Hospital Costs > In Maine > Parkview Adventist Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 13 | $21.557,30 | 1168 / 15 | $5.394,45 | 475 / 2 | $4.515,91 | 474 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 14 | $14.154,90 | 638 / 8 | $4.273,43 | 404 / 1 | $3.329,43 | 402 / 1 |
Heart Failure & Shock W Cc | 16 | 262 / 15 | $25.851,90 | 1737 / 17 | $5.791,19 | 764 / 2 | $5.115,19 | 763 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 15 | $30.440,80 | 240 / 4 | $12.952,40 | 510 / 4 | $10.333,20 | 507 / 1 | Total 4 procedures | 70 | 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.