Hospital Costs > Minor 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 |
| Indiana | 1 | 11 | $32,194.00 | $32,194.00 | $32,194.00 | $9,061.09 | $9,061.09 | $9,061.09 | $6,498.36 | $6,498.36 | $6,498.36 |
| Florida | 2 | 28 | $37,936.00 | $38,007.28 | $38,053.40 | $8,396.64 | $9,446.49 | $10,125.80 | $5,451.76 | $5,765.28 | $6,249.82 |
| Ohio | 1 | 24 | $24,671.80 | $24,671.80 | $24,671.80 | $9,974.38 | $9,974.38 | $9,974.38 | $7,550.79 | $7,550.79 | $7,550.79 |
| Maine | 1 | 11 | $15,885.40 | $15,885.40 | $15,885.40 | $9,978.45 | $9,978.45 | $9,978.45 | $7,181.00 | $7,181.00 | $7,181.00 |
| Missouri | 1 | 12 | $20,281.80 | $20,281.80 | $20,281.80 | $10,129.50 | $10,129.50 | $10,129.50 | $7,538.58 | $7,538.58 | $7,538.58 |
| Pennsylvania | 1 | 11 | $44,369.10 | $44,369.10 | $44,369.10 | $10,255.50 | $10,255.50 | $10,255.50 | $6,017.55 | $6,017.55 | $6,017.55 |
| Illinois | 1 | 14 | $33,229.40 | $33,229.40 | $33,229.40 | $10,330.10 | $10,330.10 | $10,330.10 | $8,390.93 | $8,390.93 | $8,390.93 |
| Oklahoma | 1 | 19 | $35,078.90 | $35,078.90 | $35,078.90 | $11,560.10 | $11,560.10 | $11,560.10 | $6,999.95 | $6,999.95 | $6,999.95 |
| North Carolina | 1 | 11 | $25,007.90 | $25,007.90 | $25,007.90 | $13,824.50 | $13,824.50 | $13,824.50 | $10,757.80 | $10,757.80 | $10,757.80 | TOTAL US | 10 | 141 | $15,885.40 | $30.662,69 | $44,369.10 | $8,396.64 | $10.383,11 | $13,824.50 | $5,451.76 | $7.224,00 | $10,757.80 |
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.