Simple Pneumonia & Pleurisy W Cc - costs for treatment in Maine

Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in Maine

Simple Pneumonia & Pleurisy W Cc - costs for treatment in Maine


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Joseph Hospital BangorBangor67$11,034.40$6,004.39$4,710.06
Central Maine Medical CenterLewiston49$12,461.60$6,812.47$5,016.84
Northern Maine Medical CenterFort Kent12$12,506.10$9,249.75$8,345.75
Mid Coast HospitalBrunswick34$12,868.70$6,075.21$5,150.03
Henrietta D Goodall HospitalSanford14$12,873.90$6,240.07$5,563.50
Penobscot Bay Medical CenterRockport35$13,196.60$7,032.14$6,029.17
Maine Medical CenterPortland98$13,798.20$7,756.79$6,503.50
Cary Medical CenterCaribou36$13,991.20$6,246.89$5,542.89
Inland HospitalWaterville16$14,887.50$9,450.88$8,466.88
Maine Coast Memorial HospitalEllsworth59$15,265.00$6,334.36$5,329.88
Southern Maine Health CareBiddeford46$15,715.30$5,979.91$5,110.35
St Mary's Regional Medical Center LewistonLewiston17$16,091.70$6,991.18$5,997.29
Mainegeneral Medical CenterAugusta39$16,596.70$6,836.97$5,775.49
Eastern Maine Medical CenterBangor96$16,599.10$7,054.75$5,728.82
Mercy Hospital PortlandPortland13$17,419.80$6,256.77$5,232.77
York Hospital MaineYork74$18,117.60$5,895.92$4,585.31
Franklin Memorial HospitalFarmington36$19,456.50$7,811.81$6,681.81
Aroostook Medical CenterPresque Isle16$24,475.80$7,450.44$6,542.44
Total 18 hospitals757

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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