Hospital Costs > In Maine > York Hospital Maine, 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 | 88 | 476 / 9 | $54.926,10 | 1505 / 17 | $12.543,20 | 627 / 1 | $10.501,50 | 620 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 3 | $18.117,60 | 930 / 16 | $5.895,92 | 424 / 1 | $4.585,31 | 421 / 1 |
| Heart Failure & Shock W Cc | 63 | 215 / 5 | $15.467,30 | 626 / 8 | $5.483,38 | 297 / 1 | $4.682,79 | 297 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 6 | $15.011,50 | 936 / 14 | $4.427,03 | 352 / 1 | $3.495,74 | 352 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 2 | $12.338,60 | 511 / 6 | $3.888,05 | 247 / 1 | $3.028,26 | 245 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 7 | $16.927,40 | 987 / 14 | $5.429,68 | 437 / 8 | $3.350,53 | 435 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 6 | $15.800,00 | 601 / 12 | $4.492,47 | 340 / 1 | $3.656,92 | 340 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 7 | $22.404,20 | 932 / 17 | $6.751,44 | 536 / 1 | $5.808,33 | 535 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 5 | $9.928,09 | 345 / 5 | $3.368,29 | 151 / 1 | $2.046,11 | 151 / 1 |
| Cellulitis W/O Mcc | 33 | 156 / 8 | $18.908,50 | 1357 / 14 | $4.807,85 | 468 / 1 | $3.854,64 | 465 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 1 | $13.752,50 | 586 / 7 | $4.050,62 | 227 / 1 | $2.952,62 | 225 / 1 |
| G.I. Hemorrhage W Cc | 30 | 188 / 7 | $18.189,40 | 584 / 9 | $5.697,37 | 485 / 1 | $4.896,30 | 484 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 8 | $28.702,40 | 953 / 16 | $8.414,93 | 640 / 1 | $7.489,07 | 640 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 5 | $11.381,30 | 473 / 4 | $4.007,03 | 175 / 1 | $2.968,69 | 175 / 1 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 2 | $16.900,10 | 463 / 7 | $3.992,29 | 90 / 1 | $2.954,57 | 90 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 4 | $29.179,30 | 476 / 9 | $6.666,41 | 666 / 2 | $5.686,22 | 664 / 3 |
| Heart Failure & Shock W Mcc | 26 | 258 / 12 | $23.997,90 | 663 / 11 | $8.268,69 | 321 / 1 | $7.442,23 | 321 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 11 | $21.660,60 | 932 / 14 | $5.991,14 | 524 / 1 | $5.231,86 | 522 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 7 | $21.887,90 | 448 / 10 | $6.976,00 | 380 / 2 | $6.174,48 | 378 / 2 |
| Medical Back Problems W/O Mcc | 21 | 100 / 3 | $16.302,90 | 298 / 7 | $4.792,33 | 252 / 1 | $3.870,43 | 252 / 1 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 10 | $29.652,70 | 1020 / 13 | $6.950,05 | 362 / 1 | $6.166,05 | 362 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 5 | $11.987,00 | 445 / 4 | $4.060,55 | 249 / 1 | $3.090,95 | 249 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 10 | $40.553,50 | 659 / 10 | $11.140,80 | 455 / 1 | $9.997,21 | 454 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 14 | $36.336,90 | 1111 / 14 | $10.093,10 | 487 / 1 | $9.488,72 | 487 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 4 | $69.884,20 | 678 / 4 | $296.776,00 | 976 / 4 | $12.377,70 | 969 / 3 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 3 | $16.819,00 | 227 / 2 | $5.558,06 | 251 / 1 | $4.703,47 | 251 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 9 | $23.711,90 | 254 / 5 | $9.115,82 | 133 / 1 | $8.052,29 | 133 / 1 |
| Renal Failure W Cc | 16 | 205 / 11 | $19.670,20 | 949 / 14 | $5.572,88 | 668 / 1 | $4.894,88 | 661 / 3 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 6 | $66.418,10 | 786 / 11 | $15.381,20 | 696 / 3 | $14.325,20 | 690 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 11 | $16.334,30 | 647 / 13 | $5.253,69 | 322 / 1 | $4.345,69 | 321 / 1 |
| Syncope & Collapse | 16 | 153 / 7 | $16.753,40 | 553 / 9 | $4.441,81 | 346 / 2 | $3.387,75 | 344 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 10 | $19.753,30 | 457 / 11 | $7.065,67 | 102 / 4 | $4.587,07 | 102 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 3 | $19.437,00 | 215 / 4 | $5.682,47 | 172 / 1 | $4.878,20 | 172 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 1 | $60.260,30 | 579 / 4 | $11.244,10 | 604 / 3 | $10.198,80 | 602 / 3 |
| Chest Pain | 14 | 137 / 7 | $8.125,14 | 77 / 2 | $3.474,00 | 61 / 1 | $2.260,29 | 61 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 6 | $14.707,80 | 233 / 4 | $4.310,08 | 246 / 1 | $3.283,62 | 244 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 1 | $13.726,90 | 108 / 2 | $3.661,23 | 46 / 1 | $2.634,77 | 46 / 1 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 7 | $19.743,20 | 394 / 7 | $5.706,15 | 203 / 2 | $4.676,92 | 201 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 5 | $87.218,00 | 267 / 4 | $27.628,90 | 211 / 1 | $26.516,30 | 210 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 11 | $23.403,70 | 444 / 14 | $5.728,75 | 107 / 1 | $4.723,42 | 107 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 6 | $20.945,40 | 114 / 3 | $9.322,00 | 132 / 1 | $8.210,00 | 131 / 1 |
| G.I. Obstruction W Cc | 12 | 80 / 7 | $13.593,80 | 198 / 4 | $5.406,17 | 287 / 2 | $4.178,58 | 286 / 1 |
| Transient Ischemia | 12 | 113 / 7 | $12.827,70 | 169 / 3 | $4.022,83 | 149 / 1 | $2.913,50 | 149 / 1 |
| Renal Failure W Mcc | 12 | 183 / 8 | $42.705,80 | 1372 / 7 | $12.901,80 | 1835 / 7 | $12.151,20 | 1831 / 7 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 8 | $27.854,20 | 601 / 10 | $8.054,64 | 346 / 2 | $7.062,64 | 343 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 4 | $10.068,50 | 105 / 2 | $4.018,73 | 58 / 1 | $2.811,45 | 58 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 2 | $32.755,00 | 195 / 3 | $7.066,64 | 185 / 1 | $6.074,64 | 185 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 6 | $85.705,60 | 687 / 7 | $13.983,50 | 496 / 2 | $12.776,10 | 493 / 4 | Total 48 procedures | 1.154 | 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.