Hospital Costs > Uncomplicated Peptic Ulcer W/O 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 | 2 | 26 | $25,250.90 | $26,876.46 | $28,269.80 | $4,785.67 | $4,959.31 | $5,108.14 | $3,681.67 | $4,124.85 | $4,504.71 |
| New Jersey | 1 | 16 | $45,793.70 | $45,793.70 | $45,793.70 | $5,200.50 | $5,200.50 | $5,200.50 | $3,992.50 | $3,992.50 | $3,992.50 |
| Georgia | 1 | 11 | $36,796.10 | $36,796.10 | $36,796.10 | $5,519.36 | $5,519.36 | $5,519.36 | $4,514.82 | $4,514.82 | $4,514.82 |
| Virginia | 1 | 12 | $41,180.30 | $41,180.30 | $41,180.30 | $5,552.17 | $5,552.17 | $5,552.17 | $4,551.75 | $4,551.75 | $4,551.75 |
| Florida | 5 | 125 | $32,300.80 | $37,876.92 | $62,766.20 | $4,633.93 | $5,946.74 | $7,106.35 | $3,351.60 | $4,571.31 | $6,210.35 |
| North Carolina | 1 | 12 | $15,890.80 | $15,890.80 | $15,890.80 | $6,094.75 | $6,094.75 | $6,094.75 | $4,890.58 | $4,890.58 | $4,890.58 |
| Michigan | 2 | 34 | $14,936.70 | $18,684.41 | $21,307.80 | $5,338.35 | $6,447.35 | $8,031.64 | $4,554.35 | $5,661.24 | $7,242.50 |
| Indiana | 3 | 38 | $25,843.50 | $29,520.19 | $35,304.80 | $5,092.13 | $6,602.74 | $9,587.82 | $4,211.17 | $5,187.45 | $7,574.09 |
| Kentucky | 1 | 11 | $20,009.60 | $20,009.60 | $20,009.60 | $6,762.64 | $6,762.64 | $6,762.64 | $5,276.82 | $5,276.82 | $5,276.82 |
| Tennessee | 1 | 12 | $20,527.90 | $20,527.90 | $20,527.90 | $6,874.67 | $6,874.67 | $6,874.67 | $5,629.67 | $5,629.67 | $5,629.67 |
| California | 2 | 24 | $28,114.30 | $57,989.06 | $93,295.60 | $6,691.69 | $8,019.00 | $9,587.64 | $6,137.85 | $6,727.96 | $7,425.36 |
| New York | 2 | 28 | $30,701.80 | $33,376.66 | $35,382.80 | $10,338.40 | $10,460.63 | $10,623.60 | $8,497.56 | $8,602.11 | $8,741.50 | TOTAL US | 22 | 349 | $14,936.70 | $33.826,57 | $93,295.60 | $4,633.93 | $6.499,49 | $10,623.60 | $3,351.60 | $5.223,63 | $8,741.50 |
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.