Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc - costs for treatment

Hospital Costs > Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc - costs for treatment

Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# Disch MinAvgMaxMinAvgMaxMinAvgMax
New Jersey791$48,683.80$84,252.39$126,963.00$12,967.00$14,442.35$17,296.50$10,090.20$12,022.18$13,858.60
Kentucky578$23,044.40$38,877.03$75,408.30$9,155.71$11,605.75$16,151.30$8,149.93$10,046.71$14,080.10
New York478$50,544.70$71,574.83$88,234.80$17,322.00$20,992.98$24,031.00$11,680.10$15,880.80$19,287.40
Michigan570$29,990.20$39,765.93$55,240.80$12,116.70$14,893.14$21,917.10$9,777.79$11,814.12$16,419.60
Pennsylvania570$49,816.20$84,216.34$116,922.00$12,256.30$15,488.74$20,492.50$9,168.80$10,852.20$13,035.00
North Carolina570$24,356.90$38,524.54$58,854.30$10,428.60$13,578.24$17,548.60$8,269.31$10,740.83$13,964.20
Texas466$55,481.40$72,474.15$89,318.60$9,909.00$14,486.09$20,152.30$8,302.17$9,448.97$9,913.18
Alabama351$43,834.70$48,914.67$62,257.90$10,079.40$14,264.72$21,890.00$8,109.87$8,746.00$9,873.57
Illinois351$35,405.20$54,457.22$61,060.20$11,561.60$16,839.70$22,260.00$10,263.80$11,990.27$13,073.40
Florida247$80,817.00$86,632.35$97,899.60$14,777.80$15,384.41$15,697.50$9,233.42$10,254.08$12,231.60
Missouri344$29,833.10$49,558.96$80,573.90$10,347.60$14,339.85$20,878.60$9,423.41$12,239.06$15,533.10
Ohio344$35,941.50$54,750.70$70,279.10$15,208.60$19,304.70$23,639.10$7,273.55$10,430.96$12,659.00
Kansas343$39,801.60$52,525.49$77,960.90$9,762.60$10,584.22$11,975.80$8,058.10$9,284.66$10,965.20
Maryland340$20,045.50$27,285.40$34,338.90$18,483.50$25,315.95$31,926.90$17,602.00$22,479.05$27,486.80
Minnesota239$35,316.20$39,016.18$48,434.30$11,515.50$14,668.52$15,907.20$10,441.80$12,119.36$12,778.40
South Carolina339$42,519.10$74,718.76$122,699.00$12,602.90$12,781.14$12,935.20$7,839.33$9,163.99$11,105.50
Connecticut238$46,766.80$55,280.77$59,210.30$16,739.20$17,887.99$18,418.20$14,560.50$15,667.01$16,177.70
Massachusetts229$21,860.10$53,164.94$82,382.80$18,107.40$18,248.45$18,380.10$15,683.50$15,794.49$15,913.40
West Virginia228$32,173.50$41,045.90$49,918.30$9,927.07$10,843.49$11,759.90$8,767.36$9,246.36$9,725.36
Wisconsin228$30,580.30$45,727.06$63,204.10$13,649.80$15,216.60$16,574.50$11,114.60$11,830.26$12,450.50
Delaware127$29,609.20$29,609.20$29,609.20$14,268.80$14,268.80$14,268.80$12,576.90$12,576.90$12,576.90
Nebraska120$43,016.60$43,016.60$43,016.60$11,042.50$11,042.50$11,042.50$9,770.00$9,770.00$9,770.00
Indiana112$43,266.60$43,266.60$43,266.60$9,794.92$9,794.92$9,794.92$7,861.33$7,861.33$7,861.33
Louisiana112$39,022.30$39,022.30$39,022.30$15,339.10$15,339.10$15,339.10$11,515.50$11,515.50$11,515.50
Tennessee112$36,180.10$36,180.10$36,180.10$12,486.90$12,486.90$12,486.90$9,164.58$9,164.58$9,164.58
Arkansas111$51,953.60$51,953.60$51,953.60$10,753.50$10,753.50$10,753.50$9,295.64$9,295.64$9,295.64
Washington DC111$81,690.40$81,690.40$81,690.40$21,067.40$21,067.40$21,067.40$17,425.10$17,425.10$17,425.10
TOTAL US751,149$20,045.50$56.382,56$126,963.00$9,155.71$15.286,78$31,926.90$7,273.55$11.800,57$27,486.80

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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