Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc - costs for treatment

Hospital Costs > Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc - costs for treatment

Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp # DischMinAvgMaxMinAvgMaxMinAvgMax
Florida340$26,455.90$28,168.11$32,107.90$4,328.45$4,902.48$5,357.56$3,251.73$3,691.87$4,074.36
New York223$32,828.30$37,904.14$42,557.00$8,613.91$9,549.75$10,407.60$7,646.00$7,928.09$8,186.67
Illinois118$20,433.40$20,433.40$20,433.40$4,441.22$4,441.22$4,441.22$3,369.22$3,369.22$3,369.22
Massachusetts111$32,819.20$32,819.20$32,819.20$8,495.36$8,495.36$8,495.36$6,639.36$6,639.36$6,639.36
Michigan113$10,309.30$10,309.30$10,309.30$4,713.38$4,713.38$4,713.38$4,028.46$4,028.46$4,028.46
Missouri121$10,925.20$10,925.20$10,925.20$4,133.95$4,133.95$4,133.95$3,100.81$3,100.81$3,100.81
New Jersey114$26,853.30$26,853.30$26,853.30$6,062.07$6,062.07$6,062.07$4,877.14$4,877.14$4,877.14
Wisconsin112$19,802.10$19,802.10$19,802.10$8,782.67$8,782.67$8,782.67$5,918.67$5,918.67$5,918.67
TOTAL US11152$10,309.30$24.370,75$42,557.00$4,133.95$6.101,86$10,407.60$3,100.81$4.740,07$8,186.67

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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