Hospital Costs > Rectal Resection 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 | 3 | 51 | $43,415.40 | $67,294.01 | $88,379.10 | $12,202.00 | $12,745.39 | $14,028.30 | $7,596.56 | $8,672.06 | $11,035.00 |
| New York | 2 | 30 | $32,480.90 | $47,166.76 | $55,669.10 | $14,052.10 | $14,562.25 | $14,857.60 | $9,355.27 | $11,684.06 | $13,032.30 |
| Tennessee | 2 | 27 | $36,487.10 | $48,719.75 | $66,512.70 | $10,473.50 | $12,178.27 | $13,350.30 | $8,064.55 | $9,991.81 | $11,316.80 |
| Alabama | 1 | 12 | $23,956.50 | $23,956.50 | $23,956.50 | $8,082.42 | $8,082.42 | $8,082.42 | $6,978.42 | $6,978.42 | $6,978.42 |
| Virginia | 1 | 12 | $29,401.90 | $29,401.90 | $29,401.90 | $12,376.20 | $12,376.20 | $12,376.20 | $10,545.20 | $10,545.20 | $10,545.20 |
| Vermont | 1 | 13 | $14,041.30 | $14,041.30 | $14,041.30 | $12,062.90 | $12,062.90 | $12,062.90 | $10,870.30 | $10,870.30 | $10,870.30 |
| Texas | 1 | 14 | $51,566.60 | $51,566.60 | $51,566.60 | $11,734.60 | $11,734.60 | $11,734.60 | $7,693.71 | $7,693.71 | $7,693.71 |
| Oklahoma | 1 | 15 | $41,821.40 | $41,821.40 | $41,821.40 | $11,079.20 | $11,079.20 | $11,079.20 | $9,338.20 | $9,338.20 | $9,338.20 |
| North Dakota | 1 | 12 | $12,276.60 | $12,276.60 | $12,276.60 | $10,577.50 | $10,577.50 | $10,577.50 | $7,913.17 | $7,913.17 | $7,913.17 |
| Missouri | 1 | 11 | $37,461.30 | $37,461.30 | $37,461.30 | $9,771.91 | $9,771.91 | $9,771.91 | $8,672.27 | $8,672.27 | $8,672.27 |
| Arkansas | 1 | 14 | $50,600.60 | $50,600.60 | $50,600.60 | $9,427.50 | $9,427.50 | $9,427.50 | $8,199.00 | $8,199.00 | $8,199.00 |
| Michigan | 1 | 14 | $11,475.10 | $11,475.10 | $11,475.10 | $11,429.10 | $11,429.10 | $11,429.10 | $9,257.93 | $9,257.93 | $9,257.93 |
| Massachusetts | 1 | 19 | $67,266.70 | $67,266.70 | $67,266.70 | $15,644.60 | $15,644.60 | $15,644.60 | $13,547.90 | $13,547.90 | $13,547.90 |
| Louisiana | 1 | 13 | $22,625.20 | $22,625.20 | $22,625.20 | $8,901.08 | $8,901.08 | $8,901.08 | $7,772.00 | $7,772.00 | $7,772.00 |
| Kentucky | 1 | 12 | $28,303.00 | $28,303.00 | $28,303.00 | $9,919.75 | $9,919.75 | $9,919.75 | $7,064.58 | $7,064.58 | $7,064.58 |
| Iowa | 1 | 12 | $43,223.20 | $43,223.20 | $43,223.20 | $10,535.30 | $10,535.30 | $10,535.30 | $9,072.42 | $9,072.42 | $9,072.42 |
| California | 1 | 11 | $89,072.20 | $89,072.20 | $89,072.20 | $10,781.30 | $10,781.30 | $10,781.30 | $9,573.82 | $9,573.82 | $9,573.82 |
| Washington | 1 | 12 | $21,184.40 | $21,184.40 | $21,184.40 | $12,524.50 | $12,524.50 | $12,524.50 | $10,738.30 | $10,738.30 | $10,738.30 | TOTAL US | 22 | 304 | $11,475.10 | $44.169,38 | $89,072.20 | $8,082.42 | $11.849,39 | $15,644.60 | $6,978.42 | $9.483,45 | $13,547.90 |
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.