Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc - costs for treatment

Hospital Costs > Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc - costs for treatment

Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvg MaxMinAvgMax
Tennessee112$43,240.40$43,240.40$43,240.40$10,714.90$10,714.90$10,714.90$9,709.58$9,709.58$9,709.58
Florida249$37,976.80$62,452.68$69,537.80$8,834.00$10,771.61$11,332.50$8,063.09$8,346.90$8,429.05
North Carolina113$46,467.90$46,467.90$46,467.90$12,810.40$12,810.40$12,810.40$8,056.38$8,056.38$8,056.38
Minnesota112$34,480.70$34,480.70$34,480.70$15,385.20$15,385.20$15,385.20$9,878.50$9,878.50$9,878.50
New York112$50,417.80$50,417.80$50,417.80$17,712.30$17,712.30$17,712.30$15,730.50$15,730.50$15,730.50
TOTAL US698$34,480.70$53.080,93$69,537.80$8,834.00$12.449,93$17,712.30$8,056.38$9.566,88$15,730.50

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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