Hospital Costs > Other Digestive System Diagnoses 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 |
| Massachusetts | 22 | 469 | $8,539.62 | $31,586.96 | $64,223.90 | $11,284.50 | $15,785.49 | $20,434.30 | $9,480.83 | $14,098.23 | $17,768.50 |
| Maryland | 25 | 471 | $9,816.09 | $23,319.11 | $47,619.20 | $9,060.27 | $21,571.69 | $44,755.00 | $8,187.55 | $20,513.99 | $42,533.10 |
| Montana | 2 | 25 | $11,406.70 | $23,817.02 | $35,272.70 | $10,544.60 | $11,046.61 | $11,510.00 | $9,723.42 | $10,180.70 | $10,602.80 |
| Kentucky | 12 | 215 | $15,970.90 | $47,332.51 | $101,949.00 | $9,000.42 | $13,000.26 | $21,082.50 | $7,627.54 | $10,739.98 | $15,534.80 |
| Minnesota | 12 | 290 | $16,223.80 | $37,527.43 | $55,413.30 | $10,068.50 | $14,135.82 | $18,351.90 | $9,209.28 | $12,029.19 | $14,542.50 |
| Michigan | 37 | 769 | $16,451.70 | $31,877.66 | $56,380.60 | $8,736.46 | $13,211.00 | $22,487.00 | $7,993.08 | $11,248.61 | $14,772.40 |
| Tennessee | 15 | 352 | $17,653.20 | $37,527.08 | $63,068.20 | $8,419.92 | $10,934.95 | $14,332.60 | $7,670.61 | $9,762.46 | $12,893.10 |
| Indiana | 18 | 325 | $17,769.30 | $39,634.75 | $90,075.20 | $9,000.81 | $11,658.07 | $16,986.90 | $7,942.52 | $10,082.98 | $13,999.80 |
| North Carolina | 23 | 567 | $17,825.40 | $34,244.05 | $48,368.70 | $9,528.08 | $13,047.84 | $18,192.20 | $8,098.75 | $10,632.29 | $13,279.30 |
| Virginia | 24 | 441 | $18,413.80 | $39,296.43 | $90,291.80 | $9,082.60 | $12,169.95 | $23,356.30 | $7,627.65 | $10,312.28 | $17,313.00 |
| Alabama | 10 | 226 | $18,736.80 | $39,007.40 | $55,920.90 | $8,438.31 | $10,351.57 | $15,433.70 | $7,413.50 | $8,592.33 | $10,416.80 |
| Louisiana | 11 | 227 | $19,031.70 | $36,050.37 | $59,011.50 | $9,454.00 | $11,401.00 | $17,071.00 | $8,150.45 | $9,656.98 | $13,847.00 |
| Pennsylvania | 27 | 508 | $19,550.40 | $63,129.81 | $158,617.00 | $8,613.18 | $14,256.14 | $22,464.10 | $7,945.91 | $11,280.75 | $17,584.30 |
| Georgia | 20 | 327 | $19,698.40 | $45,469.59 | $101,114.00 | $9,082.67 | $11,603.38 | $15,850.80 | $8,245.37 | $10,143.76 | $13,956.00 |
| Utah | 4 | 56 | $19,699.30 | $28,749.03 | $41,295.20 | $10,731.80 | $13,317.52 | $16,574.00 | $9,262.08 | $11,492.88 | $14,086.60 |
| North Dakota | 2 | 34 | $19,816.70 | $29,064.65 | $39,468.60 | $10,213.20 | $11,233.53 | $12,381.40 | $9,214.33 | $10,131.87 | $11,164.10 |
| West Virginia | 4 | 67 | $20,161.20 | $34,833.09 | $44,384.90 | $9,153.75 | $13,191.23 | $16,278.90 | $8,556.69 | $10,641.40 | $13,496.40 |
| Ohio | 29 | 539 | $20,977.40 | $43,592.51 | $60,034.90 | $9,293.75 | $13,393.36 | $36,280.70 | $7,646.36 | $10,451.50 | $15,021.30 |
| Maine | 4 | 65 | $21,449.40 | $31,434.37 | $35,420.20 | $10,805.10 | $12,593.54 | $14,369.50 | $10,014.00 | $10,906.71 | $11,826.40 |
| Oregon | 6 | 100 | $21,767.70 | $33,634.78 | $41,577.90 | $11,975.70 | $13,964.63 | $18,342.60 | $10,212.10 | $11,672.71 | $15,315.90 |
| Texas | 54 | 1,055 | $21,935.00 | $53,398.39 | $149,125.00 | $9,074.91 | $12,010.01 | $26,628.40 | $7,974.77 | $10,339.21 | $22,521.00 |
| New Hampshire | 3 | 58 | $22,386.90 | $31,248.66 | $37,666.50 | $11,233.40 | $13,842.40 | $16,415.90 | $10,401.40 | $12,095.32 | $13,655.80 |
| South Carolina | 10 | 168 | $22,613.00 | $50,034.82 | $74,671.20 | $9,002.09 | $12,851.92 | $18,620.90 | $8,338.82 | $10,797.82 | $14,750.50 |
| New York | 49 | 1,114 | $22,618.30 | $57,614.35 | $131,044.00 | $8,913.22 | $17,711.99 | $31,555.10 | $7,986.56 | $15,246.88 | $27,920.50 |
| California | 83 | 1,448 | $22,663.00 | $80,060.89 | $211,406.00 | $11,101.50 | $16,143.52 | $38,314.90 | $10,272.40 | $14,436.07 | $32,505.20 |
| Arkansas | 8 | 157 | $22,752.60 | $36,187.81 | $63,329.00 | $9,032.00 | $11,075.11 | $15,403.00 | $7,726.73 | $9,551.22 | $12,158.70 |
| Wisconsin | 10 | 205 | $24,410.80 | $36,047.77 | $50,786.20 | $9,719.83 | $13,366.36 | $17,751.40 | $8,951.28 | $11,292.39 | $13,175.70 |
| Connecticut | 9 | 228 | $24,507.60 | $49,140.71 | $70,946.60 | $11,889.30 | $16,756.65 | $20,946.90 | $11,307.30 | $14,799.97 | $17,883.00 |
| Mississippi | 10 | 178 | $25,087.30 | $40,877.60 | $83,732.50 | $8,941.00 | $10,722.23 | $16,852.40 | $8,057.80 | $9,774.47 | $14,415.00 |
| Florida | 64 | 1,306 | $25,978.60 | $58,975.29 | $133,539.00 | $8,507.18 | $11,576.11 | $24,881.40 | $7,328.93 | $10,042.68 | $19,032.20 |
| Washington | 18 | 302 | $26,341.20 | $43,886.95 | $80,326.50 | $10,242.40 | $14,019.80 | $21,308.80 | $8,890.00 | $11,980.57 | $15,314.50 |
| Illinois | 37 | 798 | $27,661.40 | $51,741.71 | $115,201.00 | $9,267.77 | $12,914.99 | $22,867.90 | $8,310.93 | $11,032.43 | $18,452.20 |
| Hawaii | 1 | 15 | $28,226.80 | $28,226.80 | $28,226.80 | $16,088.90 | $16,088.90 | $16,088.90 | $14,403.80 | $14,403.80 | $14,403.80 |
| Iowa | 3 | 78 | $28,555.50 | $40,293.27 | $49,885.70 | $11,438.50 | $13,600.50 | $16,509.70 | $9,618.84 | $11,397.23 | $13,507.10 |
| Missouri | 17 | 373 | $28,810.80 | $40,312.77 | $59,754.70 | $8,687.70 | $11,892.46 | $17,659.60 | $7,786.90 | $10,536.28 | $13,974.70 |
| Oklahoma | 6 | 139 | $30,158.40 | $50,675.26 | $73,537.70 | $10,396.60 | $12,940.34 | $19,200.80 | $8,771.14 | $10,930.98 | $16,329.70 |
| Nebraska | 4 | 78 | $30,680.80 | $46,722.62 | $73,961.20 | $11,515.20 | $13,746.91 | $15,599.30 | $7,743.23 | $11,156.10 | $12,982.40 |
| Delaware | 1 | 59 | $31,225.60 | $31,225.60 | $31,225.60 | $13,675.50 | $13,675.50 | $13,675.50 | $11,957.80 | $11,957.80 | $11,957.80 |
| Rhode Island | 2 | 39 | $31,595.70 | $39,473.52 | $43,885.10 | $12,121.50 | $15,062.59 | $16,709.60 | $11,110.90 | $13,521.22 | $14,871.00 |
| New Mexico | 3 | 41 | $31,698.60 | $36,837.31 | $48,801.20 | $9,845.25 | $11,676.12 | $13,117.60 | $9,391.25 | $10,892.10 | $12,678.30 |
| Arizona | 9 | 147 | $33,949.30 | $49,142.61 | $74,065.50 | $10,168.90 | $12,468.47 | $14,705.70 | $8,296.40 | $10,749.88 | $13,162.60 |
| Kansas | 5 | 110 | $34,710.30 | $55,691.47 | $74,046.70 | $9,671.21 | $11,654.97 | $15,193.00 | $9,079.21 | $10,825.80 | $14,400.70 |
| South Dakota | 3 | 42 | $38,434.00 | $47,722.32 | $53,424.40 | $12,291.50 | $13,004.36 | $13,536.50 | $9,443.27 | $11,347.90 | $12,709.50 |
| Colorado | 5 | 84 | $39,304.80 | $72,370.37 | $99,518.60 | $10,269.40 | $14,851.57 | $21,801.00 | $9,341.38 | $12,241.83 | $16,468.20 |
| Vermont | 1 | 12 | $47,932.00 | $47,932.00 | $47,932.00 | $17,805.50 | $17,805.50 | $17,805.50 | $14,495.50 | $14,495.50 | $14,495.50 |
| Nevada | 6 | 98 | $54,484.40 | $94,277.44 | $125,312.00 | $11,140.20 | $12,342.59 | $13,812.10 | $9,887.83 | $11,242.11 | $12,515.90 |
| New Jersey | 32 | 643 | $57,014.80 | $83,289.83 | $159,591.00 | $9,859.40 | $13,436.46 | $19,099.40 | $8,976.20 | $11,650.34 | $16,611.20 |
| Washington DC | 2 | 71 | $65,808.30 | $70,070.98 | $77,914.30 | $17,326.80 | $18,706.52 | $21,245.20 | $14,439.40 | $15,131.90 | $16,406.10 |
| Alaska | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Wyoming | 0 | 0 | - | - | - | - | - | - | - | - | - |
| Idaho | 0 | 0 | - | - | - | - | - | - | - | - | - | TOTAL US | 762 | 15,119 | $8,539.62 | $50.685,80 | $211,406.00 | $8,419.92 | $13.763,73 | $44,755.00 | $7,328.93 | $11.882,92 | $42,533.10 |
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.