Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment

Hospital Costs > Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment

Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMax MinAvgMaxMinAvgMax
New Hampshire111$80,692.70$80,692.70$80,692.70$32,197.50$32,197.50$32,197.50$31,714.50$31,714.50$31,714.50
Maryland21397$24,643.90$50,623.05$88,226.40$22,723.00$47,528.67$88,623.40$21,665.00$44,031.87$70,770.80
Maine247$80,663.50$85,969.86$88,976.80$30,456.20$33,688.41$35,520.00$28,432.80$29,943.97$30,800.30
North Dakota461$62,035.20$79,577.80$100,557.00$26,522.30$32,842.84$37,097.10$25,539.00$27,475.40$29,797.60
Utah358$84,355.80$93,988.50$102,914.00$29,148.30$39,603.18$50,189.40$25,304.30$32,388.06$39,966.30
Delaware5137$58,470.50$83,097.87$103,039.00$30,165.50$36,558.35$39,647.00$28,882.70$33,178.17$36,903.60
Vermont112$114,708.00$114,708.00$114,708.00$51,016.80$51,016.80$51,016.80$45,079.20$45,079.20$45,079.20
Idaho117$116,940.00$116,940.00$116,940.00$38,261.30$38,261.30$38,261.30$37,278.80$37,278.80$37,278.80
West Virginia6131$43,519.70$99,615.11$117,338.00$25,638.20$36,650.60$45,342.90$23,264.00$31,940.82$40,184.50
New Mexico351$89,700.60$103,434.62$118,899.00$26,722.40$32,465.99$40,352.30$25,689.20$31,336.05$39,349.30
Nebraska598$71,762.00$107,277.41$125,615.00$27,769.70$35,970.08$40,779.60$22,873.00$30,964.19$38,923.10
Iowa360$102,928.00$119,670.05$138,173.00$31,960.50$35,946.12$40,253.40$30,648.90$33,826.54$38,532.50
Oregon6103$81,001.50$104,986.85$139,015.00$32,661.60$39,588.33$59,795.50$30,959.20$36,619.47$52,827.30
Rhode Island341$103,894.00$127,604.17$142,780.00$32,186.40$38,545.65$41,852.20$31,044.50$34,667.94$36,259.70
South Dakota132$148,117.00$148,117.00$148,117.00$34,797.80$34,797.80$34,797.80$32,876.90$32,876.90$32,876.90
Minnesota11297$64,131.60$108,136.04$150,498.00$30,812.50$40,065.88$55,809.50$29,927.20$35,689.39$50,660.50
Michigan33759$41,127.80$96,606.10$151,405.00$27,312.30$36,709.91$61,250.50$26,114.70$33,351.00$45,996.40
Wisconsin8198$85,016.90$122,918.94$163,381.00$34,328.90$38,717.77$46,272.00$29,683.00$33,307.66$40,072.50
Kansas8183$78,462.30$133,155.79$172,832.00$25,396.30$31,692.82$34,412.10$22,663.10$29,261.46$32,164.60
North Carolina18484$60,732.20$104,606.90$181,577.00$27,053.90$36,290.93$56,075.30$24,921.40$31,421.33$48,957.30
Hawaii333$101,506.00$148,965.67$184,400.00$44,129.70$50,669.30$58,716.00$35,087.80$39,946.17$44,362.10
Massachusetts11290$56,957.90$110,109.56$186,248.00$34,408.70$46,616.16$59,128.90$31,030.70$41,959.01$53,082.60
Indiana23438$67,835.60$114,804.93$186,379.00$24,215.90$32,838.01$42,914.00$21,400.10$29,582.85$39,682.20
Georgia24476$63,580.60$117,677.38$190,888.00$26,569.80$33,485.39$51,681.90$24,935.60$30,490.74$41,452.40
Arizona18326$96,050.10$140,866.57$191,133.00$28,529.10$32,992.99$45,040.10$26,687.90$30,024.04$36,130.80
Ohio30583$41,112.90$122,732.55$197,180.00$23,533.20$35,540.92$53,673.10$21,939.60$30,449.44$44,650.90
Tennessee16423$50,594.20$109,157.15$199,557.00$23,872.00$29,245.28$35,140.70$19,334.70$26,522.33$31,889.30
Kentucky14321$57,867.60$122,137.66$199,958.00$26,403.10$35,257.33$52,915.40$24,086.40$31,616.97$40,575.40
Colorado574$120,862.00$163,472.01$202,802.00$28,024.40$35,105.37$45,171.70$26,295.20$31,005.00$39,725.20
Connecticut5132$112,779.00$170,711.47$213,885.00$39,168.80$51,777.24$59,961.70$37,378.50$44,804.64$51,990.80
Arkansas9164$50,340.60$114,058.57$222,233.00$23,887.10$30,409.15$46,196.90$20,965.00$27,197.67$40,457.00
Washington10159$89,391.80$144,669.57$225,328.00$32,207.10$42,528.50$65,220.60$29,596.00$38,240.77$52,723.10
Missouri25520$70,899.10$113,804.75$230,559.00$22,553.60$31,190.77$52,142.40$21,815.20$28,457.94$42,632.40
Illinois40762$80,934.20$141,465.07$246,959.00$24,471.90$35,620.00$55,682.30$23,181.50$32,782.62$48,570.80
South Carolina13286$76,712.00$140,686.39$263,528.00$25,643.80$35,165.85$47,166.10$20,517.00$30,516.67$41,059.70
Alabama17361$46,860.20$146,102.26$270,058.00$22,928.50$29,496.56$39,761.80$21,815.10$26,503.29$31,714.60
Alaska115$278,825.00$278,825.00$278,825.00$67,174.90$67,174.90$67,174.90$62,515.70$62,515.70$62,515.70
Washington DC266$158,800.00$191,286.06$292,805.00$45,658.70$53,458.29$77,832.00$36,553.90$43,254.80$64,195.10
Louisiana14262$59,408.10$117,177.43$294,442.00$24,931.90$29,880.07$41,428.40$21,979.20$26,515.63$30,860.80
Virginia17326$64,900.40$140,288.27$296,144.00$24,356.10$36,029.83$64,291.40$23,220.70$30,748.91$50,438.50
Florida661,441$89,096.40$161,684.49$308,127.00$22,379.80$31,185.51$52,295.10$20,299.40$28,566.40$42,934.50
Mississippi10188$63,789.90$130,095.28$321,156.00$23,735.20$31,570.49$51,819.50$22,355.20$28,757.64$44,261.50
Texas561,198$71,873.10$166,796.77$321,500.00$22,915.10$32,364.43$50,280.40$20,032.50$28,830.92$43,075.90
Oklahoma10167$93,467.50$150,607.16$325,052.00$27,255.30$32,068.95$39,732.20$26,057.90$29,729.93$36,698.70
Pennsylvania34682$56,806.10$184,118.40$430,422.00$23,910.80$38,915.76$59,688.00$22,704.50$32,678.90$47,489.90
New Jersey33678$108,614.00$207,650.60$471,919.00$25,103.90$38,853.95$64,941.30$24,147.50$34,575.86$48,896.80
New York45927$54,811.00$161,804.95$496,093.00$26,785.80$48,871.31$110,523.00$26,031.20$42,539.57$95,979.80
California611,061$100,511.00$261,647.25$568,521.00$31,364.20$47,453.24$114,437.00$27,667.90$43,584.80$98,491.20
Nevada6117$135,580.00$277,762.34$615,403.00$34,066.20$41,434.41$66,445.50$30,534.80$34,352.64$54,093.50
TOTAL US76115,653$24,643.90$146.685,60$615,403.00$22,379.80$37.021,80$114,437.00$19,334.70$33.068,90$98,491.20

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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