Hospital Costs > In Maine > Mainegeneral 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 | 37 | 54 / 4 | $19.942,90 | 284 / 12 | $6.984,41 | 816 / 8 | $6.161,70 | 814 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 58 | 67 / 3 | $28.168,10 | 377 / 8 | $10.690,10 | 788 / 5 | $9.690,34 | 787 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 27 | 26 / 4 | $14.116,80 | 118 / 5 | $5.314,22 | 656 / 5 | $4.964,56 | 652 / 9 |
| Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 3 | $26.177,50 | 25 / 1 | $11.233,50 | 73 / 1 | $10.158,40 | 73 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 83 | 47 / 3 | $11.060,50 | 169 / 4 | $5.103,06 | 395 / 7 | $4.078,60 | 395 / 6 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 2 | $40.015,40 | 55 / 2 | $14.195,80 | 135 / 1 | $12.755,30 | 134 / 2 |
| Atherosclerosis W/O Mcc | 17 | 41 / 2 | $9.323,88 | 34 / 2 | $4.298,12 | / 2 | $3.389,76 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 3 | $17.077,30 | 756 / 15 | $5.727,43 | 1334 / 10 | $4.709,69 | 1329 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 3 | $25.069,60 | 660 / 12 | $8.312,90 | 1067 / 9 | $7.265,97 | 1064 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 3 | $13.213,80 | 747 / 11 | $4.230,11 | 1210 / 8 | $3.036,75 | 1205 / 7 |
| Cellulitis W Mcc | 24 | 34 / 1 | $26.367,20 | 289 / 4 | $9.717,46 | 459 / 2 | $8.550,54 | 457 / 2 |
| Cellulitis W/O Mcc | 50 | 139 / 7 | $18.590,10 | 1311 / 13 | $6.223,06 | 1461 / 11 | $4.682,80 | 1454 / 8 |
| Chest Pain | 55 | 96 / 2 | $14.168,50 | 417 / 8 | $4.539,73 | 940 / 6 | $3.448,87 | 935 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 7 | $16.248,50 | 631 / 12 | $6.499,07 | 1434 / 9 | $5.425,10 | 1429 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 3 | $20.318,10 | 749 / 13 | $8.211,09 | 1537 / 10 | $6.888,74 | 1530 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 8 | $15.166,00 | 797 / 8 | $5.255,25 | 1360 / 6 | $4.183,67 | 1349 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 6 | $24.154,30 | 252 / 5 | $7.860,04 | 894 / 7 | $6.111,61 | 891 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 4 | $17.786,20 | 153 / 2 | $7.051,73 | 401 / 4 | $5.649,73 | 401 / 3 |
| Depressive Neuroses | 16 | 34 / 1 | $10.403,80 | 56 / 1 | $4.939,38 | 64 / 2 | $3.790,69 | 64 / 1 |
| Diabetes W Cc | 16 | 76 / 4 | $18.124,10 | 569 / 5 | $5.931,25 | 886 / 4 | $4.870,12 | 882 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 4 | $15.740,40 | 145 / 2 | $6.225,80 | 528 / 2 | $5.370,07 | 526 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 4 | $29.314,30 | 605 / 4 | $9.330,62 | 995 / 3 | $8.140,85 | 990 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 3 | $17.418,40 | 1052 / 15 | $5.620,06 | 1561 / 12 | $4.181,61 | 1548 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 1 | $13.409,70 | 218 / 5 | $5.236,21 | 553 / 3 | $4.063,08 | 553 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 2 | $15.525,90 | 213 / 3 | $5.510,44 | 419 / 1 | $4.267,00 | 417 / 2 |
| G.I. Hemorrhage W Cc | 76 | 142 / 3 | $19.510,10 | 707 / 11 | $6.993,88 | 1314 / 7 | $5.714,34 | 1311 / 8 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 3 | $30.929,70 | 352 / 4 | $11.595,40 | 791 / 3 | $10.520,70 | 788 / 3 |
| G.I. Obstruction W Cc | 28 | 64 / 3 | $17.880,90 | 502 / 11 | $6.122,86 | 885 / 6 | $4.935,64 | 883 / 6 |
| Heart Failure & Shock W Cc | 58 | 220 / 7 | $18.966,50 | 1045 / 16 | $6.806,17 | 1600 / 9 | $5.873,78 | 1595 / 10 |
| Heart Failure & Shock W Mcc | 102 | 182 / 3 | $22.187,20 | 544 / 9 | $10.061,40 | 1414 / 10 | $8.897,06 | 1410 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 7 | $33.618,20 | 367 / 6 | $12.748,00 | 1239 / 8 | $11.769,40 | 1223 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 3 | $50.423,80 | 167 / 3 | $18.945,30 | 449 / 2 | $17.759,20 | 446 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 3 | $110.993,00 | 627 / 7 | $38.787,50 | 1093 / 6 | $36.903,90 | 1086 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 6 | $19.467,90 | 444 / 10 | $7.428,53 | 1308 / 7 | $6.359,38 | 1305 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 3 | $32.238,50 | 416 / 6 | $13.593,20 | 1102 / 7 | $11.561,30 | 1096 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 1 | $22.247,50 | 724 / 7 | $7.909,00 | 1053 / 5 | $6.496,81 | 1050 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 5 | $12.118,30 | 526 / 6 | $5.515,88 | 1507 / 9 | $4.358,83 | 1496 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 4 | $41.797,80 | 302 / 3 | $11.095,90 | 540 / 2 | $9.824,08 | 538 / 2 |
| Major Chest Procedures W Cc | 15 | 59 / 4 | $43.017,60 | 61 / 4 | $15.520,60 | 179 / 2 | $14.356,30 | 179 / 2 |
| Major Chest Procedures W/O Cc/Mcc | 17 | 42 / 3 | $34.107,10 | 43 / 3 | $11.803,40 | 103 / 2 | $10.549,30 | 103 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 2 | $35.695,00 | 227 / 2 | $13.015,20 | 368 / 1 | $11.948,10 | 367 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 6 | $39.151,30 | 160 / 2 | $14.439,80 | 537 / 5 | $13.136,50 | 534 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 3 | $53.261,60 | 158 / 2 | $20.317,00 | 482 / 2 | $19.147,80 | 479 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 119 | 445 / 8 | $38.053,00 | 646 / 11 | $14.026,60 | 1692 / 10 | $12.529,00 | 1655 / 11 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 4 | $45.579,80 | 303 / 8 | $16.127,10 | 841 / 5 | $14.916,40 | 833 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 4 | $99.797,70 | 381 / 5 | $36.320,10 | 867 / 5 | $34.771,80 | 865 / 5 |
| Medical Back Problems W/O Mcc | 21 | 100 / 3 | $13.322,80 | 141 / 3 | $6.068,81 | 903 / 4 | $4.988,71 | 900 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 3 | $27.741,20 | 847 / 5 | $8.345,75 | 1055 / 4 | $7.240,17 | 1052 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 7 | $17.191,30 | 1225 / 15 | $5.184,08 | 1526 / 9 | $4.099,67 | 1521 / 10 |
| Neuroses Except Depressive | 17 | 11 / 1 | $13.088,20 | 28 / 1 | $5.253,71 | 16 / 1 | $4.270,71 | 16 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 1 | $26.344,00 | 250 / 1 | $7.324,12 | 318 / 1 | $6.303,18 | 318 / 1 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 3 | $28.361,10 | 181 / 1 | $11.100,90 | 248 / 1 | $9.806,69 | 248 / 1 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 5 | $13.233,60 | 101 / 2 | $6.482,58 | 766 / 4 | $5.711,11 | 762 / 6 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 3 | $31.243,10 | 177 / 2 | $11.257,90 | 294 / 2 | $10.055,00 | 294 / 2 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 1 | $18.251,40 | 149 / 2 | $6.210,20 | 212 / 1 | $4.911,87 | 212 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 2 | $27.790,80 | 329 / 4 | $10.934,80 | 685 / 3 | $10.067,20 | 683 / 3 |
| Other Resp System O.R. Procedures W Cc | 12 | 35 / 3 | $31.672,80 | 30 / 2 | $13.202,60 | 194 / 2 | $12.309,50 | 194 / 2 |
| Other Resp System O.R. Procedures W Mcc | 17 | 46 / 2 | $72.548,60 | 166 / 3 | $26.045,50 | 385 / 1 | $24.547,60 | 384 / 2 |
| Other Vascular Procedures W Cc | 11 | 91 / 4 | $36.717,60 | 71 / 1 | $15.492,40 | 400 / 1 | $14.395,40 | 398 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 2 | $32.358,40 | 398 / 3 | $10.011,00 | 604 / 3 | $9.146,67 | 602 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 3 | $16.132,30 | 349 / 5 | $4.795,40 | 475 / 3 | $3.803,60 | 474 / 4 |
| Psychoses | 214 | 111 / 1 | $20.823,60 | 347 / 5 | $7.582,81 | 318 / 4 | $6.093,67 | 318 / 3 |
| Pulmonary Edema & Respiratory Failure | 72 | 131 / 4 | $20.695,80 | 443 / 8 | $8.517,82 | 1274 / 8 | $7.352,00 | 1271 / 9 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 2 | $29.485,80 | 444 / 2 | $9.287,25 | 726 / 1 | $8.455,92 | 722 / 1 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 5 | $19.082,80 | 815 / 4 | $5.747,55 | 1159 / 3 | $4.733,18 | 1151 / 4 |
| Renal Failure W Cc | 40 | 181 / 5 | $19.669,70 | 948 / 13 | $6.844,58 | 1527 / 9 | $5.793,38 | 1518 / 10 |
| Renal Failure W Mcc | 38 | 157 / 4 | $30.569,90 | 793 / 6 | $10.857,10 | 1289 / 4 | $9.636,87 | 1289 / 4 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 6 | $23.905,10 | 423 / 8 | $9.312,88 | 331 / 7 | $7.032,19 | 328 / 1 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 3 | $33.852,90 | 549 / 10 | $12.687,80 | 938 / 7 | $11.533,90 | 928 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 5 | $46.730,70 | 532 / 4 | $14.163,50 | 719 / 1 | $13.026,10 | 711 / 2 |
| Seizures W Mcc | 12 | 54 / 3 | $25.515,00 | 111 / 2 | $10.024,10 | 331 / 1 | $9.104,83 | 331 / 1 |
| Seizures W/O Mcc | 15 | 93 / 6 | $15.033,10 | 262 / 5 | $5.487,33 | 623 / 3 | $4.318,27 | 620 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 214 | 302 / 3 | $38.868,80 | 1268 / 16 | $12.962,10 | 1727 / 11 | $11.545,60 | 1694 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 6 | $23.701,30 | 1135 / 15 | $7.722,16 | 1601 / 10 | $6.426,98 | 1594 / 10 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 7 | $11.075,80 | 137 / 2 | $5.066,29 | 723 / 7 | $4.093,71 | 720 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 8 | $16.596,70 | 746 / 13 | $6.836,97 | 1747 / 10 | $5.775,49 | 1739 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 125 | 80 / 1 | $22.697,10 | 551 / 10 | $9.756,87 | 1374 / 11 | $8.452,20 | 1374 / 8 |
| Syncope & Collapse | 49 | 120 / 2 | $17.093,60 | 576 / 10 | $5.456,35 | 1112 / 8 | $4.241,29 | 1105 / 6 |
| Transient Ischemia | 30 | 95 / 3 | $16.209,00 | 368 / 8 | $5.132,73 | 976 / 6 | $4.014,80 | 971 / 7 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 3 | $15.118,00 | 77 / 4 | $5.145,08 | 233 / 3 | $3.902,83 | 232 / 3 | Total 80 procedures | 2.887 | 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.