Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in Maine
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Maine Medical Center | Portland | 98 | $13,798.20 | $7,756.79 | $6,503.50 |
| Eastern Maine Medical Center | Bangor | 96 | $16,599.10 | $7,054.75 | $5,728.82 |
| York Hospital Maine | York | 74 | $18,117.60 | $5,895.92 | $4,585.31 |
| St Joseph Hospital Bangor | Bangor | 67 | $11,034.40 | $6,004.39 | $4,710.06 |
| Maine Coast Memorial Hospital | Ellsworth | 59 | $15,265.00 | $6,334.36 | $5,329.88 |
| Central Maine Medical Center | Lewiston | 49 | $12,461.60 | $6,812.47 | $5,016.84 |
| Southern Maine Health Care | Biddeford | 46 | $15,715.30 | $5,979.91 | $5,110.35 |
| Mainegeneral Medical Center | Augusta | 39 | $16,596.70 | $6,836.97 | $5,775.49 |
| Cary Medical Center | Caribou | 36 | $13,991.20 | $6,246.89 | $5,542.89 |
| Franklin Memorial Hospital | Farmington | 36 | $19,456.50 | $7,811.81 | $6,681.81 |
| Penobscot Bay Medical Center | Rockport | 35 | $13,196.60 | $7,032.14 | $6,029.17 |
| Mid Coast Hospital | Brunswick | 34 | $12,868.70 | $6,075.21 | $5,150.03 |
| St Mary's Regional Medical Center Lewiston | Lewiston | 17 | $16,091.70 | $6,991.18 | $5,997.29 |
| Aroostook Medical Center | Presque Isle | 16 | $24,475.80 | $7,450.44 | $6,542.44 |
| Inland Hospital | Waterville | 16 | $14,887.50 | $9,450.88 | $8,466.88 |
| Henrietta D Goodall Hospital | Sanford | 14 | $12,873.90 | $6,240.07 | $5,563.50 |
| Mercy Hospital Portland | Portland | 13 | $17,419.80 | $6,256.77 | $5,232.77 |
| Northern Maine Medical Center | Fort Kent | 12 | $12,506.10 | $9,249.75 | $8,345.75 | Total 18 hospitals | 757 |
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.