Major Male Pelvic Procedures W Cc/Mcc - costs for treatment

Hospital Costs > Major Male Pelvic Procedures W Cc/Mcc - costs for treatment

Major Male Pelvic Procedures W Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
Alabama140$32,063.20$32,063.20$32,063.20$9,270.22$9,270.22$9,270.22$7,816.75$7,816.75$7,816.75
Kansas115$15,726.90$15,726.90$15,726.90$9,823.33$9,823.33$9,823.33$7,190.20$7,190.20$7,190.20
Arkansas112$49,140.20$49,140.20$49,140.20$11,474.80$11,474.80$11,474.80$7,796.17$7,796.17$7,796.17
Montana111$19,832.00$19,832.00$19,832.00$11,537.70$11,537.70$11,537.70$10,321.90$10,321.90$10,321.90
Louisiana113$33,942.80$33,942.80$33,942.80$12,019.50$12,019.50$12,019.50$8,881.85$8,881.85$8,881.85
New Mexico114$24,997.80$24,997.80$24,997.80$13,267.90$13,267.90$13,267.90$9,966.57$9,966.57$9,966.57
Florida485$43,147.70$58,719.85$73,642.20$10,212.90$12,510.41$13,470.10$8,745.45$9,401.25$11,049.40
Texas359$31,214.70$43,864.09$53,488.50$10,725.20$12,502.02$13,892.50$8,339.85$8,566.02$8,797.67
Missouri112$43,603.70$43,603.70$43,603.70$13,918.40$13,918.40$13,918.40$12,710.40$12,710.40$12,710.40
Ohio246$47,922.40$53,956.83$57,175.20$10,479.60$12,755.23$13,968.90$8,368.38$9,798.55$10,561.30
Washington228$34,295.20$54,696.46$69,997.40$14,146.00$14,578.29$14,902.50$12,424.30$13,279.27$13,920.50
Tennessee232$38,063.80$46,741.60$55,419.40$13,593.50$14,332.85$15,072.20$8,547.12$11,207.66$13,868.20
Nebraska226$35,616.90$38,226.03$40,139.40$10,336.80$13,263.24$15,409.30$9,240.09$10,167.15$10,847.00
Utah115$31,221.10$31,221.10$31,221.10$16,214.40$16,214.40$16,214.40$12,260.20$12,260.20$12,260.20
Vermont117$29,881.40$29,881.40$29,881.40$16,513.60$16,513.60$16,513.60$13,669.20$13,669.20$13,669.20
Arizona120$64,721.10$64,721.10$64,721.10$16,667.80$16,667.80$16,667.80$12,063.70$12,063.70$12,063.70
Michigan111$35,196.20$35,196.20$35,196.20$16,668.10$16,668.10$16,668.10$15,163.70$15,163.70$15,163.70
Indiana115$51,786.60$51,786.60$51,786.60$17,362.00$17,362.00$17,362.00$12,618.90$12,618.90$12,618.90
North Carolina342$41,550.20$50,170.36$57,487.60$12,769.40$16,134.66$18,029.30$9,811.00$11,370.19$13,999.50
Massachusetts114$18,069.70$18,069.70$18,069.70$18,232.90$18,232.90$18,232.90$14,503.10$14,503.10$14,503.10
Connecticut111$43,619.00$43,619.00$43,619.00$18,585.50$18,585.50$18,585.50$10,905.50$10,905.50$10,905.50
Minnesota7127$36,973.60$44,328.29$62,276.50$11,971.80$15,600.47$18,785.70$9,773.31$11,432.99$12,358.90
Illinois486$55,648.40$64,915.67$67,859.50$13,372.30$17,262.06$20,411.20$9,096.45$12,028.41$16,133.10
Pennsylvania225$98,634.20$142,430.01$176,841.00$13,096.00$19,237.86$24,063.60$11,228.70$15,814.20$19,417.10
Iowa114$50,875.10$50,875.10$50,875.10$24,353.40$24,353.40$24,353.40$11,893.10$11,893.10$11,893.10
Maryland114$26,069.90$26,069.90$26,069.90$24,878.40$24,878.40$24,878.40$12,434.40$12,434.40$12,434.40
California7121$79,837.20$119,463.56$155,893.00$12,138.90$18,978.76$28,072.10$10,346.20$14,708.29$21,023.30
New York573$36,145.70$59,836.01$83,281.20$17,431.10$21,525.84$28,125.20$12,870.30$15,810.76$23,169.70
TOTAL US59998$15,726.90$58.788,77$176,841.00$9,270.22$15.865,20$28,125.20$7,190.20$11.779,19$23,169.70

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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