Level 1 Endovascular Procedures in Maine
What 10 hospitals in Maine charged and were paid for level 1 endovascular procedures (APC 5191), from 2024 Medicare claims.
Average charge
$16,209
Hospital list price billed
Average allowed
$2,967
Medicare's payment + patient's share
Medicare paid
$2,117
Average per service
State rank
#24 of 48
1 = lowest average payment
Hospitals in Maine billed an average of $16,209 for level 1 endovascular procedures, about 5.5 times the average medicare-allowed amount of $2,967. That payment is 4% below the U.S. average of $3,094.
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 $2,967Billed $16,209
About 18¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 1 endovascular procedures
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 | 370 | $14,820 | $3,047 | $2,174 |
| Eastern Maine Medical CenterBangor | 285 | $20,474 | $2,808 | $2,004 |
| Mid Coast HospitalBrunswick | 101 | $15,975 | $3,025 | $2,157 |
| Maine General Medical CenterWaterville | 64 | $14,026 | $3,133 | $2,227 |
| York HospitalYork | 46 | $11,725 | $3,067 | $2,201 |
| Northern Light a R Gould HospitalPresque Isle | 44 | $14,822 | $2,801 | $2,006 |
| Central Maine Medical CenterLewiston | 38 | $15,767 | $3,017 | $2,165 |
| Southern Maine Health CareBiddeford | 24 | $10,737 | $2,883 | $2,013 |
| Mercy HospitalPortland | 19 | $9,765 | $3,067 | $2,201 |
| St Marys Regional Medical CenterLewiston | – | – | – | – |
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 | $2,801 |
|---|---|
| Eastern Maine Medical CenterBangor, ME | $2,808 |
| Southern Maine Health CareBiddeford, ME | $2,883 |
| Central Maine Medical CenterLewiston, ME | $3,017 |
| Mid Coast HospitalBrunswick, ME | $3,025 |
Highest
| Maine General Medical CenterWaterville, ME | $3,133 |
|---|---|
| Mercy HospitalPortland, ME | $3,067 |
| York HospitalYork, ME | $3,067 |
| Maine Medical CenterPortland, ME | $3,047 |
| Mid Coast HospitalBrunswick, ME | $3,025 |
Level 1 Endovascular Procedures in other states
Questions
How much does level 1 endovascular procedures cost in Maine?
In 2024 Medicare data, level 1 endovascular procedures (APC 5191) at 10 hospitals in Maine was billed at $16,209 on average, while the average medicare-allowed amount was $2,967, of which Medicare paid $2,117. 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 5.5 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.