Hospital Costs > Stomach, Esophageal & Duodenal Proc W 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 |
| Idaho | 1 | 13 | $73,880.00 | $73,880.00 | $73,880.00 | $33,595.30 | $33,595.30 | $33,595.30 | $30,589.50 | $30,589.50 | $30,589.50 |
| Arkansas | 3 | 45 | $87,067.60 | $104,534.94 | $122,016.00 | $27,958.70 | $31,578.26 | $34,623.80 | $26,942.70 | $27,711.11 | $28,449.60 |
| Colorado | 1 | 12 | $145,302.00 | $145,302.00 | $145,302.00 | $35,447.80 | $35,447.80 | $35,447.80 | $34,831.00 | $34,831.00 | $34,831.00 |
| Montana | 1 | 13 | $81,123.60 | $81,123.60 | $81,123.60 | $36,534.00 | $36,534.00 | $36,534.00 | $35,135.70 | $35,135.70 | $35,135.70 |
| Maine | 2 | 28 | $57,710.70 | $76,967.33 | $89,427.50 | $32,936.50 | $35,187.00 | $36,643.20 | $31,662.80 | $33,225.04 | $34,235.90 |
| West Virginia | 2 | 30 | $78,048.80 | $82,918.68 | $91,330.30 | $33,296.50 | $35,489.35 | $36,758.90 | $29,057.20 | $29,871.35 | $31,277.60 |
| New Mexico | 1 | 11 | $82,014.10 | $82,014.10 | $82,014.10 | $37,294.90 | $37,294.90 | $37,294.90 | $25,647.40 | $25,647.40 | $25,647.40 |
| Mississippi | 3 | 46 | $105,049.00 | $134,221.35 | $157,597.00 | $29,986.20 | $36,100.02 | $38,308.10 | $28,975.50 | $35,127.99 | $37,397.40 |
| Nevada | 1 | 12 | $136,159.00 | $136,159.00 | $136,159.00 | $39,039.30 | $39,039.30 | $39,039.30 | $37,976.70 | $37,976.70 | $37,976.70 |
| South Dakota | 2 | 31 | $126,433.00 | $140,195.00 | $156,906.00 | $37,905.50 | $38,886.07 | $39,693.60 | $36,618.00 | $37,055.50 | $37,415.80 |
| Missouri | 7 | 127 | $78,735.70 | $106,089.50 | $166,358.00 | $29,092.70 | $35,258.97 | $41,670.50 | $27,625.20 | $34,194.05 | $40,570.90 |
| Tennessee | 8 | 152 | $90,784.50 | $135,295.89 | $185,781.00 | $23,106.60 | $35,808.95 | $43,947.30 | $20,722.70 | $33,339.24 | $41,684.30 |
| Alabama | 5 | 84 | $70,809.80 | $171,927.94 | $329,090.00 | $30,503.00 | $36,105.66 | $44,294.50 | $23,980.10 | $32,106.23 | $38,494.80 |
| Louisiana | 2 | 42 | $150,052.00 | $159,959.64 | $164,401.00 | $36,152.30 | $44,295.57 | $47,946.00 | $34,682.80 | $36,409.40 | $37,183.40 |
| Delaware | 1 | 20 | $93,951.20 | $93,951.20 | $93,951.20 | $48,323.60 | $48,323.60 | $48,323.60 | $38,958.90 | $38,958.90 | $38,958.90 |
| Rhode Island | 1 | 15 | $140,331.00 | $140,331.00 | $140,331.00 | $49,227.90 | $49,227.90 | $49,227.90 | $41,805.40 | $41,805.40 | $41,805.40 |
| New Jersey | 8 | 109 | $137,325.00 | $225,164.71 | $304,153.00 | $33,023.10 | $43,666.79 | $49,831.60 | $30,242.90 | $39,949.18 | $46,068.40 |
| Ohio | 9 | 181 | $78,286.90 | $161,487.43 | $221,845.00 | $33,282.80 | $43,668.89 | $50,140.30 | $24,468.10 | $36,400.40 | $44,152.60 |
| Kansas | 2 | 48 | $228,411.00 | $231,080.88 | $233,340.00 | $46,812.00 | $49,244.25 | $51,302.30 | $42,112.00 | $42,344.60 | $42,619.50 |
| Indiana | 5 | 118 | $96,577.50 | $153,258.92 | $180,524.00 | $31,736.20 | $45,516.91 | $51,638.50 | $27,700.80 | $37,658.57 | $43,209.20 |
| Kentucky | 4 | 72 | $81,260.00 | $141,740.10 | $178,742.00 | $32,331.50 | $39,312.19 | $51,768.80 | $30,116.00 | $35,400.06 | $43,385.00 |
| South Carolina | 6 | 103 | $122,800.00 | $178,213.90 | $274,358.00 | $28,295.80 | $43,687.09 | $51,814.80 | $27,350.20 | $39,649.93 | $47,448.40 |
| Illinois | 11 | 152 | $95,885.10 | $162,959.39 | $261,064.00 | $27,726.00 | $41,128.05 | $52,633.20 | $26,889.10 | $38,308.60 | $50,158.40 |
| Connecticut | 2 | 39 | $150,231.00 | $164,923.31 | $178,881.00 | $53,913.70 | $54,053.39 | $54,186.10 | $37,024.30 | $43,189.65 | $49,679.50 |
| Texas | 14 | 276 | $94,893.40 | $149,396.20 | $231,606.00 | $29,817.90 | $39,033.33 | $54,344.50 | $24,635.90 | $34,331.43 | $49,094.60 |
| Nebraska | 2 | 31 | $129,762.00 | $196,718.13 | $268,138.00 | $50,978.80 | $53,105.65 | $55,374.30 | $37,457.40 | $41,033.45 | $44,847.90 |
| Iowa | 2 | 30 | $104,646.00 | $119,488.30 | $145,125.00 | $33,941.10 | $48,424.86 | $56,810.20 | $29,603.10 | $34,032.32 | $36,596.60 |
| Minnesota | 5 | 112 | $106,670.00 | $131,004.68 | $184,866.00 | $37,223.90 | $51,538.75 | $59,705.70 | $35,193.90 | $43,878.27 | $49,009.40 |
| Wisconsin | 4 | 67 | $146,648.00 | $181,904.51 | $235,402.00 | $49,930.50 | $55,544.46 | $59,976.20 | $31,558.70 | $45,766.94 | $55,879.10 |
| Pennsylvania | 11 | 212 | $99,459.10 | $245,507.28 | $420,865.00 | $33,377.10 | $48,956.70 | $60,197.30 | $20,879.70 | $38,386.13 | $44,392.30 |
| Utah | 3 | 38 | $83,777.20 | $110,116.52 | $139,462.00 | $26,034.50 | $45,709.56 | $60,288.40 | $24,850.80 | $33,867.93 | $45,291.00 |
| New Hampshire | 1 | 11 | $131,208.00 | $131,208.00 | $131,208.00 | $60,341.40 | $60,341.40 | $60,341.40 | $50,583.10 | $50,583.10 | $50,583.10 |
| North Carolina | 9 | 193 | $76,090.10 | $132,066.39 | $202,928.00 | $31,646.00 | $48,148.94 | $60,520.90 | $27,811.70 | $39,892.25 | $51,005.20 |
| Oregon | 2 | 34 | $102,282.00 | $125,965.00 | $149,648.00 | $55,874.50 | $58,316.65 | $60,758.80 | $45,075.10 | $49,151.35 | $53,227.60 |
| Georgia | 5 | 84 | $146,798.00 | $161,756.27 | $188,131.00 | $35,453.00 | $44,180.84 | $61,143.00 | $34,347.20 | $37,610.58 | $43,059.70 |
| Massachusetts | 6 | 134 | $63,589.90 | $169,598.54 | $245,952.00 | $36,992.90 | $56,339.73 | $61,848.90 | $36,111.50 | $51,133.02 | $56,320.80 |
| Washington DC | 1 | 18 | $226,597.00 | $226,597.00 | $226,597.00 | $63,529.40 | $63,529.40 | $63,529.40 | $53,593.60 | $53,593.60 | $53,593.60 |
| Michigan | 11 | 182 | $60,810.60 | $93,747.36 | $119,370.00 | $30,586.00 | $45,470.70 | $65,923.50 | $29,665.90 | $36,599.43 | $45,496.10 |
| Maryland | 4 | 76 | $40,717.30 | $59,075.48 | $72,661.50 | $37,993.00 | $54,561.44 | $66,858.40 | $31,031.50 | $51,214.35 | $62,164.20 |
| Arizona | 6 | 81 | $160,243.00 | $198,026.43 | $294,093.00 | $32,978.50 | $48,036.14 | $67,154.60 | $32,265.80 | $41,596.35 | $48,298.50 |
| Virginia | 8 | 149 | $66,329.00 | $165,562.16 | $302,828.00 | $33,294.20 | $46,238.79 | $67,260.70 | $27,879.90 | $36,827.38 | $59,735.40 |
| Washington | 3 | 44 | $78,468.60 | $163,739.18 | $272,978.00 | $39,436.60 | $58,464.61 | $74,808.80 | $38,657.50 | $56,056.90 | $72,552.60 |
| Oklahoma | 6 | 90 | $70,073.80 | $194,571.26 | $400,888.00 | $30,947.20 | $46,273.44 | $76,438.10 | $25,455.80 | $37,760.26 | $55,998.40 |
| Florida | 20 | 296 | $87,267.50 | $174,897.58 | $274,656.00 | $27,838.90 | $39,403.85 | $79,848.60 | $18,220.10 | $34,570.31 | $57,977.60 |
| New York | 14 | 263 | $77,110.60 | $188,915.81 | $393,144.00 | $34,570.10 | $58,750.83 | $86,488.50 | $30,713.00 | $51,064.73 | $75,303.00 |
| California | 10 | 183 | $200,613.00 | $450,131.09 | $696,193.00 | $43,974.60 | $79,710.98 | $115,059.00 | $42,943.80 | $71,677.91 | $105,522.00 | TOTAL US | 235 | 4,107 | $40,717.30 | $171.530,78 | $696,193.00 | $23,106.60 | $46.902,22 | $115,059.00 | $18,220.10 | $40.560,39 | $105,522.00 |
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.