Simple Pneumonia & Pleurisy W Cc - costs for treatment

Hospital Costs > Simple Pneumonia & Pleurisy W Cc - costs for treatment

Simple Pneumonia & Pleurisy W Cc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMaxMin AvgMax
Pennsylvania1276,216$7,793.25$30,779.09$90,031.90$4,717.67$7,113.29$14,775.70$3,384.89$5,392.25$12,506.70
Mississippi552,457$4,891.75$26,072.61$66,307.80$4,449.45$6,260.91$12,835.30$3,537.45$5,107.46$9,605.58
Alabama743,953$5,411.27$26,384.01$73,314.40$4,654.47$6,015.24$9,608.53$3,646.55$4,710.65$8,189.70
Ohio1175,732$7,484.72$19,854.28$38,135.00$5,002.64$6,672.11$11,220.70$3,658.96$5,208.57$8,987.27
South Carolina522,675$10,896.10$30,638.81$55,520.60$5,132.40$6,734.29$12,418.00$3,671.67$5,276.10$7,289.60
New York1427,812$7,605.72$29,700.36$85,465.30$4,844.28$9,126.91$20,916.60$3,697.17$7,513.11$18,799.40
Florida16210,752$13,919.00$37,068.56$80,729.30$4,817.12$6,561.13$17,051.70$3,780.46$5,317.80$14,973.10
Illinois1197,407$10,426.40$28,412.66$78,678.70$5,359.37$7,070.03$15,326.20$3,781.51$5,522.68$13,567.30
Kansas381,512$8,282.78$24,382.58$48,131.80$4,851.47$6,407.62$9,232.93$3,782.29$5,201.02$7,695.79
Texas22311,296$9,290.25$34,947.70$90,273.00$4,991.28$7,028.80$22,819.50$3,785.42$5,599.84$21,071.00
Missouri733,735$7,591.91$23,866.91$54,251.40$4,736.61$6,536.19$12,058.00$3,822.18$5,341.91$11,221.80
Tennessee834,483$6,378.67$24,307.88$53,937.90$4,987.59$5,995.61$8,907.27$3,842.70$4,894.97$8,140.15
Oklahoma682,880$6,287.40$24,392.61$65,382.40$4,792.58$6,466.28$12,371.10$3,847.12$5,260.19$9,588.80
Arkansas432,283$7,079.29$20,852.35$45,216.70$4,678.95$6,101.77$11,076.90$3,852.00$4,922.16$8,404.04
Kentucky653,823$10,365.90$21,190.42$71,597.40$5,259.04$6,326.28$10,409.20$3,892.13$5,091.83$7,635.04
Louisiana643,030$8,486.62$26,218.15$61,300.80$5,026.62$6,474.56$12,359.30$3,918.92$5,297.32$10,410.90
Colorado341,415$13,073.10$29,192.23$56,178.70$4,925.00$6,717.11$10,969.50$3,960.47$5,365.05$7,978.72
Iowa311,620$9,799.47$18,469.31$27,036.20$4,984.44$6,305.91$10,475.70$3,975.44$5,118.68$8,669.92
Utah23699$10,953.30$17,981.78$24,928.60$4,890.00$7,085.63$10,394.60$3,980.67$5,498.94$8,232.65
Virginia683,451$10,528.70$21,159.75$59,546.80$5,172.77$6,646.54$11,486.70$3,992.40$5,090.69$8,444.39
Wisconsin572,372$8,621.83$20,174.44$34,861.40$5,097.20$6,809.24$10,758.60$4,037.14$5,441.01$7,196.02
West Virginia291,665$8,879.97$16,604.40$25,384.80$4,991.36$6,704.63$12,227.00$4,053.29$5,206.96$10,797.70
Georgia904,386$11,831.30$24,881.73$58,047.20$5,379.86$6,757.30$16,645.30$4,069.61$5,478.31$10,591.50
North Carolina794,394$8,923.25$19,504.35$34,099.00$5,227.45$6,775.04$10,869.80$4,127.09$5,294.27$8,069.90
Indiana733,827$11,220.50$21,729.88$42,614.30$5,329.03$6,554.00$11,349.60$4,131.75$5,261.36$10,034.70
South Dakota10489$10,417.00$21,672.48$28,924.40$5,122.11$6,783.51$7,603.87$4,137.22$5,598.81$6,488.23
Washington441,805$11,714.10$24,265.92$37,946.50$5,998.59$7,476.29$15,226.90$4,160.86$6,006.46$9,665.55
New Mexico25974$7,840.50$23,368.84$42,637.80$5,108.42$8,150.63$14,474.60$4,162.06$7,001.91$12,053.50
Michigan814,249$9,042.06$17,481.07$26,864.10$5,193.43$7,216.66$11,948.20$4,241.50$5,877.30$9,917.31
Arizona502,320$9,089.71$30,936.21$74,764.20$5,246.29$7,489.11$15,655.10$4,252.57$6,230.75$14,615.10
Nebraska18964$13,906.30$24,228.50$40,891.20$5,347.00$6,840.92$10,480.00$4,347.05$5,391.61$7,393.32
New Jersey634,907$24,149.20$56,400.39$155,169.00$5,858.90$7,759.71$16,292.40$4,450.89$6,222.28$14,806.30
New Hampshire13636$11,643.80$19,859.77$32,359.70$6,079.46$6,771.81$9,613.72$4,453.79$5,669.80$8,059.75
Nevada19951$22,761.60$45,082.38$75,493.20$5,944.76$7,727.34$12,314.90$4,467.88$5,955.80$9,230.20
Minnesota461,799$10,995.40$17,101.33$29,496.60$5,465.76$7,412.80$12,503.20$4,487.48$6,124.49$10,639.50
Delaware6675$13,392.80$17,390.81$25,663.00$6,282.09$7,671.59$8,237.17$4,583.42$5,971.80$6,953.90
Maine18757$11,034.40$15,153.03$24,475.80$5,895.92$6,807.18$9,450.88$4,585.31$5,650.18$8,466.88
Montana10381$9,735.58$17,700.05$27,389.30$5,559.32$6,977.40$9,081.16$4,613.30$5,907.72$8,179.51
Washington DC7375$18,987.40$28,155.07$35,792.90$5,900.44$9,166.77$14,314.70$4,633.63$7,058.27$10,173.20
Rhode Island10416$13,315.80$21,998.25$26,530.20$5,988.24$7,928.46$10,091.00$4,845.53$6,392.95$8,338.45
Oregon27935$11,983.00$20,388.42$37,107.50$6,290.74$7,751.69$11,685.60$4,861.13$6,180.85$10,211.60
North Dakota7329$12,408.90$14,233.29$16,939.30$6,067.50$6,712.95$10,248.20$4,916.06$5,482.22$9,419.58
Maryland434,427$6,533.60$9,504.31$17,402.20$6,038.05$8,803.02$16,088.30$5,074.40$7,719.53$14,924.30
Wyoming9243$14,832.00$18,652.14$27,157.10$6,177.32$8,699.79$10,691.50$5,192.05$7,633.03$9,648.33
Massachusetts574,347$7,561.30$15,308.39$36,595.00$6,194.34$8,454.26$13,028.20$5,209.92$7,075.02$11,359.10
California2259,649$14,823.80$52,031.36$116,747.00$6,257.74$9,163.51$29,743.20$5,220.29$7,797.71$28,150.00
Vermont6364$12,307.60$15,653.00$21,335.10$6,581.36$8,438.11$9,251.88$5,294.50$7,190.89$8,218.53
Idaho8319$10,731.00$19,666.81$26,141.60$6,431.06$7,291.59$8,724.57$5,435.37$5,885.21$6,688.29
Connecticut292,099$7,436.06$24,807.23$34,871.30$6,406.00$8,781.90$12,002.20$5,587.42$7,251.31$9,688.94
Hawaii10305$19,007.20$26,806.24$35,892.40$7,473.33$10,211.12$14,345.40$6,373.70$8,457.91$12,073.60
Alaska7218$8,267.08$34,501.29$44,170.40$9,566.92$11,637.61$17,342.80$8,549.30$10,463.74$16,131.80
TOTAL US2,837148,808$4,891.75$28.175,84$155,169.00$4,449.45$7.239,97$29,743.20$3,384.89$5.863,56$28,150.00

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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