Hospital Costs > Spinal 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 |
| Texas | 2 | 37 | $26,860.40 | $33,304.68 | $42,756.30 | $10,657.90 | $11,771.81 | $12,531.30 | $7,664.40 | $9,353.46 | $10,505.10 |
| Florida | 1 | 24 | $50,405.60 | $50,405.60 | $50,405.60 | $11,348.10 | $11,348.10 | $11,348.10 | $10,131.50 | $10,131.50 | $10,131.50 |
| Missouri | 1 | 14 | $41,165.60 | $41,165.60 | $41,165.60 | $18,601.00 | $18,601.00 | $18,601.00 | $10,951.60 | $10,951.60 | $10,951.60 |
| Illinois | 2 | 32 | $47,531.00 | $47,764.76 | $47,887.20 | $12,817.80 | $14,491.17 | $15,367.70 | $9,173.45 | $10,993.59 | $11,947.00 |
| Indiana | 2 | 34 | $62,268.50 | $65,019.69 | $66,722.80 | $11,329.40 | $13,306.16 | $16,499.40 | $10,121.00 | $11,292.72 | $13,185.50 |
| Ohio | 2 | 53 | $18,122.00 | $19,034.75 | $22,519.80 | $13,840.20 | $14,089.51 | $15,041.40 | $11,389.10 | $11,691.35 | $12,845.40 |
| Michigan | 2 | 26 | $32,276.80 | $32,473.42 | $32,617.60 | $13,681.10 | $17,239.39 | $19,848.80 | $10,665.10 | $12,825.39 | $14,409.60 |
| Maryland | 3 | 65 | $12,181.50 | $16,883.58 | $21,657.80 | $11,483.80 | $15,746.85 | $20,262.00 | $8,031.70 | $13,104.78 | $16,744.70 |
| Vermont | 1 | 14 | $17,133.60 | $17,133.60 | $17,133.60 | $15,377.60 | $15,377.60 | $15,377.60 | $13,838.20 | $13,838.20 | $13,838.20 |
| Arizona | 1 | 13 | $72,962.50 | $72,962.50 | $72,962.50 | $18,399.30 | $18,399.30 | $18,399.30 | $13,945.50 | $13,945.50 | $13,945.50 |
| Connecticut | 1 | 12 | $49,284.20 | $49,284.20 | $49,284.20 | $23,227.50 | $23,227.50 | $23,227.50 | $14,183.10 | $14,183.10 | $14,183.10 |
| North Carolina | 3 | 57 | $30,468.60 | $54,518.00 | $61,020.20 | $10,420.70 | $17,102.69 | $19,840.50 | $9,067.73 | $14,664.26 | $16,972.00 |
| New York | 3 | 55 | $36,046.70 | $50,560.71 | $59,654.10 | $14,929.50 | $19,902.53 | $22,482.40 | $10,710.00 | $15,711.97 | $18,044.50 |
| Massachusetts | 2 | 77 | $27,392.00 | $39,949.14 | $66,068.00 | $18,012.60 | $18,225.53 | $18,327.90 | $15,947.40 | $16,182.41 | $16,295.40 |
| Virginia | 1 | 14 | $69,883.60 | $69,883.60 | $69,883.60 | $20,164.10 | $20,164.10 | $20,164.10 | $16,830.90 | $16,830.90 | $16,830.90 |
| California | 2 | 37 | $26,385.70 | $78,666.79 | $118,500.00 | $16,475.60 | $19,608.23 | $23,719.80 | $14,495.50 | $16,884.69 | $20,020.50 | TOTAL US | 29 | 564 | $12,181.50 | $43.158,40 | $118,500.00 | $10,420.70 | $16.519,21 | $23,719.80 | $7,664.40 | $13.537,01 | $20,020.50 |
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.