Hospital Costs > Pancreas, Liver & Shunt 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 |
| Alabama | 1 | 29 | $61,054.10 | $61,054.10 | $61,054.10 | $15,797.40 | $15,797.40 | $15,797.40 | $10,697.70 | $10,697.70 | $10,697.70 |
| Kansas | 1 | 11 | $45,886.10 | $45,886.10 | $45,886.10 | $11,676.30 | $11,676.30 | $11,676.30 | $10,794.80 | $10,794.80 | $10,794.80 |
| Texas | 3 | 46 | $48,446.90 | $59,492.76 | $74,279.50 | $13,609.20 | $15,466.83 | $18,983.00 | $9,764.64 | $10,592.69 | $11,530.30 |
| Georgia | 1 | 23 | $55,392.70 | $55,392.70 | $55,392.70 | $17,011.40 | $17,011.40 | $17,011.40 | $11,540.30 | $11,540.30 | $11,540.30 |
| South Carolina | 1 | 16 | $61,192.40 | $61,192.40 | $61,192.40 | $22,625.50 | $22,625.50 | $22,625.50 | $11,878.90 | $11,878.90 | $11,878.90 |
| Ohio | 1 | 21 | $59,273.80 | $59,273.80 | $59,273.80 | $15,307.00 | $15,307.00 | $15,307.00 | $11,887.20 | $11,887.20 | $11,887.20 |
| Kentucky | 1 | 11 | $70,082.40 | $70,082.40 | $70,082.40 | $13,311.40 | $13,311.40 | $13,311.40 | $11,959.00 | $11,959.00 | $11,959.00 |
| New Jersey | 1 | 13 | $65,612.90 | $65,612.90 | $65,612.90 | $13,254.90 | $13,254.90 | $13,254.90 | $12,094.40 | $12,094.40 | $12,094.40 |
| Missouri | 1 | 20 | $44,147.60 | $44,147.60 | $44,147.60 | $13,872.70 | $13,872.70 | $13,872.70 | $12,175.50 | $12,175.50 | $12,175.50 |
| Tennessee | 1 | 16 | $61,001.00 | $61,001.00 | $61,001.00 | $17,012.50 | $17,012.50 | $17,012.50 | $12,820.10 | $12,820.10 | $12,820.10 |
| Washington DC | 1 | 16 | $68,192.50 | $68,192.50 | $68,192.50 | $19,278.60 | $19,278.60 | $19,278.60 | $14,449.10 | $14,449.10 | $14,449.10 |
| North Carolina | 2 | 32 | $63,637.60 | $63,987.42 | $64,498.70 | $17,468.40 | $17,696.99 | $17,853.40 | $10,646.40 | $13,072.11 | $14,731.80 |
| Virginia | 1 | 19 | $71,666.20 | $71,666.20 | $71,666.20 | $19,875.90 | $19,875.90 | $19,875.90 | $14,906.90 | $14,906.90 | $14,906.90 |
| Minnesota | 1 | 22 | $46,026.30 | $46,026.30 | $46,026.30 | $17,112.50 | $17,112.50 | $17,112.50 | $14,998.20 | $14,998.20 | $14,998.20 |
| Michigan | 2 | 27 | $31,564.40 | $45,109.68 | $55,945.90 | $13,652.70 | $18,294.48 | $22,007.90 | $12,066.70 | $13,711.37 | $15,027.10 |
| Indiana | 1 | 44 | $83,866.00 | $83,866.00 | $83,866.00 | $17,914.80 | $17,914.80 | $17,914.80 | $15,314.30 | $15,314.30 | $15,314.30 |
| Oregon | 1 | 12 | $50,305.40 | $50,305.40 | $50,305.40 | $19,613.90 | $19,613.90 | $19,613.90 | $17,122.60 | $17,122.60 | $17,122.60 |
| Pennsylvania | 3 | 51 | $89,108.00 | $111,896.22 | $139,814.00 | $16,507.40 | $19,859.07 | $23,883.60 | $10,312.60 | $15,091.56 | $18,125.40 |
| Massachusetts | 3 | 48 | $35,652.50 | $77,709.51 | $107,351.00 | $18,958.30 | $19,865.49 | $20,630.40 | $17,097.00 | $17,757.83 | $18,353.80 |
| New York | 4 | 84 | $35,807.50 | $50,762.18 | $74,150.30 | $17,746.40 | $21,015.92 | $22,560.90 | $15,799.50 | $16,957.51 | $18,720.30 |
| Florida | 5 | 74 | $55,778.60 | $69,507.64 | $75,995.30 | $12,060.40 | $16,503.24 | $25,067.80 | $9,322.00 | $12,729.55 | $19,637.60 |
| California | 4 | 72 | $69,902.50 | $167,661.95 | $243,292.00 | $24,408.80 | $25,475.20 | $26,504.30 | $20,021.60 | $21,056.96 | $22,233.70 |
| Maryland | 2 | 38 | $29,427.80 | $31,486.97 | $35,446.90 | $27,364.30 | $29,180.19 | $32,672.30 | $23,663.90 | $26,429.92 | $31,749.20 | TOTAL US | 42 | 745 | $29,427.80 | $73.999,79 | $243,292.00 | $11,676.30 | $19.172,60 | $32,672.30 | $9,322.00 | $15.274,98 | $31,749.20 |
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.