51/100
#1,227 nationally
Northern Light Eastern Maine Medical Center
489 State Street, Bangor, ME 04401 · (207) 973-7000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Northern Light Eastern Maine Medical Center billed $4.66 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
- 4.7x
- volume-weighted across all its priced work
- Procedures priced
- 138
- inpatient and outpatient combined
- Rank in ME
- #14
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 42% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 57% 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 |
455 | $1,800 | $589 | -43% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
384 | $14,589 | $2,370 | -25% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
285 | $20,474 | $2,808 | -19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
276 | $9,156 | $1,387 | -9% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
256 | $7,084 | $1,753 | -45% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
201 | $76,191 | $13,979 | +24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
166 | $90,231 | $20,934 | +38% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
140 | $10,981 | $3,020 | -47% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
129 | $25,999 | $6,079 | -35% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
128 | $15,213 | $2,777 | -20% |
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 |
|---|---|---|---|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$59,756 | $14,777 | +73% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$64,551 | $11,862 | +49% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$60,032 | $10,131 | +43% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$78,759 | $15,623 | +43% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$64,452 | $10,527 | +38% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$90,231 | $20,934 | +38% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$8,697 | $1,329 | +36% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$67,062 | $9,158 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$13,292 | $4,461 | -52% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,981 | $3,020 | -47% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$12,474 | $3,014 | -46% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,084 | $1,753 | -45% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,800 | $589 | -43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$35,160 | $8,491 | -41% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$13,118 | $3,336 | -40% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$12,456 | $3,542 | -40% |
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.