Hospital Costs > Other Digestive System O.R. Procedures W Cc - costs for treatment
| Avg Covered Charges | Avg Total Payments | Avg Medicare Payments | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | # Hosp | # Disch | Min | Avg | Max | Min | Avg | Max | Min | Avg | Max |
| Arkansas | 1 | 12 | $47,262.40 | $47,262.40 | $47,262.40 | $12,130.30 | $12,130.30 | $12,130.30 | $9,791.00 | $9,791.00 | $9,791.00 |
| Oklahoma | 1 | 13 | $40,277.10 | $40,277.10 | $40,277.10 | $12,808.10 | $12,808.10 | $12,808.10 | $11,907.50 | $11,907.50 | $11,907.50 |
| Alabama | 2 | 22 | $50,501.30 | $51,013.50 | $51,525.70 | $11,684.60 | $12,286.55 | $12,888.50 | $11,024.30 | $11,630.60 | $12,236.90 |
| Georgia | 1 | 11 | $60,662.40 | $60,662.40 | $60,662.40 | $14,039.40 | $14,039.40 | $14,039.40 | $12,923.10 | $12,923.10 | $12,923.10 |
| South Dakota | 1 | 12 | $65,667.80 | $65,667.80 | $65,667.80 | $14,217.00 | $14,217.00 | $14,217.00 | $12,941.50 | $12,941.50 | $12,941.50 |
| Nevada | 1 | 14 | $55,535.10 | $55,535.10 | $55,535.10 | $15,503.10 | $15,503.10 | $15,503.10 | $14,364.60 | $14,364.60 | $14,364.60 |
| Delaware | 1 | 21 | $32,332.40 | $32,332.40 | $32,332.40 | $16,135.00 | $16,135.00 | $16,135.00 | $14,372.00 | $14,372.00 | $14,372.00 |
| West Virginia | 2 | 25 | $35,343.80 | $50,268.42 | $64,045.00 | $12,992.20 | $14,701.44 | $16,279.20 | $11,554.30 | $12,437.62 | $13,253.00 |
| Maine | 1 | 31 | $34,440.90 | $34,440.90 | $34,440.90 | $16,530.50 | $16,530.50 | $16,530.50 | $13,246.20 | $13,246.20 | $13,246.20 |
| Virginia | 1 | 20 | $43,515.10 | $43,515.10 | $43,515.10 | $16,700.90 | $16,700.90 | $16,700.90 | $14,493.70 | $14,493.70 | $14,493.70 |
| Missouri | 1 | 22 | $54,206.50 | $54,206.50 | $54,206.50 | $17,302.80 | $17,302.80 | $17,302.80 | $16,592.90 | $16,592.90 | $16,592.90 |
| Kansas | 1 | 12 | $86,000.80 | $86,000.80 | $86,000.80 | $17,755.70 | $17,755.70 | $17,755.70 | $16,438.30 | $16,438.30 | $16,438.30 |
| Tennessee | 4 | 60 | $46,442.00 | $53,449.88 | $70,107.40 | $12,031.90 | $14,382.19 | $17,771.20 | $9,083.83 | $12,325.00 | $14,932.20 |
| Washington DC | 1 | 12 | $62,872.80 | $62,872.80 | $62,872.80 | $17,930.80 | $17,930.80 | $17,930.80 | $15,649.40 | $15,649.40 | $15,649.40 |
| Louisiana | 2 | 27 | $53,652.30 | $54,515.31 | $55,444.70 | $11,970.90 | $15,044.34 | $18,354.20 | $10,744.50 | $12,433.63 | $14,252.70 |
| Iowa | 1 | 18 | $47,249.70 | $47,249.70 | $47,249.70 | $18,958.00 | $18,958.00 | $18,958.00 | $17,405.90 | $17,405.90 | $17,405.90 |
| New Jersey | 3 | 41 | $64,742.70 | $88,025.73 | $138,126.00 | $14,187.00 | $16,622.99 | $19,018.70 | $13,388.50 | $15,274.49 | $16,978.40 |
| Arizona | 1 | 12 | $60,811.00 | $60,811.00 | $60,811.00 | $19,025.00 | $19,025.00 | $19,025.00 | $12,900.90 | $12,900.90 | $12,900.90 |
| Florida | 7 | 126 | $53,657.90 | $74,278.54 | $98,540.70 | $11,481.60 | $14,636.96 | $19,781.50 | $10,797.60 | $13,236.02 | $17,379.20 |
| South Carolina | 1 | 13 | $77,939.50 | $77,939.50 | $77,939.50 | $19,801.90 | $19,801.90 | $19,801.90 | $16,372.60 | $16,372.60 | $16,372.60 |
| North Carolina | 9 | 126 | $27,925.50 | $47,480.64 | $60,859.40 | $13,152.20 | $16,240.22 | $20,233.80 | $10,783.00 | $13,256.38 | $15,761.10 |
| New Hampshire | 1 | 14 | $40,701.60 | $40,701.60 | $40,701.60 | $20,307.40 | $20,307.40 | $20,307.40 | $16,879.90 | $16,879.90 | $16,879.90 |
| Ohio | 2 | 25 | $42,035.10 | $59,945.61 | $82,740.80 | $15,809.90 | $17,908.83 | $20,580.20 | $12,481.60 | $14,167.50 | $16,313.20 |
| Washington | 2 | 22 | $69,340.80 | $80,726.50 | $92,112.20 | $20,132.40 | $20,386.35 | $20,640.30 | $16,364.40 | $16,458.95 | $16,553.50 |
| Texas | 5 | 74 | $31,209.50 | $69,785.72 | $100,146.00 | $14,358.90 | $16,259.39 | $20,846.00 | $10,125.20 | $12,384.30 | $13,780.70 |
| Illinois | 6 | 74 | $50,403.80 | $76,448.79 | $91,313.30 | $12,698.10 | $18,569.47 | $21,734.30 | $9,319.00 | $13,576.29 | $18,770.40 |
| Massachusetts | 4 | 59 | $31,270.40 | $62,518.95 | $84,363.20 | $20,840.10 | $21,463.96 | $22,242.30 | $18,497.40 | $19,067.97 | $20,419.30 |
| Connecticut | 2 | 31 | $76,163.20 | $78,552.95 | $81,454.80 | $20,181.70 | $21,206.05 | $22,449.90 | $17,764.10 | $17,989.77 | $18,263.80 |
| Wisconsin | 1 | 13 | $54,446.70 | $54,446.70 | $54,446.70 | $22,819.20 | $22,819.20 | $22,819.20 | $18,098.90 | $18,098.90 | $18,098.90 |
| Michigan | 4 | 64 | $29,159.90 | $47,291.09 | $57,218.80 | $14,942.70 | $17,921.29 | $23,200.60 | $12,176.60 | $14,807.22 | $17,450.80 |
| Colorado | 1 | 17 | $127,977.00 | $127,977.00 | $127,977.00 | $23,620.20 | $23,620.20 | $23,620.20 | $18,512.80 | $18,512.80 | $18,512.80 |
| Indiana | 2 | 23 | $41,817.90 | $54,299.22 | $67,915.20 | $11,474.90 | $17,394.14 | $23,851.50 | $10,795.40 | $13,383.32 | $16,206.50 |
| Kentucky | 2 | 27 | $48,077.90 | $62,693.68 | $83,953.00 | $14,157.10 | $18,340.81 | $24,426.20 | $13,191.50 | $14,789.88 | $17,114.80 |
| Minnesota | 3 | 57 | $57,640.70 | $60,127.96 | $66,852.10 | $14,711.10 | $22,109.07 | $25,347.20 | $13,474.60 | $17,823.91 | $19,146.40 |
| New York | 6 | 86 | $38,905.20 | $73,879.59 | $107,779.00 | $14,435.50 | $21,476.54 | $26,990.10 | $10,705.40 | $17,677.98 | $21,273.60 |
| Pennsylvania | 6 | 85 | $42,097.70 | $97,894.81 | $129,666.00 | $10,746.40 | $20,030.93 | $27,532.60 | $9,861.27 | $15,534.57 | $19,346.20 |
| Maryland | 3 | 40 | $17,923.90 | $30,411.73 | $35,190.00 | $16,526.90 | $28,154.16 | $32,609.70 | $15,764.70 | $24,914.40 | $28,602.40 |
| California | 3 | 46 | $75,738.10 | $157,530.62 | $206,881.00 | $22,792.80 | $30,591.05 | $38,337.80 | $19,020.40 | $22,568.26 | $27,126.30 | TOTAL US | 96 | 1,407 | $17,923.90 | $66.615,26 | $206,881.00 | $10,746.40 | $18.421,88 | $38,337.80 | $9,083.83 | $15.254,55 | $28,602.40 |
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.