Major Small & Large Bowel Procedures W Cc - costs for treatment

Hospital Costs > Major Small & Large Bowel Procedures W Cc - costs for treatment

Major Small & Large Bowel Procedures W Cc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMaxMinAvg Max
Alabama321,029$26,999.70$70,478.18$156,932.00$12,167.70$14,400.85$19,686.50$10,532.60$12,585.32$15,867.20
Arkansas20616$21,966.00$54,345.94$122,575.00$13,288.10$15,026.65$21,472.60$10,915.70$13,045.75$17,318.00
Louisiana26654$27,304.30$66,511.48$143,446.00$11,649.00$16,520.09$25,886.50$10,831.20$13,117.52$23,211.50
Tennessee311,068$25,885.60$61,047.34$146,978.00$12,848.60$15,498.33$20,596.00$9,830.39$13,235.48$18,552.10
Mississippi21628$28,082.90$57,159.97$135,097.00$13,713.40$14,974.90$26,460.60$11,518.00$13,303.96$21,365.30
Oklahoma20573$29,372.80$58,766.02$114,364.00$12,348.70$16,033.41$26,356.80$10,817.00$13,492.24$19,476.00
Florida1093,504$36,953.60$102,326.00$234,526.00$12,364.50$16,399.86$36,985.90$8,607.91$13,809.13$24,699.10
Kansas16509$33,789.00$67,453.17$105,364.00$13,306.90$16,398.87$23,389.20$11,231.20$13,906.53$21,438.80
Texas952,745$39,618.70$83,147.33$184,417.00$13,620.60$17,097.95$35,097.10$10,728.50$14,002.18$22,712.90
Ohio631,721$23,900.30$64,933.42$106,329.00$12,990.80$17,765.94$26,456.80$10,816.20$14,242.36$21,814.90
Iowa21606$34,633.80$54,166.52$77,871.70$12,998.60$16,635.83$24,071.50$11,832.20$14,271.23$20,002.10
Virginia411,266$31,825.90$68,642.61$176,124.00$13,399.10$17,388.51$34,005.40$11,361.30$14,281.23$24,233.40
Missouri361,200$27,636.80$61,302.33$150,708.00$12,789.90$16,149.36$32,624.40$11,259.70$14,304.67$23,222.40
Kentucky30833$35,108.80$60,375.31$139,923.00$13,563.30$16,839.20$24,263.60$10,325.80$14,311.24$19,931.80
North Dakota6202$27,961.70$40,628.95$46,610.20$15,158.50$16,459.87$17,062.00$13,697.60$14,344.17$15,938.60
Georgia471,366$42,855.70$65,894.76$149,669.00$12,922.80$16,671.58$28,615.60$11,966.50$14,433.82$25,881.50
South Carolina24814$43,555.70$81,334.51$160,803.00$12,677.10$18,101.64$28,150.90$11,305.80$14,439.67$20,134.30
Indiana441,219$30,556.90$66,944.47$114,960.00$13,790.90$17,031.59$25,543.40$12,042.90$14,449.93$22,093.90
North Carolina471,627$31,471.90$55,684.28$87,357.60$13,881.60$17,932.35$25,683.80$10,886.00$14,659.25$18,997.40
Nebraska15470$39,193.80$64,073.51$157,478.00$15,208.70$18,152.97$29,730.10$10,908.20$14,765.12$23,097.40
Montana8190$33,502.80$41,662.52$54,994.90$14,531.30$16,301.29$18,034.90$13,627.30$14,845.20$15,642.60
Maine11320$35,724.20$43,177.14$66,418.10$14,098.50$17,151.44$23,213.90$13,043.80$14,977.42$17,422.20
Colorado26577$42,156.00$82,763.53$133,307.00$14,654.70$17,180.92$27,066.70$12,209.70$15,094.42$25,969.90
West Virginia12296$31,321.40$54,505.24$84,280.70$14,050.40$17,905.13$26,272.90$11,315.50$15,126.63$22,144.20
Arizona31882$56,023.70$82,697.94$205,938.00$13,698.90$18,013.48$26,005.80$12,285.40$15,173.99$24,474.80
Illinois732,140$35,039.00$76,601.14$156,194.00$12,937.00$19,126.29$54,752.50$11,437.10$15,279.38$51,435.90
Utah8214$37,151.80$50,644.26$71,421.50$14,980.30$18,351.76$22,764.60$13,515.20$15,334.79$18,962.60
Pennsylvania671,961$24,318.00$93,438.72$343,542.00$12,648.30$19,151.13$39,848.20$11,108.00$15,476.06$29,971.20
Wisconsin35834$28,182.40$61,333.17$95,820.50$14,369.40$19,156.26$26,351.40$9,731.23$15,476.08$22,510.70
Idaho7182$48,183.00$58,054.10$70,088.90$15,572.70$18,328.47$20,231.60$14,395.70$15,586.73$18,998.40
Nevada10235$62,419.20$98,973.47$137,826.00$15,798.40$17,942.85$27,583.20$13,657.50$15,693.39$23,450.70
South Dakota7259$30,767.60$63,426.09$84,130.30$15,485.50$17,993.34$20,295.20$12,483.80$15,995.55$19,141.50
Michigan501,600$28,892.10$49,944.74$100,758.00$14,036.50$18,331.64$26,590.90$11,625.80$16,027.23$24,061.80
Delaware4229$38,784.60$47,367.67$75,598.50$15,351.80$18,639.95$19,620.60$14,143.20$16,244.79$16,748.10
Washington32872$37,970.40$73,655.44$114,663.00$15,939.80$19,968.32$27,651.50$13,007.30$16,604.41$23,630.50
Minnesota25991$34,308.70$53,969.05$82,835.40$15,224.70$19,858.89$28,375.20$13,545.20$16,638.62$20,976.40
New Jersey451,572$61,147.90$110,271.43$255,984.00$14,834.20$19,216.10$37,504.50$13,265.80$16,671.80$31,761.80
Rhode Island8197$29,748.10$52,638.14$68,062.90$15,477.50$19,277.94$23,767.90$13,279.80$16,851.64$20,130.60
New Hampshire11253$41,670.30$62,776.79$91,613.50$15,084.80$19,999.42$25,172.00$14,007.80$16,945.84$19,685.20
Oregon17443$32,961.50$58,149.07$82,107.70$16,828.30$20,501.01$26,966.40$12,939.00$17,501.26$25,955.70
Washington DC5159$44,796.80$85,357.62$99,916.80$16,008.10$22,830.12$28,602.90$14,028.30$18,250.88$22,420.70
Connecticut18671$30,552.60$65,078.55$103,093.00$16,297.40$21,564.11$25,732.80$14,162.30$18,255.57$20,649.20
New Mexico5132$52,135.40$58,566.82$85,961.00$14,502.80$20,420.25$27,790.30$13,190.00$18,334.62$23,954.50
Vermont269$39,953.30$42,105.51$45,893.40$20,447.00$20,786.02$21,382.70$18,049.90$18,927.26$20,471.40
Wyoming233$45,658.10$60,894.68$81,572.90$15,749.40$19,888.18$25,505.10$14,922.40$19,008.62$24,554.20
New York772,326$23,330.40$73,337.29$160,933.00$13,673.40$22,634.11$35,229.70$11,898.60$19,107.05$30,971.00
Massachusetts361,353$15,835.60$49,502.39$96,874.90$17,002.90$21,974.10$29,906.20$14,704.80$19,358.61$27,382.10
California1213,135$69,746.80$139,153.66$297,226.00$15,288.90$23,587.63$38,068.40$14,283.60$20,176.02$33,184.50
Hawaii590$54,987.40$68,475.88$102,459.00$19,407.60$25,568.83$33,520.00$17,794.50$21,633.20$32,613.30
Maryland321,095$17,706.40$28,275.11$43,884.90$16,429.80$26,121.68$40,811.90$14,687.70$24,080.51$36,571.10
Alaska586$55,298.10$95,826.42$124,199.00$20,667.80$27,551.70$35,233.30$19,459.20$24,884.11$34,113.30
TOTAL US1,53946,046$15,835.60$75.322,76$343,542.00$11,649.00$18.671,76$54,752.50$8,607.91$15.780,32$51,435.90

DATA

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.





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