Hospital Costs > Spinal Fusion Except Cervical W/O 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 |
| Maryland | 28 | 1,735 | $27,504.10 | $43,130.59 | $65,997.10 | $25,483.40 | $39,983.93 | $61,034.20 | $22,738.10 | $36,336.42 | $54,846.40 |
| Rhode Island | 6 | 243 | $36,171.40 | $58,505.87 | $85,479.10 | $25,578.40 | $31,713.02 | $36,013.50 | $22,116.10 | $27,238.08 | $32,494.00 |
| Delaware | 3 | 502 | $41,834.50 | $58,852.03 | $65,694.60 | $23,730.40 | $28,410.95 | $30,562.60 | $21,282.10 | $25,394.75 | $27,303.80 |
| Maine | 6 | 252 | $43,909.10 | $59,653.66 | $105,284.00 | $22,905.50 | $26,920.46 | $29,854.30 | $18,968.40 | $24,161.91 | $26,345.00 |
| Vermont | 3 | 86 | $41,499.80 | $59,803.34 | $76,089.40 | $25,730.70 | $33,539.62 | $35,730.20 | $24,522.10 | $29,820.97 | $32,678.40 |
| Michigan | 49 | 3,168 | $31,092.40 | $63,494.03 | $165,810.00 | $22,674.00 | $28,333.28 | $92,041.40 | $18,085.30 | $24,630.35 | $88,619.80 |
| Massachusetts | 23 | 1,428 | $31,125.00 | $65,488.65 | $121,802.00 | $28,056.20 | $34,914.88 | $44,549.40 | $24,728.30 | $31,460.73 | $41,724.60 |
| North Dakota | 3 | 259 | $61,859.70 | $65,678.88 | $69,955.40 | $24,281.40 | $25,004.82 | $26,286.60 | $22,100.90 | $22,409.51 | $22,822.30 |
| Arkansas | 14 | 781 | $37,233.90 | $71,100.71 | $166,411.00 | $19,976.00 | $22,824.76 | $31,642.10 | $17,694.20 | $19,929.94 | $26,356.30 |
| Oregon | 16 | 734 | $47,551.10 | $71,383.47 | $103,025.00 | $24,701.20 | $29,312.21 | $37,132.90 | $22,522.00 | $25,827.86 | $34,063.40 |
| Minnesota | 22 | 1,257 | $40,835.80 | $72,969.68 | $137,229.00 | $24,660.60 | $29,717.18 | $43,618.60 | $21,500.60 | $25,580.52 | $30,542.90 |
| Utah | 16 | 889 | $44,193.50 | $73,459.40 | $115,227.00 | $22,287.30 | $28,016.02 | $34,651.50 | $16,360.50 | $21,755.02 | $27,813.00 |
| Hawaii | 2 | 77 | $59,778.50 | $74,811.06 | $87,338.20 | $33,386.90 | $37,153.43 | $40,292.20 | $24,514.10 | $26,042.79 | $27,316.70 |
| Iowa | 15 | 774 | $42,629.20 | $75,310.88 | $132,201.00 | $20,998.20 | $25,027.96 | $38,963.60 | $19,703.30 | $21,887.04 | $30,652.60 |
| Connecticut | 17 | 671 | $19,795.90 | $76,167.73 | $167,108.00 | $25,901.90 | $34,355.73 | $43,594.80 | $23,031.40 | $30,087.28 | $37,407.60 |
| Wisconsin | 30 | 947 | $33,752.10 | $77,302.19 | $152,777.00 | $21,984.20 | $29,024.67 | $40,948.10 | $18,839.50 | $23,747.88 | $28,915.80 |
| Mississippi | 13 | 756 | $38,999.60 | $77,477.90 | $174,886.00 | $20,731.30 | $23,181.58 | $33,488.20 | $17,431.70 | $20,438.89 | $30,551.40 |
| West Virginia | 8 | 295 | $53,437.40 | $79,271.21 | $136,039.00 | $24,023.30 | $28,017.97 | $32,187.50 | $20,088.40 | $23,504.99 | $28,562.80 |
| Montana | 8 | 416 | $65,528.70 | $79,317.25 | $121,866.00 | $24,741.60 | $26,460.66 | $32,016.40 | $21,094.70 | $23,200.90 | $30,809.50 |
| New Hampshire | 8 | 296 | $48,191.40 | $85,276.23 | $167,242.00 | $25,958.90 | $32,026.76 | $36,801.80 | $21,178.10 | $28,583.03 | $31,667.60 |
| Idaho | 10 | 593 | $54,961.80 | $85,694.83 | $170,990.00 | $22,052.20 | $28,694.67 | $36,650.10 | $20,826.50 | $23,941.83 | $30,158.20 |
| Nebraska | 13 | 635 | $48,145.80 | $85,894.26 | $117,615.00 | $22,174.20 | $27,266.76 | $31,915.30 | $19,442.80 | $22,139.95 | $27,957.10 |
| Kansas | 17 | 966 | $24,266.40 | $87,190.89 | $141,852.00 | $18,596.40 | $24,234.23 | $28,906.70 | $16,329.80 | $21,039.21 | $25,955.00 |
| Oklahoma | 21 | 1,180 | $29,792.40 | $87,309.09 | $207,913.00 | $17,397.70 | $23,532.00 | $37,058.50 | $16,188.10 | $20,236.53 | $30,389.20 |
| Ohio | 58 | 3,009 | $28,716.90 | $91,544.80 | $163,002.00 | $20,191.10 | $27,198.53 | $36,043.40 | $17,700.80 | $22,060.59 | $32,350.70 |
| New York | 56 | 2,563 | $14,883.80 | $92,408.61 | $190,949.00 | $21,012.20 | $36,047.45 | $134,802.00 | $19,797.90 | $28,821.93 | $41,503.00 |
| Georgia | 46 | 2,772 | $31,606.10 | $93,857.22 | $234,760.00 | $21,253.60 | $26,233.21 | $38,489.80 | $17,520.30 | $21,782.92 | $32,997.90 |
| Alabama | 24 | 1,972 | $25,359.80 | $95,226.14 | $158,969.00 | $18,915.40 | $21,018.33 | $25,942.90 | $14,339.50 | $19,030.73 | $23,279.00 |
| North Carolina | 38 | 2,889 | $55,036.40 | $97,494.01 | $172,998.00 | $20,787.00 | $27,178.22 | $35,198.30 | $17,266.60 | $23,841.72 | $31,042.90 |
| Missouri | 29 | 1,945 | $48,795.80 | $97,763.50 | $304,849.00 | $20,603.80 | $26,658.44 | $47,134.40 | $18,425.80 | $23,271.49 | $42,127.10 |
| Tennessee | 33 | 2,267 | $34,674.00 | $97,892.37 | $331,914.00 | $21,323.50 | $25,563.79 | $36,605.00 | $16,767.10 | $20,949.73 | $28,998.50 |
| Louisiana | 28 | 1,152 | $63,185.90 | $100,942.55 | $199,817.00 | $20,094.80 | $25,137.37 | $36,897.20 | $16,364.20 | $20,981.96 | $30,197.40 |
| South Dakota | 7 | 452 | $76,643.00 | $104,808.28 | $126,946.00 | $23,030.10 | $25,258.34 | $31,101.50 | $20,898.70 | $22,983.97 | $29,849.60 |
| Kentucky | 14 | 1,001 | $41,898.70 | $105,296.69 | $193,197.00 | $22,596.80 | $27,140.67 | $35,098.60 | $19,373.00 | $23,396.03 | $32,945.80 |
| Virginia | 37 | 2,477 | $46,422.60 | $108,288.56 | $302,932.00 | $22,704.50 | $28,905.25 | $62,286.10 | $16,762.20 | $24,136.84 | $53,165.80 |
| Arizona | 26 | 1,687 | $37,097.50 | $109,481.45 | $208,855.00 | $22,543.90 | $28,912.63 | $43,052.90 | $19,438.40 | $25,474.76 | $38,628.60 |
| Pennsylvania | 61 | 2,867 | $30,890.50 | $111,687.07 | $342,700.00 | $20,327.60 | $27,972.11 | $42,489.10 | $12,615.90 | $23,656.24 | $36,877.50 |
| Illinois | 56 | 2,543 | $51,830.30 | $112,051.50 | $283,568.00 | $22,169.20 | $30,513.98 | $55,327.00 | $17,622.50 | $24,625.39 | $50,464.40 |
| Indiana | 43 | 2,016 | $44,029.20 | $114,610.80 | $439,331.00 | $21,376.30 | $28,714.32 | $119,483.00 | $18,111.80 | $24,387.49 | $118,378.00 |
| New Mexico | 7 | 223 | $76,318.60 | $115,788.64 | $164,257.00 | $23,411.30 | $29,028.04 | $40,567.00 | $21,539.70 | $25,849.07 | $34,989.00 |
| Texas | 120 | 5,477 | $45,784.20 | $118,532.40 | $337,964.00 | $16,725.60 | $27,004.81 | $65,780.90 | $15,418.60 | $22,082.01 | $63,811.50 |
| New Jersey | 29 | 992 | $66,857.60 | $120,731.32 | $260,057.00 | $18,089.30 | $29,790.39 | $44,434.90 | $16,881.70 | $26,574.90 | $41,381.90 |
| Washington | 29 | 1,693 | $53,738.40 | $123,069.93 | $203,349.00 | $26,031.60 | $31,494.08 | $50,535.00 | $22,808.30 | $26,433.64 | $37,294.00 |
| Nevada | 15 | 803 | $72,134.70 | $124,050.55 | $233,228.00 | $24,310.60 | $27,513.13 | $35,292.40 | $20,106.60 | $24,030.94 | $28,166.30 |
| South Carolina | 28 | 1,987 | $55,607.30 | $128,148.49 | $294,519.00 | $21,750.00 | $26,594.47 | $41,904.40 | $19,238.20 | $22,469.63 | $31,649.00 |
| Wyoming | 4 | 222 | $105,831.00 | $129,095.55 | $180,915.00 | $24,826.40 | $35,761.80 | $50,755.00 | $23,526.90 | $31,519.99 | $45,702.50 |
| Florida | 89 | 5,553 | $54,438.50 | $131,282.17 | $269,831.00 | $16,912.30 | $24,907.31 | $40,710.70 | $15,500.20 | $21,259.77 | $34,894.70 |
| Washington DC | 5 | 335 | $64,912.80 | $135,245.51 | $196,257.00 | $25,955.90 | $34,774.08 | $38,569.60 | $21,836.80 | $28,981.04 | $33,129.30 |
| Alaska | 4 | 182 | $105,623.00 | $143,395.19 | $178,787.00 | $37,597.80 | $39,852.11 | $48,705.80 | $29,764.30 | $32,766.40 | $47,495.60 |
| Colorado | 29 | 1,730 | $73,851.70 | $148,213.07 | $235,956.00 | $24,549.80 | $30,637.07 | $60,365.80 | $18,967.90 | $25,224.84 | $59,225.70 |
| California | 99 | 4,292 | $55,447.10 | $175,667.46 | $468,760.00 | $26,603.10 | $34,851.94 | $51,907.10 | $19,970.20 | $31,647.23 | $49,081.70 | TOTAL US | 1,365 | 74,041 | $14,883.80 | $104.612,26 | $468,760.00 | $16,725.60 | $28.545,06 | $134,802.00 | $12,615.90 | $24.345,03 | $118,378.00 |
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.