Heart Failure & Shock W Mcc - costs for treatment in Maine

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Heart Failure & Shock W Mcc - costs for treatment in Maine


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Joseph Hospital BangorBangor30$21,615.20$8,564.20$7,962.57
Mercy Hospital PortlandPortland46$23,993.80$9,366.41$8,420.33
Maine Medical CenterPortland133$26,000.30$11,555.50$10,122.70
Aroostook Medical CenterPresque Isle31$25,932.40$11,430.50$10,651.20
Southern Maine Health CareBiddeford108$18,640.90$8,708.96$7,862.36
York Hospital MaineYork26$23,997.90$8,268.69$7,442.23
Mid Coast HospitalBrunswick56$14,395.60$8,740.20$7,860.82
Central Maine Medical CenterLewiston78$18,037.70$9,404.78$8,266.53
Cary Medical CenterCaribou24$15,715.80$9,465.79$8,711.12
Eastern Maine Medical CenterBangor98$28,508.10$10,533.70$9,937.45
St Mary's Regional Medical Center LewistonLewiston35$16,603.70$10,017.00$8,611.54
Franklin Memorial HospitalFarmington21$24,890.90$12,301.90$11,616.20
Mainegeneral Medical CenterAugusta102$22,187.20$10,061.40$8,897.06
Maine Coast Memorial HospitalEllsworth15$15,705.90$9,586.67$8,863.47
Penobscot Bay Medical CenterRockport52$19,362.80$10,838.70$9,583.54
Total 15 hospitals855

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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