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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# Disch MinAvgMaxMinAvgMaxMinAvgMax
Florida44897$37,854.20$64,516.92$110,288.00$8,012.00$9,760.96$14,756.80$6,038.20$7,730.21$11,905.90
New York31595$16,881.60$46,011.89$65,449.90$9,123.21$14,411.25$20,194.30$7,936.57$11,377.43$18,031.90
Texas27482$35,719.10$57,785.65$93,605.50$8,378.67$10,959.82$29,293.60$6,618.32$8,182.58$9,844.17
Pennsylvania27443$16,232.70$51,898.01$106,994.00$8,136.17$11,767.62$18,423.70$6,269.50$9,036.74$13,812.90
California29436$38,460.20$89,983.87$165,036.00$10,735.40$14,556.95$27,374.10$7,681.64$12,027.56$25,969.30
New Jersey20407$35,918.00$57,415.27$89,699.20$9,128.18$12,481.07$21,433.00$7,076.00$9,505.54$13,670.50
Michigan20388$18,069.40$30,818.67$50,590.20$8,995.18$11,182.48$15,501.70$6,989.35$8,907.55$11,960.10
Tennessee19332$16,391.70$40,823.74$99,907.90$7,669.14$10,109.87$22,652.70$5,549.67$8,115.61$21,236.30
Virginia20302$20,670.10$52,089.62$149,108.00$8,070.62$10,433.04$15,921.20$6,014.07$8,083.75$11,026.90
Massachusetts11296$18,648.00$34,997.12$75,317.00$11,124.90$14,086.69$16,121.50$8,946.67$11,438.58$13,839.30
Illinois17286$26,984.90$48,241.74$89,581.90$8,711.41$12,185.45$16,137.40$6,459.08$8,691.71$12,717.00
Indiana14268$29,030.70$48,128.68$77,534.80$8,366.12$10,971.58$14,801.20$6,185.25$8,505.29$12,424.10
Missouri17267$16,696.50$45,710.32$89,540.50$8,077.73$10,269.30$15,695.60$6,100.32$8,087.11$12,010.60
Alabama14254$26,016.30$46,888.53$108,358.00$7,830.95$8,620.92$10,715.10$5,494.88$6,989.04$8,450.58
Minnesota12244$20,371.10$32,138.12$41,135.80$9,497.12$11,837.79$13,853.70$7,089.29$9,607.11$11,592.30
Arkansas13238$15,346.60$28,506.63$59,923.50$7,566.26$8,560.77$10,015.30$6,062.63$7,095.63$8,542.50
Ohio14235$22,746.50$46,261.38$63,323.70$8,108.76$11,498.15$15,735.60$7,001.00$8,911.55$13,570.20
Kentucky14227$28,403.50$45,720.17$87,679.90$7,862.07$10,888.52$16,052.50$4,167.15$8,250.30$13,145.60
Maryland11215$12,296.20$19,762.90$35,444.60$11,423.90$18,284.40$32,671.00$9,891.72$16,881.33$31,702.00
North Carolina10214$21,619.50$38,412.87$51,957.10$8,881.82$11,255.28$14,532.70$5,192.73$8,267.16$10,718.80
Oklahoma8178$25,204.30$46,461.12$132,609.00$8,134.35$10,186.56$20,377.50$6,159.50$8,607.36$18,729.50
Georgia11176$22,716.90$50,184.61$100,781.00$8,308.09$10,601.76$15,680.20$7,106.64$8,731.17$14,564.50
Washington10171$34,025.30$51,947.77$71,692.30$10,108.70$12,776.67$16,303.40$8,416.00$10,251.48$14,085.30
Mississippi9158$28,239.90$40,260.05$103,410.00$8,023.69$9,754.22$15,232.20$6,667.50$8,185.90$13,091.50
Iowa8138$23,070.20$32,377.01$42,456.60$8,071.94$9,201.07$10,437.20$6,603.82$7,277.93$8,516.65
West Virginia6122$23,749.90$34,690.74$50,527.90$9,392.14$11,670.42$13,902.40$6,168.33$9,332.04$11,206.10
Colorado7122$41,667.50$52,546.67$68,814.00$9,376.69$10,484.59$14,263.80$6,842.25$8,422.85$13,053.20
South Carolina7119$25,083.20$51,220.10$94,848.90$8,234.50$10,567.18$13,668.20$6,139.44$8,326.12$10,159.50
Arizona8117$45,194.50$56,704.77$73,567.50$9,125.40$10,850.43$14,287.10$7,290.60$8,648.75$11,540.90
Oregon7104$28,750.90$35,368.53$46,472.60$9,197.82$12,613.76$15,987.20$6,628.17$10,080.32$14,264.40
Connecticut597$28,277.70$39,372.52$57,991.60$11,677.00$13,592.98$16,131.50$9,700.76$11,657.34$12,716.60
Wisconsin685$29,770.40$43,265.87$73,412.40$8,891.82$11,692.98$15,149.00$7,792.18$9,292.09$13,008.50
Nebraska484$30,300.40$38,246.63$53,457.40$9,072.42$10,292.95$11,521.60$7,500.42$8,184.28$9,590.23
Kansas473$35,228.30$49,838.16$63,907.20$8,680.31$10,216.79$11,285.50$6,914.94$8,440.26$9,630.68
Utah572$27,225.30$35,274.16$44,172.90$9,404.80$11,289.32$14,584.70$8,027.12$8,936.88$11,265.90
Delaware369$23,644.00$28,003.22$33,519.70$9,675.48$10,693.72$11,540.40$7,311.76$8,993.61$9,942.51
Louisiana566$30,295.40$41,393.86$67,304.80$8,666.82$9,587.98$10,082.70$6,218.91$7,615.85$8,765.29
Washington DC347$51,353.20$67,703.48$80,000.50$14,986.90$15,296.17$15,743.20$10,510.20$11,928.42$12,890.00
New Mexico345$32,589.60$39,568.09$46,792.10$8,972.79$12,339.59$18,708.80$7,830.89$8,424.91$8,923.36
Maine245$25,957.90$26,153.02$26,633.30$10,289.30$11,248.16$11,637.70$7,904.15$8,169.98$8,277.97
New Hampshire241$25,359.60$27,982.24$33,040.20$9,720.71$10,925.36$11,550.00$8,173.37$8,344.93$8,675.79
Idaho341$33,508.60$36,120.24$39,630.50$10,698.40$11,779.40$13,104.20$6,835.55$7,799.63$9,413.14
South Dakota233$40,600.80$45,515.40$49,610.90$10,553.40$11,098.90$11,753.50$8,356.40$8,808.03$9,184.39
Rhode Island227$29,690.80$37,488.41$43,726.50$11,070.60$13,156.88$14,825.90$9,877.17$11,586.13$12,953.30
Vermont121$27,593.00$27,593.00$27,593.00$14,882.30$14,882.30$14,882.30$10,163.70$10,163.70$10,163.70
Nevada119$42,744.00$42,744.00$42,744.00$11,174.30$11,174.30$11,174.30$9,630.16$9,630.16$9,630.16
Montana116$27,520.30$27,520.30$27,520.30$9,482.94$9,482.94$9,482.94$6,971.31$6,971.31$6,971.31
North Dakota115$29,571.10$29,571.10$29,571.10$11,148.00$11,148.00$11,148.00$7,635.80$7,635.80$7,635.80
Wyoming111$33,935.50$33,935.50$33,935.50$15,177.60$15,177.60$15,177.60$11,086.50$11,086.50$11,086.50
TOTAL US5199,338$12,296.20$48.061,48$165,036.00$7,566.26$11.547,57$32,671.00$4,167.15$9.154,46$31,702.00

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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