64/100
#822 nationally
Northern Light Mercy Hospital
144 State Street, Portland, ME 04101 · (207) 879-3000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Northern Light Mercy Hospital billed $4.24 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
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 45
- inpatient and outpatient combined
- Rank in ME
- #10
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 53% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 75% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
355 | $47,688 | $12,197 | -24% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
154 | $27,429 | $6,652 | -31% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
91 | $19,956 | $4,819 | -27% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
81 | $8,821 | $1,475 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
74 | $9,871 | $1,852 | -24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
68 | $62,068 | $17,508 | -5% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
66 | $14,540 | $3,196 | -30% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
59 | $13,776 | $3,041 | -32% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
56 | $8,119 | $1,788 | -28% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
55 | $102,188 | $17,471 | +23% |
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 |
|---|---|---|---|
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$38,078 | $8,377 | +28% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$102,188 | $17,471 | +23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$48,147 | $11,028 | +11% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$24,910 | $3,519 | +10% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$49,141 | $12,638 | +5% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$31,601 | $8,900 | +4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$62,068 | $17,508 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$52,162 | $13,987 | -5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$9,765 | $3,067 | -61% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$6,565 | $1,469 | -42% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$22,080 | $5,163 | -39% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$21,678 | $5,421 | -38% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,517 | $1,505 | -36% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$13,776 | $3,041 | -32% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$16,219 | $3,581 | -32% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$12,485 | $2,937 | -31% |
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.