Hospital Costs > Major Small & Large Bowel Procedures 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 |
| Wyoming | 1 | 25 | $94,601.80 | $94,601.80 | $94,601.80 | $30,381.70 | $30,381.70 | $30,381.70 | $29,607.30 | $29,607.30 | $29,607.30 |
| Alabama | 26 | 664 | $43,297.50 | $142,093.35 | $313,181.00 | $25,842.10 | $29,923.29 | $37,743.60 | $23,915.70 | $27,968.39 | $32,961.10 |
| Montana | 5 | 100 | $63,965.60 | $78,080.09 | $85,443.90 | $29,595.50 | $31,648.11 | $35,208.40 | $28,292.80 | $30,128.82 | $33,010.40 |
| Tennessee | 28 | 775 | $55,394.80 | $120,209.63 | $269,502.00 | $24,813.40 | $30,293.10 | $37,198.20 | $22,484.80 | $28,017.53 | $35,406.20 |
| North Dakota | 6 | 137 | $60,346.80 | $83,035.69 | $99,020.00 | $29,741.10 | $33,051.43 | $37,268.20 | $28,498.60 | $31,644.71 | $35,891.20 |
| Maine | 6 | 147 | $59,668.40 | $86,515.37 | $101,291.00 | $27,628.90 | $34,009.00 | $39,519.40 | $26,516.30 | $31,755.75 | $36,434.00 |
| Delaware | 4 | 162 | $77,533.60 | $94,437.05 | $138,645.00 | $33,721.50 | $39,929.33 | $41,775.80 | $32,587.80 | $34,408.82 | $37,834.00 |
| Arkansas | 19 | 396 | $34,361.60 | $105,862.75 | $270,832.00 | $23,394.00 | $30,158.56 | $51,857.00 | $21,061.70 | $27,161.21 | $38,230.20 |
| Nevada | 9 | 227 | $113,202.00 | $216,837.41 | $358,294.00 | $32,758.00 | $34,745.30 | $42,505.20 | $30,008.30 | $32,359.92 | $38,274.30 |
| West Virginia | 11 | 234 | $44,857.90 | $97,366.98 | $119,041.00 | $24,676.40 | $35,645.80 | $46,593.40 | $23,322.30 | $31,184.35 | $38,367.70 |
| Iowa | 14 | 354 | $67,945.10 | $101,566.47 | $166,298.00 | $23,966.00 | $33,158.69 | $44,888.60 | $23,117.90 | $30,330.71 | $39,191.20 |
| Missouri | 31 | 812 | $61,667.40 | $117,175.80 | $285,176.00 | $26,136.70 | $32,652.05 | $40,239.40 | $23,369.00 | $30,633.36 | $39,207.80 |
| Vermont | 2 | 42 | $72,904.80 | $76,557.45 | $86,851.30 | $41,750.70 | $41,834.61 | $42,071.10 | $36,555.90 | $37,741.31 | $41,082.00 |
| Idaho | 7 | 151 | $71,042.00 | $115,704.76 | $166,432.00 | $33,176.30 | $38,239.64 | $45,489.00 | $29,769.70 | $34,473.14 | $42,037.50 |
| Nebraska | 8 | 238 | $97,828.00 | $128,781.72 | $179,776.00 | $30,438.70 | $37,825.99 | $46,358.20 | $24,777.30 | $33,310.52 | $42,135.50 |
| South Dakota | 5 | 152 | $81,152.40 | $117,289.49 | $148,470.00 | $30,229.70 | $35,427.03 | $43,585.50 | $28,447.20 | $33,721.28 | $42,270.20 |
| Utah | 9 | 174 | $61,870.30 | $90,220.98 | $148,273.00 | $28,319.10 | $34,635.42 | $49,002.30 | $22,340.90 | $31,243.45 | $42,635.60 |
| Louisiana | 22 | 472 | $79,247.70 | $127,038.41 | $275,292.00 | $25,487.10 | $31,754.33 | $48,443.50 | $20,248.20 | $28,525.25 | $43,654.10 |
| Kansas | 12 | 290 | $65,857.20 | $151,974.82 | $243,456.00 | $26,302.50 | $36,118.37 | $45,376.60 | $25,347.50 | $32,225.58 | $44,322.60 |
| Mississippi | 16 | 419 | $63,940.80 | $127,541.56 | $364,357.00 | $25,182.50 | $31,861.29 | $50,115.90 | $24,288.60 | $29,518.04 | $44,645.30 |
| Ohio | 57 | 1,353 | $48,039.50 | $122,937.01 | $256,430.00 | $22,261.80 | $34,343.17 | $53,266.80 | $17,940.80 | $29,275.57 | $44,699.50 |
| North Carolina | 37 | 1,020 | $63,813.10 | $109,182.40 | $178,434.00 | $22,299.70 | $37,227.89 | $58,101.90 | $20,919.90 | $31,944.08 | $45,247.10 |
| Wisconsin | 27 | 512 | $42,344.30 | $111,752.80 | $177,183.00 | $23,421.40 | $37,253.08 | $52,982.70 | $22,314.80 | $34,126.26 | $45,261.10 |
| Kentucky | 22 | 619 | $52,475.60 | $114,790.93 | $200,020.00 | $26,012.90 | $35,185.12 | $61,425.20 | $23,370.50 | $30,834.39 | $45,530.90 |
| Washington | 26 | 526 | $51,910.10 | $131,706.06 | $225,244.00 | $30,253.00 | $39,824.67 | $58,463.50 | $29,244.30 | $35,682.91 | $45,594.60 |
| Colorado | 17 | 354 | $85,677.80 | $166,886.48 | $262,149.00 | $26,887.80 | $35,875.64 | $54,518.10 | $26,010.20 | $32,882.70 | $45,646.30 |
| Rhode Island | 6 | 108 | $40,992.20 | $119,778.86 | $203,368.00 | $30,671.00 | $39,982.49 | $47,343.10 | $28,668.40 | $37,527.68 | $45,987.40 |
| New Hampshire | 7 | 178 | $61,432.40 | $109,037.25 | $141,961.00 | $29,559.60 | $41,765.22 | $53,341.90 | $28,678.80 | $38,577.21 | $46,074.00 |
| Washington DC | 5 | 126 | $93,767.40 | $194,339.93 | $244,316.00 | $34,806.00 | $50,863.77 | $64,202.00 | $29,277.10 | $42,740.22 | $46,772.10 |
| Illinois | 65 | 1,491 | $74,473.30 | $147,960.75 | $235,055.00 | $25,898.60 | $37,512.45 | $59,985.70 | $23,419.00 | $32,649.03 | $48,684.90 |
| New Jersey | 47 | 1,320 | $105,951.00 | $225,885.82 | $591,529.00 | $27,633.20 | $38,143.76 | $55,657.70 | $25,306.50 | $34,829.00 | $49,612.40 |
| Minnesota | 22 | 573 | $58,806.50 | $115,652.06 | $172,601.00 | $29,326.80 | $43,805.74 | $59,100.10 | $23,885.40 | $38,125.82 | $49,655.20 |
| Indiana | 35 | 875 | $60,431.40 | $128,739.42 | $225,373.00 | $25,505.80 | $35,277.51 | $63,696.40 | $21,556.30 | $32,385.93 | $49,915.90 |
| Oregon | 10 | 212 | $73,121.60 | $102,025.29 | $125,892.00 | $33,706.00 | $41,756.06 | $57,298.40 | $32,902.20 | $38,711.52 | $50,500.90 |
| Arizona | 29 | 652 | $87,972.00 | $153,209.19 | $384,150.00 | $29,170.50 | $35,843.54 | $54,996.40 | $24,351.40 | $32,063.04 | $50,597.80 |
| South Carolina | 20 | 540 | $98,278.50 | $174,726.12 | $316,117.00 | $27,394.10 | $38,268.05 | $70,206.80 | $26,235.90 | $33,613.35 | $50,908.20 |
| Michigan | 46 | 1,249 | $44,665.30 | $97,778.98 | $210,801.00 | $25,004.80 | $37,077.02 | $56,911.00 | $23,996.80 | $33,950.87 | $53,356.70 |
| Connecticut | 19 | 412 | $58,425.30 | $128,786.88 | $207,491.00 | $34,261.20 | $43,840.71 | $59,548.60 | $28,893.10 | $40,145.00 | $53,558.10 |
| Georgia | 40 | 885 | $64,689.10 | $133,243.99 | $258,411.00 | $25,204.00 | $34,818.63 | $55,785.40 | $19,151.20 | $31,551.64 | $53,605.00 |
| Pennsylvania | 56 | 1,357 | $49,080.80 | $185,333.26 | $520,110.00 | $23,302.50 | $37,142.65 | $68,436.40 | $21,549.80 | $32,313.70 | $53,615.30 |
| Alaska | 3 | 45 | $159,701.00 | $180,686.20 | $204,593.00 | $45,308.90 | $51,928.21 | $57,210.20 | $31,277.60 | $42,980.99 | $54,383.60 |
| Florida | 96 | 2,467 | $63,112.20 | $189,025.15 | $409,568.00 | $24,695.80 | $32,732.07 | $67,545.80 | $20,129.90 | $29,810.18 | $54,686.90 |
| New Mexico | 7 | 130 | $94,379.10 | $138,154.75 | $192,693.00 | $29,119.00 | $43,777.17 | $59,532.70 | $27,491.90 | $40,473.48 | $58,239.50 |
| Massachusetts | 30 | 829 | $46,068.60 | $88,921.20 | $191,576.00 | $32,092.50 | $42,752.78 | $65,623.20 | $29,688.90 | $39,314.67 | $59,867.00 |
| Hawaii | 3 | 42 | $104,241.00 | $145,654.31 | $184,509.00 | $39,097.20 | $50,557.88 | $65,173.60 | $36,595.50 | $47,065.27 | $61,923.20 |
| Virginia | 37 | 874 | $44,404.90 | $134,475.72 | $318,236.00 | $25,312.70 | $36,382.66 | $74,825.70 | $23,438.10 | $31,965.39 | $64,280.10 |
| Texas | 84 | 2,008 | $64,721.50 | $161,390.88 | $411,719.00 | $24,178.00 | $34,629.19 | $75,729.90 | $20,626.40 | $30,468.63 | $64,466.20 |
| Maryland | 29 | 650 | $28,703.20 | $47,712.02 | $82,773.20 | $26,559.10 | $43,993.19 | $76,266.60 | $24,243.60 | $42,090.61 | $75,463.90 |
| Oklahoma | 19 | 475 | $58,697.50 | $141,592.05 | $432,618.00 | $23,234.40 | $35,545.43 | $83,203.20 | $22,410.40 | $32,564.64 | $80,716.40 |
| New York | 63 | 1,738 | $36,084.90 | $156,711.34 | $450,192.00 | $26,038.40 | $48,515.86 | $102,646.00 | $24,975.40 | $42,590.36 | $86,448.80 |
| California | 97 | 2,028 | $121,235.00 | $280,074.26 | $754,077.00 | $33,565.30 | $49,825.32 | $118,496.00 | $29,308.10 | $46,328.54 | $108,919.00 | TOTAL US | 1,302 | 31,619 | $28,703.20 | $149.475,15 | $754,077.00 | $22,261.80 | $37.724,02 | $118,496.00 | $17,940.80 | $33.954,15 | $108,919.00 |
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.