Hospital Costs > Simple Pneumonia & Pleurisy W Mcc > Simple Pneumonia & Pleurisy W Mcc - costs for treatment in Maine
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Mainegeneral Medical Center | Augusta | 125 | $22,697.10 | $9,756.87 | $8,452.20 |
| Southern Maine Health Care | Biddeford | 91 | $20,667.20 | $8,610.08 | $7,652.19 |
| Central Maine Medical Center | Lewiston | 64 | $17,073.20 | $9,328.83 | $7,670.72 |
| Maine Medical Center | Portland | 56 | $23,624.40 | $10,931.70 | $9,501.62 |
| Eastern Maine Medical Center | Bangor | 52 | $27,404.80 | $9,731.71 | $8,846.63 |
| Mid Coast Hospital | Brunswick | 48 | $16,910.20 | $8,911.40 | $7,671.23 |
| Penobscot Bay Medical Center | Rockport | 47 | $23,632.40 | $10,658.60 | $9,733.25 |
| York Hospital Maine | York | 30 | $28,702.40 | $8,414.93 | $7,489.07 |
| Cary Medical Center | Caribou | 26 | $15,395.60 | $8,993.92 | $8,207.46 |
| Franklin Memorial Hospital | Farmington | 25 | $23,764.20 | $11,387.00 | $10,567.80 |
| Maine Coast Memorial Hospital | Ellsworth | 23 | $25,840.00 | $9,360.96 | $8,624.96 |
| Mercy Hospital Portland | Portland | 22 | $17,253.60 | $8,714.09 | $7,794.09 |
| St Joseph Hospital Bangor | Bangor | 18 | $17,117.60 | $8,510.83 | $7,776.61 |
| St Mary's Regional Medical Center Lewiston | Lewiston | 18 | $21,547.70 | $9,738.78 | $8,801.89 |
| Inland Hospital | Waterville | 15 | $18,973.50 | $13,977.80 | $13,177.80 |
| Northern Maine Medical Center | Fort Kent | 11 | $18,757.50 | $13,743.80 | $12,754.70 | Total 16 hospitals | 671 |
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.