Hospital Costs > Esophagitis, Gastroent & Misc Digest Disorders W 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 |
| Hawaii | 1 | 19 | $21,893.50 | $21,893.50 | $21,893.50 | $12,378.00 | $12,378.00 | $12,378.00 | $10,087.90 | $10,087.90 | $10,087.90 |
| Utah | 5 | 95 | $16,518.40 | $21,109.27 | $22,855.90 | $8,009.12 | $9,853.91 | $12,957.70 | $5,865.77 | $7,076.13 | $9,379.41 |
| Maryland | 36 | 960 | $8,168.42 | $12,984.60 | $24,518.50 | $7,402.42 | $12,000.00 | $22,601.70 | $6,648.02 | $11,014.71 | $21,836.60 |
| Delaware | 5 | 188 | $14,279.50 | $23,020.16 | $25,783.60 | $7,857.85 | $9,647.15 | $10,169.90 | $5,747.45 | $8,077.50 | $8,908.55 |
| Montana | 7 | 105 | $12,194.50 | $20,277.43 | $26,302.30 | $6,793.42 | $7,463.75 | $7,899.64 | $5,791.42 | $6,540.16 | $7,210.08 |
| Rhode Island | 4 | 124 | $16,952.60 | $28,336.27 | $30,740.00 | $8,703.32 | $10,860.34 | $12,124.50 | $6,870.35 | $8,941.84 | $10,578.40 |
| Maine | 5 | 105 | $20,157.50 | $25,772.26 | $31,450.20 | $7,298.29 | $9,366.98 | $10,171.30 | $6,258.29 | $7,944.86 | $9,067.11 |
| Vermont | 1 | 21 | $31,518.90 | $31,518.90 | $31,518.90 | $12,240.10 | $12,240.10 | $12,240.10 | $9,803.24 | $9,803.24 | $9,803.24 |
| West Virginia | 10 | 235 | $8,606.55 | $22,747.97 | $33,296.30 | $7,098.32 | $8,929.39 | $12,653.40 | $5,938.29 | $7,118.41 | $10,141.10 |
| North Dakota | 2 | 55 | $17,915.10 | $27,075.54 | $33,659.60 | $8,275.83 | $8,810.51 | $9,194.81 | $6,494.83 | $7,396.93 | $8,045.31 |
| Idaho | 5 | 94 | $20,932.90 | $26,535.61 | $35,820.80 | $7,664.44 | $10,444.09 | $13,009.50 | $6,454.67 | $7,124.83 | $8,537.48 |
| South Dakota | 3 | 77 | $26,202.80 | $32,890.03 | $36,846.40 | $8,521.84 | $8,853.95 | $9,304.68 | $7,068.39 | $7,650.91 | $8,539.92 |
| Wyoming | 2 | 30 | $23,047.60 | $29,280.04 | $38,628.70 | $9,257.67 | $10,353.20 | $11,996.50 | $6,519.39 | $8,348.63 | $11,092.50 |
| Michigan | 50 | 1,799 | $8,814.27 | $23,977.63 | $41,101.90 | $6,930.77 | $9,363.46 | $15,048.00 | $5,695.71 | $7,811.51 | $11,323.40 |
| Iowa | 14 | 292 | $20,430.00 | $28,217.00 | $42,725.90 | $6,256.17 | $8,126.22 | $12,819.40 | $5,316.75 | $6,932.19 | $10,358.70 |
| Connecticut | 17 | 498 | $14,540.60 | $36,584.77 | $44,287.10 | $8,752.58 | $11,542.78 | $14,884.10 | $7,657.25 | $9,917.20 | $12,773.90 |
| Oregon | 11 | 220 | $15,417.90 | $26,822.33 | $44,495.00 | $8,055.44 | $9,857.65 | $13,817.00 | $7,073.50 | $8,600.58 | $11,711.80 |
| New Hampshire | 9 | 180 | $17,069.90 | $27,220.70 | $45,287.50 | $7,425.31 | $9,066.66 | $12,607.60 | $6,384.13 | $7,901.99 | $10,016.50 |
| North Carolina | 46 | 1,535 | $15,960.10 | $25,364.80 | $46,494.50 | $6,628.85 | $8,854.68 | $12,948.30 | $5,321.22 | $7,035.83 | $9,870.33 |
| Minnesota | 16 | 537 | $18,504.50 | $28,611.05 | $46,843.60 | $7,306.48 | $10,279.69 | $14,723.00 | $6,387.09 | $8,480.66 | $13,089.00 |
| New Mexico | 7 | 169 | $23,937.30 | $32,900.26 | $47,930.00 | $7,263.93 | $10,026.97 | $17,576.50 | $6,198.33 | $8,619.54 | $14,170.60 |
| Wisconsin | 21 | 531 | $10,076.20 | $30,441.71 | $48,026.70 | $6,482.60 | $9,800.66 | $13,031.60 | $4,878.87 | $7,947.85 | $10,064.70 |
| Nebraska | 8 | 201 | $21,429.80 | $32,107.42 | $48,755.20 | $7,092.10 | $8,910.41 | $12,165.40 | $5,545.41 | $7,255.85 | $9,609.05 |
| Indiana | 35 | 939 | $15,079.30 | $30,761.99 | $49,089.10 | $6,685.33 | $8,858.17 | $14,954.30 | $5,628.90 | $7,290.53 | $11,972.70 |
| Missouri | 37 | 1,028 | $10,767.50 | $30,050.22 | $51,135.50 | $6,256.80 | $8,171.00 | $13,827.70 | $5,358.27 | $7,063.52 | $12,750.20 |
| Massachusetts | 41 | 1,255 | $8,556.73 | $20,228.22 | $52,081.40 | $8,188.44 | $10,702.03 | $16,120.80 | $7,142.55 | $9,354.56 | $13,113.70 |
| Ohio | 63 | 1,526 | $7,666.00 | $28,947.90 | $59,509.70 | $6,151.17 | $8,735.17 | $13,928.80 | $4,710.71 | $7,011.45 | $11,584.30 |
| Arkansas | 17 | 447 | $12,421.30 | $30,015.79 | $60,245.10 | $6,269.36 | $7,866.41 | $17,309.40 | $4,843.07 | $6,645.80 | $14,115.10 |
| Alaska | 1 | 17 | $63,000.10 | $63,000.10 | $63,000.10 | $12,497.10 | $12,497.10 | $12,497.10 | $11,693.10 | $11,693.10 | $11,693.10 |
| Louisiana | 25 | 588 | $12,630.70 | $32,897.11 | $64,141.00 | $6,545.19 | $8,389.01 | $14,653.30 | $5,497.38 | $7,096.94 | $12,691.20 |
| Washington DC | 6 | 153 | $21,437.30 | $41,995.20 | $64,270.10 | $7,122.00 | $12,933.39 | $20,733.00 | $6,091.08 | $9,749.14 | $15,792.60 |
| South Carolina | 23 | 599 | $18,597.40 | $35,410.04 | $64,793.10 | $6,086.74 | $8,351.82 | $14,864.80 | $5,250.42 | $6,945.25 | $9,690.23 |
| Kentucky | 26 | 668 | $16,138.50 | $27,053.48 | $65,412.70 | $6,172.60 | $8,098.51 | $13,194.30 | $5,139.37 | $6,771.58 | $10,732.90 |
| Oklahoma | 15 | 363 | $18,908.10 | $37,131.17 | $68,568.20 | $6,698.77 | $8,822.14 | $14,762.10 | $5,737.08 | $7,384.95 | $11,517.20 |
| Washington | 32 | 747 | $12,144.70 | $33,577.17 | $68,729.70 | $7,545.42 | $9,692.36 | $16,328.70 | $6,590.47 | $8,139.56 | $12,772.60 |
| Kansas | 11 | 309 | $19,835.90 | $39,072.63 | $71,054.10 | $6,435.92 | $8,323.86 | $11,160.80 | $5,656.75 | $6,801.44 | $8,233.00 |
| Virginia | 39 | 1,015 | $13,641.60 | $30,254.66 | $72,131.90 | $6,423.50 | $8,496.80 | $17,626.80 | $5,492.00 | $6,917.85 | $13,650.00 |
| Tennessee | 32 | 949 | $15,907.50 | $31,327.46 | $72,385.40 | $6,153.24 | $7,842.10 | $10,633.40 | $5,114.77 | $6,701.95 | $9,402.26 |
| Mississippi | 20 | 585 | $13,980.40 | $30,197.42 | $74,134.70 | $6,640.03 | $7,608.26 | $14,198.00 | $5,704.48 | $6,649.79 | $11,967.20 |
| Georgia | 51 | 1,253 | $17,443.70 | $34,434.42 | $77,144.70 | $6,531.62 | $8,414.09 | $16,164.10 | $5,109.62 | $7,353.47 | $15,439.30 |
| Illinois | 71 | 1,899 | $16,090.00 | $37,153.09 | $85,708.50 | $6,672.65 | $9,231.85 | $18,899.10 | $5,141.17 | $7,587.81 | $17,133.20 |
| Arizona | 30 | 637 | $25,642.80 | $40,090.43 | $86,093.20 | $7,114.14 | $9,694.93 | $15,610.40 | $6,155.77 | $8,182.21 | $13,082.50 |
| New York | 80 | 2,198 | $12,123.50 | $40,546.35 | $88,067.40 | $6,913.54 | $12,833.26 | $22,866.50 | $5,845.23 | $10,775.82 | $21,252.10 |
| Texas | 98 | 3,029 | $17,901.40 | $43,881.56 | $90,171.90 | $6,637.67 | $8,753.84 | $21,299.10 | $5,442.84 | $7,369.79 | $19,169.70 |
| Florida | 115 | 3,421 | $19,982.80 | $45,800.39 | $91,606.00 | $6,253.81 | $8,232.30 | $20,719.10 | $4,891.08 | $7,001.09 | $15,008.00 |
| Colorado | 19 | 355 | $29,678.70 | $44,389.11 | $99,761.70 | $6,745.00 | $8,682.41 | $12,868.40 | $5,536.92 | $7,290.88 | $10,261.50 |
| Alabama | 32 | 801 | $9,425.86 | $35,594.44 | $100,479.00 | $5,750.82 | $7,592.26 | $10,325.20 | $4,648.27 | $6,201.31 | $8,700.87 |
| Pennsylvania | 67 | 1,547 | $16,666.60 | $46,809.01 | $103,994.00 | $5,941.50 | $9,890.30 | $19,317.60 | $4,587.15 | $7,716.96 | $13,068.90 |
| Nevada | 13 | 315 | $23,882.80 | $57,901.74 | $109,057.00 | $7,443.43 | $9,459.60 | $15,645.10 | $6,581.71 | $8,050.58 | $13,370.70 |
| California | 138 | 3,043 | $20,998.30 | $60,688.10 | $132,729.00 | $7,678.33 | $11,690.31 | $43,913.60 | $6,358.67 | $10,073.33 | $18,206.70 |
| New Jersey | 51 | 1,428 | $30,893.90 | $69,316.46 | $202,288.00 | $7,215.41 | $9,935.68 | $15,953.10 | $5,997.21 | $8,388.47 | $13,965.00 | TOTAL US | 1,473 | 39,184 | $7,666.00 | $37.719,26 | $202,288.00 | $5,750.82 | $9.478,50 | $43,913.60 | $4,587.15 | $7.958,75 | $21,836.60 |
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.