Hospital Costs > Otitis Media & Uri W 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 |
| Tennessee | 1 | 12 | $12,434.60 | $12,434.60 | $12,434.60 | $5,352.00 | $5,352.00 | $5,352.00 | $4,453.33 | $4,453.33 | $4,453.33 |
| New Jersey | 1 | 11 | $37,758.80 | $37,758.80 | $37,758.80 | $8,282.73 | $8,282.73 | $8,282.73 | $6,762.55 | $6,762.55 | $6,762.55 |
| Illinois | 1 | 12 | $26,005.80 | $26,005.80 | $26,005.80 | $8,247.58 | $8,247.58 | $8,247.58 | $7,103.92 | $7,103.92 | $7,103.92 |
| North Carolina | 2 | 29 | $11,124.40 | $11,942.68 | $12,949.80 | $6,539.44 | $7,962.24 | $9,713.38 | $5,290.00 | $6,281.76 | $7,502.38 |
| Pennsylvania | 3 | 57 | $22,153.60 | $38,111.88 | $52,940.50 | $7,765.00 | $8,872.65 | $11,618.40 | $5,373.35 | $6,103.39 | $7,868.47 |
| Missouri | 1 | 11 | $30,657.00 | $30,657.00 | $30,657.00 | $9,025.18 | $9,025.18 | $9,025.18 | $8,143.73 | $8,143.73 | $8,143.73 |
| Florida | 2 | 43 | $24,631.20 | $32,558.40 | $37,256.00 | $6,820.04 | $8,320.79 | $10,853.30 | $5,807.00 | $6,785.72 | $8,437.31 |
| California | 1 | 12 | $72,499.30 | $72,499.30 | $72,499.30 | $10,238.50 | $10,238.50 | $10,238.50 | $8,628.67 | $8,628.67 | $8,628.67 |
| Connecticut | 2 | 45 | $27,305.70 | $32,461.84 | $34,130.00 | $10,120.20 | $11,098.04 | $11,414.40 | $8,260.18 | $9,452.00 | $9,837.59 |
| Michigan | 2 | 24 | $18,185.50 | $35,426.05 | $50,014.20 | $7,610.82 | $12,642.73 | $16,900.50 | $6,228.82 | $9,312.41 | $11,921.60 |
| New York | 5 | 108 | $19,469.50 | $47,088.99 | $62,266.10 | $11,050.40 | $13,033.12 | $14,696.90 | $8,955.21 | $10,682.05 | $12,315.40 | TOTAL US | 21 | 364 | $11,124.40 | $36.810,97 | $72,499.30 | $5,352.00 | $10.388,18 | $16,900.50 | $4,453.33 | $8.325,69 | $12,315.40 |
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.