Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc - costs for treatment

Hospital Costs > Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc - costs for treatment

Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
Kentucky113$28,005.00$28,005.00$28,005.00$6,976.46$6,976.46$6,976.46$5,168.46$5,168.46$5,168.46
Arkansas113$28,163.60$28,163.60$28,163.60$7,720.46$7,720.46$7,720.46$6,586.92$6,586.92$6,586.92
Alabama242$23,270.30$32,014.28$42,599.10$6,542.26$7,113.67$7,805.37$4,942.65$5,363.76$5,873.53
Texas224$21,549.60$30,745.10$41,612.50$6,533.23$7,151.08$7,881.27$4,522.45$5,107.62$5,602.77
Idaho114$32,605.00$32,605.00$32,605.00$7,945.57$7,945.57$7,945.57$6,795.50$6,795.50$6,795.50
Colorado112$35,846.20$35,846.20$35,846.20$7,963.75$7,963.75$7,963.75$6,819.33$6,819.33$6,819.33
North Carolina119$28,260.50$28,260.50$28,260.50$7,973.00$7,973.00$7,973.00$6,650.42$6,650.42$6,650.42
Oklahoma225$22,083.10$33,393.68$45,646.80$6,449.00$7,372.12$8,372.17$5,237.92$5,783.76$6,375.08
Arizona226$30,479.20$35,552.69$39,901.40$7,359.50$8,158.15$8,842.71$6,148.83$6,949.54$7,635.86
South Carolina225$31,313.80$35,614.79$40,274.20$6,940.33$7,940.72$8,864.15$5,069.58$5,884.28$6,636.31
Wisconsin111$35,635.40$35,635.40$35,635.40$9,084.64$9,084.64$9,084.64$7,717.73$7,717.73$7,717.73
Ohio111$36,078.10$36,078.10$36,078.10$9,096.64$9,096.64$9,096.64$6,264.27$6,264.27$6,264.27
Utah117$14,964.30$14,964.30$14,964.30$9,219.76$9,219.76$9,219.76$5,896.41$5,896.41$5,896.41
Pennsylvania111$17,191.70$17,191.70$17,191.70$9,293.64$9,293.64$9,293.64$7,652.55$7,652.55$7,652.55
Michigan349$20,341.50$24,639.58$28,059.40$8,135.39$8,644.45$9,462.29$6,552.18$7,051.39$7,418.43
Delaware113$22,837.60$22,837.60$22,837.60$9,662.23$9,662.23$9,662.23$8,135.08$8,135.08$8,135.08
Massachusetts118$19,417.60$19,417.60$19,417.60$9,876.44$9,876.44$9,876.44$7,573.61$7,573.61$7,573.61
Florida225$38,542.20$41,323.13$44,335.80$7,474.23$8,653.12$9,930.25$5,367.08$5,873.04$6,340.08
New Jersey234$43,020.40$56,362.49$63,640.00$7,811.92$9,775.92$10,847.20$6,902.58$7,637.30$8,038.05
New York127$40,723.50$40,723.50$40,723.50$10,878.20$10,878.20$10,878.20$8,679.33$8,679.33$8,679.33
Missouri344$20,373.00$34,889.67$58,590.40$6,850.92$9,288.94$12,215.90$4,717.40$6,611.52$9,808.69
California111$129,715.00$129,715.00$129,715.00$14,072.40$14,072.40$14,072.40$12,862.20$12,862.20$12,862.20
Connecticut111$37,806.30$37,806.30$37,806.30$16,092.20$16,092.20$16,092.20$8,539.45$8,539.45$8,539.45
Maryland119$17,236.60$17,236.60$17,236.60$16,201.50$16,201.50$16,201.50$13,135.80$13,135.80$13,135.80
TOTAL US35514$14,964.30$34.486,84$129,715.00$6,449.00$9.127,20$16,201.50$4,522.45$7.040,77$13,135.80

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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