Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment

Hospital Costs > Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment

Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMin AvgMaxMinAvgMax
Ohio8141$44,118.00$67,425.40$106,793.00$17,732.10$22,262.03$28,129.30$9,711.09$15,823.04$18,319.90
Tennessee9379$51,924.80$68,328.17$89,868.30$17,789.60$21,722.10$25,311.70$14,884.30$15,926.07$17,574.40
Louisiana3116$62,819.40$78,287.07$89,557.90$17,850.90$18,671.08$21,636.40$15,116.50$15,628.08$17,869.50
West Virginia141$43,627.60$43,627.60$43,627.60$18,043.00$18,043.00$18,043.00$16,353.00$16,353.00$16,353.00
Texas19455$44,301.30$90,172.66$275,111.00$18,367.00$23,742.03$32,724.20$15,522.00$18,651.94$22,955.50
Pennsylvania22629$42,721.20$83,234.60$281,514.00$18,425.70$23,890.23$31,567.00$17,225.40$20,475.94$27,334.50
Iowa387$44,663.00$73,242.11$96,555.50$18,494.90$20,089.93$21,664.40$15,756.40$17,022.10$18,372.50
Alabama115$99,369.00$99,369.00$99,369.00$18,500.10$18,500.10$18,500.10$16,161.50$16,161.50$16,161.50
Missouri7157$44,645.50$61,408.93$116,135.00$18,510.50$22,609.40$28,046.80$15,163.80$19,377.78$24,690.80
Arkansas114$46,487.60$46,487.60$46,487.60$18,574.90$18,574.90$18,574.90$17,377.20$17,377.20$17,377.20
Florida15347$51,097.60$114,105.58$222,109.00$18,777.00$21,837.20$31,234.10$15,864.10$17,940.16$22,521.70
Kentucky479$72,716.70$89,378.57$140,729.00$19,044.90$23,663.71$29,634.60$16,008.60$18,401.95$23,835.40
South Carolina241$113,245.00$122,307.85$126,058.00$19,125.80$19,476.98$19,622.30$17,962.70$18,008.86$18,120.40
Nebraska239$58,686.40$69,934.46$74,933.60$19,201.10$23,242.17$25,038.20$17,960.90$22,025.30$23,831.70
North Carolina8204$46,703.50$67,902.05$110,350.00$19,499.30$23,611.78$29,072.70$15,128.50$19,396.30$23,018.90
Mississippi121$60,679.10$60,679.10$60,679.10$19,843.30$19,843.30$19,843.30$17,411.30$17,411.30$17,411.30
Virginia9191$48,526.00$114,163.89$270,983.00$19,991.50$24,031.09$37,413.60$16,632.10$18,642.07$26,009.00
South Dakota112$62,708.30$62,708.30$62,708.30$20,087.60$20,087.60$20,087.60$18,986.20$18,986.20$18,986.20
Arizona274$52,508.70$66,787.90$118,550.00$20,451.80$21,122.18$23,552.30$16,931.10$17,910.88$21,462.60
Indiana9330$43,338.90$68,332.46$130,850.00$20,564.50$22,578.69$33,021.70$15,575.80$18,727.85$26,582.10
Minnesota5107$35,739.80$42,811.18$50,390.80$20,671.30$23,990.12$29,726.20$19,120.90$21,283.22$24,579.00
New Jersey14416$57,483.50$85,240.90$152,054.00$20,819.00$26,347.73$29,679.60$18,330.20$22,943.10$27,839.90
New York16461$27,526.90$87,805.20$143,348.00$20,975.90$33,586.78$44,313.60$17,923.40$23,618.76$33,968.80
North Dakota250$63,313.40$66,491.86$73,246.10$21,057.20$22,709.40$23,486.90$18,223.80$18,714.68$19,757.80
Georgia348$64,150.40$83,437.27$104,387.00$21,208.80$23,822.38$25,726.40$16,947.90$18,442.76$20,155.80
Kansas226$71,724.60$74,128.06$76,932.10$21,477.40$22,174.44$22,771.90$16,440.20$16,445.51$16,451.70
Colorado6220$67,943.40$89,581.82$113,072.00$21,512.80$24,094.47$26,558.60$15,531.20$19,128.96$22,075.80
Maryland8238$23,922.60$28,303.43$39,872.70$22,240.00$27,148.79$37,327.10$18,200.40$22,743.93$32,160.80
New Hampshire265$45,400.00$73,030.65$127,036.00$22,802.30$30,087.29$33,814.50$19,559.90$23,123.21$24,946.30
Montana238$49,058.80$51,048.83$52,659.80$22,999.30$23,314.02$23,702.80$19,159.40$19,592.94$19,943.90
Utah470$49,407.70$61,417.25$73,906.10$23,091.70$24,101.37$25,225.70$16,662.20$19,328.84$22,519.50
Rhode Island131$51,096.60$51,096.60$51,096.60$23,273.10$23,273.10$23,273.10$19,377.80$19,377.80$19,377.80
Wisconsin251$68,080.80$72,040.62$79,300.30$23,301.90$24,438.33$25,058.20$17,695.80$17,860.24$18,161.70
Michigan481$38,014.30$52,428.26$79,050.20$23,394.80$25,369.00$27,771.70$14,179.40$16,753.82$19,556.90
California9324$105,958.00$187,546.73$266,543.00$23,942.50$30,920.99$45,794.70$18,739.80$27,005.34$38,454.90
Illinois5130$60,466.30$71,086.33$91,714.60$24,976.10$28,178.58$32,065.40$15,717.80$20,455.28$22,798.50
New Mexico265$64,940.00$78,761.08$99,492.70$25,515.60$29,101.36$34,480.00$18,839.10$21,429.58$25,315.30
Washington7123$48,230.70$94,348.92$168,986.00$25,570.80$29,069.59$32,840.20$19,930.30$20,927.16$22,241.30
Massachusetts494$34,858.50$58,341.77$117,487.00$26,003.00$28,776.22$33,669.80$21,295.00$24,773.31$31,322.50
Oregon117$65,904.20$65,904.20$65,904.20$27,984.80$27,984.80$27,984.80$19,958.30$19,958.30$19,958.30
Hawaii129$73,624.10$73,624.10$73,624.10$29,881.00$29,881.00$29,881.00$19,378.00$19,378.00$19,378.00
Vermont242$60,657.30$63,239.87$65,373.30$31,323.10$31,451.74$31,558.00$24,301.20$24,387.70$24,492.40
Alaska240$89,325.50$114,955.84$133,900.00$33,934.10$61,754.84$82,318.00$24,256.00$24,874.21$25,710.60
Connecticut258$77,470.00$78,941.70$82,804.90$35,615.80$36,332.84$36,606.00$26,423.10$28,385.51$29,133.10
Wyoming112$74,481.40$74,481.40$74,481.40$41,109.00$41,109.00$41,109.00$33,728.70$33,728.70$33,728.70
Idaho00 - - - - - - - - -
Delaware00 - - - - - - - - -
Nevada00 - - - - - - - - -
Maine00 - - - - - - - - -
Oklahoma00 - - - - - - - - -
Washington DC00 - - - - - - - - -
TOTAL US2346,208$23,922.60$84.132,26$281,514.00$17,732.10$25.441,41$82,318.00$9,711.09$20.255,07$38,454.90

DATA

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.





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