Hospital Costs > Major Small & Large Bowel Procedures 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 |
| Florida | 55 | 1,153 | $26,916.00 | $63,642.84 | $123,161.00 | $8,646.30 | $11,362.56 | $21,238.00 | $6,517.87 | $8,407.83 | $16,972.20 |
| Texas | 49 | 967 | $22,509.40 | $49,065.14 | $93,413.70 | $8,490.88 | $11,259.52 | $19,032.20 | $6,295.73 | $8,541.86 | $12,495.40 |
| California | 46 | 887 | $47,616.30 | $88,510.49 | $139,802.00 | $11,288.50 | $15,241.52 | $25,384.20 | $9,082.19 | $12,465.38 | $23,063.50 |
| New York | 35 | 784 | $18,060.50 | $47,523.95 | $87,650.80 | $9,665.00 | $15,544.43 | $21,039.30 | $6,562.64 | $12,196.73 | $18,480.00 |
| Virginia | 30 | 736 | $22,114.30 | $49,308.60 | $115,435.00 | $8,892.77 | $11,236.97 | $17,861.60 | $6,843.29 | $8,721.84 | $12,369.40 |
| North Carolina | 25 | 661 | $21,983.20 | $41,470.87 | $63,294.40 | $9,344.24 | $11,987.90 | $16,935.30 | $6,590.74 | $9,333.49 | $13,370.50 |
| Georgia | 27 | 604 | $26,474.80 | $41,227.38 | $57,978.90 | $8,957.85 | $10,842.73 | $21,468.60 | $6,986.38 | $8,528.00 | $12,648.50 |
| Michigan | 26 | 545 | $19,960.50 | $31,629.76 | $53,307.90 | $10,246.80 | $12,391.83 | $17,868.90 | $8,050.41 | $9,658.00 | $12,876.00 |
| Pennsylvania | 26 | 538 | $14,018.50 | $57,596.98 | $98,466.10 | $8,531.33 | $13,168.14 | $20,467.40 | $6,555.44 | $9,802.09 | $14,477.10 |
| Missouri | 22 | 523 | $22,922.80 | $38,223.73 | $75,682.20 | $8,223.66 | $10,192.45 | $14,272.80 | $6,942.67 | $8,439.95 | $10,819.80 |
| Massachusetts | 20 | 518 | $16,554.10 | $34,000.60 | $69,478.00 | $11,938.40 | $14,977.21 | $18,723.10 | $9,513.06 | $12,738.46 | $16,473.20 |
| New Jersey | 21 | 493 | $34,881.20 | $66,541.38 | $138,250.00 | $10,295.00 | $12,808.02 | $16,172.00 | $7,857.18 | $9,968.25 | $13,267.80 |
| Alabama | 21 | 488 | $18,878.40 | $54,393.17 | $105,493.00 | $8,537.50 | $9,823.81 | $13,254.30 | $6,368.00 | $7,744.25 | $9,365.38 |
| Tennessee | 22 | 479 | $19,148.20 | $39,058.60 | $96,780.70 | $8,380.88 | $10,203.62 | $14,050.40 | $6,155.77 | $8,181.98 | $11,483.00 |
| Ohio | 23 | 467 | $17,496.80 | $47,370.57 | $76,450.30 | $8,943.85 | $11,835.07 | $15,587.00 | $6,833.33 | $9,104.98 | $12,341.40 |
| Illinois | 24 | 465 | $30,694.30 | $50,029.78 | $82,084.70 | $9,178.45 | $13,883.20 | $33,208.50 | $7,140.29 | $10,573.86 | $30,624.60 |
| Indiana | 21 | 443 | $31,829.10 | $49,945.01 | $75,345.20 | $9,091.36 | $11,379.68 | $15,519.50 | $7,230.07 | $8,912.69 | $12,392.10 |
| South Carolina | 21 | 439 | $27,773.60 | $53,606.63 | $107,242.00 | $8,897.43 | $11,227.10 | $16,630.60 | $6,786.21 | $8,835.72 | $11,739.20 |
| Maryland | 21 | 420 | $12,413.10 | $18,921.17 | $30,259.60 | $11,494.90 | $17,617.53 | $29,531.70 | $10,065.60 | $15,506.33 | $24,773.80 |
| Kentucky | 14 | 322 | $23,093.40 | $40,031.28 | $72,262.50 | $8,159.00 | $11,050.99 | $15,266.00 | $6,906.50 | $8,768.81 | $11,562.30 |
| Washington | 17 | 296 | $22,049.50 | $53,188.74 | $89,948.20 | $11,091.10 | $13,522.96 | $20,873.10 | $8,170.05 | $10,307.85 | $15,244.20 |
| Mississippi | 12 | 292 | $25,951.10 | $37,100.48 | $90,254.50 | $9,091.53 | $9,932.58 | $17,827.20 | $5,678.07 | $7,867.84 | $13,847.20 |
| Connecticut | 13 | 291 | $26,379.80 | $45,706.54 | $74,999.90 | $12,223.70 | $14,851.33 | $18,301.60 | $10,033.00 | $12,062.18 | $13,152.70 |
| Oklahoma | 9 | 251 | $27,828.60 | $40,746.52 | $83,811.20 | $8,245.88 | $10,848.17 | $17,893.90 | $6,541.26 | $8,717.20 | $14,943.80 |
| Colorado | 12 | 245 | $43,501.70 | $63,347.61 | $116,428.00 | $9,522.47 | $12,273.74 | $25,122.40 | $8,096.73 | $10,353.39 | $23,911.80 |
| Minnesota | 10 | 234 | $27,934.80 | $36,188.55 | $42,282.70 | $10,391.10 | $13,972.66 | $15,529.30 | $7,594.21 | $10,000.31 | $11,819.70 |
| Louisiana | 11 | 230 | $17,816.00 | $39,843.59 | $48,549.80 | $8,191.50 | $10,466.62 | $14,280.40 | $6,361.83 | $7,722.90 | $10,097.40 |
| Arizona | 12 | 223 | $36,616.50 | $55,040.67 | $100,617.00 | $10,022.90 | $11,886.02 | $17,217.80 | $7,566.20 | $9,599.55 | $16,339.30 |
| Iowa | 8 | 212 | $26,158.60 | $37,375.44 | $45,328.60 | $8,516.55 | $10,421.57 | $11,834.30 | $6,820.21 | $8,220.22 | $8,821.04 |
| Arkansas | 10 | 211 | $19,921.80 | $40,082.05 | $73,723.40 | $8,611.27 | $9,938.36 | $14,410.80 | $6,687.53 | $7,847.86 | $10,473.40 |
| Kansas | 8 | 187 | $25,591.40 | $50,004.51 | $67,774.10 | $8,953.05 | $10,531.75 | $11,915.30 | $6,468.50 | $8,441.93 | $10,532.40 |
| Wisconsin | 10 | 166 | $31,742.90 | $44,145.82 | $53,773.90 | $9,583.33 | $12,648.68 | $16,640.10 | $6,652.80 | $9,974.11 | $12,142.80 |
| Oregon | 8 | 161 | $32,914.80 | $38,588.83 | $48,861.20 | $10,572.90 | $13,329.50 | $17,366.90 | $8,362.83 | $9,969.80 | $12,797.60 |
| Nebraska | 7 | 138 | $29,016.80 | $39,822.79 | $53,774.30 | $9,032.73 | $11,121.34 | $13,417.90 | $7,537.00 | $8,241.21 | $10,739.90 |
| Delaware | 3 | 122 | $26,666.80 | $33,216.24 | $46,908.90 | $10,174.70 | $12,073.03 | $12,930.80 | $8,637.11 | $9,904.55 | $10,569.70 |
| Washington DC | 4 | 111 | $27,936.60 | $57,535.98 | $88,383.40 | $10,718.40 | $14,813.02 | $18,748.80 | $7,292.07 | $10,674.19 | $13,655.10 |
| Utah | 6 | 91 | $25,684.80 | $34,544.69 | $52,707.60 | $10,611.70 | $13,201.25 | $16,555.90 | $6,743.94 | $9,106.28 | $13,245.70 |
| Idaho | 4 | 86 | $29,153.50 | $41,377.22 | $47,252.70 | $10,425.30 | $11,834.05 | $13,137.40 | $8,810.82 | $9,948.57 | $10,733.20 |
| West Virginia | 4 | 83 | $27,770.40 | $32,917.69 | $44,967.20 | $9,015.69 | $10,374.46 | $11,417.80 | $7,438.06 | $8,520.90 | $9,269.76 |
| Nevada | 5 | 72 | $43,357.20 | $66,020.58 | $81,452.40 | $10,638.80 | $11,715.20 | $13,270.10 | $7,648.73 | $9,126.04 | $10,467.20 |
| North Dakota | 4 | 71 | $20,995.60 | $29,078.45 | $34,140.00 | $10,084.80 | $10,779.07 | $10,962.10 | $8,692.60 | $9,209.45 | $9,943.64 |
| South Dakota | 3 | 65 | $36,364.50 | $47,010.38 | $57,496.90 | $11,531.80 | $12,217.38 | $12,726.40 | $8,584.16 | $9,694.30 | $11,484.10 |
| New Hampshire | 4 | 63 | $26,908.00 | $41,575.60 | $49,284.60 | $11,082.60 | $14,895.16 | $19,228.70 | $7,786.64 | $10,117.40 | $12,307.10 |
| Montana | 3 | 58 | $26,765.30 | $30,291.96 | $32,782.30 | $10,564.40 | $11,499.44 | $13,274.90 | $8,708.75 | $8,982.69 | $9,541.88 |
| New Mexico | 3 | 51 | $29,056.00 | $38,058.58 | $60,366.90 | $12,429.40 | $13,918.24 | $17,808.00 | $9,336.57 | $11,322.54 | $14,913.00 |
| Maine | 2 | 39 | $27,094.10 | $27,599.45 | $27,951.00 | $12,578.20 | $13,007.71 | $13,306.50 | $8,538.44 | $9,255.64 | $9,754.57 |
| Rhode Island | 2 | 32 | $39,781.20 | $40,928.53 | $42,605.40 | $12,229.00 | $12,603.32 | $13,150.40 | $9,926.46 | $10,028.07 | $10,097.60 |
| Alaska | 2 | 30 | $55,260.80 | $73,665.23 | $87,739.20 | $16,206.40 | $18,075.72 | $19,505.20 | $11,776.60 | $15,554.57 | $18,443.60 |
| Hawaii | 2 | 28 | $32,198.40 | $38,811.47 | $47,628.90 | $16,200.80 | $18,263.66 | $19,810.80 | $8,773.25 | $9,221.07 | $9,556.94 |
| Wyoming | 2 | 27 | $33,692.00 | $39,404.72 | $43,974.90 | $12,448.70 | $14,569.37 | $16,265.90 | $8,266.83 | $10,656.42 | $12,568.10 |
| Vermont | 1 | 24 | $25,799.20 | $25,799.20 | $25,799.20 | $14,073.10 | $14,073.10 | $14,073.10 | $11,914.70 | $11,914.70 | $11,914.70 | TOTAL US | 750 | 16,122 | $12,413.10 | $48.672,41 | $139,802.00 | $8,159.00 | $12.357,09 | $33,208.50 | $5,678.07 | $9.705,07 | $30,624.60 |
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.