Level 4 Endovascular Procedures in Maine
What 6 hospitals in Maine charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.
Average charge
$92,880
Hospital list price billed
Average allowed
$15,695
Medicare's payment + patient's share
Medicare paid
$14,083
Average per service
State rank
#25 of 48
1 = lowest average payment
Hospitals in Maine billed an average of $92,880 for level 4 endovascular procedures, about 5.9 times the average medicare-allowed amount of $15,695. That payment is 3% below the U.S. average of $16,197.
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 $15,695Billed $92,880
About 17¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 4 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 | 42 | $97,779 | $16,441 | $14,809 |
| Eastern Maine Medical CenterBangor | 36 | $87,165 | $14,824 | $13,235 |
| Central Maine Medical CenterLewiston | – | – | – | – |
| St Marys Regional Medical CenterLewiston | – | – | – | – |
| Maine General Medical CenterWaterville | – | – | – | – |
| Penobscot Bay Medical CenterRockport | – | – | – | – |
Level 4 Endovascular Procedures in other states
Questions
How much does level 4 endovascular procedures cost in Maine?
In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 6 hospitals in Maine was billed at $92,880 on average, while the average medicare-allowed amount was $15,695, of which Medicare paid $14,083. 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 5.9 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.