Hospital Costs > In Maine > Cary Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 7 | $11.330,20 | 52 / 1 | $6.545,65 | 647 / 4 | $5.760,05 | 645 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 12 | $12.987,20 | 24 / 1 | $10.654,80 | 862 / 4 | $9.892,64 | 861 / 7 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 8 | $6.979,64 | 17 / 1 | $4.819,82 | 374 / 3 | $3.935,45 | 371 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 8 | $10.793,80 | 154 / 3 | $4.400,08 | 249 / 2 | $3.661,62 | 249 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 8 | $11.862,30 | 222 / 2 | $5.039,64 | 1096 / 5 | $4.388,21 | 1092 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 12 | $14.414,00 | 103 / 1 | $7.608,45 | 887 / 4 | $6.951,00 | 884 / 4 |
Cellulitis W/O Mcc | 28 | 161 / 9 | $11.908,00 | 459 / 4 | $5.465,57 | 1010 / 6 | $4.277,54 | 1004 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 82 | 97 / 2 | $13.044,90 | 330 / 5 | $5.968,95 | 1218 / 6 | $5.184,76 | 1213 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 7 | $14.355,40 | 274 / 3 | $7.423,58 | 1486 / 6 | $6.819,14 | 1480 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 4 | $9.693,96 | 209 / 1 | $4.589,12 | 922 / 4 | $3.670,08 | 914 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 13 | $13.764,70 | 597 / 6 | $4.761,20 | 1179 / 4 | $3.875,87 | 1170 / 7 |
G.I. Hemorrhage W Cc | 14 | 204 / 13 | $15.871,10 | 376 / 5 | $6.342,50 | 1029 / 4 | $5.393,93 | 1027 / 5 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 6 | $9.978,50 | 135 / 4 | $3.888,42 | 431 / 2 | $2.875,08 | 430 / 2 |
Heart Failure & Shock W Cc | 39 | 239 / 9 | $11.416,40 | 227 / 2 | $6.296,85 | 1241 / 6 | $5.491,92 | 1237 / 7 |
Heart Failure & Shock W Mcc | 24 | 260 / 13 | $15.715,80 | 177 / 3 | $9.465,79 | 1297 / 7 | $8.711,12 | 1294 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 9 | $9.998,54 | 261 / 3 | $4.303,85 | 804 / 4 | $3.560,46 | 800 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 4 | $9.887,81 | 285 / 2 | $4.891,53 | 1055 / 4 | $3.995,53 | 1047 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 11 | $34.273,00 | 411 / 10 | $13.584,00 | 1633 / 7 | $12.394,00 | 1596 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 6 | $11.183,20 | 450 / 3 | $4.510,08 | 843 / 4 | $3.543,68 | 840 / 5 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 13 | $14.097,90 | 106 / 1 | $7.712,82 | 1147 / 4 | $7.165,91 | 1145 / 7 |
Renal Failure W Cc | 20 | 201 / 9 | $11.869,90 | 197 / 4 | $6.047,60 | 956 / 4 | $5.140,40 | 948 / 6 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 8 | $24.232,10 | 439 / 9 | $8.875,36 | 764 / 5 | $7.892,09 | 759 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 12 | $18.180,00 | 179 / 3 | $11.783,50 | 1514 / 6 | $11.039,30 | 1484 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 13 | $13.888,20 | 270 / 2 | $6.763,19 | 1186 / 4 | $5.855,19 | 1181 / 7 |
Signs & Symptoms W/O Mcc | 16 | 75 / 6 | $9.332,75 | 71 / 1 | $4.388,69 | 316 / 4 | $3.404,69 | 315 / 4 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 9 | $13.991,20 | 442 / 8 | $6.246,89 | 1531 / 6 | $5.542,89 | 1525 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 9 | $15.395,60 | 137 / 1 | $8.993,92 | 1239 / 6 | $8.207,46 | 1239 / 7 | Total 27 procedures | 681 | 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.