Hospital Costs > In Maine > St Mary's Regional Medical Center Lewiston, 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 | 19 | 72 / 8 | $17.036,90 | 176 / 6 | $7.423,42 | 893 / 9 | $6.338,79 | 891 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 7 | $33.329,40 | 559 / 13 | $11.741,80 | 1159 / 9 | $10.882,40 | 1154 / 9 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 35 | 48 / 1 | $12.146,50 | 22 / 1 | $8.435,29 | 35 / 1 | $7.125,66 | 35 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 84 | 46 / 2 | $7.759,06 | 73 / 2 | $5.291,48 | 452 / 8 | $4.249,69 | 451 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 14 | $14.883,00 | 504 / 8 | $6.441,14 | 1191 / 14 | $4.495,71 | 1187 / 8 |
Cellulitis W/O Mcc | 14 | 175 / 14 | $20.521,10 | 1535 / 15 | $6.173,29 | 1877 / 10 | $5.307,00 | 1869 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 10 | $15.312,30 | 541 / 11 | $6.656,45 | 1569 / 11 | $5.629,25 | 1563 / 11 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 11 | $21.123,10 | 820 / 14 | $8.850,80 | 1447 / 14 | $6.764,50 | 1441 / 10 |
Diabetes W Cc | 11 | 81 / 7 | $23.946,40 | 937 / 8 | $6.081,27 | 1069 / 5 | $5.316,18 | 1065 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 12 | $17.546,80 | 1071 / 16 | $5.575,35 | 1900 / 10 | $4.607,35 | 1886 / 14 |
G.I. Hemorrhage W Cc | 21 | 197 / 9 | $23.608,30 | 1087 / 16 | $7.586,81 | 1339 / 12 | $5.744,62 | 1336 / 9 |
Heart Failure & Shock W Cc | 37 | 241 / 11 | $13.629,80 | 425 / 6 | $6.851,32 | 1705 / 11 | $6.002,89 | 1700 / 11 |
Heart Failure & Shock W Mcc | 35 | 249 / 9 | $16.603,70 | 227 / 4 | $10.017,00 | 1225 / 9 | $8.611,54 | 1222 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 6 | $46.416,20 | 905 / 11 | $13.508,60 | 1043 / 9 | $11.132,00 | 1030 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 6 | $104.908,00 | 548 / 6 | $36.806,90 | 1025 / 5 | $35.801,70 | 1019 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 11 | $16.933,40 | 275 / 5 | $7.893,00 | 1174 / 9 | $6.095,14 | 1171 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 13 | $13.157,40 | 665 / 9 | $5.572,36 | 1626 / 12 | $4.472,73 | 1615 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 146 | 418 / 7 | $47.305,40 | 1154 / 15 | $14.418,90 | 1746 / 11 | $12.681,70 | 1706 / 12 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 2 | $67.007,60 | 258 / 3 | $16.669,90 | 287 / 1 | $15.539,90 | 287 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 13 | $12.452,40 | 604 / 7 | $5.116,91 | 1545 / 8 | $4.124,91 | 1540 / 11 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 8 | $27.154,00 | 764 / 8 | $6.694,45 | 764 / 6 | $5.705,36 | 760 / 5 |
Psychoses | 84 | 204 / 4 | $9.270,92 | 43 / 1 | $7.166,18 | 358 / 3 | $6.337,63 | 358 / 4 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 8 | $18.068,00 | 290 / 4 | $9.212,41 | 1271 / 10 | $7.348,93 | 1268 / 8 |
Renal Failure W Cc | 19 | 202 / 10 | $16.144,30 | 580 / 9 | $6.784,05 | 1506 / 8 | $5.766,79 | 1497 / 9 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 7 | $21.762,90 | 336 / 5 | $9.099,29 | 361 / 6 | $7.098,14 | 358 / 3 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 7 | $32.515,90 | 490 / 9 | $12.094,30 | 866 / 5 | $11.310,30 | 856 / 5 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 2 | $65.956,30 | 186 / 4 | $24.148,80 | 287 / 4 | $19.184,90 | 286 / 2 |
Seizures W/O Mcc | 35 | 73 / 3 | $15.022,60 | 261 / 4 | $6.000,69 | 782 / 5 | $4.688,66 | 779 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 8 | $32.839,80 | 928 / 13 | $11.894,30 | 1439 / 7 | $10.919,80 | 1411 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 9 | $25.265,60 | 1277 / 16 | $7.402,00 | 1568 / 8 | $6.383,00 | 1561 / 9 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 12 | $16.091,70 | 698 / 12 | $6.991,18 | 1907 / 11 | $5.997,29 | 1899 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 13 | $21.547,70 | 475 / 9 | $9.738,78 | 1554 / 10 | $8.801,89 | 1554 / 10 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 5 | $105.284,00 | 791 / 6 | $27.449,00 | 990 / 4 | $26.345,00 | 985 / 6 | Total 33 procedures | 993 | 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.