Revision Of Hip Or Knee Replacement W Mcc - costs for treatment

Hospital Costs > Revision Of Hip Or Knee Replacement W Mcc - costs for treatment

Revision Of Hip Or Knee Replacement W Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMax MinAvgMaxMinAvgMax
Michigan113$78,726.10$78,726.10$78,726.10$35,865.20$35,865.20$35,865.20$33,890.80$33,890.80$33,890.80
Oklahoma114$92,159.50$92,159.50$92,159.50$31,135.70$31,135.70$31,135.70$30,060.10$30,060.10$30,060.10
Oregon112$108,218.00$108,218.00$108,218.00$49,244.20$49,244.20$49,244.20$46,010.20$46,010.20$46,010.20
Illinois113$110,715.00$110,715.00$110,715.00$35,639.20$35,639.20$35,639.20$33,680.80$33,680.80$33,680.80
Tennessee115$119,936.00$119,936.00$119,936.00$32,332.80$32,332.80$32,332.80$26,909.50$26,909.50$26,909.50
Indiana111$124,774.00$124,774.00$124,774.00$32,358.20$32,358.20$32,358.20$30,531.10$30,531.10$30,531.10
Washington111$126,586.00$126,586.00$126,586.00$36,214.40$36,214.40$36,214.40$33,770.40$33,770.40$33,770.40
Ohio127$126,786.00$126,786.00$126,786.00$36,775.70$36,775.70$36,775.70$34,189.10$34,189.10$34,189.10
Alabama125$130,689.00$130,689.00$130,689.00$35,117.40$35,117.40$35,117.40$33,983.60$33,983.60$33,983.60
Kansas117$137,195.00$137,195.00$137,195.00$32,019.30$32,019.30$32,019.30$31,238.10$31,238.10$31,238.10
Massachusetts121$139,883.00$139,883.00$139,883.00$45,463.20$45,463.20$45,463.20$41,158.10$41,158.10$41,158.10
Minnesota233$62,300.80$100,563.68$141,218.00$43,495.90$43,644.89$43,803.20$34,345.60$38,182.30$42,258.80
Missouri222$92,243.90$117,940.95$143,638.00$25,255.30$31,015.20$36,775.10$24,493.10$29,695.90$34,898.70
Connecticut118$151,235.00$151,235.00$151,235.00$49,537.90$49,537.90$49,537.90$45,549.70$45,549.70$45,549.70
North Carolina229$82,923.30$126,316.77$152,835.00$36,036.90$38,088.09$39,341.60$35,008.70$35,425.12$35,679.60
New York232$111,311.00$127,714.75$159,031.00$41,338.50$46,834.13$57,325.80$37,101.80$41,789.00$50,737.30
Texas361$88,968.30$162,248.57$187,541.00$25,596.50$36,110.33$41,314.60$24,463.20$31,925.24$34,919.90
Nevada112$188,391.00$188,391.00$188,391.00$28,262.90$28,262.90$28,262.90$27,378.90$27,378.90$27,378.90
Colorado228$147,427.00$182,601.46$213,086.00$37,500.70$37,509.20$37,519.00$34,035.00$35,168.65$36,476.70
Florida682$89,961.90$158,113.07$229,865.00$25,852.70$32,659.30$43,233.30$24,991.10$28,379.26$33,419.30
California226$212,704.00$279,591.15$336,923.00$39,874.60$61,264.72$79,599.10$36,412.00$57,298.44$75,201.10
TOTAL US34522$62,300.80$144.572,44$336,923.00$25,255.30$38.402,77$79,599.10$24,463.20$35.068,55$75,201.10

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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