The Price of Medicare Procedures in 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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