74/100
#517 nationally
Mainehealth Pen Bay Hospital
6 Glen Cove Drive, Rockport, ME 04856 · (207) 921-8000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Mainehealth Pen Bay Hospital billed $3.26 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 32
- inpatient and outpatient combined
- Rank in ME
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 79% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 56% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
173 | $1,087 | $628 | -65% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
94 | $15,118 | $2,494 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
84 | $4,449 | $1,490 | -56% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
78 | $11,796 | $2,142 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
74 | $5,783 | $1,872 | -55% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
68 | $49,512 | $12,078 | -21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
61 | $47,548 | $24,788 | -27% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
57 | $5,497 | $1,724 | -53% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
54 | $13,005 | $3,156 | -37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $36,042 | $12,608 | -17% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$59,594 | $17,479 | +65% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,796 | $2,142 | about average |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$17,545 | $2,873 | -3% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$50,095 | $16,312 | -9% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$20,010 | $3,179 | -14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$36,042 | $12,608 | -17% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$32,660 | $6,574 | -18% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$24,990 | $7,293 | -18% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,087 | $628 | -65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,449 | $1,490 | -56% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,783 | $1,872 | -55% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$5,497 | $1,724 | -53% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$6,498 | $1,404 | -42% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$26,981 | $12,978 | -42% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$23,337 | $10,649 | -41% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$25,017 | $9,664 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.