CostGrade

All published prices at Central Maine Medical Center

66 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

B
Procedure Patients Charged Actually paid vs national
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

272 $777 $630 -75%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

121 $34,953 $10,980 -19%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

120 $13,391 $2,486 -31%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

114 $53,196 $16,559 -18%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

102 $13,537 $2,932 -29%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

97 $9,348 $1,759 -20%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

93 $7,842 $1,439 -22%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

87 $5,449 $1,831 -58%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

58 $20,060 $4,783 -27%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

56 $14,972 $3,176 -27%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

54 $48,879 $14,249 -11%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

54 $28,094 $10,935 -40%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

54 $47,332 $11,924 -24%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

41 $22,707 $5,229 -35%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

38 $15,767 $3,017 -38%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

36 $30,236 $5,283 -13%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

35 $27,574 $8,511 -33%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

34 $28,245 $6,612 -29%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

33 $15,719 $2,563 -11%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

32 $30,795 $12,700 -50%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

30 $50,993 $16,568 -39%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

28 $19,438 $3,423 -19%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

28 $23,834 $5,856 -40%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

22 $18,477 $6,722 -40%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

22 $5,828 $1,480 -32%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

22 $97,048 $21,895 -27%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

22 $17,233 $2,975 -26%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

21 $53,088 $15,332 -25%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

20 $24,532 $8,800 -46%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $80,388 $18,725 -9%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

20 $68,665 $10,159 about average
Complex GI Procedures

APC 5331 · Hospital outpatient visit

20 $21,303 $5,004 -29%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

20 $11,692 $2,594 -29%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

19 $33,738 $11,973 -36%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

19 $31,966 $8,983 -19%
Respiratory Failure

MS-DRG 189 · Inpatient stay

18 $24,575 $10,499 -49%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

18 $18,551 $7,412 -42%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

18 $73,314 $22,676 -38%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

18 $30,428 $11,193 -37%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

18 $140,863 $44,404 -21%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

17 $24,896 $5,079 -31%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

17 $52,201 $9,862 about average
COPD (severe)

MS-DRG 190 · Inpatient stay

16 $25,436 $9,566 -39%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

16 $69,487 $20,436 -32%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

16 $27,933 $8,241 -19%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

16 $20,147 $7,198 -32%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

15 $74,233 $18,492 -13%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

15 $14,836 $3,461 -35%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

14 $78,168 $21,398 -31%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $54,956 $17,038 -30%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

14 $19,390 $7,794 -41%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

13 $20,845 $7,341 -34%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

13 $28,773 $7,994 -34%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

13 $37,261 $9,407 -28%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

13 $16,135 $2,762 -21%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

13 $14,633 $3,540 -33%
Stroke (severe)

MS-DRG 064 · Inpatient stay

12 $42,819 $15,554 -44%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

12 $26,976 $10,190 -43%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

12 $63,131 $18,984 -37%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

12 $34,209 $13,729 -40%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

12 $119,700 $37,882 -35%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

11 $145,274 $49,164 -34%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

11 $31,115 $10,792 -43%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

11 $17,888 $7,160 -43%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

11 $29,472 $8,013 -3%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

11 $28,653 $6,839 -6%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.