Hospital Costs > Viral Illness 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 |
| New York | 7 | 138 | $20,555.70 | $34,093.93 | $42,242.40 | $5,440.64 | $10,806.91 | $15,175.50 | $4,561.79 | $8,054.71 | $9,774.97 |
| Pennsylvania | 7 | 114 | $11,863.90 | $31,747.23 | $41,013.50 | $4,761.29 | $6,685.47 | $9,197.58 | $3,508.86 | $4,477.79 | $6,534.00 |
| Florida | 5 | 108 | $13,679.50 | $29,231.51 | $41,226.10 | $4,523.60 | $5,393.96 | $5,960.29 | $3,221.85 | $3,914.15 | $4,120.02 |
| New Jersey | 6 | 98 | $21,696.80 | $38,799.40 | $58,028.40 | $4,806.64 | $6,161.70 | $7,686.78 | $3,602.27 | $4,935.44 | $6,129.89 |
| Massachusetts | 4 | 55 | $6,839.45 | $22,487.57 | $36,623.00 | $6,298.36 | $7,991.60 | $9,444.08 | $5,416.91 | $6,451.29 | $7,693.42 |
| Illinois | 4 | 54 | $20,309.50 | $23,222.31 | $25,719.70 | $5,702.85 | $7,425.76 | $9,114.69 | $4,582.85 | $5,545.69 | $6,697.62 |
| Maryland | 3 | 43 | $6,950.73 | $12,493.65 | $22,213.00 | $6,533.45 | $11,586.34 | $20,483.50 | $5,283.36 | $10,423.13 | $19,436.10 |
| Connecticut | 2 | 37 | $21,431.20 | $26,066.98 | $29,599.00 | $6,987.06 | $8,329.75 | $9,352.76 | $5,738.56 | $6,969.62 | $7,907.57 |
| Indiana | 2 | 35 | $28,842.10 | $29,624.44 | $30,146.00 | $6,589.24 | $7,724.69 | $9,427.86 | $5,380.48 | $5,795.06 | $6,416.93 |
| Michigan | 3 | 34 | $17,304.50 | $19,421.06 | $22,808.70 | $5,536.27 | $8,153.52 | $12,393.40 | $3,138.36 | $4,721.26 | $6,033.08 |
| Minnesota | 3 | 34 | $18,035.90 | $26,122.82 | $38,678.90 | $5,884.64 | $7,759.59 | $9,924.92 | $4,624.45 | $5,493.15 | $6,104.75 |
| Virginia | 2 | 26 | $12,149.50 | $13,003.18 | $14,167.30 | $5,113.47 | $5,271.58 | $5,487.18 | $3,757.87 | $4,044.20 | $4,434.64 |
| Ohio | 2 | 22 | $30,701.50 | $32,716.55 | $34,731.60 | $7,852.00 | $8,064.55 | $8,277.09 | $4,245.09 | $5,255.23 | $6,265.36 |
| Missouri | 1 | 18 | $19,878.80 | $19,878.80 | $19,878.80 | $7,991.06 | $7,991.06 | $7,991.06 | $4,259.94 | $4,259.94 | $4,259.94 |
| Georgia | 1 | 16 | $23,192.60 | $23,192.60 | $23,192.60 | $7,986.25 | $7,986.25 | $7,986.25 | $4,805.62 | $4,805.62 | $4,805.62 |
| Texas | 1 | 15 | $34,366.70 | $34,366.70 | $34,366.70 | $6,396.87 | $6,396.87 | $6,396.87 | $4,329.40 | $4,329.40 | $4,329.40 |
| Tennessee | 1 | 15 | $27,461.70 | $27,461.70 | $27,461.70 | $7,737.27 | $7,737.27 | $7,737.27 | $6,219.60 | $6,219.60 | $6,219.60 |
| North Carolina | 1 | 14 | $23,885.10 | $23,885.10 | $23,885.10 | $8,243.07 | $8,243.07 | $8,243.07 | $6,044.00 | $6,044.00 | $6,044.00 |
| Delaware | 1 | 13 | $13,510.80 | $13,510.80 | $13,510.80 | $6,499.15 | $6,499.15 | $6,499.15 | $5,194.54 | $5,194.54 | $5,194.54 |
| Alabama | 1 | 12 | $44,319.90 | $44,319.90 | $44,319.90 | $13,231.60 | $13,231.60 | $13,231.60 | $4,877.83 | $4,877.83 | $4,877.83 |
| Oklahoma | 1 | 12 | $14,034.40 | $14,034.40 | $14,034.40 | $5,493.58 | $5,493.58 | $5,493.58 | $4,486.58 | $4,486.58 | $4,486.58 |
| Wisconsin | 1 | 12 | $24,147.50 | $24,147.50 | $24,147.50 | $6,144.25 | $6,144.25 | $6,144.25 | $4,716.08 | $4,716.08 | $4,716.08 | TOTAL US | 59 | 925 | $6,839.45 | $28.189,83 | $58,028.40 | $4,523.60 | $7.778,03 | $20,483.50 | $3,138.36 | $5.721,70 | $19,436.10 |
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.