G.I. Obstruction W Cc - costs for treatment in Maine

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G.I. Obstruction W Cc - costs for treatment in Maine


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Joseph Hospital BangorBangor26$9,343.15$5,237.77$4,217.46
Penobscot Bay Medical CenterRockport12$10,476.00$6,784.83$5,131.67
Mercy Hospital PortlandPortland11$13,020.30$5,816.91$5,051.82
York Hospital MaineYork12$13,593.80$5,406.17$4,178.58
Southern Maine Health CareBiddeford27$13,652.90$5,408.59$4,560.00
Franklin Memorial HospitalFarmington11$14,220.10$7,943.55$5,302.36
Central Maine Medical CenterLewiston24$14,296.80$6,416.83$4,534.67
Maine Medical CenterPortland36$14,893.40$7,435.19$6,093.61
Eastern Maine Medical CenterBangor33$15,431.60$6,271.00$5,314.91
Mid Coast HospitalBrunswick11$15,617.60$5,664.09$4,893.18
Mainegeneral Medical CenterAugusta28$17,880.90$6,122.86$4,935.64
Aroostook Medical CenterPresque Isle12$19,901.40$6,781.08$6,178.42
Total 12 hospitals243

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.





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