Hospital Costs > Major Gastrointestinal Disorders & Peritoneal Infections 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 |
| Arkansas | 14 | 255 | $5,871.40 | $23,632.50 | $51,250.90 | $5,831.20 | $7,352.45 | $12,466.90 | $4,984.80 | $6,009.86 | $9,327.13 |
| Maryland | 29 | 790 | $6,923.46 | $10,643.84 | $15,568.10 | $6,393.00 | $9,839.21 | $14,363.80 | $5,647.15 | $9,093.68 | $13,619.70 |
| Massachusetts | 35 | 955 | $7,464.81 | $17,999.59 | $40,692.90 | $7,985.57 | $10,222.27 | $15,025.70 | $7,091.75 | $8,948.25 | $13,507.90 |
| New York | 54 | 1,241 | $9,047.64 | $39,392.78 | $81,161.80 | $6,722.53 | $11,025.84 | $16,972.00 | $6,009.09 | $9,230.78 | $14,092.30 |
| Alabama | 23 | 440 | $9,157.42 | $34,569.05 | $95,018.60 | $5,945.17 | $7,040.27 | $9,767.07 | $4,455.48 | $5,921.20 | $7,065.30 |
| Pennsylvania | 58 | 1,170 | $9,324.25 | $35,847.44 | $98,137.90 | $5,559.58 | $8,998.00 | $17,521.70 | $4,557.10 | $6,948.55 | $12,163.30 |
| West Virginia | 11 | 201 | $10,239.20 | $18,329.09 | $33,000.60 | $6,066.19 | $8,123.06 | $11,293.80 | $5,156.06 | $6,698.47 | $9,356.57 |
| Illinois | 59 | 1,415 | $10,456.50 | $30,312.09 | $61,700.10 | $6,060.60 | $8,252.95 | $16,125.90 | $5,416.13 | $6,920.40 | $12,000.50 |
| Virginia | 35 | 827 | $10,632.60 | $27,214.00 | $82,415.40 | $5,948.00 | $8,267.07 | $13,489.00 | $5,036.18 | $6,638.52 | $9,061.63 |
| Michigan | 35 | 985 | $10,737.10 | $20,028.49 | $30,331.30 | $6,428.57 | $8,629.88 | $12,226.10 | $5,912.00 | $7,431.81 | $9,532.57 |
| Ohio | 44 | 897 | $11,064.30 | $22,646.74 | $37,844.50 | $6,217.56 | $7,905.61 | $14,839.50 | $5,202.86 | $6,351.58 | $11,437.80 |
| Vermont | 2 | 29 | $11,153.10 | $14,382.95 | $17,007.20 | $10,410.50 | $10,527.24 | $10,622.10 | $7,657.19 | $8,685.07 | $9,950.15 |
| North Carolina | 38 | 892 | $11,374.50 | $21,173.10 | $34,106.70 | $6,386.03 | $8,327.62 | $12,168.30 | $5,248.77 | $6,797.16 | $9,386.95 |
| Oregon | 5 | 68 | $11,593.80 | $18,686.57 | $28,971.60 | $8,231.56 | $9,889.28 | $14,479.10 | $7,292.33 | $8,776.97 | $12,016.20 |
| Minnesota | 16 | 373 | $11,697.50 | $20,437.16 | $33,830.30 | $7,182.84 | $9,174.20 | $12,754.20 | $5,902.16 | $7,401.42 | $10,156.30 |
| Iowa | 13 | 243 | $11,915.00 | $22,322.39 | $37,797.70 | $5,994.69 | $8,105.78 | $12,301.40 | $5,221.46 | $6,796.44 | $9,682.20 |
| Kentucky | 19 | 450 | $12,552.80 | $22,649.80 | $52,762.00 | $6,116.82 | $7,790.28 | $12,742.70 | $5,211.27 | $6,617.72 | $9,880.55 |
| Tennessee | 28 | 582 | $12,644.10 | $23,784.20 | $49,600.40 | $5,553.50 | $7,169.53 | $10,262.60 | $4,870.03 | $6,230.19 | $9,648.50 |
| Wisconsin | 16 | 338 | $12,720.80 | $24,090.13 | $32,527.60 | $6,703.08 | $9,080.22 | $12,874.90 | $6,125.17 | $7,440.58 | $8,817.08 |
| Louisiana | 16 | 290 | $12,974.70 | $25,105.75 | $43,145.10 | $5,715.73 | $7,469.38 | $11,834.10 | $4,972.45 | $6,395.26 | $8,394.96 |
| North Dakota | 3 | 58 | $13,075.40 | $15,640.68 | $17,725.90 | $7,293.57 | $7,792.05 | $7,990.42 | $6,498.79 | $6,888.97 | $7,119.56 |
| Connecticut | 20 | 439 | $13,202.20 | $30,863.21 | $54,042.10 | $7,765.26 | $10,315.04 | $13,138.90 | $7,132.00 | $9,072.97 | $11,254.00 |
| Rhode Island | 4 | 99 | $14,046.80 | $26,181.93 | $32,327.40 | $8,218.60 | $9,426.32 | $12,064.40 | $6,773.00 | $8,040.65 | $10,315.90 |
| Maine | 5 | 87 | $14,105.90 | $20,960.07 | $29,611.30 | $6,201.57 | $8,217.68 | $11,098.90 | $5,509.00 | $7,072.10 | $8,940.95 |
| Mississippi | 12 | 265 | $14,376.80 | $28,042.79 | $72,726.90 | $6,533.58 | $7,454.14 | $14,058.70 | $5,934.25 | $6,656.34 | $10,784.00 |
| Georgia | 28 | 552 | $14,581.40 | $27,525.88 | $55,891.50 | $6,309.50 | $7,909.13 | $11,139.40 | $5,212.47 | $6,564.86 | $10,240.80 |
| New Hampshire | 7 | 131 | $14,633.40 | $19,347.12 | $26,701.70 | $6,656.00 | $8,143.87 | $12,218.00 | $5,910.15 | $6,986.78 | $9,060.95 |
| Florida | 101 | 2,557 | $14,780.60 | $39,495.57 | $87,911.30 | $5,729.73 | $7,726.62 | $20,193.50 | $4,603.00 | $6,666.57 | $13,800.60 |
| Missouri | 29 | 628 | $15,019.20 | $26,365.34 | $58,567.80 | $5,862.50 | $7,498.95 | $14,052.90 | $4,158.82 | $6,524.96 | $10,454.70 |
| Oklahoma | 10 | 216 | $15,362.30 | $30,243.02 | $51,334.80 | $6,463.83 | $8,192.41 | $13,564.80 | $5,555.28 | $6,874.34 | $11,541.40 |
| Texas | 67 | 1,364 | $15,391.20 | $37,914.61 | $78,159.50 | $6,112.50 | $8,251.85 | $21,685.20 | $5,089.00 | $6,780.94 | $18,520.50 |
| Indiana | 28 | 575 | $16,272.00 | $26,714.17 | $44,828.80 | $6,389.58 | $7,903.96 | $12,083.10 | $5,331.79 | $6,741.15 | $10,096.10 |
| Washington | 23 | 394 | $16,303.60 | $30,878.10 | $50,030.60 | $7,125.60 | $9,254.57 | $19,044.60 | $6,284.08 | $7,600.69 | $10,546.90 |
| Idaho | 3 | 51 | $16,442.40 | $20,913.09 | $30,292.20 | $7,645.16 | $8,405.92 | $9,326.42 | $6,095.15 | $7,245.29 | $8,400.37 |
| Delaware | 5 | 168 | $16,771.60 | $21,952.51 | $30,518.70 | $7,369.11 | $8,734.15 | $9,484.85 | $6,378.36 | $7,315.98 | $8,395.77 |
| Montana | 3 | 39 | $17,030.40 | $18,771.92 | $19,668.10 | $7,713.36 | $7,743.33 | $7,802.42 | $6,617.82 | $6,680.08 | $6,736.58 |
| South Dakota | 4 | 86 | $17,282.80 | $27,466.36 | $32,407.90 | $7,649.67 | $8,577.65 | $9,133.70 | $6,612.83 | $7,259.26 | $7,997.17 |
| South Carolina | 19 | 380 | $17,463.80 | $35,796.07 | $68,404.30 | $5,823.82 | $8,342.30 | $13,073.20 | $5,195.82 | $6,881.53 | $8,930.38 |
| Nebraska | 5 | 91 | $19,097.10 | $22,560.98 | $26,093.30 | $7,176.55 | $7,752.46 | $10,524.90 | $5,558.56 | $6,420.26 | $7,959.75 |
| New Mexico | 4 | 105 | $19,157.80 | $26,121.57 | $35,450.60 | $6,902.79 | $8,856.09 | $9,945.05 | $6,201.18 | $7,906.85 | $9,179.68 |
| Arizona | 24 | 583 | $20,584.00 | $32,280.50 | $44,638.50 | $6,307.50 | $8,453.07 | $13,234.60 | $5,346.88 | $7,273.27 | $11,432.30 |
| Kansas | 6 | 141 | $20,773.30 | $33,678.85 | $48,213.80 | $6,244.45 | $7,486.62 | $8,581.08 | $5,668.45 | $6,543.28 | $7,775.75 |
| Colorado | 14 | 231 | $21,873.80 | $33,120.66 | $49,968.10 | $6,249.50 | $8,338.81 | $12,803.00 | $5,205.82 | $6,914.51 | $10,096.00 |
| Utah | 2 | 28 | $22,183.60 | $23,144.05 | $24,104.50 | $8,977.07 | $9,236.79 | $9,496.50 | $4,728.21 | $5,268.68 | $5,809.14 |
| Washington DC | 4 | 70 | $25,118.80 | $32,289.00 | $41,280.90 | $6,970.62 | $10,842.00 | $13,732.20 | $6,299.12 | $8,218.21 | $10,283.40 |
| Nevada | 6 | 124 | $25,390.50 | $40,796.42 | $74,452.90 | $7,104.08 | $8,538.39 | $9,992.35 | $6,353.75 | $7,819.42 | $9,558.94 |
| California | 82 | 1,462 | $26,013.80 | $61,264.69 | $187,756.00 | $7,604.37 | $10,412.98 | $17,663.90 | $6,511.25 | $9,216.26 | $14,348.40 |
| New Jersey | 43 | 1,033 | $26,154.50 | $64,173.87 | $244,455.00 | $6,932.20 | $9,343.07 | $14,569.10 | $5,973.89 | $7,768.78 | $13,897.60 |
| Wyoming | 1 | 17 | $26,609.60 | $26,609.60 | $26,609.60 | $10,215.50 | $10,215.50 | $10,215.50 | $9,018.71 | $9,018.71 | $9,018.71 |
| Hawaii | 1 | 15 | $38,982.90 | $38,982.90 | $38,982.90 | $14,051.60 | $14,051.60 | $14,051.60 | $10,884.50 | $10,884.50 | $10,884.50 |
| Alaska | 1 | 12 | $42,478.20 | $42,478.20 | $42,478.20 | $13,467.30 | $13,467.30 | $13,467.30 | $10,338.20 | $10,338.20 | $10,338.20 | TOTAL US | 1,114 | 24,442 | $5,871.40 | $32.323,91 | $244,455.00 | $5,553.50 | $8.675,09 | $21,685.20 | $4,158.82 | $7.329,51 | $18,520.50 |
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.