Hospital Costs > Disorders Of The Biliary Tract W/O Cc/Mcc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| New York | 14 | 251 | $12,935.80 | $28,436.39 | $48,124.90 | $4,753.91 | $8,497.92 | $11,469.10 | $3,854.73 | $6,869.10 | $9,805.57 |
| Florida | 13 | 199 | $18,274.70 | $34,632.14 | $75,227.20 | $3,997.27 | $5,280.26 | $8,531.75 | $2,906.36 | $3,995.38 | $7,008.67 |
| Massachusetts | 11 | 170 | $8,268.75 | $19,207.96 | $35,943.10 | $5,145.17 | $7,379.03 | $9,099.77 | $4,235.83 | $6,009.17 | $7,532.46 |
| New Jersey | 9 | 130 | $29,429.10 | $46,231.31 | $69,296.50 | $4,532.67 | $5,729.38 | $7,713.00 | $3,599.75 | $4,437.44 | $5,774.50 |
| North Carolina | 7 | 98 | $15,638.60 | $19,557.31 | $31,147.80 | $5,071.59 | $6,483.72 | $8,733.15 | $3,380.12 | $4,313.88 | $5,878.67 |
| Texas | 6 | 79 | $20,653.10 | $31,106.53 | $39,528.00 | $4,872.18 | $7,027.98 | $11,971.60 | $3,776.55 | $5,121.51 | $9,964.55 |
| Pennsylvania | 6 | 77 | $15,080.60 | $29,426.45 | $37,682.90 | $4,260.27 | $6,028.13 | $8,362.23 | $2,593.55 | $4,365.11 | $6,418.85 |
| Michigan | 4 | 55 | $16,536.50 | $18,153.05 | $20,586.30 | $4,935.92 | $5,696.82 | $6,344.69 | $3,853.23 | $4,543.87 | $5,273.23 |
| Ohio | 4 | 50 | $14,224.60 | $21,676.55 | $28,320.20 | $4,786.09 | $5,772.78 | $6,955.58 | $3,628.82 | $3,902.36 | $4,244.80 |
| Virginia | 3 | 39 | $21,135.50 | $33,307.34 | $41,044.40 | $5,075.64 | $6,906.97 | $9,334.23 | $3,738.27 | $4,605.97 | $6,109.46 |
| Alabama | 3 | 34 | $18,663.80 | $21,289.89 | $25,034.50 | $4,470.58 | $4,761.76 | $4,958.00 | $3,761.25 | $3,909.06 | $4,079.45 |
| Indiana | 3 | 48 | $31,461.30 | $33,991.20 | $39,330.40 | $5,214.67 | $6,879.98 | $8,374.55 | $3,609.08 | $5,352.06 | $6,533.10 |
| California | 3 | 39 | $20,348.00 | $40,957.38 | $60,733.90 | $7,283.19 | $9,172.33 | $10,583.20 | $5,895.00 | $7,291.23 | $8,766.18 |
| Maryland | 2 | 30 | $6,201.22 | $7,089.86 | $8,422.83 | $5,728.78 | $6,548.17 | $7,777.25 | $4,925.22 | $5,702.30 | $6,867.92 |
| Iowa | 2 | 30 | $20,797.40 | $22,583.64 | $24,919.50 | $5,485.31 | $7,135.30 | $8,397.06 | $3,669.54 | $5,803.94 | $7,436.12 |
| Washington | 2 | 24 | $24,555.20 | $29,384.98 | $35,092.90 | $5,296.64 | $6,131.25 | $6,837.46 | $4,418.09 | $5,177.92 | $5,820.85 |
| Minnesota | 2 | 25 | $17,966.30 | $20,193.89 | $23,029.00 | $5,699.18 | $6,569.00 | $7,252.43 | $4,183.45 | $4,676.84 | $5,064.50 |
| Illinois | 2 | 51 | $24,572.90 | $25,654.08 | $25,951.40 | $5,165.58 | $5,429.34 | $6,388.45 | $3,052.18 | $3,662.94 | $3,830.90 |
| Washington DC | 2 | 29 | $21,419.30 | $25,000.43 | $27,910.10 | $7,643.19 | $8,071.04 | $8,597.62 | $5,663.31 | $5,775.97 | $5,914.62 |
| Kentucky | 1 | 14 | $25,943.70 | $25,943.70 | $25,943.70 | $6,088.07 | $6,088.07 | $6,088.07 | $4,824.29 | $4,824.29 | $4,824.29 |
| South Carolina | 1 | 17 | $25,734.10 | $25,734.10 | $25,734.10 | $7,224.82 | $7,224.82 | $7,224.82 | $5,261.12 | $5,261.12 | $5,261.12 |
| Vermont | 1 | 14 | $18,394.30 | $18,394.30 | $18,394.30 | $7,084.43 | $7,084.43 | $7,084.43 | $5,921.14 | $5,921.14 | $5,921.14 |
| Connecticut | 1 | 16 | $40,128.90 | $40,128.90 | $40,128.90 | $9,389.00 | $9,389.00 | $9,389.00 | $7,021.88 | $7,021.88 | $7,021.88 |
| Georgia | 1 | 12 | $30,006.20 | $30,006.20 | $30,006.20 | $6,998.08 | $6,998.08 | $6,998.08 | $5,577.58 | $5,577.58 | $5,577.58 |
| Delaware | 1 | 12 | $18,329.20 | $18,329.20 | $18,329.20 | $6,344.92 | $6,344.92 | $6,344.92 | $5,070.33 | $5,070.33 | $5,070.33 |
| Oklahoma | 1 | 12 | $12,431.20 | $12,431.20 | $12,431.20 | $4,805.75 | $4,805.75 | $4,805.75 | $3,631.50 | $3,631.50 | $3,631.50 |
| Maine | 1 | 13 | $10,443.20 | $10,443.20 | $10,443.20 | $5,433.54 | $5,433.54 | $5,433.54 | $4,273.69 | $4,273.69 | $4,273.69 |
| Nevada | 1 | 11 | $38,564.80 | $38,564.80 | $38,564.80 | $7,117.45 | $7,117.45 | $7,117.45 | $6,100.36 | $6,100.36 | $6,100.36 |
| Missouri | 1 | 24 | $22,250.30 | $22,250.30 | $22,250.30 | $4,155.29 | $4,155.29 | $4,155.29 | $2,994.12 | $2,994.12 | $2,994.12 |
| Arkansas | 1 | 11 | $22,549.80 | $22,549.80 | $22,549.80 | $4,938.27 | $4,938.27 | $4,938.27 | $3,814.27 | $3,814.27 | $3,814.27 |
| Wisconsin | 1 | 13 | $15,374.30 | $15,374.30 | $15,374.30 | $5,691.23 | $5,691.23 | $5,691.23 | $4,946.92 | $4,946.92 | $4,946.92 | TOTAL US | 110 | 1,627 | $6,201.22 | $27.894,07 | $75,227.20 | $3,997.27 | $6.665,04 | $11,971.60 | $2,593.55 | $5.129,08 | $9,964.55 |
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.