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
Acute Myocardial Infarction, Discharged Alive W Cc1972 / 8$17.036,90176 / 6$7.423,42893 / 9$6.338,79891 / 10
Acute Myocardial Infarction, Discharged Alive W Mcc21104 / 7$33.329,40559 / 13$11.741,801159 / 9$10.882,401154 / 9
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy3548 / 1$12.146,5022 / 1$8.435,2935 / 1$7.125,6635 / 1
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
Cardiac Arrhythmia & Conduction Disorders W Cc14147 / 14$14.883,00504 / 8$6.441,141191 / 14$4.495,711187 / 8
Cellulitis W/O Mcc14175 / 14$20.521,101535 / 15$6.173,291877 / 10$5.307,001869 / 11
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
Diabetes W Cc1181 / 7$23.946,40937 / 8$6.081,271069 / 5$5.316,181065 / 7
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc20255 / 12$17.546,801071 / 16$5.575,351900 / 10$4.607,351886 / 14
G.I. Hemorrhage W Cc21197 / 9$23.608,301087 / 16$7.586,811339 / 12$5.744,621336 / 9
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
Hip & Femur Procedures Except Major Joint W Cc32111 / 6$46.416,20905 / 11$13.508,601043 / 9$11.132,001030 / 7
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 6$104.908,00548 / 6$36.806,901025 / 5$35.801,701019 / 5
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
Kidney & Urinary Tract Infections W/O Mcc11222 / 13$13.157,40665 / 9$5.572,361626 / 12$4.472,731615 / 10
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc146418 / 7$47.305,401154 / 15$14.418,901746 / 11$12.681,701706 / 12
Major Joint/Limb Reattachment Procedure Of Upper Extremities1653 / 2$67.007,60258 / 3$16.669,90287 / 1$15.539,90287 / 2
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
Psychoses84204 / 4$9.270,9243 / 1$7.166,18358 / 3$6.337,63358 / 4
Pulmonary Edema & Respiratory Failure27176 / 8$18.068,00290 / 4$9.212,411271 / 10$7.348,931268 / 8
Renal Failure W Cc19202 / 10$16.144,30580 / 9$6.784,051506 / 8$5.766,791497 / 9
Respiratory Infections & Inflammations W Cc1474 / 7$21.762,90336 / 5$9.099,29361 / 6$7.098,14358 / 3
Respiratory Infections & Inflammations W Mcc20116 / 7$32.515,90490 / 9$12.094,30866 / 5$11.310,30856 / 5
Revision Of Hip Or Knee Replacement W Cc2363 / 2$65.956,30186 / 4$24.148,80287 / 4$19.184,90286 / 2
Seizures W/O Mcc3573 / 3$15.022,60261 / 4$6.000,69782 / 5$4.688,66779 / 5
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc88428 / 8$32.839,80928 / 13$11.894,301439 / 7$10.919,801411 / 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
Simple Pneumonia & Pleurisy W Cc17186 / 12$16.091,70698 / 12$6.991,181907 / 11$5.997,291899 / 12
Simple Pneumonia & Pleurisy W Mcc18187 / 13$21.547,70475 / 9$9.738,781554 / 10$8.801,891554 / 10
Spinal Fusion Except Cervical W/O Mcc12182 / 5$105.284,00791 / 6$27.449,00990 / 4$26.345,00985 / 6
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.