Mainegeneral Medical Center

Augusta, Maine 04330

CCN: 200039 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
39
DRG Categories
928
Total Discharges
$46,099
Avg Charges
$14,814
Avg Payment
$12,684
Avg Medicare
3.11x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Above Average
Readmissions
Above Average
Patient Experience
Reported
Maine Average Rating
3.05 / 5 This hospital is above average
0 five-star hospitals of rated in Maine
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Other

Compared to Maine Average

How this hospital compares to the average of 17 hospitals in Maine

Average Charges
$46,099 -21%
State avg: $58,642
Average Payment
$14,814 -18%
State avg: $18,039
Charge-to-Payment Ratio
3.11x 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 113 $59,875 $21,927 2.73x
885 PSYCHOSES 75 $63,823 $17,869 3.57x
291 HEART FAILURE AND SHOCK WITH MCC 70 $44,776 $14,799 3.03x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 55 $51,263 $19,881 2.58x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 49 $47,407 $15,261 3.11x
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC 31 $29,339 $8,957 3.28x
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 29 $63,166 $21,674 2.91x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 27 $39,076 $10,364 3.77x
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 22 $30,144 $10,184 2.96x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 21 $32,220 $10,350 3.11x
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC 20 $39,021 $11,525 3.39x
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC 19 $45,913 $15,897 2.89x
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC 19 $27,746 $8,967 3.09x
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC 19 $93,014 $27,861 3.34x
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC 19 $69,305 $21,459 3.23x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 19 $29,248 $8,454 3.46x
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 18 $29,080 $8,161 3.56x
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 18 $42,643 $16,374 2.6x
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 17 $50,987 $17,667 2.89x
603 CELLULITIS WITHOUT MCC 17 $35,821 $8,798 4.07x

Showing top 20 of 39 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.

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