Hospital Costs > Esophagitis, Gastroent & Misc Digest Disorders W/O 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 |
| California | 230 | 12,358 | $12,083.30 | $40,689.86 | $90,527.60 | $4,890.83 | $7,422.47 | $27,695.30 | $3,725.88 | $6,041.95 | $26,115.10 |
| Texas | 208 | 12,692 | $7,927.22 | $28,443.71 | $50,798.20 | $3,577.71 | $5,683.36 | $21,166.60 | $2,307.29 | $4,263.79 | $18,664.30 |
| Florida | 165 | 20,322 | $7,754.71 | $31,922.64 | $58,115.10 | $3,900.24 | $5,218.08 | $16,185.60 | $2,522.02 | $3,993.76 | $12,529.50 |
| New York | 139 | 11,424 | $7,221.64 | $24,235.53 | $64,383.40 | $3,813.82 | $7,858.80 | $18,264.90 | $2,818.36 | $6,273.77 | $16,610.60 |
| Pennsylvania | 129 | 8,844 | $6,189.29 | $27,756.82 | $72,734.30 | $3,849.41 | $5,915.75 | $12,614.90 | $2,470.49 | $4,192.91 | $11,252.10 |
| Illinois | 116 | 9,277 | $10,242.00 | $23,812.21 | $56,923.40 | $3,837.41 | $5,792.81 | $12,658.30 | $2,813.43 | $4,300.67 | $11,025.30 |
| Ohio | 113 | 7,324 | $6,210.74 | $18,361.96 | $34,177.80 | $3,875.51 | $5,471.33 | $9,541.39 | $2,844.02 | $3,985.92 | $7,759.85 |
| Georgia | 92 | 4,782 | $8,232.47 | $21,177.34 | $44,169.50 | $4,248.71 | $5,535.79 | $12,883.50 | $2,933.10 | $4,128.20 | $8,763.32 |
| Michigan | 83 | 8,439 | $6,395.33 | $15,625.77 | $24,805.90 | $4,060.54 | $5,767.00 | $9,468.00 | $2,934.69 | $4,433.04 | $7,346.77 |
| North Carolina | 81 | 5,885 | $9,759.23 | $17,870.57 | $29,964.70 | $4,151.56 | $5,611.84 | $9,327.32 | $2,925.69 | $4,083.84 | $6,458.01 |
| Tennessee | 72 | 4,681 | $5,540.00 | $20,795.34 | $41,163.80 | $3,842.00 | $4,965.35 | $7,352.89 | $2,560.62 | $3,704.34 | $6,136.59 |
| Alabama | 71 | 4,920 | $4,986.25 | $21,681.80 | $56,571.30 | $3,575.01 | $4,819.03 | $8,782.67 | $2,653.55 | $3,496.69 | $7,774.67 |
| Indiana | 70 | 4,290 | $10,608.80 | $19,841.71 | $34,960.70 | $4,077.32 | $5,351.47 | $9,429.44 | $2,756.39 | $4,036.76 | $8,408.90 |
| Virginia | 70 | 4,884 | $10,091.70 | $20,054.91 | $42,855.70 | $4,024.89 | $5,344.97 | $9,479.29 | $2,741.24 | $3,805.36 | $6,853.59 |
| Missouri | 67 | 4,788 | $8,220.07 | $20,161.71 | $40,197.40 | $3,821.36 | $5,201.82 | $11,105.30 | $2,848.78 | $3,994.16 | $10,265.30 |
| New Jersey | 61 | 6,822 | $23,409.10 | $43,112.65 | $118,876.00 | $4,487.35 | $6,001.88 | $12,067.90 | $3,384.99 | $4,581.28 | $9,769.07 |
| Louisiana | 61 | 2,733 | $4,038.62 | $20,683.34 | $42,911.80 | $3,920.59 | $5,397.41 | $10,343.50 | $2,820.62 | $4,101.97 | $9,069.83 |
| Wisconsin | 58 | 2,582 | $8,697.64 | $18,894.16 | $29,336.10 | $4,129.11 | $5,745.99 | $8,436.23 | $2,449.27 | $4,225.20 | $5,812.34 |
| Kentucky | 57 | 3,742 | $8,244.48 | $17,408.48 | $49,784.60 | $3,925.45 | $5,188.41 | $8,968.96 | $2,802.55 | $3,898.16 | $6,985.75 |
| Oklahoma | 56 | 2,490 | $5,461.81 | $19,582.70 | $49,610.20 | $3,595.88 | $5,399.79 | $10,618.30 | $2,674.28 | $4,142.49 | $8,317.42 |
| Massachusetts | 56 | 6,143 | $7,028.71 | $13,487.55 | $33,444.10 | $5,043.25 | $6,753.90 | $10,490.90 | $4,021.89 | $5,465.38 | $9,135.11 |
| Mississippi | 49 | 2,659 | $3,626.08 | $21,346.49 | $51,868.70 | $3,574.86 | $4,975.81 | $10,969.30 | $2,822.10 | $3,823.08 | $8,200.42 |
| South Carolina | 48 | 3,026 | $11,623.20 | $24,882.19 | $48,036.90 | $3,693.64 | $5,402.61 | $9,315.63 | $2,220.82 | $3,970.61 | $6,385.15 |
| Arizona | 46 | 3,050 | $7,466.86 | $26,845.07 | $52,776.60 | $4,105.60 | $5,900.61 | $11,630.30 | $2,757.61 | $4,595.66 | $10,650.40 |
| Minnesota | 43 | 2,553 | $11,064.20 | $16,599.69 | $23,305.50 | $4,589.09 | $6,107.23 | $10,378.20 | $3,454.58 | $4,683.70 | $8,671.29 |
| Maryland | 43 | 4,573 | $5,473.06 | $7,566.96 | $12,506.90 | $5,083.25 | $7,026.20 | $11,543.90 | $3,819.94 | $5,895.32 | $10,419.50 |
| Washington | 42 | 2,435 | $11,883.20 | $23,032.68 | $33,246.70 | $4,548.09 | $6,134.14 | $10,188.50 | $3,245.22 | $4,643.64 | $7,782.53 |
| Arkansas | 39 | 2,462 | $5,172.47 | $16,954.08 | $41,763.50 | $3,544.09 | $4,843.16 | $9,027.93 | $2,776.09 | $3,644.22 | $7,017.34 |
| Kansas | 34 | 1,685 | $6,325.60 | $22,905.99 | $36,579.00 | $3,742.55 | $5,043.95 | $6,625.97 | $2,654.55 | $3,869.60 | $5,588.87 |
| Colorado | 33 | 1,728 | $13,618.20 | $29,493.96 | $48,587.70 | $4,127.74 | $5,613.14 | $12,741.80 | $2,820.11 | $4,244.81 | $10,888.20 |
| Oregon | 30 | 1,095 | $9,872.18 | $17,822.01 | $26,934.40 | $4,784.18 | $6,230.11 | $10,141.30 | $3,558.73 | $4,785.94 | $8,638.57 |
| Connecticut | 29 | 2,723 | $5,798.23 | $21,805.12 | $30,805.60 | $5,057.62 | $7,119.81 | $9,345.64 | $3,913.29 | $5,512.50 | $7,261.13 |
| Iowa | 29 | 1,565 | $9,781.48 | $17,300.40 | $24,599.70 | $3,867.24 | $5,056.69 | $9,091.13 | $2,656.76 | $3,793.68 | $7,195.30 |
| West Virginia | 28 | 1,632 | $6,460.64 | $13,584.52 | $20,369.00 | $4,029.55 | $5,337.33 | $9,137.42 | $2,703.73 | $3,870.85 | $7,857.08 |
| New Mexico | 24 | 828 | $6,964.83 | $20,051.17 | $30,827.20 | $4,266.31 | $6,538.33 | $14,110.80 | $3,090.50 | $5,091.53 | $10,478.60 |
| Nevada | 20 | 1,236 | $16,769.90 | $37,204.92 | $63,188.10 | $4,640.20 | $5,991.88 | $10,749.20 | $3,445.00 | $4,670.02 | $8,454.15 |
| Utah | 18 | 492 | $11,097.30 | $17,221.03 | $25,376.90 | $4,738.83 | $6,182.93 | $8,720.75 | $3,309.67 | $4,440.03 | $6,472.59 |
| Nebraska | 17 | 1,097 | $11,067.40 | $20,023.99 | $26,321.70 | $4,134.00 | $5,317.86 | $8,635.87 | $2,990.39 | $3,943.37 | $5,362.06 |
| Maine | 16 | 768 | $10,980.10 | $14,598.90 | $17,546.80 | $4,273.43 | $5,544.77 | $6,576.85 | $3,329.43 | $4,165.12 | $4,889.51 |
| New Hampshire | 13 | 865 | $13,676.20 | $18,665.64 | $27,168.50 | $4,551.27 | $5,520.35 | $7,948.21 | $3,472.15 | $4,141.52 | $5,956.11 |
| Hawaii | 11 | 217 | $13,290.70 | $19,840.29 | $30,973.40 | $6,266.80 | $7,875.26 | $9,799.56 | $4,352.21 | $6,237.05 | $8,673.56 |
| Rhode Island | 10 | 755 | $13,053.80 | $20,174.04 | $23,852.60 | $4,573.80 | $6,421.19 | $8,245.06 | $3,645.80 | $5,082.35 | $6,612.53 |
| Montana | 10 | 409 | $10,277.50 | $13,994.86 | $17,989.20 | $4,225.87 | $5,082.16 | $6,039.18 | $3,296.64 | $3,958.61 | $4,936.64 |
| South Dakota | 9 | 436 | $9,992.15 | $21,386.71 | $26,913.80 | $3,907.00 | $5,550.29 | $6,476.28 | $2,875.85 | $4,287.36 | $4,764.05 |
| Idaho | 9 | 408 | $14,801.70 | $18,413.29 | $21,607.90 | $5,111.26 | $5,922.51 | $6,991.58 | $4,078.74 | $4,623.38 | $5,726.90 |
| Washington DC | 7 | 556 | $13,931.60 | $22,341.79 | $28,723.10 | $5,015.39 | $7,952.34 | $11,706.80 | $3,534.78 | $5,773.17 | $8,585.53 |
| Alaska | 7 | 182 | $18,546.10 | $28,803.78 | $36,651.40 | $6,283.33 | $8,375.62 | $10,117.70 | $5,441.89 | $6,936.67 | $9,099.31 |
| Vermont | 6 | 249 | $11,058.50 | $15,586.39 | $18,193.80 | $5,176.33 | $6,557.06 | $7,323.69 | $3,713.56 | $5,084.99 | $5,796.42 |
| Delaware | 6 | 782 | $11,743.70 | $16,071.60 | $23,983.40 | $4,983.82 | $6,106.22 | $6,654.51 | $3,660.42 | $4,427.79 | $4,698.98 |
| North Dakota | 6 | 319 | $8,243.37 | $13,604.80 | $17,879.20 | $4,676.27 | $5,210.79 | $5,451.09 | $3,478.07 | $4,025.43 | $4,318.74 |
| Wyoming | 6 | 168 | $10,695.80 | $16,203.05 | $21,054.80 | $4,959.41 | $6,356.45 | $8,180.58 | $3,880.59 | $5,093.56 | $6,558.94 | TOTAL US | 2,743 | 190,375 | $3,626.08 | $24.260,15 | $118,876.00 | $3,544.09 | $5.894,97 | $27,695.30 | $2,220.82 | $4.503,39 | $26,115.10 |
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.