GU CMS Medicare PUF 2023 Avg payment #40 of 56

Guam procedure costs

2 hospitals · 27 Medicare providers · 642 procedure codes with Guam locality adjustments.

The short answer

Guam has 2 hospitals and 27 Medicare-billing providers across 642 procedure codes. The average Medicare payment per procedure is $195.24; the average submitted (billed) charge is $582.09.

Procedure codes
642
Providers per hospital
13.5
Billed-to-Medicare ratio
3.0x
Markup rank
#55 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

2
Hospitals
27
Providers
$195.24
Avg Medicare Payment
$582.09
Avg Billed Charge

Guam against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$195 higher than 29% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). This entry sits in this band. $200–$225: 9 states (16%). Above this entry. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Guam

Highest average Medicare payment per procedure billed in Guam. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Guam

Removal Of Plaque In Artery …7896Removal Of Plaque In Arterie…6332Treatment Of Broken Middle S…5198Treatment Of Broken Lower Sp…5020Removal And/or Dissolving Of…4906Insertion Of Needle And/or T…3871Balloon Dilation Of Artery O…2876Injection Of Biodegradable M…2740
Top procedures by Medicare payment - Guam-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 164.9K
Injection, Gadoterate Meglumine, 0.1 Ml $0.10 70.2K
Injection, Tbo-Filgrastim, 1 Microgram $0.31 34.5K
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $86.47 27.5K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 23.3K
Injection, Pembrolizumab, 1 Mg $43.01 19.8K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $58.40 18.0K
Injection, Oxaliplatin, 0.5 Mg $0.06 16.5K
Ground Mileage, Per Statute Mile $8.16 15.9K
Injection, Paclitaxel, 1 Mg $0.10 12.7K
Injection, Denosumab, 1 Mg $18.36 11.2K
Injection, Fosaprepitant, 1 Mg $0.12 8.8K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $19.83 7.2K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $60.40 6.2K
Injection, Bevacizumab, 10 Mg $56.29 4.8K
Low Osmolar Contrast Material, 100-199 Mg/ml Iodine Concentration, Per Ml $0.68 4.6K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.10 4.2K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $92.18 3.8K
Ambulance Service, Basic Life Support, Non-Emergency Transport, (bls) $183.97 3.2K
Injection, Ondansetron Hydrochloride, Per 1 Mg $0.08 3.0K
Injection, Onabotulinumtoxina, 1 Unit $4.63 3.0K
Destruction Of Precancer Skin Growth, 2-14 Growths $5.10 2.9K
New Patient Office Or Other Outpatient Visit, 45-59 Minutes $109.68 2.9K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.79 2.8K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $6.03 2.7K
Ultrasound Of Heart With Color-Depicted Blood Flow, Rate, Direction And Valve Function $71.62 2.6K
Injection, Faricimab-Svoa, 0.1 Mg $29.09 2.6K
Established Patient Office Or Other Outpatient Visit, 40-54 Minutes $118.33 2.5K
Established Patient Complete Exam Of Visual System $81.61 2.5K
Injection, Epoetin Alfa-Epbx, Biosimilar, (retacrit) (for Non-Esrd Use), 1000 Units $5.62 2.5K

Guam Healthcare Cost Landscape

CMS lists 2 hospitals in Guam across 2 cities. DEDEDO holds 1 (50%). The three densest cities together hold 100% of the state roster. Statewide that is 27 Medicare-billing providers, 13.5 per listed hospital.

1 hospitals carry a CMS overall star rating (0 five-star, 0 four-star, 0 three-star, 1 two-star, 0 one-star) ; five-star share among rated facilities is 0%. 1 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 2 (100%).

Among the 30 highest-volume procedure codes billed in Guam, Temporary Codes leads with 172.1K services (35% of this top-volume slice) across 3 codes. Next is Drugs (Administered) at 30%.

Submitted charges average $582.09 against $195.24 Medicare payment (3.0x billed-to-Medicare). That ratio ranks #55 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #40 of 56.

Volume leaders are not the high-payment codes. Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml is in the top volume slice but not the highest Medicare payments; Removal Of Plaque In Artery Of Leg, Initial Vessel is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Guam, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Guam hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 2 distinct cities appear on 2 listed facilities.

City Hospitals Share of state roster
DEDEDO 1 50%
TAMUNING 1 50%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Guam: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar average Medicare payment

Nearest states with published averages ($195.24 here).

How Guam Compares Nationally

Guam's average Medicare payment is #40 of 56 in this extract. Submitted-over-Medicare markup ranks #55 of 56 (3.0x). Hospital-count peers are not listed at this roster size. Payment peers (nearest average Medicare payment to $195.24): Iowa $198.45, Montana $191.94, Wisconsin $201.63, New Hampshire $188.37.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Guam, not an out-of-pocket quote.

Related registry pages

Guam averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Guam CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.