Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc - costs for treatment

Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc - costs for treatment

Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
Virginia112$115,460.00$115,460.00$115,460.00$35,140.20$35,140.20$35,140.20$33,230.90$33,230.90$33,230.90
Washington DC112$158,314.00$158,314.00$158,314.00$41,054.40$41,054.40$41,054.40$38,787.60$38,787.60$38,787.60
New Jersey119$157,962.00$157,962.00$157,962.00$46,186.30$46,186.30$46,186.30$36,558.90$36,558.90$36,558.90
North Carolina233$119,906.00$150,860.42$179,994.00$32,086.80$40,856.84$49,111.00$30,465.30$38,236.98$45,551.50
Massachusetts115$79,021.50$79,021.50$79,021.50$54,371.70$54,371.70$54,371.70$51,337.60$51,337.60$51,337.60
New York223$91,650.70$108,751.38$124,427.00$34,010.70$45,112.37$55,288.90$32,517.50$39,285.97$45,490.40
Maryland112$60,545.20$60,545.20$60,545.20$55,794.30$55,794.30$55,794.30$54,789.00$54,789.00$54,789.00
TOTAL US9126$60,545.20$124.429,42$179,994.00$32,086.80$44.943,19$55,794.30$30,465.30$40.887,07$54,789.00

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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