Southern Maine Health Care
Biddeford, Maine 04005
CCN: 200019
41
DRG Categories
1,204
Total Discharges
$37,162
Avg Charges
$11,660
Avg Payment
$9,256
Avg Medicare
3.19x
Charge-to-Payment
Compared to Maine Average
How this hospital compares to the average of 17 hospitals in Maine
Average Charges
$37,162 -37%
State avg: $58,642
Average Payment
$11,660 -35%
State avg: $18,039
Charge-to-Payment Ratio
3.19x Below avg
State avg: 3.27x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 154 | $43,266 | $15,006 | 2.88x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 101 | $32,647 | $10,500 | 3.11x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 96 | $44,811 | $14,158 | 3.17x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 55 | $28,225 | $11,067 | 2.55x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 48 | $24,362 | $6,654 | 3.66x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 42 | $29,926 | $9,782 | 3.06x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 40 | $29,227 | $8,999 | 3.25x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 33 | $28,088 | $8,787 | 3.2x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 30 | $63,696 | $15,439 | 4.13x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 29 | $28,226 | $8,053 | 3.5x |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 28 | $35,078 | $11,766 | 2.98x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 28 | $21,118 | $6,579 | 3.21x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 27 | $28,194 | $8,736 | 3.23x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 26 | $21,718 | $6,984 | 3.11x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 26 | $33,043 | $13,304 | 2.48x |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 25 | $29,639 | $9,846 | 3.01x |
| 682 | RENAL FAILURE WITH MCC | 25 | $43,701 | $13,316 | 3.28x |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | 24 | $21,307 | $6,938 | 3.07x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 24 | $39,738 | $11,474 | 3.46x |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 23 | $31,214 | $10,768 | 2.9x |
Showing top 20 of 41 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.