Hospital Costs > In Maine > Mercy Hospital Portland, 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 | 415 | 173 / 2 | $30.145,50 | 225 / 3 | $13.433,00 | 1289 / 6 | $11.562,00 | 1257 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 271 | 7 / 1 | $7.460,06 | 67 / 1 | $4.703,21 | 336 / 4 | $3.902,22 | 336 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 161 | 355 / 6 | $28.133,40 | 701 / 9 | $12.186,40 | 1517 / 9 | $11.042,80 | 1486 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 77 | 117 / 2 | $63.629,10 | 260 / 4 | $25.018,90 | 627 / 2 | $22.605,00 | 623 / 3 |
| Heart Failure & Shock W Mcc | 46 | 238 / 8 | $23.993,80 | 662 / 10 | $9.366,41 | 1089 / 5 | $8.420,33 | 1086 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 8 | $18.923,70 | 682 / 10 | $6.769,44 | 1121 / 5 | $5.777,44 | 1117 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 8 | $16.293,30 | 415 / 9 | $7.371,33 | 1197 / 5 | $6.456,91 | 1191 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 9 | $15.300,90 | 795 / 11 | $5.038,32 | 1517 / 6 | $4.142,32 | 1505 / 10 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 7 | $24.002,40 | 669 / 11 | $7.862,40 | 1008 / 5 | $6.973,87 | 1007 / 5 |
| G.I. Hemorrhage W Cc | 28 | 190 / 8 | $20.740,40 | 811 / 13 | $6.885,64 | 1421 / 6 | $5.845,64 | 1418 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 8 | $25.628,20 | 93 / 1 | $11.573,90 | 805 / 3 | $10.626,50 | 796 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 2 | $46.816,60 | 278 / 6 | $13.835,60 | 487 / 1 | $12.724,60 | 484 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 1 | $11.297,70 | 12 / 1 | $7.103,72 | 420 / 1 | $6.089,96 | 419 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 1 | $38.984,20 | 22 / 1 | $19.753,50 | 122 / 1 | $17.251,00 | 122 / 1 |
| Major Chest Procedures W Cc | 25 | 49 / 3 | $38.688,10 | 42 / 2 | $13.512,30 | 5 / 1 | $10.896,90 | 5 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 12 | $17.253,60 | 228 / 5 | $8.714,09 | 931 / 4 | $7.794,09 | 931 / 6 |
| Heart Failure & Shock W Cc | 22 | 256 / 14 | $17.134,50 | 822 / 13 | $6.316,32 | 1113 / 7 | $5.381,05 | 1111 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 11 | $14.127,70 | 814 / 13 | $5.183,81 | 1601 / 7 | $4.440,19 | 1590 / 9 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 2 | $33.171,50 | 99 / 3 | $13.929,10 | 495 / 2 | $12.719,50 | 492 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 9 | $15.478,80 | 133 / 2 | $7.803,00 | 938 / 6 | $7.040,05 | 935 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 5 | $81.884,40 | 265 / 3 | $33.704,90 | 812 / 3 | $32.894,20 | 806 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 9 | $15.151,80 | 975 / 13 | $4.798,50 | 1473 / 6 | $4.040,50 | 1468 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 13 | $16.752,40 | 724 / 14 | $5.315,25 | 1186 / 7 | $4.487,25 | 1182 / 7 |
| Cellulitis W/O Mcc | 15 | 174 / 13 | $15.991,30 | 995 / 11 | $6.119,13 | 1883 / 9 | $5.321,27 | 1875 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 4 | $17.051,10 | 247 / 1 | $7.191,60 | 617 / 2 | $6.223,07 | 614 / 2 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 14 | 35 / 1 | $4.343,64 | 23 / 1 | $3.331,93 | 20 / 1 | $2.639,36 | 20 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 4 | $16.420,40 | 329 / 4 | $7.203,86 | 1065 / 4 | $6.513,57 | 1062 / 5 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 3 | $29.281,40 | 11 / 1 | $17.634,40 | 179 / 1 | $14.556,60 | 179 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 4 | $23.373,20 | 202 / 1 | $9.310,00 | 363 / 1 | $8.617,43 | 363 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 8 | $26.486,30 | 353 / 8 | $7.253,46 | 989 / 3 | $6.320,54 | 986 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 12 | $13.957,10 | 410 / 7 | $6.066,69 | 1183 / 7 | $5.136,23 | 1179 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 15 | $17.419,80 | 842 / 15 | $6.256,77 | 1211 / 7 | $5.232,77 | 1207 / 6 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 6 | $25.260,80 | 186 / 1 | $10.533,00 | 651 / 1 | $10.065,30 | 652 / 2 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 9 | $25.167,90 | 239 / 7 | $12.248,00 | 900 / 6 | $11.397,30 | 890 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 4 | $39.183,60 | 37 / 1 | $17.672,80 | 223 / 1 | $16.966,20 | 222 / 1 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 9 | $37.513,10 | 140 / 2 | $16.251,20 | 862 / 6 | $15.037,90 | 854 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 1 | $17.405,70 | 13 / 1 | $9.141,09 | 16 / 1 | $8.370,18 | 16 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 4 | $35.081,40 | 46 / 4 | $10.826,40 | 70 / 1 | $9.723,82 | 70 / 1 |
| Renal Failure W Cc | 11 | 210 / 13 | $18.872,50 | 869 / 12 | $6.365,91 | 1474 / 7 | $5.708,45 | 1465 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 7 | $24.901,50 | 201 / 5 | $10.134,80 | 464 / 2 | $9.259,18 | 463 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 12 | $17.829,50 | 213 / 10 | $6.670,36 | 667 / 6 | $5.794,73 | 665 / 6 |
| G.I. Obstruction W Cc | 11 | 81 / 8 | $13.020,30 | 163 / 3 | $5.816,91 | 965 / 5 | $5.051,82 | 962 / 7 | Total 42 procedures | 1.648 | 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.