Hospital Costs > In Maine > Franklin Memorial Hospital, 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 | 55 | 461 / 10 | $29.079,70 | 739 / 10 | $14.499,90 | 2297 / 15 | $13.642,30 | 2256 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 9 | $19.456,50 | 1074 / 17 | $7.811,81 | 2223 / 16 | $6.681,81 | 2215 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 8 | $21.135,90 | 822 / 15 | $9.365,88 | 2016 / 16 | $8.011,15 | 2008 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 8 | $16.927,10 | 986 / 13 | $5.823,59 | 1872 / 15 | $4.577,09 | 1858 / 13 |
| Heart Failure & Shock W Cc | 30 | 248 / 12 | $15.552,50 | 635 / 9 | $7.803,07 | 2220 / 15 | $7.041,47 | 2214 / 16 |
| Cellulitis W/O Mcc | 26 | 163 / 10 | $12.574,60 | 538 / 7 | $6.606,62 | 2053 / 14 | $5.678,62 | 2045 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 8 | $21.163,00 | 1131 / 14 | $7.338,81 | 1973 / 14 | $6.595,42 | 1966 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 10 | $23.764,20 | 618 / 13 | $11.387,00 | 2088 / 14 | $10.567,80 | 2084 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 10 | $17.668,20 | 579 / 8 | $8.374,46 | 2045 / 14 | $7.466,46 | 2037 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 17 | $53.074,10 | 1424 / 16 | $16.845,40 | 2341 / 16 | $15.637,70 | 2296 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 10 | $12.632,20 | 594 / 8 | $6.047,32 | 2023 / 14 | $5.053,86 | 2012 / 15 |
| Heart Failure & Shock W Mcc | 21 | 263 / 14 | $24.890,90 | 729 / 12 | $12.301,90 | 2261 / 15 | $11.616,20 | 2251 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 5 | $17.545,60 | 1067 / 10 | $5.601,00 | 1617 / 8 | $4.692,20 | 1606 / 10 |
| G.I. Hemorrhage W Cc | 20 | 198 / 10 | $15.044,10 | 310 / 3 | $8.228,40 | 1766 / 14 | $6.515,95 | 1762 / 14 |
| Renal Failure W Cc | 19 | 202 / 10 | $13.956,10 | 382 / 6 | $7.551,37 | 1942 / 14 | $6.788,42 | 1932 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 9 | $18.361,40 | 376 / 9 | $8.438,53 | 1696 / 11 | $7.587,71 | 1692 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 12 | $15.721,60 | 595 / 11 | $6.190,00 | 1564 / 13 | $5.122,71 | 1559 / 14 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 11 | $19.606,90 | 386 / 7 | $9.557,80 | 1817 / 12 | $8.994,60 | 1812 / 13 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 7 | $22.141,60 | 355 / 6 | $10.901,00 | 1297 / 10 | $10.471,30 | 1292 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 5 | $18.260,20 | 450 / 6 | $8.867,92 | 1587 / 7 | $8.031,00 | 1583 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 12 | $14.100,60 | 849 / 11 | $5.501,00 | 1865 / 11 | $4.589,00 | 1859 / 13 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 9 | $24.815,40 | 225 / 5 | $15.602,80 | 1566 / 10 | $14.898,80 | 1550 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 12 | $19.733,90 | 325 / 9 | $9.460,27 | 1552 / 11 | $8.910,45 | 1549 / 12 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 10 | $62.025,10 | 681 / 10 | $23.213,90 | 1195 / 11 | $17.422,20 | 1181 / 11 |
| G.I. Obstruction W Cc | 11 | 81 / 8 | $14.220,10 | 236 / 6 | $7.943,55 | 1102 / 12 | $5.302,36 | 1099 / 9 | Total 25 procedures | 545 | 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.