facebook tracking Transient ischemia without thrombolytic cost in Maine: 2 hospitals compared (DRG 069)

Transient ischemia without thrombolytic in Maine

What 2 hospitals in Maine charged and were paid for a Medicare hospital stay for transient ischemia without thrombolytic (DRG 069), from 2024 Medicare claims.

DRG 069 Inpatient 2024 Medicare data
Average charge $35,141 Hospital list price billed
Average payment $7,284 Medicare + patient + other payers
Medicare paid $5,672 Average per stay
Volume 31 Medicare hospital stays

Hospitals in Maine billed an average of $35,141 for transient ischemia without thrombolytic, about 4.8 times the average total payment of $7,284. That payment is 4% below the U.S. average of $7,567.

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 $7,284Billed $35,141

About 21¢ was paid for every $1 hospitals in Maine billed for this stay.

Maine hospitals: transient ischemia without thrombolytic

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 16 $30,441 $8,338 $6,476
Eastern Maine Medical CenterBangor 15 $40,154 $6,159 $4,814
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Transient ischemia without thrombolytic in other states

Questions

How much does transient ischemia without thrombolytic cost in Maine?

In 2024 Medicare data, a hospital stay for transient ischemia without thrombolytic (DRG 069) at 2 hospitals in Maine was billed at $35,141 on average, while the average total payment was $7,284, of which Medicare paid $5,672. 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.