Hospital Costs > Malignancy Of Hepatobiliary System Or Pancreas 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 |
| Maryland | 9 | 160 | $11,184.00 | $22,162.19 | $29,238.10 | $10,319.20 | $20,497.13 | $27,130.10 | $9,508.58 | $18,966.53 | $25,203.50 |
| Massachusetts | 10 | 228 | $17,490.20 | $41,953.45 | $61,648.10 | $13,112.10 | $18,377.71 | $22,263.20 | $11,907.60 | $16,208.17 | $18,270.00 |
| North Carolina | 15 | 312 | $21,235.30 | $40,068.03 | $62,983.60 | $10,277.30 | $13,794.55 | $17,625.10 | $7,438.00 | $11,087.71 | $14,256.80 |
| Michigan | 17 | 318 | $22,517.30 | $36,182.23 | $53,678.60 | $10,521.10 | $13,763.02 | $18,284.90 | $9,573.18 | $11,892.77 | $14,524.40 |
| Montana | 1 | 11 | $22,548.80 | $22,548.80 | $22,548.80 | $11,076.40 | $11,076.40 | $11,076.40 | $10,155.50 | $10,155.50 | $10,155.50 |
| Minnesota | 7 | 130 | $23,700.10 | $36,552.62 | $55,864.10 | $10,632.10 | $14,667.79 | $22,881.70 | $9,959.80 | $12,256.05 | $14,167.20 |
| Oregon | 3 | 36 | $24,424.30 | $28,349.87 | $32,228.90 | $12,282.40 | $13,919.20 | $17,297.90 | $11,244.40 | $12,439.95 | $14,932.50 |
| Virginia | 12 | 201 | $24,944.10 | $53,282.65 | $95,496.80 | $9,977.67 | $13,484.03 | $20,396.40 | $8,507.06 | $10,396.80 | $14,960.10 |
| New York | 28 | 582 | $24,948.90 | $70,322.88 | $111,535.00 | $10,945.20 | $19,338.01 | $24,220.70 | $10,001.50 | $15,906.44 | $20,204.40 |
| Missouri | 5 | 123 | $25,477.30 | $37,107.20 | $53,285.00 | $9,452.23 | $12,225.20 | $13,477.10 | $8,312.04 | $11,064.19 | $12,401.00 |
| Alabama | 9 | 143 | $26,247.00 | $54,722.47 | $110,468.00 | $9,098.08 | $10,875.13 | $13,278.80 | $7,028.62 | $9,676.51 | $12,462.40 |
| Maine | 2 | 37 | $26,371.50 | $29,084.10 | $31,947.40 | $11,385.20 | $13,752.30 | $16,250.90 | $9,981.06 | $10,191.11 | $10,390.10 |
| Mississippi | 5 | 80 | $26,438.00 | $37,527.61 | $52,306.20 | $9,331.71 | $10,959.93 | $18,193.70 | $8,581.95 | $9,872.29 | $15,371.80 |
| Louisiana | 6 | 91 | $26,882.30 | $39,723.23 | $49,299.40 | $9,961.25 | $12,092.17 | $15,839.10 | $8,448.25 | $10,061.12 | $12,098.10 |
| Kansas | 4 | 68 | $28,277.50 | $64,420.76 | $107,524.00 | $9,454.75 | $12,165.96 | $13,744.20 | $7,614.12 | $10,751.01 | $12,755.10 |
| Tennessee | 9 | 181 | $28,502.60 | $46,222.40 | $76,666.10 | $9,572.24 | $11,851.88 | $14,002.40 | $7,377.29 | $10,453.84 | $13,241.10 |
| Texas | 19 | 351 | $29,462.50 | $66,885.95 | $127,334.00 | $9,930.08 | $12,647.60 | $18,134.50 | $8,704.90 | $10,600.72 | $15,455.10 |
| Utah | 1 | 12 | $29,498.30 | $29,498.30 | $29,498.30 | $15,916.80 | $15,916.80 | $15,916.80 | $11,415.80 | $11,415.80 | $11,415.80 |
| Washington | 5 | 99 | $29,601.20 | $52,448.26 | $65,166.30 | $11,904.50 | $15,346.78 | $22,437.50 | $11,024.10 | $12,929.77 | $14,772.70 |
| West Virginia | 2 | 30 | $29,988.60 | $36,299.96 | $41,822.40 | $13,142.30 | $14,193.51 | $15,394.90 | $9,752.56 | $11,347.79 | $13,170.90 |
| Pennsylvania | 13 | 284 | $30,796.40 | $74,835.14 | $164,548.00 | $9,214.46 | $16,681.32 | $25,615.00 | $7,542.46 | $12,957.46 | $17,332.80 |
| Wisconsin | 4 | 95 | $31,458.80 | $49,275.84 | $68,604.70 | $12,044.90 | $17,847.06 | $20,084.70 | $10,290.40 | $11,767.96 | $14,161.70 |
| New Hampshire | 2 | 26 | $33,062.80 | $43,932.00 | $54,801.20 | $12,741.00 | $15,893.40 | $19,045.80 | $11,698.20 | $13,665.10 | $15,632.00 |
| Idaho | 1 | 11 | $33,783.40 | $33,783.40 | $33,783.40 | $12,590.50 | $12,590.50 | $12,590.50 | $11,651.50 | $11,651.50 | $11,651.50 |
| North Dakota | 1 | 16 | $33,844.00 | $33,844.00 | $33,844.00 | $11,542.70 | $11,542.70 | $11,542.70 | $10,277.30 | $10,277.30 | $10,277.30 |
| Indiana | 4 | 98 | $34,543.30 | $48,677.83 | $56,207.60 | $10,660.30 | $14,258.35 | $16,902.20 | $8,186.40 | $12,163.22 | $14,220.10 |
| Vermont | 1 | 14 | $34,543.60 | $34,543.60 | $34,543.60 | $15,444.10 | $15,444.10 | $15,444.10 | $13,730.10 | $13,730.10 | $13,730.10 |
| Arizona | 7 | 104 | $35,036.80 | $60,634.19 | $89,171.60 | $10,197.50 | $14,254.52 | $19,458.60 | $9,247.86 | $11,727.43 | $15,263.30 |
| Oklahoma | 4 | 73 | $35,332.10 | $63,254.04 | $94,474.70 | $10,040.60 | $14,325.57 | $20,358.80 | $8,583.05 | $11,634.33 | $15,710.30 |
| Arkansas | 4 | 67 | $35,406.20 | $38,516.07 | $44,173.50 | $9,236.85 | $11,722.49 | $16,534.50 | $8,774.08 | $10,090.57 | $12,591.90 |
| Florida | 21 | 359 | $36,957.90 | $62,148.72 | $107,054.00 | $8,869.55 | $11,675.56 | $17,893.60 | $7,394.92 | $9,915.23 | $14,310.20 |
| Georgia | 10 | 137 | $37,619.50 | $49,998.05 | $72,401.80 | $10,375.80 | $12,909.11 | $17,449.20 | $9,617.46 | $11,962.32 | $16,525.90 |
| Kentucky | 4 | 82 | $38,156.20 | $45,324.62 | $50,202.00 | $11,378.70 | $13,685.31 | $18,099.50 | $8,753.08 | $11,259.36 | $13,595.50 |
| Ohio | 9 | 178 | $39,141.30 | $51,765.21 | $72,935.40 | $9,741.31 | $14,094.96 | $17,499.90 | $7,827.22 | $10,976.13 | $12,692.50 |
| Rhode Island | 2 | 30 | $39,489.40 | $51,799.04 | $61,212.30 | $12,629.30 | $15,649.35 | $17,958.80 | $11,640.80 | $13,916.65 | $15,657.00 |
| South Carolina | 7 | 96 | $39,640.10 | $48,659.71 | $65,983.80 | $9,226.64 | $14,051.97 | $18,520.20 | $8,050.83 | $10,274.47 | $14,221.80 |
| Illinois | 19 | 347 | $41,400.30 | $58,003.54 | $80,917.70 | $9,942.21 | $14,334.39 | $22,195.30 | $8,989.07 | $11,867.49 | $18,319.00 |
| Iowa | 3 | 55 | $41,435.50 | $54,331.65 | $72,106.00 | $11,165.90 | $14,379.17 | $17,855.60 | $9,954.67 | $12,109.80 | $14,760.40 |
| South Dakota | 2 | 25 | $44,482.70 | $44,980.60 | $45,371.80 | $11,667.10 | $11,938.80 | $12,284.60 | $10,507.80 | $10,658.10 | $10,849.40 |
| Nebraska | 1 | 27 | $44,847.50 | $44,847.50 | $44,847.50 | $14,280.80 | $14,280.80 | $14,280.80 | $12,807.10 | $12,807.10 | $12,807.10 |
| Colorado | 2 | 37 | $45,188.90 | $59,472.71 | $68,167.20 | $11,242.60 | $15,360.66 | $17,867.30 | $10,375.30 | $12,611.52 | $13,972.70 |
| California | 23 | 438 | $46,508.30 | $101,857.71 | $185,519.00 | $12,194.10 | $18,943.45 | $26,426.90 | $10,785.40 | $16,261.84 | $23,030.10 |
| Delaware | 1 | 33 | $46,853.50 | $46,853.50 | $46,853.50 | $17,201.60 | $17,201.60 | $17,201.60 | $14,343.80 | $14,343.80 | $14,343.80 |
| New Mexico | 2 | 26 | $53,400.00 | $57,169.28 | $62,309.20 | $10,548.10 | $12,152.87 | $13,329.70 | $9,868.09 | $10,124.83 | $10,313.10 |
| New Jersey | 16 | 312 | $55,175.50 | $86,284.60 | $156,053.00 | $10,581.80 | $14,759.67 | $20,043.20 | $9,102.31 | $12,226.12 | $16,442.80 |
| Hawaii | 2 | 24 | $59,365.70 | $59,564.53 | $59,799.50 | $14,435.90 | $16,873.89 | $18,936.80 | $13,005.50 | $13,470.03 | $13,863.10 |
| Washington DC | 2 | 56 | $59,608.80 | $70,440.60 | $84,883.00 | $17,667.50 | $19,716.20 | $22,447.80 | $12,278.00 | $13,570.06 | $15,292.80 |
| Connecticut | 3 | 77 | $62,572.60 | $71,353.66 | $75,811.10 | $16,317.70 | $20,042.16 | $21,102.90 | $14,797.60 | $16,906.39 | $17,342.00 |
| Nevada | 3 | 39 | $64,071.80 | $88,620.36 | $104,926.00 | $11,135.20 | $12,577.18 | $13,800.50 | $9,047.69 | $10,187.82 | $12,742.80 |
| Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 342 | 6,359 | $11,184.00 | $58.079,37 | $185,519.00 | $8,869.55 | $15.032,23 | $27,130.10 | $7,028.62 | $12.544,97 | $25,203.50 |
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.