61/100
#927 nationally
Northern Light A R Gould Hospital
Po Box 151, Presque Isle, ME 04769 · (207) 768-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Northern Light A R Gould Hospital billed $4.54 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in ME
- #11
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 64% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 60% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
225 | $9,012 | $1,971 | -23% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
176 | $1,580 | $584 | -50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
141 | $18,125 | $2,332 | -7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
71 | $6,923 | $1,391 | -31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
49 | $7,998 | $1,657 | -30% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
44 | $14,822 | $2,801 | -41% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
39 | $17,159 | $2,991 | -17% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
38 | $21,440 | $2,724 | +5% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
38 | $7,195 | $1,748 | -44% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
35 | $57,123 | $18,936 | -12% |
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 |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$21,642 | $2,344 | +22% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$51,776 | $12,417 | +19% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,697 | $2,735 | +19% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$46,090 | $6,139 | +16% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$21,440 | $2,724 | +5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$61,641 | $11,280 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$18,125 | $2,332 | -7% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$48,954 | $13,581 | -8% |
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 |
$1,580 | $584 | -50% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,195 | $1,748 | -44% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$14,822 | $2,801 | -41% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$88,726 | $28,147 | -40% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,923 | $1,391 | -31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,998 | $1,657 | -30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,012 | $1,971 | -23% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$37,107 | $11,942 | -20% |
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.