Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Maine
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| York Hospital Maine | York | 32 | $13,752.50 | $4,050.62 | $2,952.62 |
| St Joseph Hospital Bangor | Bangor | 18 | $10,754.40 | $4,285.28 | $3,076.39 |
| Southern Maine Health Care | Biddeford | 12 | $11,986.70 | $4,449.67 | $3,436.33 |
| Penobscot Bay Medical Center | Rockport | 13 | $10,672.50 | $5,313.31 | $3,633.23 |
| Central Maine Medical Center | Lewiston | 12 | $9,607.08 | $4,926.00 | $3,767.00 |
| Eastern Maine Medical Center | Bangor | 22 | $13,245.50 | $5,089.55 | $3,935.82 |
| Maine Medical Center | Portland | 28 | $12,459.60 | $6,684.11 | $4,336.71 | Total 7 hospitals | 137 |
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.