Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc - costs for treatment

Hospital Costs > Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc - costs for treatment

Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
Mississippi112$61,952.30$61,952.30$61,952.30$17,347.80$17,347.80$17,347.80$16,235.20$16,235.20$16,235.20
Oklahoma116$55,750.50$55,750.50$55,750.50$18,453.70$18,453.70$18,453.70$15,525.20$15,525.20$15,525.20
North Dakota222$41,880.60$46,973.30$52,066.00$18,626.90$18,679.40$18,731.90$15,404.60$16,371.10$17,337.60
Arizona111$118,855.00$118,855.00$118,855.00$19,524.70$19,524.70$19,524.70$18,430.90$18,430.90$18,430.90
Kansas117$93,282.40$93,282.40$93,282.40$19,974.90$19,974.90$19,974.90$17,135.40$17,135.40$17,135.40
New Jersey111$139,757.00$139,757.00$139,757.00$20,951.40$20,951.40$20,951.40$19,937.60$19,937.60$19,937.60
Iowa227$76,245.40$84,161.07$89,603.10$19,124.10$20,817.31$21,981.40$15,972.40$16,594.76$17,500.00
Virginia226$31,989.10$63,050.58$89,674.70$19,113.30$20,727.93$22,111.90$17,629.70$19,036.92$20,243.10
Wisconsin111$106,487.00$106,487.00$106,487.00$24,078.30$24,078.30$24,078.30$21,905.70$21,905.70$21,905.70
Alabama234$104,173.00$115,673.82$139,721.00$17,585.40$20,008.18$25,074.00$14,521.00$16,857.37$21,742.50
Massachusetts112$39,361.20$39,361.20$39,361.20$26,507.90$26,507.90$26,507.90$24,656.20$24,656.20$24,656.20
Missouri114$85,011.60$85,011.60$85,011.60$26,761.10$26,761.10$26,761.10$23,033.00$23,033.00$23,033.00
Connecticut114$74,750.30$74,750.30$74,750.30$28,291.40$28,291.40$28,291.40$26,105.20$26,105.20$26,105.20
Kentucky112$155,606.00$155,606.00$155,606.00$28,400.20$28,400.20$28,400.20$24,458.10$24,458.10$24,458.10
Florida240$92,829.60$115,690.59$124,362.00$20,332.60$22,669.47$28,830.30$18,942.30$20,573.16$24,872.70
North Carolina469$61,650.00$81,642.93$109,752.00$20,186.30$23,907.54$28,976.40$16,956.80$20,352.51$24,276.50
Rhode Island114$87,515.90$87,515.90$87,515.90$29,030.40$29,030.40$29,030.40$25,181.70$25,181.70$25,181.70
Indiana233$91,155.10$91,622.34$92,011.70$21,253.90$25,718.88$29,439.70$19,835.80$21,325.27$22,566.50
Ohio337$60,436.70$101,771.77$134,251.00$21,014.10$26,068.85$30,552.10$17,027.20$22,587.47$26,475.80
Michigan343$46,382.90$59,745.56$75,949.50$21,404.50$25,235.50$34,418.10$18,141.70$20,483.89$23,629.60
California112$276,031.00$276,031.00$276,031.00$35,122.10$35,122.10$35,122.10$32,267.70$32,267.70$32,267.70
Washington233$73,978.70$91,873.35$123,189.00$23,583.10$27,812.85$35,214.90$21,293.40$24,189.76$29,258.40
Tennessee351$75,353.80$116,839.83$174,809.00$19,697.60$26,088.11$35,219.60$17,636.20$24,538.69$33,970.40
Minnesota338$79,165.50$82,401.33$87,232.60$24,602.50$28,894.38$35,908.30$20,178.10$24,151.54$28,167.50
Delaware115$74,129.20$74,129.20$74,129.20$37,108.90$37,108.90$37,108.90$23,556.20$23,556.20$23,556.20
Texas685$84,247.50$126,950.37$194,941.00$17,709.10$28,002.29$55,813.70$15,986.00$21,620.45$32,307.70
New York114$188,711.00$188,711.00$188,711.00$56,173.50$56,173.50$56,173.50$43,923.00$43,923.00$43,923.00
Maryland227$42,671.80$53,532.52$62,221.10$39,432.20$49,609.31$57,751.00$38,253.30$45,122.41$50,617.70
Pennsylvania445$76,007.00$185,035.78$307,690.00$19,709.70$53,186.53$137,402.00$18,627.00$47,818.54$133,086.00
TOTAL US56795$31,989.10$102.247,65$307,690.00$17,347.80$28.000,06$137,402.00$14,521.00$24.002,64$133,086.00

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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