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

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

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


Avg Covered Charges Avg Total Payments Avg Medicare Payments
State# Hosp# DischMinAvgMaxMinAvg MaxMinAvgMax
Arkansas114$88,429.10$88,429.10$88,429.10$23,749.10$23,749.10$23,749.10$22,624.00$22,624.00$22,624.00
Tennessee460$75,881.80$101,203.68$124,576.00$19,594.50$24,566.40$28,878.90$18,237.50$23,381.26$28,032.00
Mississippi229$64,189.90$130,270.22$223,884.00$20,330.80$24,827.03$31,196.70$19,762.40$24,288.63$30,700.80
Missouri356$67,830.00$83,918.46$111,943.00$22,564.10$25,503.92$26,910.40$21,790.30$24,227.72$25,114.70
Maine116$58,427.30$58,427.30$58,427.30$26,573.10$26,573.10$26,573.10$24,841.90$24,841.90$24,841.90
Texas9149$67,864.80$121,140.68$171,179.00$21,808.00$26,701.03$34,633.40$19,908.90$22,921.09$26,533.30
Alabama454$47,470.70$98,829.92$138,850.00$20,567.80$26,712.44$30,727.60$19,010.90$22,757.73$29,716.40
Virginia338$44,022.80$84,168.06$150,006.00$21,681.80$27,289.87$34,356.90$18,972.60$20,153.76$22,392.00
North Carolina9127$39,472.70$72,960.70$111,635.00$20,700.50$27,484.42$38,903.30$18,179.60$23,633.05$26,900.10
Florida11159$83,005.50$130,289.32$242,380.00$20,546.70$27,509.88$42,979.60$19,617.50$23,975.95$34,392.00
Nebraska227$66,438.40$87,364.98$101,752.00$22,589.60$28,023.85$31,759.90$21,645.60$26,437.24$29,731.50
Arizona111$112,824.00$112,824.00$112,824.00$28,253.50$28,253.50$28,253.50$27,811.40$27,811.40$27,811.40
Indiana470$80,499.00$104,065.36$120,312.00$23,030.60$28,342.73$33,785.00$20,012.10$26,021.37$30,461.90
Kentucky117$114,454.00$114,454.00$114,454.00$28,553.10$28,553.10$28,553.10$25,917.80$25,917.80$25,917.80
Oklahoma111$161,588.00$161,588.00$161,588.00$28,776.80$28,776.80$28,776.80$25,227.90$25,227.90$25,227.90
South Carolina333$64,828.80$109,443.27$135,988.00$22,247.10$28,792.60$33,550.50$20,678.40$25,165.00$29,932.30
Georgia341$91,864.00$121,588.17$158,853.00$24,770.20$29,648.37$34,196.90$22,672.20$26,262.96$32,096.60
West Virginia225$89,662.70$95,542.36$101,912.00$29,898.50$29,938.00$29,980.80$25,935.40$26,153.99$26,390.80
Ohio577$65,396.70$109,233.91$163,795.00$19,895.50$30,608.22$49,235.80$18,821.20$26,479.28$43,607.50
Minnesota232$68,182.10$69,012.64$69,580.90$24,330.50$31,083.63$35,704.20$23,328.80$29,287.85$33,365.10
Michigan795$54,840.80$80,711.25$105,677.00$24,770.80$31,502.16$39,674.50$22,159.20$27,651.88$35,838.50
South Dakota112$151,092.00$151,092.00$151,092.00$31,702.60$31,702.60$31,702.60$30,335.30$30,335.30$30,335.30
Delaware132$72,019.20$72,019.20$72,019.20$32,286.20$32,286.20$32,286.20$26,754.10$26,754.10$26,754.10
New Jersey339$133,675.00$204,153.05$296,576.00$29,046.50$33,210.19$36,524.00$19,844.20$27,840.56$32,652.70
Pennsylvania570$111,760.00$166,296.33$224,761.00$24,453.10$33,932.90$43,903.40$22,352.60$28,532.42$34,813.80
Kansas113$198,554.00$198,554.00$198,554.00$35,362.60$35,362.60$35,362.60$34,450.50$34,450.50$34,450.50
Wisconsin225$82,083.50$93,942.34$103,260.00$31,001.40$35,929.46$39,801.50$27,943.80$30,785.13$33,017.60
Louisiana112$129,596.00$129,596.00$129,596.00$40,047.80$40,047.80$40,047.80$30,909.70$30,909.70$30,909.70
Connecticut118$133,276.00$133,276.00$133,276.00$40,345.30$40,345.30$40,345.30$37,717.70$37,717.70$37,717.70
Illinois566$89,076.20$128,499.99$186,884.00$21,943.80$42,929.23$91,822.50$20,592.50$26,975.84$30,487.40
Massachusetts465$64,695.20$132,154.86$179,492.00$40,660.60$44,307.19$48,067.20$37,633.00$39,556.04$43,099.90
New York699$79,049.30$151,296.29$248,282.00$33,320.50$45,253.81$53,795.20$29,251.40$39,737.11$47,047.50
California341$154,292.00$254,161.90$314,410.00$37,994.40$47,270.90$56,746.70$33,051.40$42,176.01$50,275.90
Washington111$212,432.00$212,432.00$212,432.00$57,963.20$57,963.20$57,963.20$57,336.30$57,336.30$57,336.30
Washington DC227$142,456.00$185,714.67$239,788.00$39,614.10$58,546.81$82,212.70$33,653.10$39,283.72$46,322.00
Maryland117$67,365.80$67,365.80$67,365.80$62,078.40$62,078.40$62,078.40$61,036.50$61,036.50$61,036.50
TOTAL US1151,688$39,472.70$118.921,85$314,410.00$19,594.50$32.504,86$91,822.50$18,179.60$28.103,96$61,036.50

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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