Level 3 Vascular Procedures in Maine
What 16 hospitals in Maine charged and were paid for level 3 vascular procedures (APC 5183), from 2024 Medicare claims.
Average charge
$15,066
Hospital list price billed
Average allowed
$2,906
Medicare's payment + patient's share
Medicare paid
$2,308
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $15,066 for level 3 vascular procedures, about 5.2 times the average medicare-allowed amount of $2,906. That payment is 4% below the U.S. average of $3,030.
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 $2,906Billed $15,066
About 19¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 3 vascular 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 | 164 | $14,395 | $2,909 | $2,299 |
| Eastern Maine Medical CenterBangor | 128 | $15,213 | $2,777 | $2,211 |
| Central Maine Medical CenterLewiston | 102 | $13,537 | $2,932 | $2,334 |
| Maine General Medical CenterWaterville | 89 | $16,108 | $3,130 | $2,492 |
| Mid Coast HospitalBrunswick | 36 | $14,844 | $2,929 | $2,320 |
| Mercy HospitalPortland | 31 | $14,803 | $2,870 | $2,268 |
| Northern Light a R Gould HospitalPresque Isle | 28 | $22,697 | $2,735 | $2,179 |
| Penobscot Bay Medical CenterRockport | 22 | $12,994 | $2,929 | $2,334 |
| York HospitalYork | 19 | $13,532 | $2,995 | $2,386 |
| Maine Coast Memorial HospitalEllsworth | 18 | $16,311 | $3,033 | $2,416 |
| Southern Maine Health CareBiddeford | 17 | $11,580 | $2,855 | $2,246 |
| Cary Medical CenterCaribou | 17 | $16,692 | $2,735 | $2,179 |
| St Marys Regional Medical CenterLewiston | 17 | $17,461 | $2,767 | $2,205 |
| St Joseph HospitalBangor | – | – | – | – |
| Franklin Memorial HospitalFarmington | – | – | – | – |
| Northern Maine Medical CenterFort Kent | – | – | – | – |
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 | $2,735 |
|---|---|
| Cary Medical CenterCaribou, ME | $2,735 |
| St Marys Regional Medical CenterLewiston, ME | $2,767 |
| Eastern Maine Medical CenterBangor, ME | $2,777 |
| Southern Maine Health CareBiddeford, ME | $2,855 |
Highest
| Maine General Medical CenterWaterville, ME | $3,130 |
|---|---|
| Maine Coast Memorial HospitalEllsworth, ME | $3,033 |
| York HospitalYork, ME | $2,995 |
| Central Maine Medical CenterLewiston, ME | $2,932 |
| Penobscot Bay Medical CenterRockport, ME | $2,929 |
Level 3 Vascular Procedures in other states
Questions
How much does level 3 vascular procedures cost in Maine?
In 2024 Medicare data, level 3 vascular procedures (APC 5183) at 16 hospitals in Maine was billed at $15,066 on average, while the average medicare-allowed amount was $2,906, of which Medicare paid $2,308. 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 5.2 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.