Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Maine
What 1 hospital in Maine charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.
Average charge
$161,485
Hospital list price billed
Average payment
$38,147
Medicare + patient + other payers
Medicare paid
$26,503
Average per stay
Volume
15
Medicare hospital stays
Hospitals in Maine billed an average of $161,485 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 4.2 times the average total payment of $38,147. That payment is 36% above the U.S. average of $27,957.
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 $38,147Billed $161,485
About 24¢ was paid for every $1 hospitals in Maine billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maine:
Maine hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio
Every Maine hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 15 | $161,485 | $38,147 | $26,503 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states
Questions
How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Maine?
In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 1 hospital in Maine was billed at $161,485 on average, while the average total payment was $38,147, of which Medicare paid $26,503. 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 stay 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 Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.