Hospital Costs > In Maine > St Joseph Hospital Bangor, 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 | 183 | 381 / 4 | $38.781,40 | 686 / 13 | $13.267,70 | 787 / 5 | $10.739,50 | 774 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 7 | $22.105,50 | 368 / 5 | $10.919,80 | 606 / 2 | $9.675,64 | 605 / 2 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 4 | $11.034,40 | 179 / 1 | $6.004,39 | 572 / 3 | $4.710,06 | 569 / 2 |
Heart Failure & Shock W Cc | 61 | 217 / 6 | $12.464,20 | 312 / 3 | $5.912,08 | 536 / 3 | $4.924,57 | 536 / 2 |
Cellulitis W/O Mcc | 61 | 128 / 3 | $12.174,20 | 490 / 5 | $5.067,07 | 814 / 2 | $4.135,92 | 809 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 3 | $11.382,00 | 438 / 5 | $4.650,27 | 962 / 2 | $3.936,55 | 955 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 6 | $11.744,20 | 355 / 2 | $4.740,40 | 656 / 3 | $3.532,54 | 652 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 5 | $15.559,70 | 357 / 5 | $6.920,63 | 792 / 2 | $6.038,79 | 787 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 4 | $12.929,10 | 318 / 4 | $5.761,69 | 590 / 4 | $4.629,48 | 588 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 4 | $12.483,20 | 269 / 4 | $4.770,18 | 523 / 2 | $3.835,18 | 521 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 5 | $12.550,50 | 181 / 1 | $6.323,33 | 719 / 2 | $5.403,76 | 717 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 1 | $12.533,60 | 498 / 7 | $4.347,97 | 676 / 2 | $3.464,95 | 674 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 4 | $9.515,67 | 302 / 4 | $3.448,81 | 535 / 2 | $2.475,47 | 531 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 4 | $23.957,60 | 260 / 6 | $10.829,50 | 816 / 7 | $9.758,86 | 815 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 4 | $9.498,69 | 262 / 2 | $4.243,49 | 504 / 2 | $3.312,74 | 502 / 2 |
Renal Failure W Cc | 31 | 190 / 6 | $9.821,26 | 84 / 2 | $5.664,68 | 798 / 2 | $4.999,90 | 791 / 4 |
Heart Failure & Shock W Mcc | 30 | 254 / 11 | $21.615,20 | 514 / 8 | $8.564,20 | 721 / 2 | $7.962,57 | 721 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 6 | $14.067,30 | 92 / 2 | $6.030,59 | 237 / 2 | $5.023,30 | 237 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 5 | $17.545,10 | 220 / 5 | $6.959,04 | 363 / 1 | $6.154,30 | 362 / 1 |
Signs & Symptoms W/O Mcc | 26 | 65 / 3 | $11.407,00 | 157 / 3 | $4.187,04 | 314 / 2 | $3.400,58 | 313 / 2 |
G.I. Obstruction W Cc | 26 | 66 / 5 | $9.343,15 | 41 / 1 | $5.237,77 | 312 / 1 | $4.217,46 | 311 / 2 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 5 | $35.724,20 | 115 / 1 | $14.098,50 | 351 / 1 | $13.043,80 | 348 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 5 | $19.385,00 | 96 / 2 | $6.364,58 | 508 / 1 | $5.457,92 | 506 / 2 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 4 | $17.594,00 | 175 / 3 | $7.973,95 | 536 / 1 | $7.425,59 | 533 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 8 | $14.561,20 | 127 / 2 | $6.474,20 | 236 / 2 | $4.887,40 | 236 / 2 |
Medical Back Problems W/O Mcc | 20 | 101 / 4 | $9.330,35 | 41 / 1 | $5.092,80 | 327 / 2 | $4.000,65 | 327 / 2 |
Syncope & Collapse | 20 | 149 / 5 | $12.964,50 | 264 / 5 | $4.412,65 | 310 / 1 | $3.353,10 | 308 / 1 |
G.I. Hemorrhage W Cc | 20 | 198 / 10 | $15.626,00 | 349 / 4 | $7.212,95 | 371 / 8 | $4.776,85 | 371 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 6 | $9.336,39 | 206 / 2 | $4.127,39 | 317 / 2 | $3.119,39 | 315 / 2 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 6 | $11.986,90 | 59 / 1 | $5.592,11 | 265 / 1 | $4.788,56 | 262 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 13 | $17.117,60 | 223 / 4 | $8.510,83 | 918 / 2 | $7.776,61 | 918 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 4 | $10.754,40 | 292 / 3 | $4.285,28 | 331 / 2 | $3.076,39 | 329 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 5 | $41.425,70 | 197 / 5 | $14.101,10 | 193 / 4 | $11.002,00 | 191 / 1 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 3 | $13.890,10 | 342 / 2 | $4.832,00 | 499 / 1 | $3.979,29 | 498 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 3 | $24.044,30 | 22 / 1 | $12.948,70 | 339 / 1 | $11.822,30 | 338 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 11 | $34.538,00 | 393 / 9 | $11.967,60 | 840 / 5 | $10.678,50 | 829 / 6 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 12 | $17.434,40 | 251 / 3 | $7.185,36 | 410 / 2 | $6.241,36 | 410 / 2 |
Transient Ischemia | 13 | 112 / 6 | $12.513,70 | 145 / 2 | $4.257,15 | 293 / 2 | $3.147,00 | 293 / 2 |
Diabetes W Cc | 13 | 79 / 6 | $12.190,50 | 164 / 1 | $4.981,62 | 399 / 1 | $4.144,69 | 399 / 1 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 5 | $10.685,40 | 66 / 1 | $6.657,69 | 523 / 2 | $5.734,62 | 522 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 3 | $7.756,85 | 42 / 1 | $4.199,08 | 198 / 2 | $3.180,00 | 197 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 5 | $43.909,10 | 62 / 1 | $22.905,50 | 514 / 1 | $21.897,50 | 511 / 2 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 9 | $22.910,90 | 168 / 2 | $11.429,80 | 703 / 2 | $10.923,20 | 695 / 3 |
Endocrine Disorders W Cc | 11 | 27 / 1 | $13.189,50 | 20 / 1 | $5.813,82 | 38 / 1 | $5.040,00 | 38 / 1 |
Chest Pain | 11 | 140 / 8 | $10.397,50 | 169 / 3 | $3.717,91 | 327 / 2 | $2.725,91 | 326 / 2 | Total 45 procedures | 1.488 | 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.