facebook tracking Respiratory system diagnosis with ventilator support >96 hours cost in Maine: 1 hospitals compared (DRG 207)

Respiratory system diagnosis with ventilator support >96 hours in Maine

What 1 hospital in Maine charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.

DRG 207 Inpatient 2024 Medicare data
Average charge $254,013 Hospital list price billed
Average payment $78,631 Medicare + patient + other payers
Medicare paid $59,326 Average per stay
Volume 15 Medicare hospital stays

Hospitals in Maine billed an average of $254,013 for respiratory system diagnosis with ventilator support >96 hours, about 3.2 times the average total payment of $78,631. That payment is 20% above the U.S. average of $65,323.

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 $78,631Billed $254,013

About 31¢ was paid for every $1 hospitals in Maine billed for this stay.

Maine hospitals: respiratory system diagnosis with ventilator support >96 hours

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 $254,013 $78,631 $59,326
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Respiratory system diagnosis with ventilator support >96 hours in other states

Questions

How much does respiratory system diagnosis with ventilator support >96 hours cost in Maine?

In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 1 hospital in Maine was billed at $254,013 on average, while the average total payment was $78,631, of which Medicare paid $59,326. 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 3.2 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.