All published prices at Southern Maine Health Care
31 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
64 | $47,709 | $14,106 | -27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
64 | $13,512 | $2,476 | -30% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
62 | $10,532 | $1,791 | -7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
54 | $48,070 | $12,348 | -23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
49 | $37,411 | $10,262 | -14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
43 | $6,681 | $1,523 | -34% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
36 | $18,643 | $2,907 | -9% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
34 | $26,043 | $4,748 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
29 | $49,679 | $12,604 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
29 | $33,849 | $6,168 | -15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
27 | $36,082 | $5,421 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
26 | $18,747 | $3,276 | -9% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
24 | $10,737 | $2,883 | -57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
21 | $39,949 | $17,287 | -17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
21 | $44,278 | $12,658 | -5% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
19 | $23,144 | $6,663 | -22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
17 | $11,580 | $2,855 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
17 | $8,053 | $1,704 | -31% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
15 | $40,219 | $11,513 | -24% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
14 | $15,466 | $2,670 | -13% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
14 | $6,898 | $1,510 | -39% |
|
Fainting
MS-DRG 312 · Inpatient stay |
12 | $28,615 | $7,148 | -22% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
12 | $29,422 | $8,612 | -29% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
12 | $27,910 | $6,614 | -13% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
12 | $22,484 | $7,193 | -32% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
12 | $15,097 | $1,787 | +17% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
11 | $37,263 | $7,890 | about average |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $26,288 | $8,662 | -17% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
11 | $25,177 | $6,323 | -18% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
11 | $21,018 | $6,469 | -31% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
11 | $11,745 | $2,433 | -29% |
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.