Hospital Costs > In Maine > Inland Hospital, 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 | 43 | 521 / 14 | $33.122,10 | 360 / 8 | $20.806,70 | 2558 / 18 | $18.812,80 | 2512 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 11 | $15.808,00 | 604 / 13 | $7.566,56 | 1949 / 16 | $6.626,11 | 1944 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 12 | $16.290,20 | 414 / 8 | $11.275,00 | 2393 / 17 | $10.141,80 | 2385 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 13 | $14.887,50 | 545 / 9 | $9.450,88 | 2610 / 18 | $8.466,88 | 2601 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 14 | $18.973,50 | 326 / 7 | $13.977,80 | 2385 / 16 | $13.177,80 | 2379 / 16 |
| Heart Failure & Shock W Cc | 14 | 264 / 16 | $13.293,30 | 395 / 5 | $9.546,36 | 2584 / 17 | $8.938,36 | 2578 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 10 | $10.506,90 | 394 / 7 | $5.323,57 | 1767 / 11 | $4.375,00 | 1761 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 10 | $13.074,90 | 693 / 9 | $6.718,57 | 2232 / 15 | $5.706,57 | 2224 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 11 | $17.149,20 | 92 / 2 | $16.155,80 | 1687 / 14 | $15.155,80 | 1674 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 11 | $17.126,90 | 180 / 7 | $9.991,67 | 1320 / 15 | $9.090,33 | 1318 / 15 |
| G.I. Hemorrhage W Cc | 11 | 207 / 15 | $12.860,60 | 156 / 2 | $9.671,18 | 2237 / 16 | $8.679,18 | 2233 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 13 | $13.961,70 | 793 / 12 | $8.050,27 | 2298 / 16 | $5.754,91 | 2287 / 16 | Total 12 procedures | 197 | 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.