CostGrade

All published prices at Mainehealth Maine Medical Center

232 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.

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

APC 5372 · Hospital outpatient visit

636 $1,000 $635 -68%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

559 $12,994 $2,518 -33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

551 $57,351 $12,212 -8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

453 $65,763 $19,319 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

433 $4,953 $1,886 -62%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

421 $7,632 $1,460 -24%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

370 $14,820 $3,047 -41%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

338 $5,588 $1,801 -51%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

249 $7,981 $1,776 -32%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

248 $41,364 $12,688 -5%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

218 $24,905 $5,302 -29%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

212 $140,017 $22,160 +6%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

207 $30,610 $6,618 -23%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

204 $13,668 $3,186 -34%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

192 $23,714 $4,842 -14%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

174 $30,724 $5,273 -11%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

164 $14,395 $2,909 -25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

163 $60,667 $16,135 +10%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

162 $38,350 $9,516 -36%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

141 $64,769 $10,327 -4%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

118 $13,198 $1,797 -25%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

118 $13,802 $2,898 -32%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

115 $86,044 $18,543 -15%
Stroke (severe)

MS-DRG 064 · Inpatient stay

114 $63,726 $19,849 -16%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

114 $61,146 $16,651 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

111 $38,253 $13,248 -18%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

110 $28,996 $5,383 -16%
Respiratory Failure

MS-DRG 189 · Inpatient stay

106 $63,860 $19,171 +32%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

105 $78,094 $17,471 -6%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

101 $81,582 $23,102 -7%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

94 $29,890 $6,127 -24%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

87 $39,018 $10,288 -14%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

87 $6,689 $1,482 -40%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

86 $216,308 $66,083 +22%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

81 $71,942 $18,956 -14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

81 $49,119 $10,025 -5%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

78 $49,836 $18,650 -12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

75 $46,647 $16,541 -4%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

73 $138,595 $38,251 -4%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

71 $34,827 $11,045 -11%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

71 $17,497 $3,461 -27%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

70 $49,492 $11,933 +21%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

67 $281,162 $61,336 +17%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

67 $33,695 $5,105 -7%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

65 $256,022 $49,233 +35%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

63 $43,072 $10,894 -21%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

63 $49,682 $17,413 -6%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

63 $13,209 $2,900 -27%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

62 $32,491 $10,182 -21%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

62 $4,580 $1,595 -60%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

61 $119,195 $48,151 -38%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

60 $55,980 $18,015 -21%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

60 $19,796 $3,251 -15%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

59 $25,516 $8,231 -21%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

59 $27,618 $8,055 -7%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

58 $62,806 $22,007 -38%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

56 $5,997 $1,398 -30%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

56 $21,323 $4,607 -29%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

55 $46,581 $14,293 about average
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

55 $28,713 $8,346 -6%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

54 $34,892 $8,839 -20%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

54 $31,764 $5,119 +6%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

52 $85,591 $20,943 -9%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

52 $27,817 $9,116 -16%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

52 $17,932 $3,411 -21%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

51 $35,619 $10,516 -14%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

50 $33,162 $9,090 -15%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

49 $27,223 $9,082 -11%
Fainting

MS-DRG 312 · Inpatient stay

47 $28,045 $9,080 -23%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

46 $19,848 $7,652 -35%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

45 $211,169 $54,649 -8%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

45 $46,894 $19,478 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

45 $164,124 $44,939 -9%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

45 $9,163 $2,591 -45%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

44 $132,497 $29,638 +6%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

44 $89,957 $26,209 -23%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

44 $10,285 $2,196 -29%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

43 $169,206 $61,755 -23%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

43 $46,784 $15,574 -6%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

43 $86,988 $18,640 +9%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

43 $54,736 $15,177 -19%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

42 $71,298 $21,344 -17%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

42 $97,779 $16,441 about average
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

42 $13,594 $3,598 -38%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

41 $14,781 $2,804 -22%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

40 $50,029 $13,496 about average
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

40 $45,567 $10,893 -7%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

40 $92,986 $17,850 about average
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

39 $128,588 $34,472 -7%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

38 $34,031 $10,634 -10%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

38 $175,207 $44,237 -5%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

37 $77,838 $23,243 -28%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

37 $259,971 $83,023 -22%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

37 $205,243 $72,405 -12%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

36 $48,305 $16,590 -14%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

36 $51,045 $14,949 -20%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

34 $40,256 $12,972 -26%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

34 $56,805 $13,123 +53%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

34 $25,358 $7,891 -19%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

32 $42,629 $15,348 -40%

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.