Dysequilibrium - costs for treatment

Hospital Costs > Dysequilibrium - costs for treatment

Dysequilibrium - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvg MaxMinAvgMax
Mississippi690$12,600.50$25,027.09$50,677.90$3,785.73$4,064.40$4,289.07$2,746.80$2,946.72$3,216.29
New Mexico113$20,062.80$20,062.80$20,062.80$4,079.00$4,079.00$4,079.00$3,148.54$3,148.54$3,148.54
New Hampshire459$17,910.40$20,566.97$24,400.10$3,809.20$4,140.81$4,682.57$2,840.67$3,088.20$3,539.50
Arkansas112$18,558.10$18,558.10$18,558.10$4,162.50$4,162.50$4,162.50$3,061.17$3,061.17$3,061.17
Georgia10146$11,797.70$21,385.88$34,947.90$3,402.18$4,205.88$5,354.38$2,254.46$3,098.40$4,320.54
Alabama6105$14,593.00$24,041.21$39,829.60$3,658.82$4,233.49$4,992.67$2,195.92$2,695.47$3,217.64
Montana120$12,513.50$12,513.50$12,513.50$4,240.70$4,240.70$4,240.70$3,186.00$3,186.00$3,186.00
Nebraska240$19,688.80$20,445.06$21,705.50$3,715.07$4,264.18$4,593.64$2,172.33$2,786.62$3,155.20
Missouri13217$10,955.80$19,483.81$31,876.20$3,329.60$4,266.00$6,654.15$2,008.85$2,880.56$4,064.00
Florida731,813$8,651.60$29,517.48$60,293.60$3,274.20$4,370.14$7,070.00$1,919.36$3,091.62$5,483.93
Utah112$20,972.80$20,972.80$20,972.80$4,428.17$4,428.17$4,428.17$3,524.17$3,524.17$3,524.17
Kansas350$15,026.20$25,382.74$34,281.90$3,979.08$4,438.28$5,499.07$2,887.05$3,290.32$4,091.27
Ohio22380$11,406.80$19,445.22$31,863.00$3,376.11$4,449.87$7,053.06$2,144.32$3,021.63$4,825.88
Colorado462$19,494.30$28,725.02$38,394.80$4,131.56$4,516.18$5,201.18$2,950.56$3,207.84$3,937.64
Virginia17379$11,845.50$21,209.77$48,219.40$3,365.73$4,546.67$6,080.00$2,126.45$3,100.70$4,208.44
Indiana11191$13,195.50$19,089.64$29,040.00$3,653.21$4,640.87$7,334.25$2,477.92$3,396.14$5,773.00
South Carolina474$15,209.80$21,258.66$24,777.40$3,599.76$4,662.05$6,618.82$2,634.64$3,378.78$5,353.82
Kentucky5117$10,259.40$17,309.29$22,720.00$3,807.67$4,714.54$5,408.36$2,154.33$3,374.68$4,266.84
South Dakota111$21,708.00$21,708.00$21,708.00$4,736.27$4,736.27$4,736.27$3,405.36$3,405.36$3,405.36
Tennessee7120$16,221.10$20,120.55$28,925.50$3,340.60$4,741.06$5,755.12$1,947.87$3,329.07$4,534.53
Arizona688$19,564.50$31,999.34$64,796.50$3,896.36$4,800.40$7,832.18$2,799.64$3,659.91$6,348.00
Michigan29702$8,644.21$13,952.70$19,665.90$3,845.50$4,824.07$7,737.70$2,708.82$3,542.32$6,371.40
Texas31600$12,403.50$31,779.75$57,926.90$3,457.73$4,877.51$7,581.07$2,248.72$3,427.01$4,838.18
Nevada458$19,216.10$34,556.08$47,198.90$4,436.17$4,878.31$6,492.91$3,443.33$3,795.10$4,732.91
Oklahoma7113$10,933.00$17,192.56$25,152.10$3,851.31$4,884.43$7,582.15$2,773.94$3,549.89$6,292.31
Louisiana114$13,554.50$13,554.50$13,554.50$4,941.79$4,941.79$4,941.79$2,909.07$2,909.07$2,909.07
Minnesota8162$9,328.42$16,459.76$21,364.10$4,576.00$4,964.27$6,668.10$3,145.47$3,722.88$4,539.90
North Carolina11195$12,418.70$18,674.83$26,723.80$3,439.95$4,972.40$7,904.09$2,286.95$3,470.20$5,234.91
Pennsylvania32605$11,454.90$27,191.45$54,412.50$3,233.92$5,075.64$9,815.38$2,128.91$3,410.89$5,981.15
Wisconsin6142$16,731.70$20,784.65$25,072.40$3,663.15$5,119.67$6,977.92$2,489.54$3,688.58$4,810.92
Iowa477$14,017.10$15,880.65$18,560.90$4,049.43$5,122.69$8,852.86$2,877.32$3,535.28$5,713.93
New Jersey32687$25,374.40$42,283.30$117,285.00$3,784.93$5,187.72$7,673.64$2,601.31$3,724.94$6,183.82
Illinois32741$8,874.70$23,019.53$45,846.10$3,581.64$5,209.53$11,265.00$2,326.78$3,715.12$10,149.60
Washington340$15,936.80$18,778.19$21,695.00$4,619.36$5,375.20$5,772.65$3,190.41$3,609.25$4,390.33
West Virginia238$12,742.30$12,823.58$12,913.90$4,343.44$5,572.00$6,677.70$2,630.89$3,874.79$4,994.30
Massachusetts25513$7,204.81$12,658.17$29,535.60$4,258.26$5,680.49$8,396.50$3,177.00$4,422.35$6,486.58
Maine115$13,903.30$13,903.30$13,903.30$5,913.13$5,913.13$5,913.13$3,321.33$3,321.33$3,321.33
Maryland29651$4,772.95$6,462.51$10,078.10$4,418.80$6,018.58$9,304.17$3,183.26$4,838.51$8,293.50
Delaware170$14,450.30$14,450.30$14,450.30$6,021.03$6,021.03$6,021.03$4,175.03$4,175.03$4,175.03
Rhode Island354$19,599.30$21,274.69$22,887.30$4,754.53$6,021.32$6,915.53$3,193.68$4,183.09$5,416.63
California41654$13,939.10$41,950.49$76,127.00$4,142.55$6,234.61$9,551.33$2,900.82$4,892.21$8,129.33
Washington DC123$24,541.10$24,541.10$24,541.10$6,355.26$6,355.26$6,355.26$4,615.35$4,615.35$4,615.35
Connecticut10206$17,250.00$22,787.52$32,682.10$4,947.48$6,391.10$10,088.20$3,207.23$4,601.20$5,901.17
Oregon111$14,670.90$14,670.90$14,670.90$6,480.00$6,480.00$6,480.00$3,592.45$3,592.45$3,592.45
New York601,463$7,419.58$24,490.00$43,665.70$4,179.19$7,809.46$16,810.40$3,086.65$6,145.56$15,444.40
TOTAL US57211,833$4,772.95$24.413,22$117,285.00$3,233.92$5.358,72$16,810.40$1,919.36$3.943,70$15,444.40

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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