Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc - costs for treatment

Hospital Costs > Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc - costs for treatment

Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMin AvgMaxMinAvgMax
Colorado18284$64,020.00$111,200.02$166,606.00$11,644.50$20,607.90$33,081.70$10,620.50$18,248.79$26,563.80
Arkansas11221$26,615.10$60,974.93$137,414.00$13,790.10$17,363.46$19,499.30$11,259.10$15,791.48$18,762.70
Tennessee29650$40,337.60$78,208.71$168,539.00$14,278.60$18,955.23$26,723.20$12,158.70$16,871.95$22,565.50
South Carolina16298$57,684.50$91,270.00$136,604.00$14,794.90$21,569.05$35,436.80$13,683.60$18,808.60$23,501.20
Alabama19387$37,107.40$75,595.74$196,321.00$14,845.00$18,151.00$22,117.00$13,437.60$16,940.83$20,913.70
Pennsylvania31535$40,527.00$97,993.84$231,009.00$15,141.10$22,840.98$43,276.30$14,106.10$19,977.07$34,657.50
North Carolina33730$30,503.50$64,733.78$102,567.00$15,276.00$21,151.45$28,717.30$14,132.40$18,733.19$24,810.80
Kentucky21526$36,572.40$74,269.02$127,164.00$15,327.00$20,332.27$29,655.30$14,121.70$18,433.60$24,856.30
Iowa18431$39,266.40$58,657.02$85,583.30$15,393.20$19,464.16$29,335.50$14,283.80$17,635.83$24,516.50
Mississippi9200$43,362.70$66,163.11$103,898.00$15,434.30$17,669.42$19,186.70$14,386.80$16,395.05$18,207.00
Texas551,148$50,313.70$105,620.86$254,736.00$15,973.00$20,857.94$37,125.30$14,348.10$18,630.99$36,190.70
Louisiana14231$50,339.90$79,499.73$169,214.00$16,062.20$19,558.00$27,775.60$14,104.50$17,340.29$21,849.10
Florida701,503$50,377.20$114,567.39$250,225.00$16,155.90$20,068.51$31,014.60$14,136.20$17,993.01$27,016.40
Michigan39793$39,260.40$57,251.58$104,675.00$16,202.20$21,916.71$31,634.60$15,329.30$20,173.66$27,958.10
Virginia30638$40,064.10$78,038.14$209,063.00$16,216.90$21,490.16$42,832.20$14,139.50$18,479.13$26,212.60
Missouri31670$39,694.20$71,526.78$183,945.00$16,398.90$19,775.57$27,174.40$13,856.30$18,258.33$26,070.40
Ohio31521$36,506.00$76,706.69$137,915.00$16,399.20$21,349.91$32,920.30$12,732.50$18,130.91$31,038.20
Illinois47944$36,038.00$88,214.02$165,671.00$16,530.20$22,787.64$42,378.50$15,433.50$19,468.43$28,819.80
Georgia25460$45,474.00$84,735.03$202,337.00$17,091.50$19,443.20$29,855.50$15,897.20$17,887.93$27,513.50
Indiana22416$38,506.20$72,893.38$131,635.00$17,112.50$20,325.84$29,946.50$14,857.90$18,378.04$24,066.00
West Virginia695$45,996.80$63,537.71$77,660.00$17,261.30$20,441.36$26,388.60$15,749.80$18,441.65$23,475.30
California591,106$69,253.00$156,655.56$427,567.00$17,309.80$27,653.60$56,763.50$14,696.30$25,600.29$50,439.90
Oklahoma12240$48,438.60$83,688.56$218,791.00$17,311.60$20,579.79$23,155.30$16,315.80$18,590.69$20,987.10
Arizona17294$59,790.10$87,007.28$123,516.00$17,334.40$22,274.97$36,039.00$15,581.10$20,230.57$35,032.40
Kansas13281$41,180.10$77,310.29$113,607.00$17,387.30$20,125.72$28,272.30$13,359.70$18,250.45$27,282.20
Wisconsin14279$38,435.40$67,684.65$125,004.00$17,397.60$22,174.44$27,752.40$16,247.40$20,324.25$25,155.70
Maine479$39,183.60$57,512.29$66,618.70$17,672.80$22,351.31$25,094.00$16,966.20$21,130.49$23,887.00
Minnesota19433$38,054.70$61,094.54$123,711.00$17,754.00$22,933.75$42,066.80$14,130.50$21,095.38$33,510.20
Wyoming112$65,702.10$65,702.10$65,702.10$18,023.80$18,023.80$18,023.80$16,909.10$16,909.10$16,909.10
Delaware388$50,761.20$53,735.39$58,373.00$18,082.20$22,046.26$23,796.00$16,599.30$20,045.97$21,716.90
Washington23530$35,396.80$87,757.58$140,074.00$18,547.60$23,355.83$29,918.40$17,343.80$21,119.33$24,592.10
Nebraska9187$46,096.40$69,426.17$98,015.40$18,768.50$21,631.94$26,519.20$17,552.10$20,105.53$23,567.30
New Hampshire484$39,004.60$72,346.71$95,787.20$18,867.10$26,437.16$43,921.00$17,744.80$24,423.16$39,110.20
Montana693$43,221.40$56,738.38$73,958.60$18,968.20$21,893.14$25,063.90$15,893.20$20,055.51$24,180.70
South Dakota5121$33,892.30$60,835.60$79,504.50$19,068.10$21,530.10$27,039.20$16,512.80$19,327.96$26,035.80
New York41781$29,386.20$98,130.90$177,728.00$19,131.10$29,369.44$44,263.90$16,404.90$25,975.32$39,909.40
New Jersey24435$75,762.20$122,190.88$166,110.00$19,354.10$23,269.54$31,222.90$16,808.20$21,142.80$28,258.50
North Dakota5198$49,255.30$55,268.89$61,460.10$19,423.80$21,175.32$23,245.20$17,290.50$19,047.02$22,062.50
Utah5117$41,251.40$53,836.07$67,948.10$19,980.50$23,327.69$27,837.60$16,970.40$20,205.04$24,704.30
Maryland16296$21,624.00$31,242.95$48,613.10$20,021.30$28,882.03$44,801.20$17,893.60$27,018.85$43,864.10
Idaho594$51,556.20$59,292.13$68,664.80$20,229.20$22,025.16$27,951.80$18,937.00$20,819.42$26,664.60
Nevada8150$65,550.60$129,531.32$205,692.00$20,251.40$22,376.82$26,075.80$17,556.70$20,844.03$25,122.50
Rhode Island246$62,221.60$65,491.27$71,621.90$20,523.70$24,004.29$30,530.40$18,406.30$21,741.71$27,995.60
Massachusetts22482$25,326.20$56,174.31$138,994.00$21,007.40$27,150.14$41,438.40$19,880.60$25,048.66$37,846.50
Oregon10178$45,185.80$61,376.58$82,142.40$21,036.80$24,892.45$34,439.60$19,523.20$22,981.16$31,440.40
New Mexico236$62,844.70$68,109.97$80,076.50$21,049.60$23,474.03$28,984.10$18,414.20$21,295.96$27,845.40
Connecticut12255$38,310.50$80,371.07$126,101.00$21,574.10$30,346.12$39,867.50$19,743.80$27,587.66$36,989.20
Hawaii228$59,166.20$69,358.97$78,192.70$26,619.50$27,656.99$28,854.10$23,158.50$24,880.40$26,867.20
Vermont227$52,649.50$60,435.37$67,665.10$27,764.80$28,314.12$28,824.20$26,356.90$26,589.17$26,839.30
Washington DC114$129,394.00$129,394.00$129,394.00$31,824.90$31,824.90$31,824.90$28,125.20$28,125.20$28,125.20
Alaska111$147,835.00$147,835.00$147,835.00$34,378.60$34,378.60$34,378.60$32,882.60$32,882.60$32,882.60
TOTAL US92218,656$21,624.00$86.279,15$427,567.00$11,644.50$22.258,87$56,763.50$10,620.50$20.046,36$50,439.90

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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