Hospital Costs > Major Small & Large Bowel Procedures 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 |
| Massachusetts | 36 | 1,353 | $15,835.60 | $49,502.39 | $96,874.90 | $17,002.90 | $21,974.10 | $29,906.20 | $14,704.80 | $19,358.61 | $27,382.10 |
| Maryland | 32 | 1,095 | $17,706.40 | $28,275.11 | $43,884.90 | $16,429.80 | $26,121.68 | $40,811.90 | $14,687.70 | $24,080.51 | $36,571.10 |
| Arkansas | 20 | 616 | $21,966.00 | $54,345.94 | $122,575.00 | $13,288.10 | $15,026.65 | $21,472.60 | $10,915.70 | $13,045.75 | $17,318.00 |
| New York | 77 | 2,326 | $23,330.40 | $73,337.29 | $160,933.00 | $13,673.40 | $22,634.11 | $35,229.70 | $11,898.60 | $19,107.05 | $30,971.00 |
| Ohio | 63 | 1,721 | $23,900.30 | $64,933.42 | $106,329.00 | $12,990.80 | $17,765.94 | $26,456.80 | $10,816.20 | $14,242.36 | $21,814.90 |
| Pennsylvania | 67 | 1,961 | $24,318.00 | $93,438.72 | $343,542.00 | $12,648.30 | $19,151.13 | $39,848.20 | $11,108.00 | $15,476.06 | $29,971.20 |
| Tennessee | 31 | 1,068 | $25,885.60 | $61,047.34 | $146,978.00 | $12,848.60 | $15,498.33 | $20,596.00 | $9,830.39 | $13,235.48 | $18,552.10 |
| Alabama | 32 | 1,029 | $26,999.70 | $70,478.18 | $156,932.00 | $12,167.70 | $14,400.85 | $19,686.50 | $10,532.60 | $12,585.32 | $15,867.20 |
| Louisiana | 26 | 654 | $27,304.30 | $66,511.48 | $143,446.00 | $11,649.00 | $16,520.09 | $25,886.50 | $10,831.20 | $13,117.52 | $23,211.50 |
| Missouri | 36 | 1,200 | $27,636.80 | $61,302.33 | $150,708.00 | $12,789.90 | $16,149.36 | $32,624.40 | $11,259.70 | $14,304.67 | $23,222.40 |
| North Dakota | 6 | 202 | $27,961.70 | $40,628.95 | $46,610.20 | $15,158.50 | $16,459.87 | $17,062.00 | $13,697.60 | $14,344.17 | $15,938.60 |
| Mississippi | 21 | 628 | $28,082.90 | $57,159.97 | $135,097.00 | $13,713.40 | $14,974.90 | $26,460.60 | $11,518.00 | $13,303.96 | $21,365.30 |
| Wisconsin | 35 | 834 | $28,182.40 | $61,333.17 | $95,820.50 | $14,369.40 | $19,156.26 | $26,351.40 | $9,731.23 | $15,476.08 | $22,510.70 |
| Michigan | 50 | 1,600 | $28,892.10 | $49,944.74 | $100,758.00 | $14,036.50 | $18,331.64 | $26,590.90 | $11,625.80 | $16,027.23 | $24,061.80 |
| Oklahoma | 20 | 573 | $29,372.80 | $58,766.02 | $114,364.00 | $12,348.70 | $16,033.41 | $26,356.80 | $10,817.00 | $13,492.24 | $19,476.00 |
| Rhode Island | 8 | 197 | $29,748.10 | $52,638.14 | $68,062.90 | $15,477.50 | $19,277.94 | $23,767.90 | $13,279.80 | $16,851.64 | $20,130.60 |
| Connecticut | 18 | 671 | $30,552.60 | $65,078.55 | $103,093.00 | $16,297.40 | $21,564.11 | $25,732.80 | $14,162.30 | $18,255.57 | $20,649.20 |
| Indiana | 44 | 1,219 | $30,556.90 | $66,944.47 | $114,960.00 | $13,790.90 | $17,031.59 | $25,543.40 | $12,042.90 | $14,449.93 | $22,093.90 |
| South Dakota | 7 | 259 | $30,767.60 | $63,426.09 | $84,130.30 | $15,485.50 | $17,993.34 | $20,295.20 | $12,483.80 | $15,995.55 | $19,141.50 |
| West Virginia | 12 | 296 | $31,321.40 | $54,505.24 | $84,280.70 | $14,050.40 | $17,905.13 | $26,272.90 | $11,315.50 | $15,126.63 | $22,144.20 |
| North Carolina | 47 | 1,627 | $31,471.90 | $55,684.28 | $87,357.60 | $13,881.60 | $17,932.35 | $25,683.80 | $10,886.00 | $14,659.25 | $18,997.40 |
| Virginia | 41 | 1,266 | $31,825.90 | $68,642.61 | $176,124.00 | $13,399.10 | $17,388.51 | $34,005.40 | $11,361.30 | $14,281.23 | $24,233.40 |
| Oregon | 17 | 443 | $32,961.50 | $58,149.07 | $82,107.70 | $16,828.30 | $20,501.01 | $26,966.40 | $12,939.00 | $17,501.26 | $25,955.70 |
| Montana | 8 | 190 | $33,502.80 | $41,662.52 | $54,994.90 | $14,531.30 | $16,301.29 | $18,034.90 | $13,627.30 | $14,845.20 | $15,642.60 |
| Kansas | 16 | 509 | $33,789.00 | $67,453.17 | $105,364.00 | $13,306.90 | $16,398.87 | $23,389.20 | $11,231.20 | $13,906.53 | $21,438.80 |
| Minnesota | 25 | 991 | $34,308.70 | $53,969.05 | $82,835.40 | $15,224.70 | $19,858.89 | $28,375.20 | $13,545.20 | $16,638.62 | $20,976.40 |
| Iowa | 21 | 606 | $34,633.80 | $54,166.52 | $77,871.70 | $12,998.60 | $16,635.83 | $24,071.50 | $11,832.20 | $14,271.23 | $20,002.10 |
| Illinois | 73 | 2,140 | $35,039.00 | $76,601.14 | $156,194.00 | $12,937.00 | $19,126.29 | $54,752.50 | $11,437.10 | $15,279.38 | $51,435.90 |
| Kentucky | 30 | 833 | $35,108.80 | $60,375.31 | $139,923.00 | $13,563.30 | $16,839.20 | $24,263.60 | $10,325.80 | $14,311.24 | $19,931.80 |
| Maine | 11 | 320 | $35,724.20 | $43,177.14 | $66,418.10 | $14,098.50 | $17,151.44 | $23,213.90 | $13,043.80 | $14,977.42 | $17,422.20 |
| Florida | 109 | 3,504 | $36,953.60 | $102,326.00 | $234,526.00 | $12,364.50 | $16,399.86 | $36,985.90 | $8,607.91 | $13,809.13 | $24,699.10 |
| Utah | 8 | 214 | $37,151.80 | $50,644.26 | $71,421.50 | $14,980.30 | $18,351.76 | $22,764.60 | $13,515.20 | $15,334.79 | $18,962.60 |
| Washington | 32 | 872 | $37,970.40 | $73,655.44 | $114,663.00 | $15,939.80 | $19,968.32 | $27,651.50 | $13,007.30 | $16,604.41 | $23,630.50 |
| Delaware | 4 | 229 | $38,784.60 | $47,367.67 | $75,598.50 | $15,351.80 | $18,639.95 | $19,620.60 | $14,143.20 | $16,244.79 | $16,748.10 |
| Nebraska | 15 | 470 | $39,193.80 | $64,073.51 | $157,478.00 | $15,208.70 | $18,152.97 | $29,730.10 | $10,908.20 | $14,765.12 | $23,097.40 |
| Texas | 95 | 2,745 | $39,618.70 | $83,147.33 | $184,417.00 | $13,620.60 | $17,097.95 | $35,097.10 | $10,728.50 | $14,002.18 | $22,712.90 |
| Vermont | 2 | 69 | $39,953.30 | $42,105.51 | $45,893.40 | $20,447.00 | $20,786.02 | $21,382.70 | $18,049.90 | $18,927.26 | $20,471.40 |
| New Hampshire | 11 | 253 | $41,670.30 | $62,776.79 | $91,613.50 | $15,084.80 | $19,999.42 | $25,172.00 | $14,007.80 | $16,945.84 | $19,685.20 |
| Colorado | 26 | 577 | $42,156.00 | $82,763.53 | $133,307.00 | $14,654.70 | $17,180.92 | $27,066.70 | $12,209.70 | $15,094.42 | $25,969.90 |
| Georgia | 47 | 1,366 | $42,855.70 | $65,894.76 | $149,669.00 | $12,922.80 | $16,671.58 | $28,615.60 | $11,966.50 | $14,433.82 | $25,881.50 |
| South Carolina | 24 | 814 | $43,555.70 | $81,334.51 | $160,803.00 | $12,677.10 | $18,101.64 | $28,150.90 | $11,305.80 | $14,439.67 | $20,134.30 |
| Washington DC | 5 | 159 | $44,796.80 | $85,357.62 | $99,916.80 | $16,008.10 | $22,830.12 | $28,602.90 | $14,028.30 | $18,250.88 | $22,420.70 |
| Wyoming | 2 | 33 | $45,658.10 | $60,894.68 | $81,572.90 | $15,749.40 | $19,888.18 | $25,505.10 | $14,922.40 | $19,008.62 | $24,554.20 |
| Idaho | 7 | 182 | $48,183.00 | $58,054.10 | $70,088.90 | $15,572.70 | $18,328.47 | $20,231.60 | $14,395.70 | $15,586.73 | $18,998.40 |
| New Mexico | 5 | 132 | $52,135.40 | $58,566.82 | $85,961.00 | $14,502.80 | $20,420.25 | $27,790.30 | $13,190.00 | $18,334.62 | $23,954.50 |
| Hawaii | 5 | 90 | $54,987.40 | $68,475.88 | $102,459.00 | $19,407.60 | $25,568.83 | $33,520.00 | $17,794.50 | $21,633.20 | $32,613.30 |
| Alaska | 5 | 86 | $55,298.10 | $95,826.42 | $124,199.00 | $20,667.80 | $27,551.70 | $35,233.30 | $19,459.20 | $24,884.11 | $34,113.30 |
| Arizona | 31 | 882 | $56,023.70 | $82,697.94 | $205,938.00 | $13,698.90 | $18,013.48 | $26,005.80 | $12,285.40 | $15,173.99 | $24,474.80 |
| New Jersey | 45 | 1,572 | $61,147.90 | $110,271.43 | $255,984.00 | $14,834.20 | $19,216.10 | $37,504.50 | $13,265.80 | $16,671.80 | $31,761.80 |
| Nevada | 10 | 235 | $62,419.20 | $98,973.47 | $137,826.00 | $15,798.40 | $17,942.85 | $27,583.20 | $13,657.50 | $15,693.39 | $23,450.70 |
| California | 121 | 3,135 | $69,746.80 | $139,153.66 | $297,226.00 | $15,288.90 | $23,587.63 | $38,068.40 | $14,283.60 | $20,176.02 | $33,184.50 | TOTAL US | 1,539 | 46,046 | $15,835.60 | $75.322,76 | $343,542.00 | $11,649.00 | $18.671,76 | $54,752.50 | $8,607.91 | $15.780,32 | $51,435.90 |
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.