facebook tracking Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Maine: 4 hospitals compared (DRG 640)

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in Maine

What 4 hospitals in Maine charged and were paid for a Medicare hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640), from 2024 Medicare claims.

DRG 640 Inpatient 2024 Medicare data
Average charge $44,787 Hospital list price billed
Average payment $14,502 Medicare + patient + other payers
Medicare paid $10,147 Average per stay
State rank #43 of 49 1 = lowest average payment

Hospitals in Maine billed an average of $44,787 for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications, about 3.1 times the average total payment of $14,502. That payment is 13% above the U.S. average of $12,830.

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 $14,502Billed $44,787

About 32¢ 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: miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications

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 75 $46,647 $16,541 $10,018
Maine General Medical CenterWaterville 19 $39,537 $13,615 $12,013
Central Maine Medical CenterLewiston 18 $30,428 $11,192 $9,774
Eastern Maine Medical CenterBangor 18 $56,934 $10,252 $9,091
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Lowest and highest payments in Maine

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Eastern Maine Medical CenterBangor, ME$10,252
Central Maine Medical CenterLewiston, ME$11,192
Maine General Medical CenterWaterville, ME$13,615
Maine Medical CenterPortland, ME$16,541

Highest

Maine Medical CenterPortland, ME$16,541
Maine General Medical CenterWaterville, ME$13,615
Central Maine Medical CenterLewiston, ME$11,192
Eastern Maine Medical CenterBangor, ME$10,252

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in other states

Questions

How much does miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Maine?

In 2024 Medicare data, a hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640) at 4 hospitals in Maine was billed at $44,787 on average, while the average total payment was $14,502, of which Medicare paid $10,147. 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 3.1 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.