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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvg MaxMinAvgMax
Alabama21488$18,878.40$54,393.17$105,493.00$8,537.50$9,823.81$13,254.30$6,368.00$7,744.25$9,365.38
Mississippi12292$25,951.10$37,100.48$90,254.50$9,091.53$9,932.58$17,827.20$5,678.07$7,867.84$13,847.20
Arkansas10211$19,921.80$40,082.05$73,723.40$8,611.27$9,938.36$14,410.80$6,687.53$7,847.86$10,473.40
Missouri22523$22,922.80$38,223.73$75,682.20$8,223.66$10,192.45$14,272.80$6,942.67$8,439.95$10,819.80
Tennessee22479$19,148.20$39,058.60$96,780.70$8,380.88$10,203.62$14,050.40$6,155.77$8,181.98$11,483.00
West Virginia483$27,770.40$32,917.69$44,967.20$9,015.69$10,374.46$11,417.80$7,438.06$8,520.90$9,269.76
Iowa8212$26,158.60$37,375.44$45,328.60$8,516.55$10,421.57$11,834.30$6,820.21$8,220.22$8,821.04
Louisiana11230$17,816.00$39,843.59$48,549.80$8,191.50$10,466.62$14,280.40$6,361.83$7,722.90$10,097.40
Kansas8187$25,591.40$50,004.51$67,774.10$8,953.05$10,531.75$11,915.30$6,468.50$8,441.93$10,532.40
North Dakota471$20,995.60$29,078.45$34,140.00$10,084.80$10,779.07$10,962.10$8,692.60$9,209.45$9,943.64
Georgia27604$26,474.80$41,227.38$57,978.90$8,957.85$10,842.73$21,468.60$6,986.38$8,528.00$12,648.50
Oklahoma9251$27,828.60$40,746.52$83,811.20$8,245.88$10,848.17$17,893.90$6,541.26$8,717.20$14,943.80
Kentucky14322$23,093.40$40,031.28$72,262.50$8,159.00$11,050.99$15,266.00$6,906.50$8,768.81$11,562.30
Nebraska7138$29,016.80$39,822.79$53,774.30$9,032.73$11,121.34$13,417.90$7,537.00$8,241.21$10,739.90
South Carolina21439$27,773.60$53,606.63$107,242.00$8,897.43$11,227.10$16,630.60$6,786.21$8,835.72$11,739.20
Virginia30736$22,114.30$49,308.60$115,435.00$8,892.77$11,236.97$17,861.60$6,843.29$8,721.84$12,369.40
Texas49967$22,509.40$49,065.14$93,413.70$8,490.88$11,259.52$19,032.20$6,295.73$8,541.86$12,495.40
Florida551,153$26,916.00$63,642.84$123,161.00$8,646.30$11,362.56$21,238.00$6,517.87$8,407.83$16,972.20
Indiana21443$31,829.10$49,945.01$75,345.20$9,091.36$11,379.68$15,519.50$7,230.07$8,912.69$12,392.10
Montana358$26,765.30$30,291.96$32,782.30$10,564.40$11,499.44$13,274.90$8,708.75$8,982.69$9,541.88
Nevada572$43,357.20$66,020.58$81,452.40$10,638.80$11,715.20$13,270.10$7,648.73$9,126.04$10,467.20
Idaho486$29,153.50$41,377.22$47,252.70$10,425.30$11,834.05$13,137.40$8,810.82$9,948.57$10,733.20
Ohio23467$17,496.80$47,370.57$76,450.30$8,943.85$11,835.07$15,587.00$6,833.33$9,104.98$12,341.40
Arizona12223$36,616.50$55,040.67$100,617.00$10,022.90$11,886.02$17,217.80$7,566.20$9,599.55$16,339.30
North Carolina25661$21,983.20$41,470.87$63,294.40$9,344.24$11,987.90$16,935.30$6,590.74$9,333.49$13,370.50
Delaware3122$26,666.80$33,216.24$46,908.90$10,174.70$12,073.03$12,930.80$8,637.11$9,904.55$10,569.70
South Dakota365$36,364.50$47,010.38$57,496.90$11,531.80$12,217.38$12,726.40$8,584.16$9,694.30$11,484.10
Colorado12245$43,501.70$63,347.61$116,428.00$9,522.47$12,273.74$25,122.40$8,096.73$10,353.39$23,911.80
Michigan26545$19,960.50$31,629.76$53,307.90$10,246.80$12,391.83$17,868.90$8,050.41$9,658.00$12,876.00
Rhode Island232$39,781.20$40,928.53$42,605.40$12,229.00$12,603.32$13,150.40$9,926.46$10,028.07$10,097.60
Wisconsin10166$31,742.90$44,145.82$53,773.90$9,583.33$12,648.68$16,640.10$6,652.80$9,974.11$12,142.80
New Jersey21493$34,881.20$66,541.38$138,250.00$10,295.00$12,808.02$16,172.00$7,857.18$9,968.25$13,267.80
Maine239$27,094.10$27,599.45$27,951.00$12,578.20$13,007.71$13,306.50$8,538.44$9,255.64$9,754.57
Pennsylvania26538$14,018.50$57,596.98$98,466.10$8,531.33$13,168.14$20,467.40$6,555.44$9,802.09$14,477.10
Utah691$25,684.80$34,544.69$52,707.60$10,611.70$13,201.25$16,555.90$6,743.94$9,106.28$13,245.70
Oregon8161$32,914.80$38,588.83$48,861.20$10,572.90$13,329.50$17,366.90$8,362.83$9,969.80$12,797.60
Washington17296$22,049.50$53,188.74$89,948.20$11,091.10$13,522.96$20,873.10$8,170.05$10,307.85$15,244.20
Illinois24465$30,694.30$50,029.78$82,084.70$9,178.45$13,883.20$33,208.50$7,140.29$10,573.86$30,624.60
New Mexico351$29,056.00$38,058.58$60,366.90$12,429.40$13,918.24$17,808.00$9,336.57$11,322.54$14,913.00
Minnesota10234$27,934.80$36,188.55$42,282.70$10,391.10$13,972.66$15,529.30$7,594.21$10,000.31$11,819.70
Vermont124$25,799.20$25,799.20$25,799.20$14,073.10$14,073.10$14,073.10$11,914.70$11,914.70$11,914.70
Wyoming227$33,692.00$39,404.72$43,974.90$12,448.70$14,569.37$16,265.90$8,266.83$10,656.42$12,568.10
Washington DC4111$27,936.60$57,535.98$88,383.40$10,718.40$14,813.02$18,748.80$7,292.07$10,674.19$13,655.10
Connecticut13291$26,379.80$45,706.54$74,999.90$12,223.70$14,851.33$18,301.60$10,033.00$12,062.18$13,152.70
New Hampshire463$26,908.00$41,575.60$49,284.60$11,082.60$14,895.16$19,228.70$7,786.64$10,117.40$12,307.10
Massachusetts20518$16,554.10$34,000.60$69,478.00$11,938.40$14,977.21$18,723.10$9,513.06$12,738.46$16,473.20
California46887$47,616.30$88,510.49$139,802.00$11,288.50$15,241.52$25,384.20$9,082.19$12,465.38$23,063.50
New York35784$18,060.50$47,523.95$87,650.80$9,665.00$15,544.43$21,039.30$6,562.64$12,196.73$18,480.00
Maryland21420$12,413.10$18,921.17$30,259.60$11,494.90$17,617.53$29,531.70$10,065.60$15,506.33$24,773.80
Alaska230$55,260.80$73,665.23$87,739.20$16,206.40$18,075.72$19,505.20$11,776.60$15,554.57$18,443.60
Hawaii228$32,198.40$38,811.47$47,628.90$16,200.80$18,263.66$19,810.80$8,773.25$9,221.07$9,556.94
TOTAL US75016,122$12,413.10$48.672,41$139,802.00$8,159.00$12.357,09$33,208.50$5,678.07$9.705,07$30,624.60

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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