Hospital Costs > In Maine > Northern Maine Medical Center, 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 | 50 | 466 / 11 | $16.656,10 | 119 / 1 | $17.375,70 | 2590 / 17 | $16.103,10 | 2545 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 16 | $33.385,20 | 371 / 9 | $20.300,20 | 2571 / 17 | $19.181,40 | 2525 / 18 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 9 | $16.320,70 | 202 / 2 | $11.314,50 | 2014 / 15 | $10.305,20 | 2008 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 12 | $14.281,80 | 300 / 3 | $10.104,70 | 2356 / 16 | $9.029,11 | 2346 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 12 | $12.137,30 | 60 / 1 | $10.173,40 | 1924 / 13 | $9.176,08 | 1920 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 16 | $12.506,10 | 302 / 3 | $9.249,75 | 2592 / 17 | $8.345,75 | 2583 / 17 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 15 | $18.757,50 | 311 / 6 | $13.743,80 | 2356 / 15 | $12.754,70 | 2350 / 15 | Total 7 procedures | 153 | 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.