Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment

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

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp # DischMinAvgMaxMinAvgMaxMinAvgMax
Texas1624,062$7,638.85$25,602.25$52,096.90$3,790.45$5,199.28$17,357.60$2,426.69$3,839.60$14,938.60
California1342,669$15,040.30$40,722.94$102,541.00$4,541.22$6,657.03$11,150.20$3,234.27$5,334.23$10,027.40
Florida1334,148$8,911.50$27,725.60$54,464.90$3,614.23$4,886.63$13,655.70$2,359.31$3,594.19$10,841.30
New York1002,700$5,530.67$22,369.45$53,754.70$4,208.61$6,849.26$17,387.10$3,121.58$5,330.56$14,959.60
Illinois982,575$8,075.57$20,317.37$52,481.50$3,600.59$5,201.74$12,145.30$2,519.21$3,637.50$10,616.40
Pennsylvania881,999$6,284.77$20,904.46$67,806.50$3,645.96$5,049.49$11,527.20$2,175.00$3,553.27$7,349.59
Ohio771,701$7,791.67$14,888.82$27,323.60$3,642.00$4,933.37$9,323.47$2,412.21$3,531.89$7,351.24
Tennessee571,476$5,288.31$18,206.79$34,428.90$2,877.08$4,473.85$7,131.04$2,071.75$3,332.50$5,797.96
Georgia561,234$10,027.40$18,411.18$42,256.70$3,858.17$5,052.82$8,957.29$2,781.67$3,730.02$7,261.33
Kentucky551,427$7,634.64$15,922.36$32,279.40$3,853.40$4,781.53$7,759.36$2,583.76$3,509.00$5,851.91
North Carolina551,267$7,989.58$14,535.37$26,572.90$3,944.84$5,033.40$8,131.36$2,581.93$3,504.52$5,848.29
New Jersey551,638$18,927.50$41,848.78$104,788.00$4,130.23$5,719.04$9,582.76$2,739.29$4,141.67$7,744.06
Alabama531,369$5,843.82$19,753.11$52,647.50$3,335.53$4,444.56$6,782.17$2,190.26$3,177.92$4,457.94
Michigan521,228$8,055.82$12,987.24$19,480.80$4,137.92$5,354.94$8,420.00$3,025.92$4,002.54$7,056.13
Missouri511,321$6,977.58$18,260.74$39,495.70$3,428.46$4,789.96$11,226.70$2,302.33$3,606.83$10,182.40
Oklahoma501,101$6,024.82$17,147.86$46,984.60$3,661.61$4,823.06$10,440.30$2,471.43$3,613.20$8,236.48
Indiana501,202$10,126.60$16,628.33$26,833.10$3,928.50$4,855.62$8,135.97$2,789.83$3,584.22$6,227.34
Massachusetts461,337$5,583.31$10,605.80$25,906.10$4,814.35$6,030.73$8,403.30$3,663.35$4,732.30$6,953.61
Virginia44990$7,079.32$16,534.03$39,863.10$3,741.04$4,877.57$8,946.00$2,449.00$3,450.27$6,431.81
Louisiana441,232$7,730.54$19,292.79$42,304.40$3,977.15$4,736.88$6,650.12$2,632.43$3,519.34$5,240.91
Mississippi39976$6,247.50$19,586.02$47,279.50$3,918.67$4,642.88$6,136.42$2,721.83$3,535.39$4,498.80
Maryland371,251$4,568.67$6,743.05$9,260.06$4,281.67$6,265.70$8,552.94$2,836.52$5,106.47$7,418.94
South Carolina36860$8,204.77$20,965.63$39,801.20$3,597.32$4,929.48$7,610.86$2,439.54$3,560.10$5,300.21
Arkansas35989$5,427.74$14,654.95$36,509.50$3,920.62$4,533.04$7,899.13$2,501.00$3,296.25$5,964.27
Wisconsin28594$10,834.40$16,501.13$26,991.60$3,712.44$5,108.30$7,824.67$2,622.07$3,784.71$5,335.17
Iowa26571$7,819.12$14,192.10$22,517.40$3,810.51$4,616.88$8,176.06$2,385.88$3,422.31$6,897.17
Arizona26702$7,525.48$21,465.28$61,916.50$3,732.41$5,884.74$12,187.60$2,724.39$4,590.01$11,149.90
Minnesota25492$8,610.22$12,452.13$17,392.90$4,152.10$5,389.26$10,000.20$3,025.70$4,108.72$8,229.92
Kansas24516$7,246.19$17,727.86$26,062.40$3,538.45$4,571.58$6,209.75$2,399.43$3,479.26$5,204.42
Connecticut23594$7,052.33$18,309.09$24,655.90$4,785.92$6,445.60$8,663.06$3,518.53$5,063.24$6,998.59
West Virginia22560$5,948.82$11,571.25$16,551.30$4,076.75$5,092.61$7,929.25$2,410.27$3,465.86$5,788.79
Colorado21442$10,378.60$22,729.94$39,226.90$3,886.80$4,985.77$7,852.27$2,651.74$3,638.54$5,545.18
New Mexico21519$6,116.39$17,561.93$32,543.40$4,387.85$5,986.32$10,426.10$3,272.77$4,783.21$8,551.93
Nebraska17359$12,857.30$18,344.35$27,452.00$3,853.05$5,003.51$7,867.08$2,719.48$3,592.22$5,322.08
Utah17304$6,998.45$14,645.69$19,245.10$3,570.64$5,126.11$6,258.54$2,575.73$3,874.21$5,138.54
Washington17317$8,476.19$18,985.06$31,751.90$4,399.83$5,496.08$7,611.05$3,232.90$4,052.79$5,046.42
Nevada15310$19,111.70$36,155.99$53,066.90$4,533.48$5,910.08$10,219.10$2,604.55$4,334.48$8,313.67
Oregon10194$10,044.80$16,557.95$20,550.90$4,628.08$5,205.48$6,251.43$2,893.25$3,955.86$4,750.00
South Dakota8170$6,096.94$15,604.51$21,569.00$4,010.55$5,896.60$10,802.80$2,863.35$4,595.24$9,898.75
New Hampshire8173$10,621.80$14,538.71$16,344.20$4,398.77$5,062.50$7,300.92$3,397.63$3,824.44$5,809.54
Montana7123$7,877.46$11,948.01$14,935.10$3,990.77$4,732.67$5,663.17$2,819.93$3,665.45$4,717.39
Maine7137$9,607.08$12,202.90$13,752.50$4,050.62$5,017.96$6,684.11$2,952.62$3,587.93$4,336.71
Vermont6112$9,993.79$11,163.04$14,404.90$4,599.20$6,068.05$6,561.24$3,389.60$4,932.35$5,306.67
Rhode Island6136$8,287.50$16,546.29$20,305.40$4,379.54$5,917.01$7,629.22$3,178.31$4,578.26$6,331.11
Delaware5215$10,031.80$12,845.92$17,573.20$4,807.18$5,867.06$6,328.89$2,981.05$3,934.49$4,442.33
Washington DC5128$14,153.90$16,823.76$19,952.20$4,176.18$6,136.78$8,137.27$2,976.77$4,591.33$5,849.27
Idaho5113$11,340.20$16,043.20$21,010.30$4,846.25$5,358.67$7,187.17$3,705.85$3,913.58$4,778.17
North Dakota477$8,803.09$10,730.47$11,815.00$4,554.24$5,187.91$7,836.36$3,433.13$4,094.47$7,010.18
Hawaii455$14,748.90$21,710.57$28,215.10$5,994.29$7,343.04$9,008.56$4,780.57$5,877.04$7,954.56
Wyoming495$12,695.80$14,531.10$17,433.30$6,721.29$6,956.76$7,596.15$5,061.79$5,644.64$6,032.81
Alaska338$19,696.10$24,138.04$32,506.80$5,859.36$7,321.18$9,711.08$4,915.36$6,243.29$8,508.42
TOTAL US1,97148,798$4,568.67$21.030,97$104,788.00$2,877.08$5.300,64$17,387.10$2,071.75$3.953,29$14,959.60

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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