Hospital Costs > Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Florida | 1 | 12 | $43,930.80 | $43,930.80 | $43,930.80 | $6,754.92 | $6,754.92 | $6,754.92 | $4,753.75 | $4,753.75 | $4,753.75 |
| Kansas | 1 | 12 | $40,767.40 | $40,767.40 | $40,767.40 | $7,369.58 | $7,369.58 | $7,369.58 | $6,260.25 | $6,260.25 | $6,260.25 |
| Alabama | 1 | 39 | $41,996.80 | $41,996.80 | $41,996.80 | $7,662.31 | $7,662.31 | $7,662.31 | $6,367.49 | $6,367.49 | $6,367.49 |
| Ohio | 1 | 12 | $50,136.70 | $50,136.70 | $50,136.70 | $7,880.33 | $7,880.33 | $7,880.33 | $5,546.08 | $5,546.08 | $5,546.08 |
| Tennessee | 1 | 11 | $39,664.20 | $39,664.20 | $39,664.20 | $8,877.18 | $8,877.18 | $8,877.18 | $7,888.09 | $7,888.09 | $7,888.09 |
| Kentucky | 1 | 12 | $61,492.90 | $61,492.90 | $61,492.90 | $9,864.17 | $9,864.17 | $9,864.17 | $8,371.50 | $8,371.50 | $8,371.50 |
| Massachusetts | 1 | 13 | $27,618.90 | $27,618.90 | $27,618.90 | $10,373.20 | $10,373.20 | $10,373.20 | $7,562.15 | $7,562.15 | $7,562.15 |
| New York | 3 | 39 | $23,958.40 | $30,805.44 | $36,607.60 | $9,236.23 | $10,683.26 | $11,430.40 | $7,895.15 | $9,145.46 | $9,999.86 |
| Pennsylvania | 2 | 37 | $59,939.50 | $64,852.97 | $71,301.90 | $10,265.10 | $11,153.40 | $12,319.30 | $7,476.33 | $7,929.08 | $8,523.31 |
| Maryland | 2 | 22 | $9,422.36 | $15,855.43 | $22,288.50 | $8,818.73 | $14,762.12 | $20,705.50 | $7,295.09 | $12,306.50 | $17,317.90 |
| California | 1 | 34 | $48,502.20 | $48,502.20 | $48,502.20 | $15,651.40 | $15,651.40 | $15,651.40 | $11,679.60 | $11,679.60 | $11,679.60 | TOTAL US | 15 | 243 | $9,422.36 | $42.749,08 | $71,301.90 | $6,754.92 | $10.699,57 | $20,705.50 | $4,753.75 | $8.438,21 | $17,317.90 |
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.