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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMin AvgMaxMinAvgMaxMinAvgMax
Maryland260$50,670.70$55,932.49$62,813.30$46,888.90$51,652.66$57,882.20$43,815.50$49,508.42$56,953.00
Massachusetts6112$57,692.80$86,085.89$141,268.00$38,100.60$42,842.74$46,814.00$31,490.80$38,550.39$44,416.20
Kentucky460$73,722.20$118,154.62$149,927.00$26,357.90$31,124.34$37,090.80$21,062.80$27,660.32$31,625.90
Florida10208$74,449.90$147,152.52$224,236.00$24,631.60$29,935.34$39,645.60$23,976.80$27,555.84$34,878.10
Missouri246$76,047.50$80,103.96$85,868.40$23,450.40$24,956.81$27,097.50$22,332.80$22,536.55$22,826.10
North Dakota124$80,828.40$80,828.40$80,828.40$29,244.80$29,244.80$29,244.80$27,756.40$27,756.40$27,756.40
Michigan5116$82,324.40$102,330.08$124,990.00$31,674.90$34,830.68$40,836.90$25,741.50$31,350.49$38,364.30
Delaware137$83,041.20$83,041.20$83,041.20$37,827.10$37,827.10$37,827.10$32,164.60$32,164.60$32,164.60
West Virginia226$83,093.00$90,438.43$99,008.10$26,963.90$28,239.08$29,332.10$24,345.80$25,978.15$27,377.30
Pennsylvania8162$86,012.10$160,946.38$237,750.00$26,424.10$36,673.66$46,518.40$24,255.90$29,491.95$38,388.70
Virginia3102$86,262.20$127,341.24$162,369.00$31,990.00$38,090.11$44,390.40$29,716.00$33,510.45$37,747.20
Montana223$86,280.60$91,638.41$97,483.30$27,919.20$28,112.14$28,289.00$23,294.30$25,253.12$27,048.70
Louisiana124$87,212.30$87,212.30$87,212.30$23,013.80$23,013.80$23,013.80$22,107.10$22,107.10$22,107.10
Illinois235$88,132.40$122,163.84$173,211.00$33,372.90$36,784.74$39,059.30$31,759.40$34,425.56$36,203.00
New Hampshire128$89,226.80$89,226.80$89,226.80$42,292.60$42,292.60$42,292.60$37,886.50$37,886.50$37,886.50
New York7152$89,708.80$123,137.39$199,522.00$28,662.90$36,348.33$46,759.60$26,991.40$32,796.32$41,077.00
Connecticut226$91,396.80$106,299.90$121,203.00$36,869.70$42,817.55$48,765.40$35,399.00$35,641.35$35,883.70
Mississippi229$95,440.20$106,451.11$120,003.00$25,050.90$30,918.97$38,141.20$21,110.10$27,261.66$34,832.80
Iowa122$97,801.10$97,801.10$97,801.10$28,171.70$28,171.70$28,171.70$26,956.10$26,956.10$26,956.10
Georgia226$98,219.10$114,107.29$135,773.00$25,347.90$25,731.67$26,013.10$24,237.00$24,602.60$24,870.70
New Jersey6113$99,415.80$167,005.24$288,730.00$35,631.00$38,303.82$41,428.20$33,208.90$35,121.58$39,399.90
Tennessee347$101,433.00$137,639.81$188,141.00$28,403.30$31,816.80$35,080.00$27,364.00$30,813.27$33,980.40
Utah112$102,185.00$102,185.00$102,185.00$32,955.20$32,955.20$32,955.20$25,625.10$25,625.10$25,625.10
Idaho121$103,070.00$103,070.00$103,070.00$29,169.90$29,169.90$29,169.90$27,985.50$27,985.50$27,985.50
South Carolina111$105,107.00$105,107.00$105,107.00$39,356.50$39,356.50$39,356.50$30,461.50$30,461.50$30,461.50
Arkansas228$107,217.00$111,574.29$117,384.00$23,817.70$26,486.84$30,045.70$22,911.70$23,085.44$23,317.10
New Mexico228$107,500.00$138,376.00$169,252.00$28,060.20$30,805.90$33,551.60$26,403.30$26,834.60$27,265.90
Alabama338$108,377.00$119,417.00$146,345.00$24,740.60$26,131.93$29,426.80$18,035.00$21,193.61$23,776.40
North Carolina6160$108,540.00$152,990.72$180,611.00$27,671.40$36,845.39$39,953.50$22,404.00$33,135.22$37,047.80
South Dakota235$109,143.00$139,747.80$160,151.00$27,552.30$30,908.46$33,145.90$26,343.10$29,614.66$31,795.70
Texas7123$110,562.00$168,538.58$342,271.00$25,371.80$31,471.07$43,938.50$24,228.60$26,335.91$35,487.00
Washington4103$112,408.00$133,339.75$230,640.00$33,320.00$38,088.84$48,289.50$25,689.40$31,545.33$42,295.40
Oregon118$112,748.00$112,748.00$112,748.00$30,265.20$30,265.20$30,265.20$29,190.60$29,190.60$29,190.60
Indiana243$115,218.00$159,256.88$273,024.00$27,447.20$30,710.20$39,139.60$24,644.30$28,408.20$38,131.60
Oklahoma234$116,401.00$132,755.35$151,154.00$30,912.10$31,367.30$31,879.40$22,023.10$23,722.06$25,633.40
Wisconsin228$119,804.00$130,925.00$145,753.00$30,967.10$36,899.27$41,348.40$29,380.20$33,886.60$37,266.40
Maine116$120,548.00$120,548.00$120,548.00$38,234.20$38,234.20$38,234.20$36,293.20$36,293.20$36,293.20
Ohio366$125,845.00$139,126.62$188,383.00$28,473.70$32,840.17$36,302.60$27,264.90$28,214.30$28,767.20
Washington DC125$149,098.00$149,098.00$149,098.00$35,692.20$35,692.20$35,692.20$33,595.10$33,595.10$33,595.10
California10173$152,075.00$250,002.68$323,493.00$31,686.10$43,604.75$57,912.20$30,474.60$39,750.48$53,364.90
Kansas121$167,329.00$167,329.00$167,329.00$31,551.50$31,551.50$31,551.50$30,516.90$30,516.90$30,516.90
Alaska119$190,901.00$190,901.00$190,901.00$50,919.50$50,919.50$50,919.50$41,133.90$41,133.90$41,133.90
Arizona111$192,679.00$192,679.00$192,679.00$31,860.90$31,860.90$31,860.90$23,575.50$23,575.50$23,575.50
Colorado229$195,379.00$216,764.38$234,140.00$29,905.80$38,879.98$46,171.50$28,777.30$33,686.54$37,675.30
Nebraska00 - - - - - - - - -
Rhode Island00 - - - - - - - - -
Hawaii00 - - - - - - - - -
Vermont00 - - - - - - - - -
Minnesota00 - - - - - - - - -
Wyoming00 - - - - - - - - -
Nevada00 - - - - - - - - -
TOTAL US1292,520$50,670.70$138.606,08$342,271.00$23,013.80$35.419,58$57,912.20$18,035.00$31.503,89$56,953.00

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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