CostGrade

All published prices at Northern Light Eastern Maine Medical Center

138 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

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%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

128 $9,935 $1,641 -15%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

126 $117,668 $20,190 -11%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

117 $64,551 $11,862 +49%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

110 $15,248 $2,476 -14%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

91 $44,001 $9,221 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

88 $8,141 $1,654 -28%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

85 $36,887 $7,201 +21%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

81 $89,908 $16,648 -12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

78 $26,114 $4,943 -26%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

76 $13,292 $4,461 -52%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

75 $99,478 $26,517 -20%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

70 $64,452 $10,527 +38%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

66 $78,759 $15,623 +43%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

64 $20,823 $3,321 -13%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

63 $67,853 $9,578 about average
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

61 $159,608 $29,638 +11%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

55 $67,062 $9,158 +30%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

52 $24,662 $4,980 -29%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

51 $48,148 $11,544 -12%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

51 $12,215 $2,446 -26%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

50 $16,877 $2,731 -17%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

48 $65,259 $17,345 -22%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

46 $50,433 $11,452 -19%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

45 $44,903 $7,402 +19%
Stroke (severe)

MS-DRG 064 · Inpatient stay

43 $73,075 $17,186 -4%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

43 $132,170 $39,282 -30%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

43 $7,309 $1,395 -15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

41 $47,094 $7,977 +14%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

41 $73,048 $16,202 -12%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

39 $166,036 $43,754 -7%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

39 $30,493 $5,681 -23%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

37 $35,457 $6,519 +10%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

36 $87,165 $14,824 -9%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

36 $29,471 $5,826 +12%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

35 $27,393 $6,080 +9%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

35 $44,107 $10,906 +8%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

35 $38,325 $4,788 +6%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

32 $45,587 $8,773 about average
COPD (severe)

MS-DRG 190 · Inpatient stay

31 $60,032 $10,131 +43%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

31 $82,595 $17,237 -6%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

31 $19,670 $3,263 -13%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

31 $35,160 $8,491 -41%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

30 $51,618 $9,527 +9%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

29 $156,689 $29,855 +13%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

29 $66,198 $16,706 -7%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

29 $66,708 $14,290 +17%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $60,709 $14,886 -29%
Fainting

MS-DRG 312 · Inpatient stay

27 $34,934 $6,788 -5%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

27 $12,474 $3,014 -46%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

26 $34,811 $10,177 -9%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

26 $66,168 $12,591 +25%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

26 $180,393 $28,578 +21%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

26 $18,276 $2,646 about average
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

26 $52,685 $19,013 -35%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

25 $193,013 $56,628 -12%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

24 $262,811 $72,843 -15%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

24 $100,401 $21,907 -15%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

24 $46,718 $12,387 +19%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

24 $35,661 $7,959 +10%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

23 $107,628 $19,717 +15%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

23 $71,549 $17,381 -29%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

23 $72,652 $20,594 -35%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

23 $12,456 $3,542 -40%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

23 $9,785 $1,400 -13%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

23 $117,482 $16,939 +23%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $26,892 $6,534 -15%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

22 $122,253 $23,936 +8%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

22 $71,852 $23,526 -8%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

22 $239,481 $54,948 about average
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

22 $153,557 $36,844 -32%
Chest Pain

MS-DRG 313 · Inpatient stay

20 $32,751 $6,708 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

20 $29,800 $9,313 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

19 $53,153 $9,939 +4%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

19 $30,632 $6,690 about average
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

18 $149,973 $35,330 -18%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

18 $56,934 $10,252 +17%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

18 $40,799 $8,663 -21%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

18 $13,118 $3,336 -40%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

17 $98,445 $19,071 +15%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

17 $37,393 $12,311 +13%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

17 $88,147 $29,020 -19%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

17 $86,616 $18,221 +8%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

17 $89,623 $26,975 -21%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

17 $8,697 $1,329 +36%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

17 $16,260 $2,673 -14%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

16 $47,910 $9,317 -10%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

16 $32,662 $7,388 -20%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

16 $94,057 $13,839 +23%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

16 $112,710 $30,685 -32%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

16 $59,756 $14,777 +73%

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.