Comprehensive Observation Services in Maine
What 17 hospitals in Maine charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$13,250
Hospital list price billed
Average allowed
$2,457
Medicare's payment + patient's share
Medicare paid
$1,951
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $13,250 for comprehensive observation services, about 5.4 times the average medicare-allowed amount of $2,457. That payment is 7% below the U.S. average of $2,634.
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 $2,457Billed $13,250
About 19¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: comprehensive observation services
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 559 | $12,994 | $2,518 | $1,996 |
| Eastern Maine Medical CenterBangor | 384 | $14,589 | $2,370 | $1,882 |
| Mid Coast HospitalBrunswick | 212 | $15,582 | $2,523 | $2,001 |
| St Marys Regional Medical CenterLewiston | 212 | $7,820 | $2,342 | $1,862 |
| Northern Light a R Gould HospitalPresque Isle | 141 | $18,125 | $2,332 | $1,858 |
| St Joseph HospitalBangor | 134 | $9,891 | $2,349 | $1,871 |
| York HospitalYork | 128 | $12,996 | $2,572 | $2,047 |
| Central Maine Medical CenterLewiston | 120 | $13,391 | $2,486 | $1,976 |
| Maine Coast Memorial HospitalEllsworth | 118 | $15,036 | $2,587 | $2,055 |
| Penobscot Bay Medical CenterRockport | 94 | $15,118 | $2,494 | $1,983 |
| Cary Medical CenterCaribou | 84 | $8,886 | $2,349 | $1,871 |
| Southern Maine Health CareBiddeford | 64 | $13,512 | $2,476 | $1,953 |
| Mercy HospitalPortland | 55 | $16,680 | $2,488 | $1,971 |
| Maine General Medical CenterWaterville | 49 | $14,037 | $2,644 | $2,098 |
| Northern Maine Medical CenterFort Kent | 40 | $8,489 | $2,515 | $2,004 |
| Northern Light Inland HospitalWaterville | 32 | $14,555 | $2,390 | $1,904 |
| Franklin Memorial HospitalFarmington | 22 | $10,906 | $2,519 | $2,007 |
Lowest and highest allowed amounts in Maine
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Northern Light a R Gould HospitalPresque Isle, ME | $2,332 |
|---|---|
| St Marys Regional Medical CenterLewiston, ME | $2,342 |
| Cary Medical CenterCaribou, ME | $2,349 |
| St Joseph HospitalBangor, ME | $2,349 |
| Eastern Maine Medical CenterBangor, ME | $2,370 |
Highest
| Maine General Medical CenterWaterville, ME | $2,644 |
|---|---|
| Maine Coast Memorial HospitalEllsworth, ME | $2,587 |
| York HospitalYork, ME | $2,572 |
| Mid Coast HospitalBrunswick, ME | $2,523 |
| Franklin Memorial HospitalFarmington, ME | $2,519 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Maine?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 17 hospitals in Maine was billed at $13,250 on average, while the average medicare-allowed amount was $2,457, of which Medicare paid $1,951. 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 service in Maine, average charges were 5.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.