facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in Maine: 4 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in Maine

What 4 hospitals in Maine charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $42,815 Hospital list price billed
Average payment $10,811 Medicare + patient + other payers
Medicare paid $7,207 Average per stay
State rank #33 of 45 1 = lowest average payment

Hospitals in Maine billed an average of $42,815 for circulatory disorders except ami, with cardiac catheterization without major complications, about 4.0 times the average total payment of $10,811. That payment is 4% above the U.S. average of $10,394.

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 $10,811Billed $42,815

About 25¢ was paid for every $1 hospitals in Maine billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maine:

Maine hospitals: circulatory disorders except ami, with cardiac catheterization without major 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 63 $43,072 $10,894 $7,974
Eastern Maine Medical CenterBangor 51 $48,148 $11,544 $6,487
Mid Coast HospitalBrunswick 17 $33,432 $8,322 $7,266
Central Maine Medical CenterLewiston 11 $31,115 $10,792 $6,053
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Lowest and highest payments in Maine

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Mid Coast HospitalBrunswick, ME$8,322
Central Maine Medical CenterLewiston, ME$10,792
Maine Medical CenterPortland, ME$10,894
Eastern Maine Medical CenterBangor, ME$11,544

Highest

Eastern Maine Medical CenterBangor, ME$11,544
Maine Medical CenterPortland, ME$10,894
Central Maine Medical CenterLewiston, ME$10,792
Mid Coast HospitalBrunswick, ME$8,322

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in Maine?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 4 hospitals in Maine was billed at $42,815 on average, while the average total payment was $10,811, of which Medicare paid $7,207. 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 4.0 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.