Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment

Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment

Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMax MinAvgMaxMinAvgMax
Maryland344$16,597.80$20,876.18$28,120.50$15,305.30$19,250.95$25,924.00$14,540.20$18,262.59$24,957.60
Tennessee224$15,988.20$23,473.93$29,808.00$9,448.45$10,078.87$10,612.30$8,788.09$9,197.04$9,543.08
Utah112$31,468.10$31,468.10$31,468.10$10,859.00$10,859.00$10,859.00$9,752.33$9,752.33$9,752.33
Mississippi111$32,088.30$32,088.30$32,088.30$9,258.09$9,258.09$9,258.09$8,484.27$8,484.27$8,484.27
Louisiana116$32,472.30$32,472.30$32,472.30$10,818.90$10,818.90$10,818.90$8,102.12$8,102.12$8,102.12
Delaware112$34,547.80$34,547.80$34,547.80$13,423.50$13,423.50$13,423.50$12,279.80$12,279.80$12,279.80
Montana113$35,702.10$35,702.10$35,702.10$11,116.50$11,116.50$11,116.50$9,989.54$9,989.54$9,989.54
Minnesota136$38,510.70$38,510.70$38,510.70$15,180.50$15,180.50$15,180.50$12,067.30$12,067.30$12,067.30
Georgia223$35,901.50$37,436.30$38,843.20$9,879.18$11,259.09$12,524.00$7,239.55$9,321.52$11,230.00
Arkansas350$34,270.20$38,036.39$41,563.10$9,941.88$9,955.58$9,976.93$8,265.87$8,704.96$8,962.36
Idaho116$49,772.30$49,772.30$49,772.30$9,147.62$9,147.62$9,147.62$7,937.62$7,937.62$7,937.62
Colorado230$43,671.80$47,387.89$50,229.60$10,266.00$11,082.62$12,150.50$8,523.62$8,949.37$9,274.94
Iowa115$50,551.50$50,551.50$50,551.50$11,001.70$11,001.70$11,001.70$9,676.27$9,676.27$9,676.27
Illinois459$40,765.40$47,709.06$53,818.70$9,763.14$11,652.47$15,470.50$8,423.79$9,139.31$9,923.67
Alabama226$53,753.70$54,460.75$55,424.90$10,943.30$11,402.76$12,029.30$8,317.00$9,392.80$10,859.80
South Carolina338$32,443.90$46,393.73$57,107.20$8,794.00$11,613.28$16,903.80$8,129.73$9,490.54$11,636.80
Michigan7104$28,399.00$38,427.76$57,494.70$11,136.10$13,390.60$21,394.80$9,648.78$10,479.05$12,982.20
Arizona112$57,862.10$57,862.10$57,862.10$10,672.90$10,672.90$10,672.90$9,664.92$9,664.92$9,664.92
Kansas796$30,807.50$45,524.08$62,861.30$8,991.64$10,190.34$11,807.60$7,956.21$9,206.49$10,895.60
Missouri345$26,456.50$42,332.78$64,856.40$8,958.00$13,492.67$15,724.70$8,303.45$9,982.39$12,549.40
Ohio345$46,447.60$52,722.62$66,976.30$11,182.20$11,587.32$12,372.10$9,864.10$10,102.78$10,576.50
Washington223$63,500.40$65,320.33$66,988.60$15,300.20$18,167.05$20,795.00$11,818.30$12,804.86$13,709.20
Kentucky226$28,570.20$49,825.38$68,044.10$9,782.58$10,776.86$11,629.10$8,950.50$9,805.31$10,538.00
New York337$42,840.60$50,426.70$68,147.60$18,085.10$19,497.92$21,752.40$16,296.30$17,143.64$18,796.70
Indiana467$26,894.60$50,103.39$71,871.90$9,080.86$12,911.32$20,572.80$7,951.04$8,951.36$10,905.70
North Carolina344$38,980.40$59,375.59$73,754.10$11,619.10$12,395.34$13,316.80$8,569.33$10,356.10$11,403.20
Massachusetts454$26,835.70$52,915.77$82,129.90$13,386.40$15,167.01$16,538.80$12,506.40$13,865.59$14,957.40
Florida13240$25,079.30$57,265.92$85,035.60$8,845.15$10,364.65$15,671.60$7,740.83$8,879.06$12,270.90
Texas696$33,172.80$58,600.37$104,948.00$9,261.50$10,846.53$11,695.10$8,296.07$9,350.77$10,103.10
Pennsylvania575$34,279.30$72,954.07$110,318.00$9,703.87$12,830.34$15,847.40$7,377.58$10,205.47$13,615.90
Oklahoma228$26,528.00$76,695.93$134,582.00$10,230.90$13,770.15$17,853.90$7,944.20$11,530.11$15,667.70
California8117$33,296.60$86,824.82$141,758.00$12,473.30$15,602.70$21,379.90$11,498.30$14,299.77$19,171.80
TOTAL US1021,534$15,988.20$52.611,61$141,758.00$8,794.00$12.484,22$25,924.00$7,239.55$10.548,63$24,957.60

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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