facebook tracking Level 1 Laparoscopy and Related Services cost in Maine: 17 hospitals compared (APC 5361)

Level 1 Laparoscopy and Related Services in Maine

What 17 hospitals in Maine charged and were paid for level 1 laparoscopy and related services (APC 5361), from 2024 Medicare claims.

APC 5361 Outpatient 2024 Medicare data
Average charge $26,356 Hospital list price billed
Average allowed $5,265 Medicare's payment + patient's share
Medicare paid $4,181 Average per service
State rank #25 of 49 1 = lowest average payment

Hospitals in Maine billed an average of $26,356 for level 1 laparoscopy and related services, about 5.0 times the average medicare-allowed amount of $5,265. That payment is 4% below the U.S. average of $5,495.

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 $5,265Billed $26,356

About 20¢ was paid for every $1 hospitals in Maine billed for this service.

Maine hospitals: level 1 laparoscopy and related 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 218 $24,905 $5,302 $4,201
Eastern Maine Medical CenterBangor 78 $26,114 $4,943 $3,928
St Joseph HospitalBangor 77 $26,127 $4,853 $3,840
Maine General Medical CenterWaterville 76 $32,051 $5,665 $4,513
Mid Coast HospitalBrunswick 53 $22,019 $5,340 $4,238
York HospitalYork 46 $30,669 $5,421 $4,317
Central Maine Medical CenterLewiston 41 $22,707 $5,229 $4,145
Mercy HospitalPortland 34 $21,678 $5,421 $4,319
Penobscot Bay Medical CenterRockport 29 $26,786 $5,303 $4,225
Southern Maine Health CareBiddeford 27 $36,082 $5,421 $4,319
Cary Medical CenterCaribou 18 $24,659 $4,951 $3,945
Maine Coast Memorial HospitalEllsworth 15 $27,391 $5,490 $4,374
Northern Light a R Gould HospitalPresque Isle – – – –
St Marys Regional Medical CenterLewiston – – – –
Franklin Memorial HospitalFarmington – – – –
Northern Light Inland HospitalWaterville – – – –
Northern Maine Medical CenterFort Kent – – – –
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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

St Joseph HospitalBangor, ME$4,853
Eastern Maine Medical CenterBangor, ME$4,943
Cary Medical CenterCaribou, ME$4,951
Central Maine Medical CenterLewiston, ME$5,229
Maine Medical CenterPortland, ME$5,302

Highest

Maine General Medical CenterWaterville, ME$5,665
Maine Coast Memorial HospitalEllsworth, ME$5,490
York HospitalYork, ME$5,421
Mercy HospitalPortland, ME$5,421
Southern Maine Health CareBiddeford, ME$5,421

Level 1 Laparoscopy and Related Services in other states

Questions

How much does level 1 laparoscopy and related services cost in Maine?

In 2024 Medicare data, level 1 laparoscopy and related services (APC 5361) at 17 hospitals in Maine was billed at $26,356 on average, while the average medicare-allowed amount was $5,265, of which Medicare paid $4,181. 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 5.0 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.