facebook tracking Carotid artery stent procedures without complications cost in Maine: 1 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Maine

What 1 hospital in Maine charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $70,957 Hospital list price billed
Average payment $25,878 Medicare + patient + other payers
Medicare paid $10,631 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Maine billed an average of $70,957 for carotid artery stent procedures without complications, about 2.7 times the average total payment of $25,878. That payment is 64% above the U.S. average of $15,778.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $25,878Billed $70,957

About 36¢ was paid for every $1 hospitals in Maine billed for this stay.

Maine hospitals: carotid artery stent procedures without complications

Every Maine hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Maine Medical CenterPortland 11 $70,957 $25,878 $10,631
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Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Maine?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 1 hospital in Maine was billed at $70,957 on average, while the average total payment was $25,878, of which Medicare paid $10,631. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Maine, average charges were 2.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.