Pulmonary Edema & Respiratory Failure - costs for treatment in Maine

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Pulmonary Edema & Respiratory Failure - costs for treatment in Maine


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
York Hospital MaineYork20$29,652.70$6,950.05$6,166.05
St Joseph Hospital BangorBangor14$17,434.40$7,185.36$6,241.36
Mid Coast HospitalBrunswick81$18,152.50$8,984.19$6,644.30
Southern Maine Health CareBiddeford87$22,064.00$7,655.68$6,909.76
Mercy Hospital PortlandPortland30$24,002.40$7,862.40$6,973.87
Central Maine Medical CenterLewiston104$18,111.10$8,370.11$7,002.26
Cary Medical CenterCaribou11$14,097.90$7,712.82$7,165.91
St Mary's Regional Medical Center LewistonLewiston27$18,068.00$9,212.41$7,348.93
Mainegeneral Medical CenterAugusta72$20,695.80$8,517.82$7,352.00
Eastern Maine Medical CenterBangor43$21,275.60$8,254.28$7,669.33
Penobscot Bay Medical CenterRockport37$24,573.50$9,351.00$8,663.46
Maine Medical CenterPortland30$32,732.00$11,035.60$8,913.77
Franklin Memorial HospitalFarmington15$19,606.90$9,557.80$8,994.60
Aroostook Medical CenterPresque Isle24$39,034.80$10,196.40$9,393.71
Northern Maine Medical CenterFort Kent24$16,320.70$11,314.50$10,305.20
Total 15 hospitals619

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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