Hospital Costs > Other Digestive System Diagnoses 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 | 1,030 | $15,474.50 | $29,307.83 | $54,993.80 | $3,522.93 | $4,654.21 | $13,464.70 | $2,434.47 | $3,474.46 | $11,126.20 |
| New York | 37 | 642 | $9,474.67 | $22,914.32 | $37,954.10 | $4,367.08 | $7,244.95 | $10,716.50 | $3,236.33 | $5,659.55 | $8,913.82 |
| New Jersey | 27 | 454 | $23,200.20 | $37,369.72 | $61,451.60 | $4,081.44 | $5,440.59 | $8,073.36 | $3,001.11 | $4,048.12 | $6,057.43 |
| Pennsylvania | 25 | 387 | $12,326.50 | $29,428.72 | $71,265.80 | $3,727.67 | $5,898.28 | $10,982.50 | $2,184.42 | $4,028.63 | $6,924.14 |
| Illinois | 18 | 330 | $16,978.50 | $22,917.29 | $41,192.20 | $3,861.29 | $5,471.52 | $8,727.73 | $2,293.21 | $3,791.28 | $7,000.18 |
| Michigan | 18 | 300 | $9,833.10 | $15,542.97 | $23,589.20 | $4,118.18 | $5,224.96 | $8,284.59 | $3,098.63 | $3,891.51 | $5,914.36 |
| Massachusetts | 17 | 296 | $5,250.00 | $12,305.49 | $25,240.40 | $4,590.67 | $6,272.01 | $8,198.50 | $3,561.71 | $4,818.92 | $6,361.21 |
| Maryland | 17 | 262 | $4,163.46 | $6,479.36 | $10,501.50 | $3,952.92 | $6,034.67 | $9,687.18 | $2,656.46 | $4,917.45 | $9,019.88 |
| Texas | 13 | 229 | $15,042.40 | $23,819.45 | $34,735.10 | $4,383.13 | $5,386.68 | $7,248.06 | $2,425.18 | $4,009.30 | $6,240.06 |
| North Carolina | 13 | 248 | $10,257.00 | $16,208.33 | $19,781.10 | $3,727.18 | $5,470.22 | $7,625.06 | $2,868.09 | $3,748.89 | $5,481.35 |
| California | 13 | 187 | $21,303.80 | $40,804.51 | $76,568.70 | $5,186.64 | $6,354.44 | $8,483.55 | $3,747.92 | $4,793.00 | $6,748.64 |
| Ohio | 12 | 195 | $8,217.08 | $16,604.99 | $27,210.50 | $3,647.43 | $4,922.35 | $7,324.44 | $2,267.00 | $3,537.11 | $5,350.44 |
| Virginia | 12 | 177 | $13,093.40 | $24,264.97 | $54,097.80 | $4,344.36 | $6,014.75 | $9,434.55 | $2,199.00 | $3,747.75 | $5,653.29 |
| Missouri | 9 | 146 | $11,152.60 | $16,710.66 | $28,506.60 | $3,387.83 | $4,455.27 | $5,639.96 | $2,278.50 | $3,445.64 | $5,035.39 |
| Connecticut | 8 | 130 | $15,165.50 | $20,941.23 | $31,527.20 | $5,378.50 | $6,788.45 | $8,344.62 | $4,306.40 | $5,128.01 | $6,658.50 |
| Indiana | 6 | 114 | $12,833.40 | $19,169.18 | $27,791.10 | $3,908.17 | $5,899.03 | $8,452.00 | $2,905.50 | $4,330.88 | $6,059.59 |
| Tennessee | 5 | 89 | $14,672.30 | $19,338.92 | $25,626.90 | $3,506.97 | $4,301.61 | $5,608.80 | $2,507.24 | $3,135.91 | $4,119.40 |
| Wisconsin | 5 | 77 | $13,196.30 | $18,549.91 | $20,956.00 | $4,655.81 | $5,579.25 | $7,886.17 | $3,599.81 | $4,155.56 | $5,321.25 |
| Georgia | 5 | 60 | $17,361.90 | $19,212.61 | $22,025.00 | $4,350.64 | $4,840.90 | $5,437.92 | $3,119.64 | $3,657.58 | $4,497.92 |
| Kentucky | 5 | 68 | $15,441.20 | $18,877.68 | $23,931.70 | $4,281.42 | $5,745.81 | $8,221.86 | $2,205.00 | $4,150.31 | $6,135.00 |
| South Carolina | 4 | 56 | $13,567.40 | $22,893.86 | $34,254.20 | $4,942.92 | $5,251.34 | $6,142.67 | $3,070.57 | $3,621.23 | $4,902.00 |
| Arizona | 4 | 58 | $23,434.40 | $26,148.46 | $29,517.10 | $3,958.50 | $4,612.55 | $5,763.45 | $2,819.73 | $3,193.28 | $3,699.94 |
| Alabama | 4 | 63 | $12,602.00 | $28,437.01 | $50,686.40 | $4,057.87 | $4,571.49 | $5,092.82 | $2,738.12 | $3,248.73 | $3,776.88 |
| Minnesota | 4 | 75 | $13,984.60 | $15,616.13 | $16,417.60 | $4,882.41 | $5,902.35 | $7,275.78 | $3,648.17 | $3,978.41 | $4,278.00 |
| Nebraska | 3 | 39 | $14,127.70 | $16,848.73 | $18,608.50 | $3,787.82 | $4,357.51 | $4,730.33 | $2,691.09 | $3,109.95 | $3,543.08 |
| Louisiana | 3 | 48 | $17,467.10 | $19,068.49 | $20,599.70 | $4,397.68 | $4,735.37 | $5,157.60 | $3,170.14 | $3,424.42 | $3,572.42 |
| Mississippi | 3 | 47 | $15,113.80 | $17,422.47 | $21,399.30 | $3,922.06 | $4,302.91 | $4,536.13 | $3,101.00 | $3,296.30 | $3,474.62 |
| Arkansas | 3 | 41 | $10,917.50 | $15,144.90 | $17,896.10 | $3,787.85 | $5,459.42 | $7,795.43 | $2,766.31 | $3,844.51 | $5,785.86 |
| Oklahoma | 2 | 34 | $12,226.50 | $12,743.66 | $13,691.80 | $4,476.73 | $4,614.97 | $4,868.42 | $2,936.64 | $3,263.39 | $3,862.42 |
| Rhode Island | 2 | 38 | $20,429.70 | $20,778.71 | $21,258.60 | $5,155.82 | $6,176.48 | $7,579.88 | $3,478.68 | $4,595.47 | $6,131.06 |
| Colorado | 2 | 23 | $24,164.80 | $27,299.27 | $30,718.70 | $4,428.42 | $4,781.96 | $5,167.64 | $3,462.75 | $3,699.57 | $3,957.91 |
| Washington | 2 | 22 | $17,562.20 | $20,929.25 | $24,296.30 | $4,863.27 | $5,014.55 | $5,165.82 | $3,955.64 | $3,965.10 | $3,974.55 |
| Nevada | 1 | 13 | $40,832.40 | $40,832.40 | $40,832.40 | $4,844.38 | $4,844.38 | $4,844.38 | $4,103.46 | $4,103.46 | $4,103.46 |
| Kansas | 1 | 11 | $21,140.10 | $21,140.10 | $21,140.10 | $5,880.18 | $5,880.18 | $5,880.18 | $3,888.18 | $3,888.18 | $3,888.18 |
| Iowa | 1 | 11 | $20,793.10 | $20,793.10 | $20,793.10 | $5,077.73 | $5,077.73 | $5,077.73 | $3,331.45 | $3,331.45 | $3,331.45 |
| Washington DC | 1 | 18 | $15,973.20 | $15,973.20 | $15,973.20 | $6,606.83 | $6,606.83 | $6,606.83 | $5,310.00 | $5,310.00 | $5,310.00 |
| Delaware | 1 | 45 | $11,965.20 | $11,965.20 | $11,965.20 | $6,251.96 | $6,251.96 | $6,251.96 | $4,070.02 | $4,070.02 | $4,070.02 |
| Maine | 1 | 14 | $10,818.10 | $10,818.10 | $10,818.10 | $5,250.93 | $5,250.93 | $5,250.93 | $3,395.43 | $3,395.43 | $3,395.43 | TOTAL US | 362 | 6,077 | $4,163.46 | $23.275,25 | $76,568.70 | $3,387.83 | $5.577,63 | $13,464.70 | $2,184.42 | $4.115,52 | $11,126.20 |
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.