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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
South Carolina114$193,711.00$193,711.00$193,711.00$19,895.90$19,895.90$19,895.90$18,705.00$18,705.00$18,705.00
Tennessee233$59,502.10$72,316.68$82,995.50$19,675.30$21,046.03$22,188.30$17,172.80$18,397.62$19,418.30
Kentucky464$49,668.80$61,906.88$84,749.00$19,463.80$20,528.73$22,999.10$17,697.30$19,341.41$22,164.60
Missouri239$55,875.40$59,902.90$62,158.30$17,581.70$21,406.12$23,547.80$16,628.60$19,657.64$21,353.90
Delaware120$50,715.30$50,715.30$50,715.30$25,258.80$25,258.80$25,258.80$22,815.80$22,815.80$22,815.80
Ohio119$105,161.00$105,161.00$105,161.00$25,910.80$25,910.80$25,910.80$20,874.10$20,874.10$20,874.10
Georgia222$59,571.90$66,846.55$74,121.20$24,915.20$25,537.25$26,159.30$23,700.60$23,764.70$23,828.80
Indiana338$51,445.20$68,311.90$87,932.90$19,925.00$23,481.08$27,849.50$19,317.10$21,743.82$24,434.60
Arkansas226$57,189.50$62,124.69$68,854.50$16,906.50$21,606.93$28,016.60$15,871.70$19,399.19$24,209.40
Wisconsin235$64,747.20$91,140.21$103,237.00$25,347.40$26,615.54$29,382.40$23,144.30$23,307.60$23,663.90
Mississippi225$91,409.50$103,163.98$115,898.00$18,165.20$24,264.70$30,872.50$16,958.40$19,277.71$21,790.30
Pennsylvania111$233,718.00$233,718.00$233,718.00$31,204.00$31,204.00$31,204.00$23,936.00$23,936.00$23,936.00
Maryland112$31,860.20$31,860.20$31,860.20$31,324.00$31,324.00$31,324.00$26,900.10$26,900.10$26,900.10
Alabama337$65,225.90$98,852.12$160,893.00$20,711.80$24,656.23$32,306.00$15,054.40$20,345.29$30,588.30
Texas579$64,759.90$110,045.00$163,300.00$19,573.40$24,923.73$32,370.80$14,649.30$20,078.37$24,260.00
West Virginia225$67,855.50$68,241.29$68,597.40$21,861.50$27,383.64$32,481.00$17,767.80$22,941.90$27,718.00
Michigan8124$41,699.60$56,955.91$77,164.00$20,026.40$23,698.15$33,434.50$18,788.20$21,528.76$30,278.20
New Jersey570$93,104.20$152,725.12$213,540.00$18,303.20$26,327.80$33,479.80$17,931.50$23,749.06$30,793.00
Minnesota112$78,836.00$78,836.00$78,836.00$34,303.80$34,303.80$34,303.80$31,932.00$31,932.00$31,932.00
Washington DC121$121,858.00$121,858.00$121,858.00$34,368.60$34,368.60$34,368.60$28,206.10$28,206.10$28,206.10
Massachusetts336$26,490.50$51,000.78$66,207.70$28,055.10$31,289.39$35,501.60$22,257.50$26,743.83$29,972.60
Illinois229$72,550.70$100,130.11$134,074.00$20,146.90$27,133.64$35,732.70$16,730.60$23,351.72$31,500.80
Connecticut117$153,296.00$153,296.00$153,296.00$41,569.40$41,569.40$41,569.40$34,185.60$34,185.60$34,185.60
North Carolina461$56,800.30$87,332.96$136,194.00$20,533.30$28,864.29$42,016.40$19,220.40$23,924.10$31,918.30
New York366$114,408.00$142,802.00$153,270.00$31,933.60$37,969.01$42,388.10$29,144.00$32,196.92$35,660.00
Florida573$76,899.80$149,891.14$205,603.00$18,804.20$29,898.00$48,162.30$16,808.60$21,190.01$24,248.30
California225$249,276.00$338,096.48$407,884.00$28,050.40$46,736.09$61,417.70$27,168.90$42,143.69$53,909.60
TOTAL US691,033$26,490.50$102.246,82$407,884.00$16,906.50$27.212,73$61,417.70$14,649.30$23.320,11$53,909.60

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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