Hospital Costs > In Maine > Maine Coast Memorial Hospital, 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 | 38 | 53 / 3 | $14.068,70 | 93 / 3 | $6.680,32 | 754 / 7 | $6.014,21 | 752 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 4 | $20.615,10 | 163 / 4 | $10.738,90 | 940 / 6 | $10.118,10 | 938 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 5 | $10.544,60 | 55 / 2 | $4.864,90 | 317 / 4 | $3.827,19 | 314 / 2 |
| Atherosclerosis W/O Mcc | 16 | 42 / 3 | $9.558,62 | 38 / 3 | $3.917,19 | / 1 | $3.235,19 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 12 | $15.067,90 | 530 / 10 | $5.036,06 | 1099 / 4 | $4.394,18 | 1095 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 11 | $15.896,50 | 150 / 4 | $7.673,08 | 989 / 5 | $7.116,77 | 986 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 10 | $10.352,60 | 381 / 6 | $3.584,57 | 759 / 3 | $2.633,71 | 755 / 5 |
| Cellulitis W/O Mcc | 19 | 170 / 12 | $13.234,10 | 621 / 8 | $5.419,63 | 1086 / 5 | $4.340,05 | 1080 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 9 | $14.097,20 | 256 / 2 | $7.543,19 | 1209 / 7 | $6.473,65 | 1203 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 15 | $12.398,90 | 443 / 4 | $4.800,69 | 1170 / 5 | $3.870,23 | 1161 / 6 |
| G.I. Hemorrhage W Cc | 13 | 205 / 14 | $16.543,80 | 443 / 8 | $6.480,77 | 1175 / 5 | $5.550,31 | 1173 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 7 | $7.533,09 | 49 / 1 | $3.932,73 | 401 / 3 | $2.833,09 | 400 / 1 |
| Heart Failure & Shock W Cc | 39 | 239 / 9 | $15.124,90 | 594 / 7 | $6.369,59 | 1349 / 8 | $5.599,13 | 1345 / 8 |
| Heart Failure & Shock W Mcc | 15 | 269 / 15 | $15.705,90 | 174 / 2 | $9.586,67 | 1399 / 8 | $8.863,47 | 1395 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 9 | $10.420,10 | 334 / 4 | $4.947,88 | 1016 / 6 | $3.971,88 | 1008 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 4 | $34.214,90 | 89 / 1 | $14.445,10 | 551 / 6 | $13.239,20 | 548 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 13 | $38.529,50 | 676 / 12 | $13.841,70 | 1755 / 9 | $12.706,60 | 1715 / 13 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 8 | $42.485,50 | 250 / 7 | $16.583,40 | 956 / 8 | $15.550,30 | 945 / 10 |
| Renal Failure W Cc | 13 | 208 / 12 | $10.379,10 | 116 / 3 | $6.155,46 | 844 / 6 | $5.037,92 | 837 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 13 | $20.402,50 | 280 / 4 | $11.956,70 | 1561 / 8 | $11.134,80 | 1529 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 14 | $20.857,40 | 870 / 13 | $7.976,17 | 1988 / 12 | $7.272,17 | 1980 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 5 | $15.265,00 | 589 / 10 | $6.334,36 | 1325 / 8 | $5.329,88 | 1320 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 11 | $25.840,00 | 753 / 14 | $9.360,96 | 1471 / 8 | $8.624,96 | 1471 / 9 | Total 23 procedures | 526 | 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.