Hospital Costs > In Maine > Central Maine Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 5 | $30.490,20 | 802 / 11 | $12.586,50 | 1193 / 10 | $10.471,90 | 1174 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 151 | 413 / 6 | $30.708,70 | 249 / 5 | $13.611,10 | 1011 / 8 | $11.072,60 | 991 / 4 |
| Pulmonary Edema & Respiratory Failure | 104 | 99 / 1 | $18.111,10 | 296 / 5 | $8.370,11 | 1038 / 7 | $7.002,26 | 1037 / 6 |
| Heart Failure & Shock W Mcc | 78 | 206 / 5 | $18.037,70 | 311 / 5 | $9.404,78 | 979 / 6 | $8.266,53 | 978 / 5 |
| Heart Failure & Shock W Cc | 73 | 205 / 4 | $16.391,00 | 731 / 11 | $6.847,71 | 1443 / 10 | $5.706,00 | 1438 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 3 | $16.607,60 | 484 / 7 | $7.335,03 | 945 / 7 | $5.617,19 | 942 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 3 | $17.073,20 | 221 / 3 | $9.328,83 | 813 / 7 | $7.670,72 | 813 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 5 | $13.872,30 | 606 / 7 | $5.536,13 | 1403 / 9 | $4.049,71 | 1392 / 9 |
| G.I. Hemorrhage W Cc | 57 | 161 / 5 | $20.931,10 | 828 / 14 | $7.300,26 | 1275 / 10 | $5.666,79 | 1272 / 7 |
| Cellulitis W/O Mcc | 57 | 132 / 4 | $11.767,60 | 438 / 2 | $5.803,81 | 1417 / 7 | $4.641,28 | 1410 / 7 |
| Renal Failure W Cc | 55 | 166 / 4 | $17.150,00 | 683 / 11 | $6.845,35 | 1386 / 10 | $5.600,67 | 1377 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 3 | $66.165,30 | 599 / 3 | $14.463,90 | 882 / 1 | $11.998,40 | 876 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 4 | $16.072,10 | 397 / 6 | $8.134,46 | 813 / 9 | $6.057,00 | 808 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 6 | $12.461,60 | 300 / 2 | $6.812,47 | 919 / 9 | $5.016,84 | 916 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 2 | $43.024,50 | 416 / 2 | $16.240,20 | 849 / 4 | $13.500,40 | 841 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 4 | $13.107,40 | 329 / 6 | $5.577,78 | 1267 / 8 | $4.590,87 | 1262 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 3 | $24.910,00 | 283 / 7 | $7.791,89 | 841 / 6 | $5.986,91 | 839 / 4 |
| Syncope & Collapse | 40 | 129 / 3 | $12.558,80 | 231 / 3 | $5.156,48 | 1056 / 5 | $4.148,10 | 1049 / 5 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 4 | $24.311,50 | 208 / 4 | $11.553,80 | 220 / 3 | $9.820,62 | 220 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 5 | $15.795,20 | 200 / 4 | $7.106,47 | 887 / 5 | $5.670,86 | 885 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 4 | $30.251,90 | 230 / 5 | $12.367,20 | 744 / 6 | $10.507,80 | 737 / 3 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 3 | $49.633,80 | 408 / 9 | $16.526,80 | 828 / 7 | $14.873,10 | 820 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 7 | $9.447,97 | 233 / 1 | $5.376,03 | 1089 / 8 | $4.016,23 | 1081 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 6 | $12.870,80 | 314 / 3 | $6.330,03 | 1083 / 8 | $5.039,58 | 1079 / 6 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 1 | $14.194,80 | 283 / 4 | $4.756,00 | 365 / 5 | $3.472,37 | 364 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 30 | 26 / 2 | $26.270,00 | 112 / 2 | $10.476,50 | 448 / 1 | $9.002,93 | 446 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 5 | $26.496,30 | 595 / 15 | $7.619,77 | 923 / 12 | $6.440,07 | 921 / 11 |
| Other Vascular Procedures W Cc | 29 | 73 / 3 | $43.591,90 | 126 / 2 | $15.941,40 | 472 / 2 | $14.781,20 | 469 / 2 |
| Renal Failure W Mcc | 28 | 167 / 5 | $21.327,10 | 289 / 3 | $9.954,39 | 971 / 3 | $8.861,68 | 971 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 5 | $10.485,00 | 316 / 4 | $4.783,56 | 961 / 6 | $3.697,93 | 953 / 7 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 3 | $13.788,40 | 70 / 1 | $8.494,63 | 530 / 4 | $7.412,63 | 527 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 27 | 26 / 4 | $17.929,60 | 228 / 8 | $6.072,26 | 376 / 8 | $3.937,89 | 373 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 26 | 51 / 3 | $74.371,10 | 554 / 3 | $17.991,30 | 596 / 2 | $16.760,80 | 595 / 2 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 2 | $27.921,20 | 60 / 3 | $10.086,30 | 195 / 1 | $8.796,73 | 195 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 6 | $11.900,20 | 534 / 5 | $4.935,56 | 1377 / 7 | $3.953,76 | 1372 / 6 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 24 | 22 / 1 | $16.710,20 | 32 / 1 | $7.377,46 | 60 / 1 | $4.864,75 | 60 / 1 |
| G.I. Obstruction W Cc | 24 | 68 / 6 | $14.296,80 | 239 / 7 | $6.416,83 | 558 / 8 | $4.534,67 | 557 / 3 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 3 | $16.790,90 | 234 / 5 | $6.630,83 | 734 / 5 | $5.647,04 | 730 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 24 | 33 / 3 | $61.868,70 | 418 / 3 | $14.486,40 | 449 / 1 | $13.162,80 | 448 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 6 | $29.632,30 | 431 / 9 | $11.332,50 | 859 / 8 | $9.884,04 | 858 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 3 | $40.702,30 | 182 / 4 | $13.985,20 | 486 / 3 | $12.718,20 | 483 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 3 | $12.656,10 | 122 / 1 | $5.296,00 | 904 / 3 | $4.135,30 | 900 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 4 | $59.968,40 | 105 / 1 | $28.500,50 | 189 / 1 | $26.799,00 | 189 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 3 | $67.674,20 | 110 / 2 | $29.511,60 | 322 / 3 | $27.702,30 | 320 / 3 |
| Seizures W/O Mcc | 22 | 86 / 4 | $12.323,60 | 147 / 2 | $5.264,59 | 520 / 2 | $4.088,41 | 517 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 3 | $51.856,10 | 175 / 2 | $11.690,10 | 288 / 1 | $10.428,20 | 288 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 3 | $96.055,10 | 98 / 2 | $30.003,10 | 376 / 1 | $28.194,20 | 376 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 8 | $9.107,70 | 243 / 2 | $4.229,45 | 887 / 7 | $2.736,00 | 883 / 6 |
| Medical Back Problems W/O Mcc | 20 | 101 / 4 | $15.635,50 | 257 / 5 | $6.988,65 | 449 / 8 | $4.158,10 | 449 / 3 |
| Diabetes W Cc | 20 | 72 / 3 | $12.422,20 | 174 / 2 | $5.700,75 | 862 / 3 | $4.829,10 | 858 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 8 | $15.695,50 | 141 / 3 | $8.121,05 | 998 / 7 | $7.140,75 | 995 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 3 | $61.118,30 | 139 / 2 | $21.568,20 | 512 / 2 | $20.463,20 | 512 / 2 |
| Other Vascular Procedures W/O Cc/Mcc | 19 | 37 / 3 | $33.806,30 | 98 / 3 | $10.896,20 | 260 / 1 | $9.523,47 | 259 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 4 | $75.035,90 | 451 / 5 | $29.854,30 | 100 / 6 | $18.968,40 | 99 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 3 | $75.656,30 | 228 / 2 | $19.871,80 | 370 / 1 | $18.444,10 | 368 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 3 | $18.052,20 | 98 / 2 | $7.755,22 | 268 / 2 | $5.135,33 | 268 / 1 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 5 | $30.684,50 | 348 / 3 | $11.992,00 | 890 / 4 | $10.807,90 | 885 / 4 |
| O.R. Procedures For Obesity W Cc | 17 | 17 / 1 | $27.137,10 | 7 / 1 | $13.107,60 | 35 / 1 | $10.292,50 | 35 / 1 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 3 | $11.906,70 | 211 / 1 | $5.828,29 | 628 / 4 | $4.120,65 | 624 / 2 |
| Transient Ischemia | 16 | 109 / 4 | $12.459,00 | 141 / 1 | $4.957,50 | 792 / 4 | $3.691,56 | 788 / 4 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 3 | $101.198,00 | 122 / 2 | $36.016,80 | 352 / 1 | $34.302,60 | 351 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 5 | $16.821,10 | 44 / 1 | $11.054,90 | 695 / 4 | $9.875,93 | 694 / 4 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 2 | $26.144,50 | 145 / 3 | $8.168,53 | 195 / 2 | $6.959,40 | 195 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 3 | $18.731,40 | 236 / 3 | $7.726,07 | 426 / 3 | $6.464,00 | 425 / 2 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 3 | $116.074,00 | 353 / 1 | $42.478,00 | 339 / 2 | $29.706,60 | 339 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 2 | $44.479,40 | 200 / 2 | $12.659,40 | 307 / 1 | $11.387,90 | 306 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 3 | $34.983,40 | 87 / 1 | $13.101,40 | 337 / 1 | $11.741,80 | 332 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 5 | $9.146,07 | 94 / 2 | $4.464,00 | 749 / 5 | $3.348,93 | 746 / 4 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 2 | $9.986,79 | 36 / 1 | $5.042,36 | 158 / 1 | $4.116,79 | 158 / 1 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 1 | $10.818,10 | 38 / 1 | $5.250,93 | 114 / 1 | $3.395,43 | 114 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 3 | $21.607,10 | 282 / 2 | $8.230,29 | 655 / 2 | $7.001,21 | 650 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 7 | $11.286,30 | 373 / 3 | $5.125,46 | 1245 / 5 | $4.010,69 | 1236 / 6 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 3 | $15.809,20 | 215 / 1 | $6.237,69 | 493 / 1 | $5.317,08 | 491 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 3 | $78.806,90 | 328 / 3 | $20.022,70 | 351 / 3 | $12.370,20 | 347 / 1 |
| Fever | 13 | 33 / 2 | $11.297,40 | 19 / 1 | $5.874,62 | 141 / 1 | $4.837,62 | 141 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 2 | $26.633,30 | 68 / 2 | $10.289,30 | 202 / 1 | $7.904,15 | 202 / 1 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 3 | $21.723,90 | 87 / 3 | $7.143,08 | 165 / 1 | $5.916,62 | 165 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 3 | $58.124,50 | 34 / 1 | $23.179,50 | 85 / 1 | $18.549,70 | 85 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 3 | $70.637,10 | 67 / 2 | $19.031,20 | 103 / 1 | $17.696,90 | 103 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 4 | $29.790,70 | 340 / 2 | $9.691,92 | 478 / 2 | $8.444,77 | 476 / 2 |
| Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 2 | $49.667,70 | 189 / 3 | $15.545,00 | 274 / 1 | $13.916,80 | 274 / 1 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 2 | $18.386,40 | 55 / 1 | $7.450,75 | 129 / 1 | $6.970,58 | 129 / 1 |
| Other Vascular Procedures W Mcc | 12 | 85 / 3 | $62.933,50 | 186 / 1 | $21.233,30 | 428 / 1 | $19.930,80 | 426 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 2 | $11.749,90 | 47 / 1 | $6.079,92 | 305 / 1 | $5.031,92 | 305 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 4 | $15.139,20 | 306 / 2 | $4.792,00 | 256 / 2 | $3.243,00 | 255 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 4 | $38.017,40 | 163 / 4 | $15.384,40 | 315 / 3 | $11.686,90 | 314 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 3 | $13.541,40 | 56 / 2 | $4.923,83 | 175 / 2 | $3.603,67 | 175 / 2 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 3 | $9.806,25 | 106 / 1 | $4.481,42 | 368 / 1 | $3.240,75 | 367 / 2 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 5 | $15.245,70 | 163 / 1 | $6.811,33 | 672 / 3 | $5.494,33 | 669 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 6 | $9.607,08 | 192 / 1 | $4.926,00 | 1084 / 4 | $3.767,00 | 1078 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 3 | $21.230,40 | 105 / 4 | $8.937,83 | 126 / 4 | $4.905,50 | 126 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 3 | $79.091,00 | 25 / 1 | $31.610,00 | 60 / 1 | $27.221,40 | 60 / 1 |
| Complications Of Treatment W Mcc | 11 | 40 / 3 | $39.079,70 | 102 / 2 | $12.782,50 | 148 / 2 | $11.598,30 | 148 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 5 | $16.273,50 | 157 / 3 | $6.414,00 | 500 / 3 | $5.289,91 | 498 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 3 | $82.802,60 | 221 / 3 | $26.502,10 | 424 / 3 | $25.003,70 | 424 / 3 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 4 | $21.449,40 | 55 / 1 | $10.805,10 | 289 / 1 | $10.014,00 | 289 / 1 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 3 | $14.171,50 | 41 / 1 | $6.507,00 | 157 / 1 | $5.665,55 | 157 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 4 | $13.045,40 | 127 / 2 | $6.947,91 | 318 / 3 | $4.369,45 | 314 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 3 | $17.919,50 | 182 / 1 | $6.814,09 | 338 / 1 | $5.645,91 | 338 / 1 | Total 99 procedures | 2.793 | 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.