Cellulitis W/O Mcc - costs for treatment in Maine

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Cellulitis W/O Mcc - costs for treatment in Maine


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Joseph Hospital BangorBangor61$12,174.20$5,067.07$4,135.92
Mercy Hospital PortlandPortland15$15,991.30$6,119.13$5,321.27
Maine Medical CenterPortland76$12,204.40$7,039.57$5,493.13
Aroostook Medical CenterPresque Isle13$11,846.70$6,455.46$5,623.46
Southern Maine Health CareBiddeford54$15,884.10$5,254.91$4,291.35
York Hospital MaineYork33$18,908.50$4,807.85$3,854.64
Mid Coast HospitalBrunswick53$10,286.50$5,329.40$4,369.40
Central Maine Medical CenterLewiston57$11,767.60$5,803.81$4,641.28
Cary Medical CenterCaribou28$11,908.00$5,465.57$4,277.54
Eastern Maine Medical CenterBangor112$15,995.50$6,311.33$4,787.70
St Mary's Regional Medical Center LewistonLewiston14$20,521.10$6,173.29$5,307.00
Franklin Memorial HospitalFarmington26$12,574.60$6,606.62$5,678.62
Mainegeneral Medical CenterAugusta50$18,590.10$6,223.06$4,682.80
Maine Coast Memorial HospitalEllsworth19$13,234.10$5,419.63$4,340.05
Penobscot Bay Medical CenterRockport23$13,611.60$6,057.65$4,952.96
Total 15 hospitals634

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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