facebook tracking Percutaneous cardiovascular procedures with intraluminal device without major complications cost in Maine: 3 hospitals compared (DRG 322)

Percutaneous cardiovascular procedures with intraluminal device without major complications in Maine

What 3 hospitals in Maine charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device without major complications (DRG 322), from 2024 Medicare claims.

DRG 322 Inpatient 2024 Medicare data
Average charge $86,271 Hospital list price billed
Average payment $17,962 Medicare + patient + other payers
Medicare paid $12,405 Average per stay
State rank #35 of 49 1 = lowest average payment

Hospitals in Maine billed an average of $86,271 for percutaneous cardiovascular procedures with intraluminal device without major complications, about 4.8 times the average total payment of $17,962. That payment is 5% above the U.S. average of $17,158.

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 $17,962Billed $86,271

About 21¢ 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 cardiovascular procedures with intraluminal device 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
Maine Medical CenterPortland 115 $86,044 $18,543 $13,239
Eastern Maine Medical CenterBangor 81 $89,908 $16,648 $11,609
Central Maine Medical CenterLewiston 16 $69,487 $20,436 $10,441
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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$16,648
Maine Medical CenterPortland, ME$18,543
Central Maine Medical CenterLewiston, ME$20,436

Highest

Central Maine Medical CenterLewiston, ME$20,436
Maine Medical CenterPortland, ME$18,543
Eastern Maine Medical CenterBangor, ME$16,648

Percutaneous cardiovascular procedures with intraluminal device without major complications in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device without major complications cost in Maine?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device without major complications (DRG 322) at 3 hospitals in Maine was billed at $86,271 on average, while the average total payment was $17,962, of which Medicare paid $12,405. 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 4.8 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.