Hospital Costs > Stomach, Esophageal & Duodenal Proc 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 |
| Utah | 1 | 26 | $14,976.80 | $14,976.80 | $14,976.80 | $13,133.00 | $13,133.00 | $13,133.00 | $10,714.80 | $10,714.80 | $10,714.80 |
| Montana | 1 | 18 | $21,160.50 | $21,160.50 | $21,160.50 | $12,247.50 | $12,247.50 | $12,247.50 | $7,407.72 | $7,407.72 | $7,407.72 |
| Delaware | 1 | 25 | $22,409.60 | $22,409.60 | $22,409.60 | $11,634.40 | $11,634.40 | $11,634.40 | $9,380.80 | $9,380.80 | $9,380.80 |
| Maine | 2 | 49 | $22,904.00 | $24,546.14 | $25,203.00 | $9,765.07 | $10,839.81 | $11,269.70 | $8,688.00 | $9,197.35 | $9,401.09 |
| West Virginia | 1 | 40 | $28,743.40 | $28,743.40 | $28,743.40 | $10,323.10 | $10,323.10 | $10,323.10 | $8,449.28 | $8,449.28 | $8,449.28 |
| Idaho | 1 | 24 | $31,691.80 | $31,691.80 | $31,691.80 | $13,133.00 | $13,133.00 | $13,133.00 | $8,458.96 | $8,458.96 | $8,458.96 |
| Vermont | 1 | 20 | $32,718.20 | $32,718.20 | $32,718.20 | $12,987.50 | $12,987.50 | $12,987.50 | $11,584.50 | $11,584.50 | $11,584.50 |
| Mississippi | 2 | 22 | $24,714.10 | $29,943.00 | $35,171.90 | $8,838.27 | $9,026.82 | $9,215.36 | $4,463.64 | $6,088.50 | $7,713.36 |
| Maryland | 4 | 112 | $10,997.10 | $20,423.53 | $35,378.40 | $10,152.00 | $18,923.08 | $32,611.70 | $9,082.16 | $17,157.44 | $31,559.70 |
| Minnesota | 3 | 111 | $20,056.40 | $32,568.98 | $36,345.70 | $11,078.50 | $13,338.41 | $14,282.40 | $7,541.93 | $9,583.90 | $10,398.00 |
| New Hampshire | 1 | 18 | $36,741.60 | $36,741.60 | $36,741.60 | $15,003.50 | $15,003.50 | $15,003.50 | $10,230.50 | $10,230.50 | $10,230.50 |
| Oregon | 3 | 82 | $33,410.70 | $35,875.76 | $41,568.90 | $9,929.55 | $13,374.22 | $16,259.80 | $8,646.36 | $10,582.54 | $13,532.20 |
| Louisiana | 4 | 68 | $26,986.80 | $34,435.34 | $42,597.90 | $8,629.08 | $10,672.04 | $14,763.40 | $6,580.32 | $7,379.82 | $8,384.29 |
| Michigan | 7 | 142 | $20,957.90 | $35,344.58 | $47,254.30 | $9,935.73 | $12,438.83 | $15,092.20 | $7,563.18 | $9,428.14 | $11,963.40 |
| Georgia | 8 | 154 | $22,861.80 | $36,140.12 | $49,904.70 | $8,141.50 | $10,135.85 | $13,165.10 | $6,938.83 | $8,247.08 | $9,883.58 |
| Connecticut | 4 | 82 | $29,281.60 | $41,151.09 | $50,520.40 | $12,026.20 | $14,769.21 | $16,736.20 | $10,301.60 | $11,929.12 | $13,619.10 |
| Iowa | 2 | 39 | $39,572.90 | $44,012.09 | $51,114.80 | $10,552.10 | $12,577.15 | $13,842.80 | $7,546.87 | $10,578.27 | $12,472.90 |
| Arkansas | 5 | 98 | $31,449.10 | $41,632.35 | $51,255.20 | $7,657.95 | $9,588.38 | $15,479.10 | $6,501.38 | $7,795.10 | $11,675.70 |
| South Carolina | 5 | 83 | $41,212.80 | $46,452.49 | $52,306.50 | $8,646.55 | $11,151.97 | $14,205.40 | $7,510.36 | $9,223.28 | $11,151.60 |
| South Dakota | 1 | 24 | $54,526.60 | $54,526.60 | $54,526.60 | $10,423.40 | $10,423.40 | $10,423.40 | $8,287.67 | $8,287.67 | $8,287.67 |
| Ohio | 6 | 116 | $26,897.70 | $47,026.67 | $55,672.40 | $10,145.90 | $12,596.23 | $13,968.20 | $6,145.73 | $9,087.70 | $11,612.70 |
| Missouri | 5 | 102 | $28,716.90 | $39,283.38 | $57,508.70 | $9,441.39 | $11,477.77 | $13,566.30 | $5,695.00 | $8,565.64 | $9,860.45 |
| Wisconsin | 2 | 52 | $43,570.30 | $49,606.99 | $58,518.30 | $16,390.30 | $17,117.91 | $17,610.80 | $10,078.00 | $10,777.83 | $11,251.90 |
| North Carolina | 11 | 206 | $22,857.10 | $39,356.34 | $60,334.10 | $8,710.50 | $11,601.44 | $15,047.80 | $5,853.50 | $8,865.01 | $11,566.70 |
| Tennessee | 6 | 106 | $20,621.60 | $44,766.26 | $61,237.10 | $7,880.00 | $9,760.40 | $12,788.30 | $6,143.33 | $8,322.24 | $10,991.80 |
| Oklahoma | 3 | 42 | $32,025.80 | $42,916.41 | $61,370.60 | $8,435.93 | $9,168.41 | $10,784.30 | $7,240.20 | $7,591.24 | $8,443.27 |
| Illinois | 6 | 140 | $24,221.20 | $43,559.33 | $67,178.10 | $9,495.45 | $12,449.83 | $17,258.50 | $7,678.10 | $9,468.99 | $12,662.50 |
| Kentucky | 7 | 132 | $14,520.00 | $38,641.85 | $68,000.60 | $7,563.62 | $10,201.59 | $13,743.70 | $6,307.29 | $8,495.25 | $10,760.30 |
| Indiana | 5 | 97 | $30,783.80 | $55,765.92 | $69,596.50 | $8,383.18 | $12,184.15 | $14,754.70 | $7,470.64 | $9,493.45 | $11,345.80 |
| Colorado | 5 | 88 | $39,038.80 | $60,189.20 | $72,402.80 | $9,585.33 | $11,403.76 | $15,496.30 | $7,711.08 | $8,873.73 | $12,607.30 |
| New York | 17 | 364 | $17,029.80 | $43,573.01 | $76,736.70 | $9,716.06 | $15,041.33 | $18,852.10 | $7,788.65 | $11,954.48 | $16,493.60 |
| Kansas | 1 | 17 | $77,897.30 | $77,897.30 | $77,897.30 | $11,695.00 | $11,695.00 | $11,695.00 | $10,559.90 | $10,559.90 | $10,559.90 |
| New Jersey | 4 | 73 | $37,998.70 | $54,496.52 | $81,753.80 | $10,992.30 | $12,316.26 | $13,453.60 | $8,621.72 | $10,539.61 | $11,502.90 |
| Arizona | 3 | 115 | $33,612.10 | $64,262.34 | $83,007.60 | $9,486.00 | $13,221.71 | $15,075.20 | $8,036.76 | $10,236.72 | $11,831.00 |
| Massachusetts | 7 | 163 | $18,894.80 | $50,095.35 | $83,485.10 | $11,272.40 | $14,997.58 | $16,126.50 | $10,175.60 | $12,694.18 | $14,194.10 |
| Alabama | 4 | 89 | $33,582.10 | $53,211.83 | $89,434.70 | $9,126.67 | $10,060.05 | $11,167.60 | $6,518.40 | $8,258.26 | $9,411.58 |
| Washington DC | 2 | 45 | $61,006.80 | $72,837.70 | $99,034.70 | $15,116.00 | $15,445.53 | $16,175.20 | $11,558.90 | $11,718.78 | $12,072.80 |
| Florida | 17 | 340 | $33,323.40 | $53,819.44 | $101,256.00 | $8,266.73 | $11,142.43 | $19,719.80 | $6,959.14 | $8,791.94 | $16,687.90 |
| Texas | 19 | 302 | $21,945.40 | $49,439.55 | $102,049.00 | $8,129.00 | $10,694.79 | $21,203.90 | $6,737.23 | $8,195.56 | $12,988.80 |
| Virginia | 12 | 253 | $15,485.90 | $52,368.75 | $109,253.00 | $7,948.69 | $11,488.71 | $18,130.30 | $6,071.45 | $8,991.50 | $15,497.10 |
| Pennsylvania | 11 | 235 | $24,828.80 | $68,010.21 | $112,256.00 | $8,637.73 | $13,896.17 | $19,314.10 | $7,245.00 | $10,479.13 | $12,751.50 |
| Nebraska | 2 | 36 | $32,554.80 | $84,754.07 | $114,258.00 | $11,600.60 | $15,304.49 | $17,398.00 | $10,383.10 | $12,354.71 | $13,469.10 |
| Washington | 8 | 178 | $25,418.70 | $46,387.56 | $118,982.00 | $10,317.90 | $14,112.21 | $20,858.40 | $8,898.29 | $10,732.59 | $13,273.30 |
| California | 17 | 331 | $41,681.20 | $76,915.49 | $141,698.00 | $9,869.11 | $14,481.72 | $20,502.80 | $8,576.18 | $11,967.93 | $17,103.60 | TOTAL US | 237 | 4,859 | $10,997.10 | $48.381,52 | $141,698.00 | $7,563.62 | $12.592,91 | $32,611.70 | $4,463.64 | $9.932,60 | $31,559.70 |
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.