Hospital Costs > Major Gastrointestinal Disorders & Peritoneal Infections 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 |
| Tennessee | 12 | 298 | $13,987.10 | $39,051.21 | $67,008.70 | $8,548.29 | $11,980.03 | $17,944.10 | $7,414.43 | $10,707.41 | $16,620.40 |
| Missouri | 16 | 304 | $27,361.30 | $46,298.57 | $88,200.30 | $9,092.82 | $12,964.02 | $20,039.00 | $7,664.36 | $11,436.91 | $15,375.10 |
| Pennsylvania | 22 | 321 | $17,756.10 | $64,795.35 | $135,554.00 | $9,237.42 | $14,909.83 | $25,895.80 | $7,018.50 | $12,164.74 | $18,402.80 |
| Arkansas | 5 | 94 | $18,591.00 | $36,150.76 | $48,336.90 | $9,365.27 | $12,684.73 | $21,206.20 | $8,691.79 | $11,273.98 | $17,495.40 |
| Florida | 50 | 1,015 | $29,568.60 | $57,120.19 | $136,675.00 | $9,558.50 | $12,527.15 | $25,955.60 | $8,538.07 | $11,010.04 | $19,727.00 |
| North Carolina | 30 | 603 | $19,389.10 | $32,224.62 | $50,072.80 | $9,720.18 | $13,427.99 | $18,675.00 | $9,109.27 | $11,429.15 | $15,943.60 |
| Ohio | 32 | 560 | $19,998.00 | $38,722.56 | $67,212.90 | $9,753.86 | $12,789.21 | $18,588.70 | $8,937.17 | $10,957.85 | $15,756.30 |
| Iowa | 6 | 114 | $26,318.20 | $36,816.67 | $52,643.60 | $9,760.93 | $12,841.26 | $16,881.00 | $9,132.00 | $11,459.38 | $15,176.80 |
| Texas | 41 | 866 | $27,036.90 | $57,879.40 | $106,716.00 | $9,816.79 | $13,710.72 | $27,483.80 | $8,995.50 | $11,684.59 | $24,467.70 |
| Oklahoma | 9 | 150 | $23,808.40 | $56,501.66 | $122,930.00 | $9,888.00 | $14,292.35 | $20,444.20 | $9,183.64 | $11,960.08 | $17,801.40 |
| South Carolina | 10 | 192 | $33,640.80 | $48,960.15 | $68,264.00 | $9,896.93 | $13,920.21 | $18,549.20 | $9,206.64 | $11,410.42 | $13,860.00 |
| Kentucky | 12 | 218 | $15,615.90 | $39,357.25 | $64,722.10 | $9,947.92 | $13,100.18 | $19,125.40 | $8,379.72 | $10,955.88 | $14,177.90 |
| Alabama | 11 | 196 | $33,881.90 | $47,142.78 | $69,742.60 | $9,982.79 | $12,009.54 | $17,855.00 | $6,657.21 | $9,951.27 | $12,088.80 |
| Georgia | 23 | 382 | $23,542.50 | $44,572.88 | $106,787.00 | $10,034.80 | $12,789.39 | $21,458.30 | $9,225.55 | $11,649.49 | $20,557.00 |
| Indiana | 20 | 374 | $22,055.60 | $42,312.49 | $57,717.30 | $10,035.70 | $12,987.41 | $17,864.80 | $8,847.31 | $11,555.07 | $15,119.60 |
| Virginia | 25 | 450 | $18,980.30 | $40,677.28 | $105,090.00 | $10,091.80 | $13,129.27 | $31,572.00 | $8,610.91 | $11,312.33 | $23,210.00 |
| Illinois | 40 | 830 | $24,046.30 | $46,681.69 | $75,231.30 | $10,137.90 | $13,292.66 | $25,721.90 | $9,151.74 | $11,509.05 | $21,660.40 |
| Louisiana | 6 | 131 | $22,744.80 | $34,451.16 | $43,425.10 | $10,146.10 | $12,872.62 | $16,811.80 | $9,156.41 | $10,864.48 | $12,901.60 |
| New Jersey | 28 | 491 | $53,589.60 | $93,682.58 | $172,215.00 | $10,172.20 | $14,971.93 | $24,008.30 | $9,319.09 | $13,397.61 | $21,349.20 |
| Michigan | 26 | 601 | $17,569.60 | $33,568.65 | $59,775.40 | $10,356.10 | $14,566.84 | $21,523.90 | $9,853.45 | $12,428.41 | $16,129.00 |
| Mississippi | 11 | 220 | $18,928.40 | $41,088.38 | $102,631.00 | $10,574.70 | $11,896.92 | $21,022.40 | $8,198.50 | $10,462.67 | $14,644.50 |
| West Virginia | 4 | 58 | $17,167.90 | $31,318.05 | $48,488.00 | $10,720.70 | $13,149.30 | $16,852.50 | $9,512.12 | $11,076.13 | $13,803.90 |
| Kansas | 7 | 123 | $38,646.40 | $52,150.73 | $86,017.90 | $10,737.40 | $12,382.25 | $14,689.50 | $9,222.00 | $11,322.52 | $13,652.20 |
| New York | 36 | 665 | $22,491.50 | $67,478.79 | $103,930.00 | $10,861.70 | $19,255.22 | $31,102.70 | $9,697.69 | $16,703.64 | $24,650.20 |
| New Hampshire | 4 | 52 | $18,797.60 | $35,786.74 | $60,612.80 | $10,878.60 | $15,728.73 | $24,464.90 | $9,534.55 | $12,879.24 | $18,488.40 |
| Wisconsin | 11 | 194 | $25,034.10 | $39,996.70 | $52,373.30 | $10,887.60 | $14,104.64 | $20,832.60 | $8,980.88 | $12,188.90 | $16,640.50 |
| New Mexico | 4 | 78 | $25,208.70 | $31,897.73 | $45,541.00 | $11,023.70 | $14,772.15 | $22,308.00 | $10,289.00 | $13,621.14 | $19,542.50 |
| Arizona | 18 | 286 | $26,926.90 | $48,480.59 | $68,122.30 | $11,055.60 | $14,091.99 | $20,666.00 | $9,698.27 | $12,443.22 | $17,411.30 |
| Washington | 12 | 182 | $25,190.20 | $48,204.36 | $72,300.80 | $11,354.70 | $14,178.27 | $18,572.60 | $10,823.60 | $13,196.46 | $16,070.80 |
| Montana | 1 | 11 | $16,521.90 | $16,521.90 | $16,521.90 | $11,447.50 | $11,447.50 | $11,447.50 | $10,880.50 | $10,880.50 | $10,880.50 |
| Maryland | 21 | 382 | $12,419.10 | $18,392.27 | $31,660.30 | $11,451.80 | $16,994.17 | $29,495.30 | $10,886.50 | $15,602.76 | $28,611.50 |
| Minnesota | 12 | 223 | $16,282.50 | $37,303.26 | $54,957.50 | $11,487.40 | $16,195.18 | $23,505.40 | $10,776.50 | $13,932.99 | $19,697.70 |
| California | 52 | 850 | $38,258.40 | $96,879.72 | $210,481.00 | $11,648.60 | $17,836.20 | $36,656.40 | $10,998.00 | $16,104.21 | $30,510.50 |
| Colorado | 4 | 52 | $43,252.00 | $69,223.25 | $107,591.00 | $11,688.90 | $14,738.02 | $19,526.50 | $11,470.70 | $13,269.85 | $16,334.00 |
| Delaware | 4 | 108 | $22,012.50 | $34,532.84 | $41,955.40 | $11,988.60 | $14,551.80 | $15,879.20 | $11,053.00 | $12,939.19 | $14,145.30 |
| South Dakota | 3 | 52 | $45,853.60 | $50,999.94 | $55,300.50 | $12,072.20 | $14,340.62 | $16,925.70 | $10,873.50 | $12,855.50 | $15,309.20 |
| Rhode Island | 3 | 41 | $35,343.50 | $43,299.51 | $48,212.80 | $12,145.40 | $15,463.88 | $18,741.90 | $11,318.60 | $13,353.38 | $15,070.30 |
| Oregon | 5 | 64 | $27,287.10 | $31,017.32 | $34,772.70 | $12,168.60 | $14,827.90 | $20,811.80 | $11,544.90 | $13,336.40 | $15,577.50 |
| Massachusetts | 18 | 393 | $8,670.00 | $32,722.34 | $99,963.90 | $12,920.90 | $16,748.36 | $23,776.10 | $11,872.10 | $14,811.82 | $19,083.90 |
| Maine | 2 | 29 | $31,162.20 | $33,194.14 | $35,695.00 | $13,015.20 | $13,847.48 | $14,523.70 | $11,948.10 | $12,538.28 | $13,017.80 |
| North Dakota | 1 | 17 | $36,968.60 | $36,968.60 | $36,968.60 | $13,191.00 | $13,191.00 | $13,191.00 | $11,807.90 | $11,807.90 | $11,807.90 |
| Nevada | 4 | 65 | $42,443.90 | $80,096.60 | $150,761.00 | $14,287.20 | $17,443.97 | $22,147.50 | $11,267.50 | $12,905.98 | $14,502.40 |
| Connecticut | 9 | 200 | $37,627.70 | $54,194.02 | $69,236.20 | $15,173.60 | $17,949.16 | $20,875.00 | $12,686.10 | $15,780.87 | $17,520.90 |
| Nebraska | 1 | 14 | $54,401.90 | $54,401.90 | $54,401.90 | $15,268.90 | $15,268.90 | $15,268.90 | $13,639.20 | $13,639.20 | $13,639.20 |
| Hawaii | 1 | 13 | $43,435.50 | $43,435.50 | $43,435.50 | $18,980.20 | $18,980.20 | $18,980.20 | $16,163.50 | $16,163.50 | $16,163.50 |
| Washington DC | 1 | 34 | $69,990.80 | $69,990.80 | $69,990.80 | $19,718.30 | $19,718.30 | $19,718.30 | $15,388.10 | $15,388.10 | $15,388.10 |
| Utah | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Vermont | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 673 | 12,596 | $8,670.00 | $50.993,59 | $210,481.00 | $8,548.29 | $14.405,17 | $36,656.40 | $6,657.21 | $12.568,24 | $30,510.50 |
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.