Other Digestive System O.R. Procedures W Cc - costs for treatment

Hospital Costs > Other Digestive System O.R. Procedures W Cc - costs for treatment

Other Digestive System O.R. Procedures W Cc - costs for treatment


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvgMax MinAvgMax
Arkansas112$47,262.40$47,262.40$47,262.40$12,130.30$12,130.30$12,130.30$9,791.00$9,791.00$9,791.00
Oklahoma113$40,277.10$40,277.10$40,277.10$12,808.10$12,808.10$12,808.10$11,907.50$11,907.50$11,907.50
Alabama222$50,501.30$51,013.50$51,525.70$11,684.60$12,286.55$12,888.50$11,024.30$11,630.60$12,236.90
Georgia111$60,662.40$60,662.40$60,662.40$14,039.40$14,039.40$14,039.40$12,923.10$12,923.10$12,923.10
South Dakota112$65,667.80$65,667.80$65,667.80$14,217.00$14,217.00$14,217.00$12,941.50$12,941.50$12,941.50
Nevada114$55,535.10$55,535.10$55,535.10$15,503.10$15,503.10$15,503.10$14,364.60$14,364.60$14,364.60
Delaware121$32,332.40$32,332.40$32,332.40$16,135.00$16,135.00$16,135.00$14,372.00$14,372.00$14,372.00
West Virginia225$35,343.80$50,268.42$64,045.00$12,992.20$14,701.44$16,279.20$11,554.30$12,437.62$13,253.00
Maine131$34,440.90$34,440.90$34,440.90$16,530.50$16,530.50$16,530.50$13,246.20$13,246.20$13,246.20
Virginia120$43,515.10$43,515.10$43,515.10$16,700.90$16,700.90$16,700.90$14,493.70$14,493.70$14,493.70
Missouri122$54,206.50$54,206.50$54,206.50$17,302.80$17,302.80$17,302.80$16,592.90$16,592.90$16,592.90
Kansas112$86,000.80$86,000.80$86,000.80$17,755.70$17,755.70$17,755.70$16,438.30$16,438.30$16,438.30
Tennessee460$46,442.00$53,449.88$70,107.40$12,031.90$14,382.19$17,771.20$9,083.83$12,325.00$14,932.20
Washington DC112$62,872.80$62,872.80$62,872.80$17,930.80$17,930.80$17,930.80$15,649.40$15,649.40$15,649.40
Louisiana227$53,652.30$54,515.31$55,444.70$11,970.90$15,044.34$18,354.20$10,744.50$12,433.63$14,252.70
Iowa118$47,249.70$47,249.70$47,249.70$18,958.00$18,958.00$18,958.00$17,405.90$17,405.90$17,405.90
New Jersey341$64,742.70$88,025.73$138,126.00$14,187.00$16,622.99$19,018.70$13,388.50$15,274.49$16,978.40
Arizona112$60,811.00$60,811.00$60,811.00$19,025.00$19,025.00$19,025.00$12,900.90$12,900.90$12,900.90
Florida7126$53,657.90$74,278.54$98,540.70$11,481.60$14,636.96$19,781.50$10,797.60$13,236.02$17,379.20
South Carolina113$77,939.50$77,939.50$77,939.50$19,801.90$19,801.90$19,801.90$16,372.60$16,372.60$16,372.60
North Carolina9126$27,925.50$47,480.64$60,859.40$13,152.20$16,240.22$20,233.80$10,783.00$13,256.38$15,761.10
New Hampshire114$40,701.60$40,701.60$40,701.60$20,307.40$20,307.40$20,307.40$16,879.90$16,879.90$16,879.90
Ohio225$42,035.10$59,945.61$82,740.80$15,809.90$17,908.83$20,580.20$12,481.60$14,167.50$16,313.20
Washington222$69,340.80$80,726.50$92,112.20$20,132.40$20,386.35$20,640.30$16,364.40$16,458.95$16,553.50
Texas574$31,209.50$69,785.72$100,146.00$14,358.90$16,259.39$20,846.00$10,125.20$12,384.30$13,780.70
Illinois674$50,403.80$76,448.79$91,313.30$12,698.10$18,569.47$21,734.30$9,319.00$13,576.29$18,770.40
Massachusetts459$31,270.40$62,518.95$84,363.20$20,840.10$21,463.96$22,242.30$18,497.40$19,067.97$20,419.30
Connecticut231$76,163.20$78,552.95$81,454.80$20,181.70$21,206.05$22,449.90$17,764.10$17,989.77$18,263.80
Wisconsin113$54,446.70$54,446.70$54,446.70$22,819.20$22,819.20$22,819.20$18,098.90$18,098.90$18,098.90
Michigan464$29,159.90$47,291.09$57,218.80$14,942.70$17,921.29$23,200.60$12,176.60$14,807.22$17,450.80
Colorado117$127,977.00$127,977.00$127,977.00$23,620.20$23,620.20$23,620.20$18,512.80$18,512.80$18,512.80
Indiana223$41,817.90$54,299.22$67,915.20$11,474.90$17,394.14$23,851.50$10,795.40$13,383.32$16,206.50
Kentucky227$48,077.90$62,693.68$83,953.00$14,157.10$18,340.81$24,426.20$13,191.50$14,789.88$17,114.80
Minnesota357$57,640.70$60,127.96$66,852.10$14,711.10$22,109.07$25,347.20$13,474.60$17,823.91$19,146.40
New York686$38,905.20$73,879.59$107,779.00$14,435.50$21,476.54$26,990.10$10,705.40$17,677.98$21,273.60
Pennsylvania685$42,097.70$97,894.81$129,666.00$10,746.40$20,030.93$27,532.60$9,861.27$15,534.57$19,346.20
Maryland340$17,923.90$30,411.73$35,190.00$16,526.90$28,154.16$32,609.70$15,764.70$24,914.40$28,602.40
California346$75,738.10$157,530.62$206,881.00$22,792.80$30,591.05$38,337.80$19,020.40$22,568.26$27,126.30
TOTAL US961,407$17,923.90$66.615,26$206,881.00$10,746.40$18.421,88$38,337.80$9,083.83$15.254,55$28,602.40

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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