60,664.80 | $60,664.80 | $60,664.80 |
| Oregon | 1 | 19 | $154,602.00 | $154,602.00 | $154,602.00 | $64,407.70 | $64,407.70 | $64,407.70 | $61,617.00 | $61,617.00 | $61,617.00 |
| Massachusetts | 3 | 50 | $91,447.90 | $173,529.36 | $243,982.00 | $51,495.80 | $60,869.46 | $68,179.90 | $48,576.50 | $58,123.70 | $65,493.80 |
| Colorado | 3 | 43 | $268,775.00 | $365,968.35 | $436,438.00 | $49,268.10 | $65,412.68 | $84,134.30 | $38,732.30 | $53,243.03 | $65,592.00 |
| Virginia | 4 | 76 | $183,801.00 | $348,403.33 | $556,813.00 | $47,844.60 | $65,706.48 | $77,273.00 | $45,949.70 | $55,271.94 | $68,214.10 |
| Maryland | 2 | 53 | $51,387.40 | $71,793.95 | $80,618.40 | $47,479.10 | $66,348.54 | $74,508.30 | $44,052.10 | $62,228.38 | $70,088.40 |
| California | 7 | 209 | $232,615.00 | $395,247.66 | $563,916.00 | $53,917.00 | $80,114.32 | $86,469.10 | $52,759.40 | $73,236.06 | $80,365.50 |
| Tennessee | 3 | 65 | $171,815.00 | $297,281.17 | $403,006.00 | $51,651.90 | $70,811.95 | $89,722.60 | $41,237.30 | $62,976.16 | $82,423.40 |
| New York | 5 | 124 | $155,253.00 | $256,388.91 | $381,940.00 | $58,737.70 | $75,982.27 | $89,721.00 | $53,001.40 | $65,155.92 | $82,669.80 |
| Washington | 3 | 61 | $139,929.00 | $232,991.26 | $284,548.00 | $49,115.70 | $63,382.61 | $86,230.00 | $47,871.20 | $61,658.00 | $82,932.00 | TOTAL US | 88 | 1,890 | $44,176.90 | $219.522,61 | $563,916.00 | $35,195.90 | $58.779,89 | $89,722.60 | $30,510.30 | $51.901,97 | $82,932.00 |
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.