Combined Anterior/Posterior Spinal Fusion W Mcc - costs for treatment

Hospital Costs > Combined Anterior/Posterior Spinal Fusion W Mcc - costs for treatment

Combined Anterior/Posterior Spinal Fusion W Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvg MaxMinAvgMaxMinAvgMax
Minnesota235$189,969.00$200,348.43$209,089.00$75,992.20$79,599.43$82,637.10$72,933.10$73,779.13$74,783.80
Texas230$179,158.00$223,810.53$249,662.00$75,784.90$93,167.43$103,231.00$57,043.40$71,047.48$79,155.10
Oklahoma111$248,980.00$248,980.00$248,980.00$73,760.90$73,760.90$73,760.90$72,328.80$72,328.80$72,328.80
Missouri114$261,016.00$261,016.00$261,016.00$85,795.20$85,795.20$85,795.20$85,022.50$85,022.50$85,022.50
Kentucky117$281,714.00$281,714.00$281,714.00$76,036.70$76,036.70$76,036.70$74,450.20$74,450.20$74,450.20
North Carolina226$324,036.00$325,627.38$327,484.00$84,941.40$94,169.68$104,936.00$73,612.40$84,770.74$97,788.80
Washington227$343,380.00$350,164.56$357,471.00$99,217.40$112,695.56$125,211.00$84,089.90$95,853.06$106,776.00
Pennsylvania126$380,101.00$380,101.00$380,101.00$103,230.00$103,230.00$103,230.00$91,704.90$91,704.90$91,704.90
Florida239$310,486.00$504,338.62$708,394.00$76,194.40$100,693.00$126,481.00$67,162.60$95,536.13$125,403.00
California472$318,094.00$553,431.89$684,503.00$82,615.10$116,561.06$141,545.00$78,169.90$112,017.98$136,506.00
TOTAL US18297$179,158.00$377.873,19$708,394.00$73,760.90$98.925,00$141,545.00$57,043.40$90.683,10$136,506.00

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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