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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMin AvgMaxMinAvgMaxMinAvgMax
Maryland29650$28,703.20$47,712.02$82,773.20$26,559.10$43,993.19$76,266.60$24,243.60$42,090.61$75,463.90
Arkansas19396$34,361.60$105,862.75$270,832.00$23,394.00$30,158.56$51,857.00$21,061.70$27,161.21$38,230.20
New York631,738$36,084.90$156,711.34$450,192.00$26,038.40$48,515.86$102,646.00$24,975.40$42,590.36$86,448.80
Rhode Island6108$40,992.20$119,778.86$203,368.00$30,671.00$39,982.49$47,343.10$28,668.40$37,527.68$45,987.40
Wisconsin27512$42,344.30$111,752.80$177,183.00$23,421.40$37,253.08$52,982.70$22,314.80$34,126.26$45,261.10
Alabama26664$43,297.50$142,093.35$313,181.00$25,842.10$29,923.29$37,743.60$23,915.70$27,968.39$32,961.10
Virginia37874$44,404.90$134,475.72$318,236.00$25,312.70$36,382.66$74,825.70$23,438.10$31,965.39$64,280.10
Michigan461,249$44,665.30$97,778.98$210,801.00$25,004.80$37,077.02$56,911.00$23,996.80$33,950.87$53,356.70
West Virginia11234$44,857.90$97,366.98$119,041.00$24,676.40$35,645.80$46,593.40$23,322.30$31,184.35$38,367.70
Massachusetts30829$46,068.60$88,921.20$191,576.00$32,092.50$42,752.78$65,623.20$29,688.90$39,314.67$59,867.00
Ohio571,353$48,039.50$122,937.01$256,430.00$22,261.80$34,343.17$53,266.80$17,940.80$29,275.57$44,699.50
Pennsylvania561,357$49,080.80$185,333.26$520,110.00$23,302.50$37,142.65$68,436.40$21,549.80$32,313.70$53,615.30
Washington26526$51,910.10$131,706.06$225,244.00$30,253.00$39,824.67$58,463.50$29,244.30$35,682.91$45,594.60
Kentucky22619$52,475.60$114,790.93$200,020.00$26,012.90$35,185.12$61,425.20$23,370.50$30,834.39$45,530.90
Tennessee28775$55,394.80$120,209.63$269,502.00$24,813.40$30,293.10$37,198.20$22,484.80$28,017.53$35,406.20
Connecticut19412$58,425.30$128,786.88$207,491.00$34,261.20$43,840.71$59,548.60$28,893.10$40,145.00$53,558.10
Oklahoma19475$58,697.50$141,592.05$432,618.00$23,234.40$35,545.43$83,203.20$22,410.40$32,564.64$80,716.40
Minnesota22573$58,806.50$115,652.06$172,601.00$29,326.80$43,805.74$59,100.10$23,885.40$38,125.82$49,655.20
Maine6147$59,668.40$86,515.37$101,291.00$27,628.90$34,009.00$39,519.40$26,516.30$31,755.75$36,434.00
North Dakota6137$60,346.80$83,035.69$99,020.00$29,741.10$33,051.43$37,268.20$28,498.60$31,644.71$35,891.20
Indiana35875$60,431.40$128,739.42$225,373.00$25,505.80$35,277.51$63,696.40$21,556.30$32,385.93$49,915.90
New Hampshire7178$61,432.40$109,037.25$141,961.00$29,559.60$41,765.22$53,341.90$28,678.80$38,577.21$46,074.00
Missouri31812$61,667.40$117,175.80$285,176.00$26,136.70$32,652.05$40,239.40$23,369.00$30,633.36$39,207.80
Utah9174$61,870.30$90,220.98$148,273.00$28,319.10$34,635.42$49,002.30$22,340.90$31,243.45$42,635.60
Florida962,467$63,112.20$189,025.15$409,568.00$24,695.80$32,732.07$67,545.80$20,129.90$29,810.18$54,686.90
North Carolina371,020$63,813.10$109,182.40$178,434.00$22,299.70$37,227.89$58,101.90$20,919.90$31,944.08$45,247.10
Mississippi16419$63,940.80$127,541.56$364,357.00$25,182.50$31,861.29$50,115.90$24,288.60$29,518.04$44,645.30
Montana5100$63,965.60$78,080.09$85,443.90$29,595.50$31,648.11$35,208.40$28,292.80$30,128.82$33,010.40
Georgia40885$64,689.10$133,243.99$258,411.00$25,204.00$34,818.63$55,785.40$19,151.20$31,551.64$53,605.00
Texas842,008$64,721.50$161,390.88$411,719.00$24,178.00$34,629.19$75,729.90$20,626.40$30,468.63$64,466.20
Kansas12290$65,857.20$151,974.82$243,456.00$26,302.50$36,118.37$45,376.60$25,347.50$32,225.58$44,322.60
Iowa14354$67,945.10$101,566.47$166,298.00$23,966.00$33,158.69$44,888.60$23,117.90$30,330.71$39,191.20
Idaho7151$71,042.00$115,704.76$166,432.00$33,176.30$38,239.64$45,489.00$29,769.70$34,473.14$42,037.50
Vermont242$72,904.80$76,557.45$86,851.30$41,750.70$41,834.61$42,071.10$36,555.90$37,741.31$41,082.00
Oregon10212$73,121.60$102,025.29$125,892.00$33,706.00$41,756.06$57,298.40$32,902.20$38,711.52$50,500.90
Illinois651,491$74,473.30$147,960.75$235,055.00$25,898.60$37,512.45$59,985.70$23,419.00$32,649.03$48,684.90
Delaware4162$77,533.60$94,437.05$138,645.00$33,721.50$39,929.33$41,775.80$32,587.80$34,408.82$37,834.00
Louisiana22472$79,247.70$127,038.41$275,292.00$25,487.10$31,754.33$48,443.50$20,248.20$28,525.25$43,654.10
South Dakota5152$81,152.40$117,289.49$148,470.00$30,229.70$35,427.03$43,585.50$28,447.20$33,721.28$42,270.20
Colorado17354$85,677.80$166,886.48$262,149.00$26,887.80$35,875.64$54,518.10$26,010.20$32,882.70$45,646.30
Arizona29652$87,972.00$153,209.19$384,150.00$29,170.50$35,843.54$54,996.40$24,351.40$32,063.04$50,597.80
Washington DC5126$93,767.40$194,339.93$244,316.00$34,806.00$50,863.77$64,202.00$29,277.10$42,740.22$46,772.10
New Mexico7130$94,379.10$138,154.75$192,693.00$29,119.00$43,777.17$59,532.70$27,491.90$40,473.48$58,239.50
Wyoming125$94,601.80$94,601.80$94,601.80$30,381.70$30,381.70$30,381.70$29,607.30$29,607.30$29,607.30
Nebraska8238$97,828.00$128,781.72$179,776.00$30,438.70$37,825.99$46,358.20$24,777.30$33,310.52$42,135.50
South Carolina20540$98,278.50$174,726.12$316,117.00$27,394.10$38,268.05$70,206.80$26,235.90$33,613.35$50,908.20
Hawaii342$104,241.00$145,654.31$184,509.00$39,097.20$50,557.88$65,173.60$36,595.50$47,065.27$61,923.20
New Jersey471,320$105,951.00$225,885.82$591,529.00$27,633.20$38,143.76$55,657.70$25,306.50$34,829.00$49,612.40
Nevada9227$113,202.00$216,837.41$358,294.00$32,758.00$34,745.30$42,505.20$30,008.30$32,359.92$38,274.30
California972,028$121,235.00$280,074.26$754,077.00$33,565.30$49,825.32$118,496.00$29,308.10$46,328.54$108,919.00
Alaska345$159,701.00$180,686.20$204,593.00$45,308.90$51,928.21$57,210.20$31,277.60$42,980.99$54,383.60
TOTAL US1,30231,619$28,703.20$149.475,15$754,077.00$22,261.80$37.724,02$118,496.00$17,940.80$33.954,15$108,919.00

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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