Hospital Costs > Spinal Fusion Except Cervical 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 |
| Maine | 1 | 11 | $77,874.50 | $77,874.50 | $77,874.50 | $45,885.80 | $45,885.80 | $45,885.80 | $43,838.80 | $43,838.80 | $43,838.80 |
| Maryland | 1 | 12 | $91,926.60 | $91,926.60 | $91,926.60 | $84,716.10 | $84,716.10 | $84,716.10 | $83,052.10 | $83,052.10 | $83,052.10 |
| Michigan | 4 | 56 | $55,028.10 | $71,764.74 | $92,507.20 | $37,225.20 | $42,972.31 | $51,822.70 | $31,121.10 | $36,419.43 | $40,884.00 |
| North Dakota | 2 | 34 | $76,128.20 | $95,153.29 | $122,332.00 | $38,612.60 | $42,567.19 | $48,216.60 | $34,946.70 | $37,798.46 | $41,872.40 |
| Delaware | 1 | 17 | $123,742.00 | $123,742.00 | $123,742.00 | $52,095.00 | $52,095.00 | $52,095.00 | $49,440.70 | $49,440.70 | $49,440.70 |
| Ohio | 1 | 18 | $127,648.00 | $127,648.00 | $127,648.00 | $43,737.90 | $43,737.90 | $43,737.90 | $32,770.60 | $32,770.60 | $32,770.60 |
| Utah | 2 | 27 | $95,193.10 | $111,466.64 | $128,992.00 | $48,263.30 | $50,057.01 | $51,988.70 | $41,170.90 | $43,328.04 | $45,331.10 |
| Arkansas | 1 | 23 | $130,532.00 | $130,532.00 | $130,532.00 | $37,660.30 | $37,660.30 | $37,660.30 | $34,775.90 | $34,775.90 | $34,775.90 |
| Kansas | 1 | 15 | $131,214.00 | $131,214.00 | $131,214.00 | $40,602.90 | $40,602.90 | $40,602.90 | $36,962.50 | $36,962.50 | $36,962.50 |
| Indiana | 1 | 12 | $133,660.00 | $133,660.00 | $133,660.00 | $45,900.70 | $45,900.70 | $45,900.70 | $44,991.40 | $44,991.40 | $44,991.40 |
| Minnesota | 2 | 30 | $98,295.10 | $118,156.85 | $140,856.00 | $40,623.30 | $41,695.78 | $42,634.20 | $39,459.60 | $40,373.52 | $41,173.20 |
| Kentucky | 1 | 33 | $142,354.00 | $142,354.00 | $142,354.00 | $39,603.40 | $39,603.40 | $39,603.40 | $32,615.20 | $32,615.20 | $32,615.20 |
| Georgia | 1 | 17 | $152,205.00 | $152,205.00 | $152,205.00 | $37,879.50 | $37,879.50 | $37,879.50 | $36,866.20 | $36,866.20 | $36,866.20 |
| Massachusetts | 3 | 34 | $85,454.80 | $143,870.75 | $177,379.00 | $47,225.20 | $56,047.98 | $63,398.60 | $45,892.10 | $53,589.38 | $60,200.50 |
| Tennessee | 5 | 64 | $121,212.00 | $151,217.16 | $181,100.00 | $40,012.30 | $44,738.15 | $55,502.10 | $29,098.60 | $36,724.71 | $42,484.20 |
| Wisconsin | 1 | 13 | $188,279.00 | $188,279.00 | $188,279.00 | $51,678.80 | $51,678.80 | $51,678.80 | $31,494.50 | $31,494.50 | $31,494.50 |
| North Carolina | 5 | 88 | $113,112.00 | $154,764.69 | $191,908.00 | $38,200.00 | $46,498.81 | $52,515.10 | $36,422.90 | $43,023.92 | $48,600.10 |
| Missouri | 2 | 26 | $137,834.00 | $167,487.08 | $192,904.00 | $39,686.40 | $50,831.15 | $60,383.80 | $28,863.80 | $44,596.73 | $58,082.10 |
| South Carolina | 1 | 13 | $195,999.00 | $195,999.00 | $195,999.00 | $65,596.90 | $65,596.90 | $65,596.90 | $58,077.30 | $58,077.30 | $58,077.30 |
| Texas | 1 | 27 | $217,358.00 | $217,358.00 | $217,358.00 | $42,424.70 | $42,424.70 | $42,424.70 | $36,676.90 | $36,676.90 | $36,676.90 |
| Illinois | 4 | 56 | $138,546.00 | $169,099.66 | $217,663.00 | $49,023.20 | $53,069.70 | $57,251.30 | $43,201.10 | $48,688.10 | $53,994.80 |
| Connecticut | 1 | 12 | $226,890.00 | $226,890.00 | $226,890.00 | $71,303.30 | $71,303.30 | $71,303.30 | $63,057.50 | $63,057.50 | $63,057.50 |
| Washington | 3 | 47 | $172,222.00 | $218,800.51 | $241,622.00 | $39,571.90 | $65,661.83 | $86,076.50 | $38,449.50 | $56,207.15 | $65,424.40 |
| Arizona | 2 | 35 | $105,296.00 | $177,912.63 | $246,495.00 | $56,822.40 | $63,978.23 | $71,555.00 | $48,051.80 | $58,915.43 | $70,418.10 |
| Alabama | 3 | 48 | $108,004.00 | $185,130.54 | $248,365.00 | $35,309.40 | $42,108.85 | $49,765.60 | $34,445.40 | $36,528.66 | $39,380.40 |
| New York | 3 | 41 | $140,359.00 | $209,959.49 | $273,317.00 | $69,112.50 | $71,849.42 | $76,065.50 | $59,191.90 | $62,127.06 | $66,202.20 |
| Virginia | 5 | 71 | $101,292.00 | $187,828.00 | $275,017.00 | $34,936.50 | $49,906.59 | $67,969.30 | $33,671.80 | $43,296.24 | $54,619.30 |
| Pennsylvania | 3 | 38 | $74,274.10 | $192,016.40 | $288,514.00 | $38,174.70 | $48,752.29 | $55,556.20 | $36,651.60 | $43,375.10 | $50,764.40 |
| Colorado | 3 | 43 | $244,094.00 | $277,007.40 | $297,417.00 | $38,120.20 | $45,490.66 | $60,359.60 | $37,214.80 | $43,636.53 | $55,854.50 |
| Florida | 7 | 112 | $129,860.00 | $208,442.28 | $370,477.00 | $27,492.60 | $38,790.57 | $46,367.40 | $26,463.80 | $36,194.22 | $44,484.50 |
| California | 3 | 38 | $178,467.00 | $285,709.32 | $380,725.00 | $46,011.50 | $51,285.96 | $57,216.00 | $40,054.70 | $47,339.47 | $53,938.80 | TOTAL US | 74 | 1,111 | $55,028.10 | $171.359,39 | $380,725.00 | $27,492.60 | $48.825,48 | $86,076.50 | $26,463.80 | $43.585,75 | $83,052.10 |
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.