facebook tracking Percutaneous and other intracardiac procedures without major complications cost in Maine: 2 hospitals compared (DRG 274)

Percutaneous and other intracardiac procedures without major complications in Maine

What 2 hospitals in Maine charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274), from 2024 Medicare claims.

DRG 274 Inpatient 2024 Medicare data
Average charge $111,686 Hospital list price billed
Average payment $27,671 Medicare + patient + other payers
Medicare paid $22,587 Average per stay
Volume 119 Medicare hospital stays

Hospitals in Maine billed an average of $111,686 for percutaneous and other intracardiac procedures without major complications, about 4.0 times the average total payment of $27,671. That payment is about the same as the U.S. average of $27,497.

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 $27,671Billed $111,686

About 25¢ 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: percutaneous and other intracardiac procedures without 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
Eastern Maine Medical CenterBangor 75 $99,478 $26,517 $21,168
Maine Medical CenterPortland 44 $132,497 $29,638 $25,005
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Percutaneous and other intracardiac procedures without major complications in other states

Questions

How much does percutaneous and other intracardiac procedures without major complications cost in Maine?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274) at 2 hospitals in Maine was billed at $111,686 on average, while the average total payment was $27,671, of which Medicare paid $22,587. 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 4.0 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.