facebook tracking Psychoses cost in Maine: 4 hospitals compared (DRG 885)

Psychoses in Maine

What 4 hospitals in Maine charged and were paid for a Medicare hospital stay for psychoses (DRG 885), from 2024 Medicare claims.

DRG 885 Inpatient 2024 Medicare data
Average charge $66,415 Hospital list price billed
Average payment $15,625 Medicare + patient + other payers
Medicare paid $12,684 Average per stay
State rank #34 of 41 1 = lowest average payment

Hospitals in Maine billed an average of $66,415 for psychoses, about 4.3 times the average total payment of $15,625. That payment is 9% above the U.S. average of $14,304.

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 $15,625Billed $66,415

About 24¢ was paid for every $1 hospitals in Maine billed for this stay.

Maine hospitals: psychoses

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 General Medical CenterWaterville 70 $65,487 $16,305 $13,509
Mid Coast HospitalBrunswick 32 $70,100 $12,267 $9,492
Penobscot Bay Medical CenterRockport 32 $59,594 $17,479 $14,772
Maine Medical CenterPortland 17 $76,137 $15,653 $11,370
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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

Mid Coast HospitalBrunswick, ME$12,267
Maine Medical CenterPortland, ME$15,653
Maine General Medical CenterWaterville, ME$16,305
Penobscot Bay Medical CenterRockport, ME$17,479

Highest

Penobscot Bay Medical CenterRockport, ME$17,479
Maine General Medical CenterWaterville, ME$16,305
Maine Medical CenterPortland, ME$15,653
Mid Coast HospitalBrunswick, ME$12,267

Psychoses in other states

Questions

How much does psychoses cost in Maine?

In 2024 Medicare data, a hospital stay for psychoses (DRG 885) at 4 hospitals in Maine was billed at $66,415 on average, while the average total payment was $15,625, of which Medicare paid $12,684. 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 4.3 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.