Hospital Costs > In Maine > St Mary's Regional Medical Center Lewiston, procedure costs

St Mary's Regional Medical Center Lewiston, procedure costs

Campus Avenue - Po Box 291 (Hospital), Lewiston, ME 04240,

Procedure Costs @ St Mary's Regional Medical Center Lewiston
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 Mcc146418 / 7$47.305,401154 / 15$14.418,901746 / 11$12.681,701706 / 12
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc88428 / 8$32.839,80928 / 13$11.894,301439 / 7$10.919,801411 / 7
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc8446 / 2$7.759,0673 / 2$5.291,48452 / 8$4.249,69451 / 8
Psychoses84204 / 4$9.270,9243 / 1$7.166,18358 / 3$6.337,63358 / 4
Heart Failure & Shock W Cc37241 / 11$13.629,80425 / 6$6.851,321705 / 11$6.002,891700 / 11
Heart Failure & Shock W Mcc35249 / 9$16.603,70227 / 4$10.017,001225 / 9$8.611,541222 / 7
Seizures W/O Mcc3573 / 3$15.022,60261 / 4$6.000,69782 / 5$4.688,66779 / 5
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy3548 / 1$12.146,5022 / 1$8.435,2935 / 1$7.125,6635 / 1
Hip & Femur Procedures Except Major Joint W Cc32111 / 6$46.416,20905 / 11$13.508,601043 / 9$11.132,001030 / 7
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc32175 / 9$25.265,601277 / 16$7.402,001568 / 8$6.383,001561 / 9
Pulmonary Edema & Respiratory Failure27176 / 8$18.068,00290 / 4$9.212,411271 / 10$7.348,931268 / 8
Revision Of Hip Or Knee Replacement W Cc2363 / 2$65.956,30186 / 4$24.148,80287 / 4$19.184,90286 / 2
G.I. Hemorrhage W Cc21197 / 9$23.608,301087 / 16$7.586,811339 / 12$5.744,621336 / 9
Acute Myocardial Infarction, Discharged Alive W Mcc21104 / 7$33.329,40559 / 13$11.741,801159 / 9$10.882,401154 / 9
Respiratory Infections & Inflammations W Mcc20116 / 7$32.515,90490 / 9$12.094,30866 / 5$11.310,30856 / 5
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc20255 / 12$17.546,801071 / 16$5.575,351900 / 10$4.607,351886 / 14
Chronic Obstructive Pulmonary Disease W Cc20159 / 10$15.312,30541 / 11$6.656,451569 / 11$5.629,251563 / 11
Chronic Obstructive Pulmonary Disease W Mcc20182 / 11$21.123,10820 / 14$8.850,801447 / 14$6.764,501441 / 10
Acute Myocardial Infarction, Discharged Alive W Cc1972 / 8$17.036,90176 / 6$7.423,42893 / 9$6.338,79891 / 10
Renal Failure W Cc19202 / 10$16.144,30580 / 9$6.784,051506 / 8$5.766,791497 / 9
Simple Pneumonia & Pleurisy W Mcc18187 / 13$21.547,70475 / 9$9.738,781554 / 10$8.801,891554 / 10
Simple Pneumonia & Pleurisy W Cc17186 / 12$16.091,70698 / 12$6.991,181907 / 11$5.997,291899 / 12
Major Joint/Limb Reattachment Procedure Of Upper Extremities1653 / 2$67.007,60258 / 3$16.669,90287 / 1$15.539,90287 / 2
Respiratory Infections & Inflammations W Cc1474 / 7$21.762,90336 / 5$9.099,29361 / 6$7.098,14358 / 3
Cellulitis W/O Mcc14175 / 14$20.521,101535 / 15$6.173,291877 / 10$5.307,001869 / 11
Cardiac Arrhythmia & Conduction Disorders W Cc14147 / 14$14.883,00504 / 8$6.441,141191 / 14$4.495,711187 / 8
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs14168 / 11$16.933,40275 / 5$7.893,001174 / 9$6.095,141171 / 6
Spinal Fusion Except Cervical W/O Mcc12182 / 5$105.284,00791 / 6$27.449,00990 / 4$26.345,00985 / 6
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 6$104.908,00548 / 6$36.806,901025 / 5$35.801,701019 / 5
Diabetes W Cc1181 / 7$23.946,40937 / 8$6.081,271069 / 5$5.316,181065 / 7
Kidney & Urinary Tract Infections W/O Mcc11222 / 13$13.157,40665 / 9$5.572,361626 / 12$4.472,731615 / 10
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc11155 / 13$12.452,40604 / 7$5.116,911545 / 8$4.124,911540 / 11
Other Digestive System Diagnoses W Cc1186 / 8$27.154,00764 / 8$6.694,45764 / 6$5.705,36760 / 5
Total 33 procedures993discharges

DATA

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.