Hospital Costs > Complicated Peptic Ulcer W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Michigan | 3 | 36 | $14,299.80 | $20,251.92 | $24,934.70 | $6,915.08 | $7,628.22 | $8,350.73 | $6,111.54 | $6,449.75 | $7,180.18 |
| Florida | 2 | 35 | $21,154.90 | $48,855.77 | $61,552.00 | $6,807.82 | $9,346.05 | $10,509.40 | $5,693.64 | $6,524.12 | $6,904.75 |
| North Carolina | 2 | 31 | $19,072.60 | $19,549.37 | $19,811.60 | $7,304.00 | $7,820.90 | $8,105.20 | $6,201.73 | $6,545.19 | $6,734.10 |
| Texas | 2 | 31 | $21,960.10 | $26,234.69 | $29,321.90 | $6,429.85 | $6,959.78 | $7,342.50 | $5,483.92 | $5,940.00 | $6,269.39 |
| Massachusetts | 2 | 29 | $14,197.60 | $18,926.42 | $26,664.50 | $8,681.11 | $10,427.41 | $13,285.00 | $7,450.83 | $8,856.88 | $11,157.70 |
| Maryland | 2 | 22 | $15,047.70 | $18,415.90 | $21,784.10 | $13,884.00 | $17,192.50 | $20,501.00 | $12,784.40 | $13,616.20 | $14,448.00 |
| Pennsylvania | 1 | 15 | $51,339.50 | $51,339.50 | $51,339.50 | $8,137.93 | $8,137.93 | $8,137.93 | $6,530.87 | $6,530.87 | $6,530.87 |
| Delaware | 1 | 15 | $15,181.90 | $15,181.90 | $15,181.90 | $9,551.80 | $9,551.80 | $9,551.80 | $6,490.40 | $6,490.40 | $6,490.40 |
| New Jersey | 1 | 15 | $51,448.10 | $51,448.10 | $51,448.10 | $6,836.40 | $6,836.40 | $6,836.40 | $5,953.20 | $5,953.20 | $5,953.20 |
| Kentucky | 1 | 14 | $31,744.30 | $31,744.30 | $31,744.30 | $8,417.86 | $8,417.86 | $8,417.86 | $6,884.64 | $6,884.64 | $6,884.64 |
| Connecticut | 1 | 13 | $53,116.80 | $53,116.80 | $53,116.80 | $12,419.20 | $12,419.20 | $12,419.20 | $10,676.10 | $10,676.10 | $10,676.10 |
| Virginia | 1 | 13 | $24,796.80 | $24,796.80 | $24,796.80 | $8,219.23 | $8,219.23 | $8,219.23 | $6,642.62 | $6,642.62 | $6,642.62 |
| Alabama | 1 | 12 | $27,429.00 | $27,429.00 | $27,429.00 | $7,034.42 | $7,034.42 | $7,034.42 | $5,165.67 | $5,165.67 | $5,165.67 |
| Wisconsin | 1 | 12 | $31,890.90 | $31,890.90 | $31,890.90 | $8,982.67 | $8,982.67 | $8,982.67 | $7,664.83 | $7,664.83 | $7,664.83 |
| Tennessee | 1 | 11 | $22,381.00 | $22,381.00 | $22,381.00 | $6,219.18 | $6,219.18 | $6,219.18 | $4,359.91 | $4,359.91 | $4,359.91 |
| Ohio | 1 | 11 | $32,263.50 | $32,263.50 | $32,263.50 | $9,943.36 | $9,943.36 | $9,943.36 | $6,911.82 | $6,911.82 | $6,911.82 |
| California | 1 | 11 | $34,246.60 | $34,246.60 | $34,246.60 | $8,872.18 | $8,872.18 | $8,872.18 | $7,534.73 | $7,534.73 | $7,534.73 | TOTAL US | 24 | 326 | $14,197.60 | $29.843,02 | $61,552.00 | $6,219.18 | $9.086,46 | $20,501.00 | $4,359.91 | $7.272,90 | $14,448.00 |
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.