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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMin AvgMaxMinAvgMaxMinAvgMax
Maryland6283$10,972.60$11,649.95$15,058.00$10,263.80$10,892.93$14,057.10$7,571.64$8,835.17$11,826.60
Kansas8141$13,857.80$37,766.25$63,495.20$7,456.52$8,397.07$10,185.40$4,932.67$6,412.78$8,314.04
Montana460$16,607.20$24,673.41$41,460.50$8,219.27$9,891.20$11,607.00$4,461.38$5,984.13$7,159.00
Massachusetts10280$16,652.10$40,116.78$65,730.60$10,485.40$12,769.79$14,838.80$8,339.00$10,402.26$12,904.40
Tennessee12446$16,724.60$43,902.68$77,777.70$6,632.83$9,104.27$11,789.70$4,557.12$6,725.93$9,229.73
Oklahoma499$18,236.60$30,864.33$74,908.30$6,708.55$8,592.84$14,688.20$5,092.30$6,178.77$10,030.90
Minnesota12372$18,492.90$35,808.66$49,806.70$8,691.82$11,790.96$13,417.20$5,866.67$7,662.22$9,410.53
Missouri12268$19,002.30$35,037.35$62,253.00$6,547.15$8,669.52$12,050.20$4,408.27$6,303.66$8,632.69
Texas21569$19,137.90$46,010.80$92,466.80$7,108.00$9,438.82$35,624.40$5,037.00$6,227.26$8,863.58
New Mexico130$19,308.90$19,308.90$19,308.90$10,183.80$10,183.80$10,183.80$7,003.33$7,003.33$7,003.33
Arkansas6146$19,555.50$37,236.96$108,603.00$7,156.77$8,062.53$12,199.00$5,183.50$6,127.25$8,950.00
Michigan17402$20,372.00$33,173.95$43,457.10$9,027.93$11,113.22$13,916.70$5,327.33$7,928.50$9,867.73
Hawaii258$20,496.80$24,788.69$37,092.10$12,059.70$14,434.49$15,262.90$6,751.00$7,326.70$7,527.53
Kentucky699$21,955.40$49,335.65$78,649.90$7,512.60$8,872.97$12,470.50$4,819.90$6,329.78$8,455.07
North Dakota113$22,170.50$22,170.50$22,170.50$9,067.77$9,067.77$9,067.77$6,223.00$6,223.00$6,223.00
New York15501$22,177.20$37,208.02$84,650.40$8,051.27$13,576.98$17,985.30$5,748.60$9,422.00$11,222.30
Washington9254$22,412.40$48,222.32$105,528.00$7,645.04$11,621.51$14,633.80$6,484.08$8,169.32$10,719.40
Utah233$23,237.40$23,331.32$23,431.10$9,493.76$10,801.85$12,191.70$7,048.06$8,455.09$9,950.06
Alabama11280$23,854.10$40,998.89$86,666.70$6,507.56$7,489.88$12,158.00$5,141.44$6,003.98$10,949.40
Iowa9157$24,085.40$36,429.18$55,652.30$7,547.78$9,222.30$17,124.60$4,242.14$6,135.78$9,616.88
Louisiana9152$24,478.30$48,138.68$75,195.30$7,784.58$9,607.91$13,077.60$4,356.00$6,892.58$9,718.90
North Carolina18430$24,664.60$37,390.40$65,652.10$7,155.76$10,097.32$14,700.30$4,949.21$6,993.40$9,391.52
Vermont127$24,683.00$24,683.00$24,683.00$12,844.60$12,844.60$12,844.60$8,215.59$8,215.59$8,215.59
Indiana7154$24,698.80$43,552.89$99,524.30$7,524.00$10,167.85$12,361.80$6,313.08$8,198.21$9,882.66
Ohio10278$25,462.20$59,673.94$122,154.00$7,751.60$10,133.69$12,595.50$5,108.53$6,367.05$8,344.28
Maine237$26,405.30$28,913.71$31,290.10$11,933.80$12,185.85$12,451.90$5,769.89$6,670.22$7,523.16
Nevada338$26,872.50$71,719.87$98,017.80$7,947.83$8,473.39$8,758.15$6,349.58$6,959.48$7,547.08
California33869$26,947.50$87,164.36$160,165.00$8,520.18$13,083.29$17,485.60$5,949.25$10,338.54$15,321.50
Georgia9221$27,597.50$44,207.37$61,021.20$7,423.86$8,392.67$11,882.50$4,606.29$6,452.19$10,667.10
Virginia9205$27,654.90$56,158.89$118,928.00$8,198.54$9,718.11$13,982.20$5,393.74$6,252.83$9,837.08
Mississippi5128$28,129.30$36,927.50$62,828.00$7,390.32$7,769.18$8,911.38$5,481.63$5,628.10$6,230.69
Oregon7167$28,141.00$36,470.34$46,413.50$8,916.19$11,708.59$14,161.50$6,109.76$7,613.33$9,724.59
Florida11468$29,216.10$56,929.90$104,283.00$7,382.88$10,244.76$18,777.50$5,254.67$6,432.51$15,269.90
Wisconsin9160$29,284.80$43,001.38$52,766.40$9,212.05$11,733.48$15,418.10$4,682.41$7,596.96$9,507.80
New Jersey6110$30,442.30$46,868.59$76,633.00$8,254.09$11,486.50$13,915.40$7,118.82$9,328.33$11,942.40
Pennsylvania10270$30,789.00$63,943.39$98,626.00$8,682.72$11,853.02$16,319.50$5,198.83$8,559.48$11,647.80
Illinois14340$30,805.80$47,149.41$60,810.40$7,250.64$12,079.78$16,799.40$5,251.77$7,783.88$11,202.90
South Carolina8185$31,423.60$45,273.87$63,705.30$7,913.56$10,242.54$14,255.50$4,919.17$6,400.93$8,615.10
Nebraska368$31,853.30$38,652.09$55,238.00$8,000.19$9,125.75$10,060.90$4,851.72$5,935.84$6,821.00
West Virginia120$34,489.90$34,489.90$34,489.90$10,608.50$10,608.50$10,608.50$5,832.20$5,832.20$5,832.20
Arizona8241$35,257.70$56,140.11$71,680.60$7,797.73$9,910.71$11,269.00$5,400.67$6,494.95$8,838.08
Connecticut393$36,463.30$42,363.76$56,426.10$11,959.30$12,880.53$13,135.50$8,018.42$9,004.83$10,390.10
South Dakota261$36,728.20$40,634.11$45,237.50$8,915.00$9,636.62$10,248.90$7,216.04$7,456.15$7,659.88
Wyoming112$37,204.20$37,204.20$37,204.20$15,171.10$15,171.10$15,171.10$5,798.50$5,798.50$5,798.50
Rhode Island121$39,156.70$39,156.70$39,156.70$9,352.81$9,352.81$9,352.81$8,115.90$8,115.90$8,115.90
Colorado5116$39,911.70$55,153.80$63,246.70$8,225.09$10,243.47$12,932.70$5,184.45$6,715.92$10,150.80
New Hampshire484$41,757.20$46,305.36$54,687.60$9,244.12$10,669.81$12,367.40$6,046.50$7,854.73$10,088.10
Washington DC274$42,031.20$46,889.07$58,371.30$12,617.80$12,884.34$12,997.10$6,685.63$7,334.59$8,868.50
Idaho118$48,668.90$48,668.90$48,668.90$10,828.90$10,828.90$10,828.90$8,334.78$8,334.78$8,334.78
Alaska00 - - - - - - - - -
Delaware00 - - - - - - - - -
TOTAL US3709,538$10,972.60$46.781,30$160,165.00$6,507.56$10.703,86$35,624.40$4,242.14$7.565,69$15,321.50

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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