Hospital Costs > In Maine > Aroostook Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 12 | $55.133,60 | 1514 / 18 | $16.427,60 | 2285 / 15 | $15.260,40 | 2241 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 10 | $42.868,50 | 1472 / 17 | $14.904,50 | 2369 / 16 | $14.049,80 | 2327 / 16 |
Heart Failure & Shock W Mcc | 31 | 253 / 10 | $25.932,40 | 813 / 13 | $11.430,50 | 2068 / 13 | $10.651,20 | 2059 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 6 | $14.970,10 | 510 / 9 | $7.247,97 | 1930 / 13 | $6.470,68 | 1923 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 9 | $22.587,50 | 1256 / 16 | $6.085,22 | 1664 / 12 | $5.368,19 | 1659 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 11 | $16.262,80 | 912 / 12 | $5.727,62 | 2012 / 14 | $4.823,62 | 1998 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 10 | $20.035,60 | 786 / 11 | $8.194,50 | 2056 / 13 | $7.493,17 | 2048 / 15 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 9 | $39.034,80 | 1473 / 15 | $10.196,40 | 1900 / 13 | $9.393,71 | 1894 / 14 |
Heart Failure & Shock W Cc | 23 | 255 / 13 | $18.723,70 | 1016 / 15 | $7.709,74 | 2156 / 14 | $6.869,39 | 2150 / 15 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 5 | $20.819,10 | 292 / 4 | $10.704,80 | 1244 / 9 | $10.016,00 | 1239 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 5 | $15.549,00 | 847 / 9 | $5.581,60 | 1527 / 7 | $4.490,40 | 1516 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 12 | $13.337,90 | 690 / 10 | $6.016,70 | 1995 / 13 | $4.992,70 | 1984 / 14 |
Renal Failure W Cc | 20 | 201 / 9 | $21.316,20 | 1104 / 15 | $7.408,45 | 1887 / 13 | $6.624,45 | 1877 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 8 | $36.681,20 | 690 / 14 | $13.196,70 | 1457 / 11 | $12.499,40 | 1445 / 12 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 7 | $18.259,30 | 239 / 9 | $5.932,11 | 599 / 7 | $4.690,22 | 595 / 7 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 13 | $24.475,80 | 1583 / 18 | $7.450,44 | 2166 / 14 | $6.542,44 | 2158 / 15 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 10 | $17.736,10 | 207 / 9 | $8.039,75 | 1125 / 13 | $7.207,75 | 1123 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 13 | $21.186,50 | 827 / 16 | $9.030,93 | 2040 / 15 | $8.066,67 | 2032 / 16 |
G.I. Hemorrhage W Cc | 15 | 203 / 12 | $21.266,90 | 868 / 15 | $7.735,60 | 1926 / 13 | $7.012,40 | 1922 / 15 |
Cellulitis W/O Mcc | 13 | 176 / 15 | $11.846,70 | 448 / 3 | $6.455,46 | 2022 / 13 | $5.623,46 | 2014 / 14 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 2 | $11.507,80 | 186 / 4 | $4.883,46 | 644 / 4 | $4.137,62 | 643 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 9 | $14.689,30 | 817 / 10 | $5.273,23 | 1503 / 8 | $4.438,77 | 1491 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 6 | $17.563,60 | 398 / 6 | $5.882,23 | 1179 / 6 | $4.772,08 | 1175 / 7 |
G.I. Obstruction W Cc | 12 | 80 / 7 | $19.901,40 | 649 / 12 | $6.781,08 | 1386 / 9 | $6.178,42 | 1381 / 12 |
Syncope & Collapse | 12 | 157 / 8 | $14.908,10 | 384 / 8 | $5.662,00 | 1326 / 9 | $4.659,33 | 1319 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 9 | $21.732,30 | 150 / 4 | $8.243,17 | 1276 / 8 | $7.347,17 | 1273 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 13 | $16.505,90 | 1132 / 14 | $5.751,09 | 1701 / 12 | $4.320,45 | 1696 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 13 | $18.214,90 | 368 / 8 | $8.198,64 | 1602 / 10 | $7.212,45 | 1599 / 11 | Total 28 procedures | 588 | discharges |
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.