Hospital Costs > Stomach, Esophageal & Duodenal Proc 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 | 23 | $58,739.00 | $58,739.00 | $58,739.00 | $15,657.90 | $15,657.90 | $15,657.90 | $13,423.00 | $13,423.00 | $13,423.00 |
| Idaho | 1 | 12 | $49,518.10 | $49,518.10 | $49,518.10 | $17,190.40 | $17,190.40 | $17,190.40 | $16,216.90 | $16,216.90 | $16,216.90 |
| Montana | 1 | 11 | $57,854.40 | $57,854.40 | $57,854.40 | $17,340.40 | $17,340.40 | $17,340.40 | $16,464.70 | $16,464.70 | $16,464.70 |
| Alabama | 3 | 52 | $39,196.00 | $66,789.54 | $92,963.80 | $15,331.50 | $17,445.83 | $20,481.90 | $10,318.50 | $13,719.64 | $15,263.30 |
| North Dakota | 1 | 17 | $52,073.80 | $52,073.80 | $52,073.80 | $17,795.50 | $17,795.50 | $17,795.50 | $14,689.50 | $14,689.50 | $14,689.50 |
| South Dakota | 2 | 34 | $59,970.40 | $63,333.04 | $70,364.00 | $16,499.10 | $18,196.03 | $19,007.60 | $15,010.90 | $15,454.06 | $15,666.00 |
| Tennessee | 6 | 115 | $40,931.50 | $75,229.19 | $97,648.00 | $13,791.00 | $18,329.28 | $24,705.20 | $11,565.10 | $15,423.39 | $18,770.10 |
| West Virginia | 1 | 25 | $42,698.60 | $42,698.60 | $42,698.60 | $18,468.40 | $18,468.40 | $18,468.40 | $14,767.40 | $14,767.40 | $14,767.40 |
| Louisiana | 4 | 79 | $47,273.70 | $72,173.07 | $92,025.70 | $15,436.30 | $18,619.66 | $23,190.50 | $12,345.20 | $14,616.19 | $16,210.80 |
| Oklahoma | 4 | 57 | $48,620.90 | $81,694.01 | $142,604.00 | $14,106.70 | $18,896.05 | $26,855.00 | $13,075.40 | $15,410.07 | $20,563.90 |
| Missouri | 5 | 122 | $46,955.10 | $57,020.13 | $87,610.90 | $14,609.70 | $19,082.15 | $21,322.40 | $12,953.70 | $15,886.51 | $18,512.10 |
| Texas | 13 | 244 | $53,019.70 | $79,396.53 | $136,873.00 | $13,764.80 | $19,495.43 | $27,984.30 | $11,284.10 | $15,141.37 | $17,010.90 |
| South Carolina | 5 | 85 | $56,268.80 | $78,263.17 | $91,277.00 | $16,495.30 | $19,519.82 | $24,770.40 | $13,234.10 | $16,015.54 | $19,555.60 |
| Kentucky | 5 | 120 | $34,520.10 | $70,194.26 | $92,998.50 | $14,471.30 | $19,856.54 | $28,223.50 | $13,249.20 | $17,017.40 | $21,171.30 |
| Kansas | 2 | 36 | $95,108.90 | $104,990.62 | $112,896.00 | $19,043.60 | $19,939.60 | $20,656.40 | $17,989.60 | $18,320.43 | $18,585.10 |
| Georgia | 8 | 123 | $51,420.60 | $72,155.40 | $121,295.00 | $14,670.80 | $20,106.27 | $30,594.20 | $13,240.90 | $16,961.89 | $27,125.30 |
| Maine | 2 | 36 | $33,865.50 | $46,318.53 | $53,357.20 | $16,497.00 | $20,188.88 | $22,275.60 | $15,467.60 | $16,426.00 | $16,967.70 |
| Utah | 2 | 30 | $36,952.20 | $38,611.68 | $41,100.90 | $17,147.00 | $20,339.42 | $22,467.70 | $16,339.00 | $17,937.22 | $19,002.70 |
| Indiana | 4 | 84 | $71,142.20 | $85,709.54 | $93,226.30 | $16,292.50 | $20,401.62 | $23,768.30 | $14,657.60 | $17,641.63 | $19,728.90 |
| Virginia | 11 | 175 | $34,575.90 | $76,799.36 | $165,995.00 | $14,115.60 | $20,495.00 | $29,281.30 | $12,878.80 | $16,785.93 | $22,427.30 |
| Florida | 12 | 245 | $42,365.00 | $83,669.20 | $130,909.00 | $13,389.10 | $20,499.35 | $33,913.70 | $12,298.20 | $15,924.47 | $25,518.30 |
| Iowa | 2 | 50 | $62,086.90 | $62,561.78 | $63,483.60 | $17,445.00 | $21,197.96 | $23,131.30 | $14,926.00 | $19,199.43 | $21,400.90 |
| New Jersey | 4 | 61 | $77,461.70 | $115,045.68 | $210,887.00 | $18,104.80 | $21,474.37 | $27,709.10 | $17,068.00 | $19,617.66 | $24,419.20 |
| Illinois | 11 | 204 | $57,774.50 | $84,977.91 | $115,100.00 | $15,976.80 | $21,694.50 | $30,314.00 | $14,001.00 | $17,587.37 | $21,357.80 |
| North Carolina | 10 | 219 | $47,278.00 | $69,200.44 | $100,083.00 | $15,320.10 | $21,895.36 | $28,426.10 | $12,292.80 | $17,632.61 | $20,986.10 |
| Ohio | 5 | 141 | $43,804.40 | $81,343.32 | $112,900.00 | $19,983.50 | $22,658.22 | $26,694.10 | $11,425.90 | $15,991.29 | $21,261.60 |
| Oregon | 4 | 72 | $43,487.80 | $57,888.00 | $69,312.60 | $18,247.60 | $22,718.38 | $27,622.30 | $16,409.80 | $20,193.11 | $24,303.40 |
| Delaware | 1 | 29 | $45,422.70 | $45,422.70 | $45,422.70 | $22,720.70 | $22,720.70 | $22,720.70 | $17,733.00 | $17,733.00 | $17,733.00 |
| Pennsylvania | 11 | 242 | $43,778.30 | $123,113.10 | $170,775.00 | $14,741.70 | $22,853.76 | $33,018.00 | $11,246.20 | $17,774.06 | $24,163.40 |
| Nebraska | 3 | 60 | $62,968.40 | $104,142.73 | $146,033.00 | $16,084.20 | $23,546.68 | $27,978.30 | $13,152.20 | $18,739.49 | $22,740.30 |
| Colorado | 2 | 35 | $114,229.00 | $123,802.00 | $130,184.00 | $17,874.60 | $23,691.96 | $27,570.20 | $14,187.80 | $18,172.34 | $20,828.70 |
| Michigan | 11 | 206 | $33,264.20 | $58,046.81 | $76,041.20 | $15,891.00 | $24,030.76 | $35,125.80 | $14,938.80 | $17,536.57 | $20,989.90 |
| Arizona | 4 | 128 | $55,929.90 | $82,910.88 | $123,746.00 | $17,302.70 | $24,090.82 | $25,826.30 | $15,943.30 | $18,500.08 | $22,123.20 |
| Minnesota | 6 | 195 | $34,757.70 | $63,437.83 | $128,899.00 | $17,579.90 | $25,146.70 | $33,571.40 | $13,797.50 | $21,089.79 | $29,393.00 |
| Vermont | 1 | 14 | $72,812.90 | $72,812.90 | $72,812.90 | $25,478.60 | $25,478.60 | $25,478.60 | $23,075.70 | $23,075.70 | $23,075.70 |
| Washington | 5 | 145 | $58,240.30 | $79,255.77 | $123,375.00 | $21,820.90 | $25,496.62 | $30,147.50 | $17,266.00 | $19,870.34 | $23,624.30 |
| Connecticut | 3 | 75 | $71,005.50 | $82,871.55 | $89,157.40 | $25,096.50 | $26,274.45 | $27,234.90 | $20,917.40 | $22,244.94 | $23,631.70 |
| New Hampshire | 1 | 19 | $61,844.20 | $61,844.20 | $61,844.20 | $26,897.30 | $26,897.30 | $26,897.30 | $20,781.50 | $20,781.50 | $20,781.50 |
| New York | 13 | 251 | $33,175.10 | $85,212.24 | $162,708.00 | $16,592.30 | $27,281.58 | $38,123.40 | $13,865.40 | $22,188.90 | $29,284.50 |
| Massachusetts | 6 | 190 | $47,190.80 | $91,423.74 | $127,749.00 | $24,330.90 | $27,602.36 | $30,160.10 | $18,642.00 | $23,961.48 | $28,035.90 |
| Wisconsin | 5 | 102 | $40,508.30 | $74,062.97 | $89,477.30 | $17,680.80 | $28,129.95 | $34,456.70 | $15,985.50 | $18,441.15 | $20,076.70 |
| California | 16 | 337 | $57,936.80 | $184,982.81 | $315,634.00 | $17,305.40 | $32,153.38 | $49,530.20 | $14,456.50 | $26,626.87 | $42,722.40 |
| Maryland | 5 | 128 | $16,772.20 | $35,163.98 | $50,558.10 | $15,468.20 | $32,618.32 | $47,017.70 | $14,586.80 | $28,804.56 | $39,102.80 |
| Washington DC | 2 | 35 | $116,339.00 | $140,453.86 | $163,229.00 | $26,476.30 | $33,450.63 | $40,037.50 | $20,706.50 | $23,710.08 | $26,546.80 | TOTAL US | 224 | 4,663 | $16,772.20 | $85.797,10 | $315,634.00 | $13,389.10 | $23.407,50 | $49,530.20 | $10,318.50 | $18.941,80 | $42,722.40 |
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.