facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost in Maine: 1 hospitals compared (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications in Maine

What 1 hospital in Maine charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $101,816 Hospital list price billed
Average payment $26,113 Medicare + patient + other payers
Medicare paid $23,684 Average per stay
Volume 14 Medicare hospital stays

Hospitals in Maine billed an average of $101,816 for laparoscopic cholecystectomy without c.d.e. with major complications, about 3.9 times the average total payment of $26,113. That payment is 23% above the U.S. average of $21,203.

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 $26,113Billed $101,816

About 26¢ was paid for every $1 hospitals in Maine billed for this stay.

Maine hospitals: laparoscopic cholecystectomy without c.d.e. with 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 14 $101,816 $26,113 $23,684
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Laparoscopic cholecystectomy without c.d.e. with major complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in Maine?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 1 hospital in Maine was billed at $101,816 on average, while the average total payment was $26,113, of which Medicare paid $23,684. 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 3.9 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.