Level 1 Nerve Procedures in Maine
What 16 hospitals in Maine charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
Average charge
$7,291
Hospital list price billed
Average allowed
$1,754
Medicare's payment + patient's share
Medicare paid
$1,391
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $7,291 for level 1 nerve procedures, about 4.2 times the average medicare-allowed amount of $1,754. That payment is 1% below the U.S. average of $1,774.
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 $1,754Billed $7,291
About 24¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 1 nerve 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 | 338 | $5,588 | $1,801 | $1,432 |
| St Marys Regional Medical CenterLewiston | 108 | $9,230 | $1,664 | $1,317 |
| Eastern Maine Medical CenterBangor | 88 | $8,141 | $1,654 | $1,307 |
| Maine General Medical CenterWaterville | 64 | $3,724 | $1,836 | $1,461 |
| Southern Maine Health CareBiddeford | 62 | $10,532 | $1,791 | $1,419 |
| Mercy HospitalPortland | 56 | $8,119 | $1,788 | $1,416 |
| Northern Light a R Gould HospitalPresque Isle | 49 | $7,998 | $1,657 | $1,320 |
| Mid Coast HospitalBrunswick | 48 | $7,316 | $1,754 | $1,385 |
| York HospitalYork | 46 | $7,058 | $1,751 | $1,377 |
| Penobscot Bay Medical CenterRockport | 28 | $8,536 | $1,774 | $1,414 |
| St Joseph HospitalBangor | 19 | $15,912 | $1,657 | $1,314 |
| Cary Medical CenterCaribou | 11 | $11,674 | $1,657 | $1,308 |
| Central Maine Medical CenterLewiston | – | – | – | – |
| Franklin Memorial HospitalFarmington | – | – | – | – |
| Northern Light Inland HospitalWaterville | – | – | – | – |
| Maine Coast Memorial HospitalEllsworth | – | – | – | – |
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
| Eastern Maine Medical CenterBangor, ME | $1,654 |
|---|---|
| Northern Light a R Gould HospitalPresque Isle, ME | $1,657 |
| St Joseph HospitalBangor, ME | $1,657 |
| Cary Medical CenterCaribou, ME | $1,657 |
| St Marys Regional Medical CenterLewiston, ME | $1,664 |
Highest
| Maine General Medical CenterWaterville, ME | $1,836 |
|---|---|
| Maine Medical CenterPortland, ME | $1,801 |
| Southern Maine Health CareBiddeford, ME | $1,791 |
| Mercy HospitalPortland, ME | $1,788 |
| Penobscot Bay Medical CenterRockport, ME | $1,774 |
Level 1 Nerve Procedures in other states
Questions
How much does level 1 nerve procedures cost in Maine?
In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 16 hospitals in Maine was billed at $7,291 on average, while the average medicare-allowed amount was $1,754, of which Medicare paid $1,391. 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 4.2 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.