Hospital Costs > Urinary Stones W/O Esw Lithotripsy 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 |
| Pennsylvania | 24 | 397 | $11,240.50 | $33,186.99 | $81,073.30 | $3,700.92 | $5,405.30 | $8,903.69 | $1,791.50 | $3,599.90 | $5,521.00 |
| Florida | 53 | 1,033 | $15,713.50 | $33,452.89 | $71,382.90 | $3,636.57 | $4,849.49 | $7,834.40 | $2,274.27 | $3,519.81 | $5,989.27 |
| Tennessee | 5 | 69 | $14,967.00 | $19,587.41 | $27,619.30 | $3,910.38 | $4,775.22 | $6,322.42 | $2,335.50 | $3,487.29 | $5,418.42 |
| West Virginia | 6 | 93 | $11,547.10 | $16,286.46 | $21,360.20 | $4,030.00 | $5,240.33 | $7,535.91 | $2,346.64 | $3,413.64 | $3,951.86 |
| Missouri | 9 | 146 | $13,151.40 | $21,875.26 | $43,064.20 | $3,711.18 | $4,595.88 | $6,212.82 | $2,365.21 | $3,457.95 | $5,441.91 |
| Ohio | 24 | 322 | $11,391.00 | $19,775.70 | $32,369.40 | $3,764.12 | $5,140.78 | $8,100.42 | $2,392.91 | $3,440.63 | $5,603.92 |
| Illinois | 25 | 384 | $12,325.10 | $26,063.46 | $46,836.10 | $3,977.91 | $5,568.16 | $12,902.70 | $2,420.73 | $3,570.86 | $5,673.85 |
| Kansas | 5 | 68 | $17,081.40 | $21,105.79 | $26,300.20 | $4,149.33 | $4,499.13 | $4,993.75 | $2,476.06 | $3,104.82 | $3,593.00 |
| Alabama | 5 | 72 | $13,284.20 | $26,483.81 | $56,332.80 | $3,903.85 | $4,647.17 | $6,588.27 | $2,546.91 | $3,181.85 | $3,795.41 |
| Indiana | 6 | 83 | $17,468.60 | $25,236.96 | $39,032.20 | $4,184.18 | $5,386.13 | $9,116.67 | $2,554.27 | $3,405.64 | $4,282.80 |
| Arkansas | 2 | 37 | $15,642.80 | $16,764.89 | $18,085.00 | $4,085.80 | $4,338.00 | $4,634.71 | $2,719.15 | $3,030.27 | $3,396.29 |
| Mississippi | 3 | 36 | $17,048.50 | $25,839.08 | $40,929.50 | $4,225.93 | $4,302.91 | $4,416.36 | $2,785.29 | $3,137.33 | $3,424.36 |
| Louisiana | 4 | 58 | $13,826.20 | $18,479.85 | $23,383.80 | $3,905.25 | $4,821.64 | $5,771.07 | $2,800.19 | $3,096.72 | $3,337.33 |
| Virginia | 10 | 141 | $12,651.80 | $19,035.02 | $29,591.70 | $3,824.67 | $4,876.55 | $6,206.71 | $2,878.20 | $3,605.28 | $4,517.76 |
| New Jersey | 24 | 479 | $20,845.80 | $38,870.73 | $56,650.30 | $4,211.77 | $5,443.57 | $7,671.92 | $2,901.38 | $3,809.82 | $6,188.92 |
| Michigan | 24 | 590 | $9,264.74 | $14,378.75 | $20,911.80 | $4,339.53 | $5,060.61 | $6,611.20 | $2,938.00 | $3,615.42 | $4,571.00 |
| Arizona | 8 | 141 | $19,620.30 | $26,872.92 | $31,854.10 | $4,034.82 | $4,855.13 | $6,545.29 | $2,941.00 | $3,565.10 | $4,742.93 |
| Kentucky | 7 | 113 | $11,368.70 | $18,853.68 | $23,842.20 | $4,091.57 | $5,492.66 | $8,028.92 | $2,941.74 | $3,955.73 | $5,872.00 |
| Iowa | 5 | 64 | $14,453.20 | $18,518.02 | $20,637.50 | $3,809.00 | $5,235.11 | $7,922.58 | $2,977.00 | $4,114.97 | $6,707.83 |
| Texas | 14 | 215 | $20,549.70 | $31,031.14 | $47,338.50 | $4,154.25 | $5,890.00 | $7,736.38 | $2,977.64 | $4,070.15 | $6,543.86 |
| Wisconsin | 4 | 68 | $16,018.00 | $21,714.34 | $27,232.80 | $5,260.50 | $5,768.72 | $7,084.38 | $3,001.09 | $4,221.65 | $5,149.31 |
| North Carolina | 7 | 105 | $14,344.10 | $19,654.83 | $31,710.60 | $4,753.45 | $5,905.45 | $7,825.50 | $3,032.39 | $4,028.03 | $4,777.69 |
| Georgia | 4 | 49 | $17,323.50 | $21,258.37 | $28,313.50 | $4,589.17 | $5,345.96 | $5,704.54 | $3,041.46 | $3,587.33 | $4,666.69 |
| Maryland | 15 | 224 | $4,525.42 | $7,571.96 | $11,579.60 | $4,191.00 | $7,032.23 | $10,689.40 | $3,089.67 | $5,813.86 | $9,583.91 |
| New Hampshire | 2 | 25 | $21,619.80 | $22,111.30 | $22,565.00 | $4,238.00 | $4,460.56 | $4,666.00 | $3,128.67 | $3,305.60 | $3,468.92 |
| New York | 29 | 575 | $11,958.90 | $24,342.23 | $41,463.30 | $4,480.29 | $7,454.46 | $10,781.90 | $3,170.69 | $5,550.62 | $8,998.56 |
| Maine | 4 | 64 | $11,906.80 | $13,811.86 | $15,118.00 | $4,385.15 | $5,401.56 | $6,217.26 | $3,174.08 | $3,729.64 | $3,976.15 |
| South Carolina | 4 | 53 | $27,391.20 | $41,725.45 | $61,637.90 | $4,354.82 | $4,940.81 | $5,542.09 | $3,296.45 | $3,482.89 | $3,674.55 |
| Nebraska | 1 | 15 | $15,841.70 | $15,841.70 | $15,841.70 | $4,525.20 | $4,525.20 | $4,525.20 | $3,451.53 | $3,451.53 | $3,451.53 |
| Oklahoma | 2 | 22 | $18,459.80 | $19,083.95 | $19,708.10 | $4,443.27 | $5,285.91 | $6,128.55 | $3,457.09 | $3,614.37 | $3,771.64 |
| Oregon | 1 | 13 | $18,870.50 | $18,870.50 | $18,870.50 | $6,052.92 | $6,052.92 | $6,052.92 | $3,519.15 | $3,519.15 | $3,519.15 |
| California | 10 | 140 | $23,814.50 | $43,008.63 | $75,718.20 | $4,692.87 | $6,601.93 | $9,090.15 | $3,554.20 | $5,172.41 | $7,131.08 |
| Washington | 2 | 25 | $25,095.20 | $29,831.36 | $34,203.20 | $5,499.00 | $6,522.76 | $7,631.83 | $3,592.46 | $3,785.44 | $3,994.50 |
| Massachusetts | 13 | 226 | $8,558.62 | $14,249.66 | $33,131.70 | $4,740.73 | $6,216.54 | $8,240.00 | $3,612.20 | $4,922.28 | $6,693.17 |
| Colorado | 1 | 19 | $39,779.50 | $39,779.50 | $39,779.50 | $4,749.32 | $4,749.32 | $4,749.32 | $3,669.74 | $3,669.74 | $3,669.74 |
| Minnesota | 8 | 129 | $10,705.70 | $17,741.44 | $22,371.20 | $4,834.00 | $5,687.24 | $8,035.00 | $3,673.45 | $4,459.29 | $6,727.00 |
| Connecticut | 5 | 91 | $11,076.80 | $20,192.81 | $28,697.50 | $5,183.06 | $6,819.53 | $8,435.32 | $3,820.00 | $5,068.72 | $6,331.48 |
| North Dakota | 1 | 18 | $11,498.10 | $11,498.10 | $11,498.10 | $4,902.39 | $4,902.39 | $4,902.39 | $3,842.78 | $3,842.78 | $3,842.78 |
| South Dakota | 3 | 41 | $20,929.70 | $25,831.26 | $33,567.50 | $5,249.53 | $5,384.22 | $5,596.73 | $4,140.47 | $4,242.42 | $4,346.40 |
| Delaware | 1 | 55 | $13,815.90 | $13,815.90 | $13,815.90 | $6,569.64 | $6,569.64 | $6,569.64 | $4,144.53 | $4,144.53 | $4,144.53 |
| Nevada | 3 | 51 | $21,978.90 | $29,023.11 | $43,699.00 | $6,089.38 | $7,306.80 | $9,425.50 | $4,269.67 | $5,646.18 | $7,388.75 |
| Washington DC | 1 | 15 | $23,102.70 | $23,102.70 | $23,102.70 | $7,068.40 | $7,068.40 | $7,068.40 | $4,912.27 | $4,912.27 | $4,912.27 |
| Rhode Island | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Utah | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Vermont | 0 | 0 | - | - | - | - | - | - | - | - | - |
| New Mexico | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Hawaii | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Montana | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 384 | 6,564 | $4,525.42 | $25.188,61 | $81,073.30 | $3,636.57 | $5.562,22 | $12,902.70 | $1,791.50 | $3.994,82 | $9,583.91 |
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.