Maine



This table shows the 100 most frequently charged procedures/diagnosis in Maine to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
Maine 294 $13020 $5531 $7489
Acute Myocardial Infarction Discharged Alive With Complications
Maine 472 $17212 $7677 $9535
Acute Myocardial Infarction Discharged Alive With Major Complications
Maine 525 $25538 $12045 $13493
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
Maine 585 $8283 $4274 $4009
Atherosclerosis No Major Complications
Maine 213 $10573 $3985 $6588
Back And Neck Proc Exc Spinal Fusion No Complications
Maine 211 $12775 $6537 $6238
Bronchitis And Asthma With Complications
Maine 57 $14033 $5509 $8524
Cardiac Arrhythmia And Conduction Disorders No Complications
Maine 592 $9756 $3940 $5816
Cardiac Arrhythmia And Conduction Disorders With Complications
Maine 661 $12630 $5606 $7024
Cardiac Arrhythmia And Conduction Disorders With Major Complications
Maine 312 $18474 $8458 $10016
Cellulitis No Major Complications
Maine 660 $14315 $5795 $8520
Cellulitis With Major Complications
Maine 44 $22618 $10005 $12613
Cervical Spinal Fusion No Complications
Maine 58 $33280 $15342 $17938
Chest Pain
Maine 472 $9936 $3564 $6372
Chronic Obstructive Pulmonary Disease No Complications
Maine 554 $10886 $4923 $5963
Chronic Obstructive Pulmonary Disease With Complications
Maine 890 $14306 $6528 $7778
Chronic Obstructive Pulmonary Disease With Major Complications
Maine 768 $18521 $8032 $10489
Circulatory Disorders Except Ami With Card Cath No Major Complications
Maine 646 $17498 $7635 $9863
Circulatory Disorders Except Ami With Card Cath With Major Complications
Maine 95 $32317 $15080 $17237
Cranial And Peripheral Nerve Disorders No Major Complications
Maine 94 $14192 $5640 $8552
Degenerative Nervous System Disorders No Major Complications
Maine 141 $18683 $6939 $11744
Diabetes With Complications
Maine 171 $13827 $5527 $8300
Disorders Of Pancreas Except Malignancy With Complications
Maine 140 $15054 $6767 $8287
Dysequilibrium
Maine 67 $11402 $4244 $7158
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
Maine 1219 $12349 $4900 $7449
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
Maine 154 $20783 $8797 $11986
Extracranial Procedures No Complications
Maine 205 $14048 $7104 $6944
Fractures Of Hip And Pelvis No Major Complications
Maine 116 $10407 $4810 $5597
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
Maine 118 $11392 $4831 $6561
Gi Hemorrhage No Complications
Maine 54 $8585 $4720 $3865
Gi Hemorrhage With Complications
Maine 604 $15660 $6775 $8885
Gi Hemorrhage With Major Complications
Maine 174 $26472 $12346 $14126
Gi Obstruction No Complications
Maine 130 $10766 $4260 $6506
Gi Obstruction With Complications
Maine 182 $14137 $6286 $7851
Heart Failure And Shock No Complications
Maine 406 $11729 $4598 $7131
Heart Failure And Shock With Complications
Maine 1210 $15313 $6810 $8503
Heart Failure And Shock With Major Complications
Maine 691 $22568 $10010 $12558
Hip And Femur Procedures Except Major Joint No Complications
Maine 74 $22832 $10362 $12470
Hip And Femur Procedures Except Major Joint With Complications
Maine 461 $31415 $12288 $19127
Hip And Femur Procedures Except Major Joint With Major Complications
Maine 101 $47724 $20735 $26989
Hypertension No Major Complications
Maine 16 $10967 $4055 $6912
Infectious And Parasitic Diseases Or Procedure With Major Complications
Maine 131 $88747 $41375 $47372
Intracranial Hemorrhage Or Cerebral Infarction No Complications
Maine 205 $13016 $5469 $7547
Intracranial Hemorrhage Or Cerebral Infarction With Complications
Maine 568 $17191 $7621 $9570
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
Maine 255 $28330 $13029 $15301
Kidney And Urinary Tract Infections No Major Complications
Maine 766 $11986 $5264 $6722
Kidney And Urinary Tract Infections With Major Complications
Maine 92 $17771 $8537 $9234
Laparoscopic Cholecystectomy No Cde No Complications
Maine 35 $20380 $7379 $13001
Laparoscopic Cholecystectomy No Cde With Complications
Maine 50 $27464 $11796 $15668
Major Cardiovasc Procedures No Major Complications
Maine 208 $51538 $21739 $29799
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
Maine 166 $16978 $8145 $8833
Major Joint Replacement Of Lower Extremity No Major Complications
Maine 2499 $31667 $13897 $17770
Major Joint Replacement Of Lower Extremity With Major Complications
Maine 92 $45469 $20907 $24562
Major Small And Large Bowel Procedures With Complications
Maine 299 $40734 $17723 $23011
Major Small And Large Bowel Procedures With Major Complications
Maine 126 $76170 $35545 $40625
Medical Back Problems No Major Complications
Maine 350 $12819 $5510 $7309
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
Maine 543 $11003 $4532 $6471
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
Maine 123 $19588 $8034 $11554
Other Circulatory System Diagnoses With Complications
Maine 80 $14257 $6764 $7493
Other Circulatory System Diagnoses With Major Complications
Maine 151 $37469 $17105 $20364
Other Digestive System Diagnoses With Complications
Maine 186 $15645 $6668 $8977
Other Kidney And Urinary Tract Diagnoses With Complications
Maine 98 $18284 $7158 $11126
Other Kidney And Urinary Tract Diagnoses With Major Complications
Maine 175 $25600 $11094 $14506
Other Vascular Procedures No Complications
Maine 174 $26246 $11654 $14592
Other Vascular Procedures With Complications
Maine 204 $38071 $17120 $20951
Other Vascular Procedures With Major Complications
Maine 77 $43973 $21000 $22973
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
Maine 92 $37184 $12531 $24653
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
Maine 484 $47218 $15532 $31686
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
Maine 135 $67970 $24459 $43511
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
Maine 264 $35399 $12605 $22794
Peripheral Vascular Disorders No Complications
Maine 28 $9245 $4753 $4492
Peripheral Vascular Disorders With Complications
Maine 98 $15379 $6765 $8614
Permanent Cardiac Pacemaker Implant No Complications
Maine 138 $39304 $14437 $24867
Permanent Cardiac Pacemaker Implant With Complications
Maine 184 $49237 $18407 $30830
Poisoning And Toxic Effects Of Drugs No Major Complications
Maine 157 $11863 $4257 $7606
Poisoning And Toxic Effects Of Drugs With Major Complications
Maine 96 $26069 $10519 $15550
Psychoses
Maine 577 $15913 $6304 $9609
Pulmonary Edema And Respiratory Failure
Maine 546 $21838 $8951 $12887
Pulmonary Embolism No Major Complications
Maine 116 $17574 $6954 $10620
Red Blood Cell Disorders No Major Complications
Maine 177 $13844 $5282 $8562
Red Blood Cell Disorders With Major Complications
Maine 12 $12779 $8099 $4680
Renal Failure No Complications
Maine 30 $11380 $4273 $7107
Renal Failure With Complications
Maine 682 $15297 $6784 $8513
Renal Failure With Major Complications
Maine 311 $26140 $11297 $14843
Respiratory Infections And Inflammations With Complications
Maine 370 $20243 $9762 $10481
Respiratory Infections And Inflammations With Major Complications
Maine 303 $32951 $13636 $19315
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
Maine 75 $102910 $41044 $61866
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
Maine 230 $44205 $16960 $27245
Seizures No Major Complications
Maine 134 $12872 $5268 $7604
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
Maine 579 $17487 $7807 $9680
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
Maine 1401 $30707 $13381 $17326
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
Maine 38 $107929 $45312 $62617
Signs And Symptoms No Major Complications
Maine 271 $11065 $4614 $6451
Simple Pneumonia And Pleurisy No Complications
Maine 352 $11834 $4679 $7155
Simple Pneumonia And Pleurisy With Complications
Maine 1204 $15404 $6810 $8594
Simple Pneumonia And Pleurisy With Major Complications
Maine 692 $23730 $9907 $13823
Spinal Fusion Except Cervical No Major Complications
Maine 272 $51992 $26816 $25176
Syncope And Collapse
Maine 513 $12003 $4779 $7224
Transient Ischemia
Maine 263 $12013 $4818 $7195


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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