CostGrade

All published prices at Maine General Medical Center

72 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

406 $1,038 $668 -67%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

185 $6,790 $2,000 -47%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

141 $8,075 $1,818 -31%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

135 $57,557 $21,117 -12%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

133 $7,108 $1,541 -29%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

100 $44,762 $13,533 +3%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

100 $15,209 $2,288 +29%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

98 $14,524 $3,423 -30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

89 $16,108 $3,130 -16%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

83 $34,734 $6,823 -13%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

79 $22,281 $5,080 -19%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

76 $32,051 $5,665 -9%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

74 $16,453 $3,135 -19%
Psychoses

MS-DRG 885 · Inpatient stay

70 $65,487 $16,305 +82%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

66 $49,300 $12,731 -21%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

65 $13,226 $2,747 -25%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

64 $14,026 $3,133 -44%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

64 $3,724 $1,836 -67%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

54 $10,865 $2,729 -34%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

52 $54,862 $18,004 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

49 $14,037 $2,644 -28%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

46 $49,233 $14,355 +6%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

41 $3,828 $1,578 -66%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

40 $15,173 $3,604 -33%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

39 $6,623 $1,572 -23%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

36 $48,559 $10,098 -19%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

34 $30,897 $10,795 -32%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $27,457 $8,265 -14%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

30 $45,089 $13,476 +15%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

30 $17,812 $6,720 -54%
Respiratory Failure

MS-DRG 189 · Inpatient stay

28 $45,601 $12,800 -6%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

28 $42,995 $16,986 -30%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $31,905 $11,123 -24%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

26 $26,863 $8,096 -10%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

25 $18,550 $5,612 -46%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

24 $62,036 $18,256 -25%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

21 $25,932 $9,962 -41%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

20 $28,548 $9,183 -12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

20 $47,335 $11,756 +16%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

19 $39,537 $13,615 -18%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

19 $137,196 $46,270 -23%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

19 $24,161 $9,272 -26%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

19 $51,977 $10,009 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

19 $23,337 $3,254 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

18 $113,317 $27,909 +13%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

18 $71,033 $21,418 -15%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

17 $26,712 $7,706 -13%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

17 $51,086 $16,142 -10%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

16 $30,441 $8,338 -26%
Stroke (severe)

MS-DRG 064 · Inpatient stay

15 $57,529 $20,508 -25%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

15 $24,419 $5,727 -3%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

15 $31,449 $10,185 +3%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

15 $24,347 $6,291 +11%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

14 $38,721 $10,144 -6%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

13 $31,036 $9,619 -20%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

13 $28,927 $8,090 -5%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

13 $23,094 $6,343 -4%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

13 $21,851 $3,742 -8%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

12 $39,839 $12,005 -16%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

12 $65,105 $21,385 -24%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

12 $48,596 $16,095 -29%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

12 $41,866 $6,403 +6%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

12 $13,821 $3,760 -37%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $12,794 $3,070 -30%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $27,511 $14,040 -43%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $57,830 $18,512 +6%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

11 $19,694 $8,154 -49%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

11 $24,958 $8,355 -20%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

11 $39,965 $13,359 -22%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

11 $59,999 $19,194 -25%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

11 $33,967 $10,790 -50%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

11 $31,175 $7,142 -18%

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.