73/100
#548 nationally
Northern Light Maine Coast Hospital
50 Union Street, Ellsworth, ME 04605 · (207) 667-5311
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Northern Light Maine Coast Hospital billed $3.41 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
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 23
- inpatient and outpatient combined
- Rank in ME
- #4
- 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 83% of U.S. hospitals.
Better than 64% of U.S. hospitals.
Better than 66% of U.S. hospitals.
Better than 81% 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 |
211 | $1,769 | $649 | -44% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
118 | $15,036 | $2,587 | -23% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
56 | $11,939 | $1,938 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
52 | $43,967 | $20,896 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
52 | $22,488 | $4,924 | -18% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
46 | $10,064 | $1,516 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
45 | $14,568 | $3,317 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
32 | $32,705 | $13,427 | -25% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
26 | $62,996 | $12,505 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
22 | $50,362 | $19,387 | -8% |
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 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$23,610 | $3,374 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$62,996 | $12,505 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$23,237 | $3,292 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,064 | $1,516 | about average |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$17,635 | $2,975 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$11,939 | $1,938 | -8% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$50,362 | $19,387 | -8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$16,311 | $3,033 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$4,887 | $975 | -56% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,769 | $649 | -44% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$20,537 | $9,331 | -33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$43,967 | $20,896 | -33% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$27,982 | $10,368 | -32% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$56,765 | $21,904 | -32% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$22,004 | $7,696 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,568 | $3,317 | -29% |
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.