Hospital Costs > Major Small & Large Bowel Procedures W Mcc > Major Small & Large Bowel Procedures W Mcc - costs for treatment in Maine
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
Southern Maine Health Care | Biddeford | 13 | $59,668.40 | $27,718.20 | $26,689.40 |
Central Maine Medical Center | Lewiston | 22 | $67,674.20 | $29,511.60 | $27,702.30 |
Eastern Maine Medical Center | Bangor | 30 | $78,722.80 | $32,363.40 | $29,597.70 |
York Hospital Maine | York | 13 | $87,218.00 | $27,628.90 | $26,516.30 |
Mainegeneral Medical Center | Augusta | 21 | $99,797.70 | $36,320.10 | $34,771.80 |
Maine Medical Center | Portland | 48 | $101,291.00 | $39,519.40 | $36,434.00 | Total 6 hospitals | 147 |
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.