facebook tracking Level 2 Endovascular Procedures cost in Maine: 8 hospitals compared (APC 5192)

Level 2 Endovascular Procedures in Maine

What 8 hospitals in Maine charged and were paid for level 2 endovascular procedures (APC 5192), from 2024 Medicare claims.

APC 5192 Outpatient 2024 Medicare data
Average charge $28,504 Hospital list price billed
Average allowed $5,251 Medicare's payment + patient's share
Medicare paid $4,166 Average per service
State rank #24 of 48 1 = lowest average payment

Hospitals in Maine billed an average of $28,504 for level 2 endovascular procedures, about 5.4 times the average medicare-allowed amount of $5,251. That payment is 4% below the U.S. average of $5,463.

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 $5,251Billed $28,504

About 18¢ was paid for every $1 hospitals in Maine billed for this service.

Maine hospitals: level 2 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 174 $30,724 $5,273 $4,173
Eastern Maine Medical CenterBangor 52 $24,662 $4,980 $3,967
Central Maine Medical CenterLewiston 36 $30,236 $5,283 $4,208
Maine General Medical CenterWaterville 25 $18,550 $5,612 $4,471
Northern Light a R Gould HospitalPresque Isle – – – –
Southern Maine Health CareBiddeford – – – –
York HospitalYork – – – –
St Marys Regional Medical CenterLewiston – – – –
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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

Eastern Maine Medical CenterBangor, ME$4,980
Maine Medical CenterPortland, ME$5,273
Central Maine Medical CenterLewiston, ME$5,283
Maine General Medical CenterWaterville, ME$5,612

Highest

Maine General Medical CenterWaterville, ME$5,612
Central Maine Medical CenterLewiston, ME$5,283
Maine Medical CenterPortland, ME$5,273
Eastern Maine Medical CenterBangor, ME$4,980

Level 2 Endovascular Procedures in other states

Questions

How much does level 2 endovascular procedures cost in Maine?

In 2024 Medicare data, level 2 endovascular procedures (APC 5192) at 8 hospitals in Maine was billed at $28,504 on average, while the average medicare-allowed amount was $5,251, of which Medicare paid $4,166. 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.