Hospital Costs > Major Gastrointestinal Disorders & Peritoneal Infections 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 |
| Iowa | 1 | 12 | $19,898.40 | $19,898.40 | $19,898.40 | $6,610.42 | $6,610.42 | $6,610.42 | $3,694.50 | $3,694.50 | $3,694.50 |
| Georgia | 1 | 15 | $19,825.20 | $19,825.20 | $19,825.20 | $5,972.47 | $5,972.47 | $5,972.47 | $3,798.47 | $3,798.47 | $3,798.47 |
| Kentucky | 4 | 52 | $11,049.10 | $14,572.21 | $17,654.40 | $4,302.82 | $5,110.17 | $6,570.73 | $3,408.71 | $4,012.37 | $4,685.82 |
| Arkansas | 2 | 27 | $7,649.46 | $13,155.27 | $18,267.80 | $4,723.23 | $5,030.52 | $5,315.86 | $3,977.38 | $4,110.11 | $4,233.36 |
| Louisiana | 2 | 25 | $16,279.60 | $16,741.31 | $17,167.50 | $5,144.23 | $5,194.20 | $5,248.33 | $4,115.15 | $4,120.24 | $4,125.75 |
| Missouri | 4 | 57 | $11,783.90 | $17,634.84 | $26,651.40 | $4,240.31 | $4,933.49 | $5,578.26 | $3,348.55 | $4,146.96 | $4,749.63 |
| North Dakota | 1 | 11 | $13,287.30 | $13,287.30 | $13,287.30 | $5,877.64 | $5,877.64 | $5,877.64 | $4,225.73 | $4,225.73 | $4,225.73 |
| Illinois | 7 | 101 | $17,845.60 | $22,088.44 | $26,952.60 | $4,711.36 | $5,707.74 | $8,776.08 | $2,398.75 | $4,232.63 | $5,742.27 |
| Rhode Island | 1 | 11 | $19,526.10 | $19,526.10 | $19,526.10 | $5,143.27 | $5,143.27 | $5,143.27 | $4,245.45 | $4,245.45 | $4,245.45 |
| New Hampshire | 2 | 22 | $14,118.20 | $14,962.65 | $15,807.10 | $5,057.91 | $5,092.91 | $5,127.91 | $4,125.55 | $4,316.82 | $4,508.09 |
| Alabama | 3 | 43 | $20,820.40 | $36,787.39 | $52,582.00 | $4,916.55 | $5,242.70 | $5,361.40 | $3,908.91 | $4,331.16 | $4,562.20 |
| Florida | 24 | 397 | $13,294.50 | $25,937.02 | $55,749.90 | $4,232.17 | $5,489.47 | $8,350.62 | $3,417.46 | $4,342.91 | $5,863.80 |
| Mississippi | 3 | 44 | $11,200.50 | $13,793.01 | $15,790.40 | $5,114.93 | $5,196.93 | $5,305.57 | $4,165.88 | $4,350.55 | $4,685.21 |
| Ohio | 2 | 24 | $13,707.20 | $13,935.24 | $14,128.20 | $5,926.73 | $6,021.13 | $6,101.00 | $3,877.92 | $4,379.25 | $4,971.73 |
| Michigan | 4 | 67 | $13,241.60 | $16,855.63 | $19,450.50 | $4,937.64 | $5,535.69 | $6,329.36 | $4,151.58 | $4,450.40 | $4,885.33 |
| Arizona | 2 | 27 | $19,517.20 | $21,640.38 | $23,611.90 | $5,123.36 | $5,357.08 | $5,608.77 | $4,430.79 | $4,525.78 | $4,628.08 |
| North Carolina | 5 | 74 | $12,010.00 | $16,712.13 | $19,200.70 | $5,269.86 | $6,025.47 | $7,211.47 | $4,089.19 | $4,545.27 | $5,294.63 |
| Pennsylvania | 5 | 70 | $15,027.50 | $24,599.30 | $30,076.30 | $4,548.18 | $6,282.25 | $7,267.00 | $3,684.09 | $4,593.80 | $5,302.64 |
| Indiana | 3 | 40 | $14,221.40 | $21,245.42 | $24,656.50 | $4,847.67 | $5,529.28 | $6,698.57 | $4,045.00 | $4,701.77 | $5,793.14 |
| Tennessee | 3 | 39 | $17,567.40 | $21,513.13 | $26,312.30 | $4,248.75 | $5,639.77 | $6,900.38 | $3,643.42 | $4,742.34 | $5,540.88 |
| South Carolina | 2 | 29 | $18,670.10 | $20,935.62 | $24,145.10 | $5,139.76 | $5,484.62 | $5,973.17 | $4,571.29 | $4,751.86 | $5,007.67 |
| Texas | 4 | 53 | $23,158.20 | $29,116.25 | $35,034.80 | $5,213.17 | $6,276.43 | $7,295.92 | $4,262.54 | $4,839.40 | $5,719.83 |
| Wisconsin | 1 | 12 | $26,582.50 | $26,582.50 | $26,582.50 | $7,260.58 | $7,260.58 | $7,260.58 | $4,899.92 | $4,899.92 | $4,899.92 |
| Virginia | 4 | 51 | $9,960.87 | $21,452.68 | $46,170.50 | $5,430.15 | $7,483.65 | $10,772.60 | $4,188.36 | $4,973.31 | $5,729.07 |
| New Jersey | 8 | 136 | $23,963.80 | $45,015.92 | $60,010.60 | $5,140.54 | $6,178.75 | $7,883.65 | $4,032.15 | $5,011.25 | $6,447.88 |
| Minnesota | 1 | 16 | $16,301.50 | $16,301.50 | $16,301.50 | $6,295.81 | $6,295.81 | $6,295.81 | $5,082.62 | $5,082.62 | $5,082.62 |
| Delaware | 1 | 24 | $13,387.60 | $13,387.60 | $13,387.60 | $7,097.67 | $7,097.67 | $7,097.67 | $5,323.83 | $5,323.83 | $5,323.83 |
| New Mexico | 1 | 21 | $17,021.50 | $17,021.50 | $17,021.50 | $6,649.00 | $6,649.00 | $6,649.00 | $5,469.67 | $5,469.67 | $5,469.67 |
| Maryland | 7 | 89 | $5,690.06 | $7,184.91 | $8,942.18 | $5,330.71 | $6,693.48 | $8,403.45 | $4,297.94 | $5,793.69 | $7,085.82 |
| California | 2 | 22 | $66,109.60 | $74,504.75 | $82,899.90 | $6,589.91 | $7,450.87 | $8,311.82 | $5,819.00 | $5,966.05 | $6,113.09 |
| Massachusetts | 6 | 97 | $7,303.94 | $13,988.18 | $22,814.60 | $6,021.17 | $7,153.41 | $9,768.73 | $5,317.17 | $6,063.80 | $8,185.00 |
| Connecticut | 3 | 45 | $19,532.90 | $25,702.48 | $31,797.40 | $7,068.71 | $7,897.40 | $8,636.30 | $6,104.79 | $6,480.29 | $6,838.45 |
| New York | 12 | 177 | $15,995.50 | $31,677.48 | $45,243.70 | $5,650.92 | $8,278.16 | $11,911.30 | $4,408.50 | $6,667.79 | $10,503.30 | TOTAL US | 131 | 1,930 | $5,690.06 | $23.937,42 | $82,899.90 | $4,232.17 | $6.164,33 | $11,911.30 | $2,398.75 | $4.898,07 | $10,503.30 |
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.