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Maine hospital prices

What Maine hospitals charge across every procedure they publish in their federally-mandated machine-readable file.

Hospitals

Procedures

180

Payers

Rate rows

11,881

Top procedures in Maine

By number of Maine hospitals reporting (≥2). Click for the national distribution.

Procedure	Type	Code	Maine hospitals	Maine median
COPD w CC	MS-DRG	191	4	$12,111
Major small/large bowel procedures w MCC	MS-DRG	329	4	$69,868
Cardiac arrhythmia w CC	MS-DRG	309	4	$12,995
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	4	$35,656
COPD w MCC	MS-DRG	190	4	$14,600
Kidney/UTI w MCC	MS-DRG	689	4	$16,332
Kidney/UTI w/o MCC	MS-DRG	690	4	$12,608
Major small/large bowel procedures w CC	MS-DRG	330	4	$54,978
Cardiac arrhythmia w MCC	MS-DRG	308	4	$19,004
Heart failure & shock w MCC	MS-DRG	291	4	$15,617
Heart failure & shock w CC	MS-DRG	292	4	$13,804
GI hemorrhage w CC	MS-DRG	378	4	$17,081
Simple pneumonia & pleurisy w CC	MS-DRG	194	4	$12,187
Respiratory infections & inflammations w MCC	MS-DRG	177	4	$21,138
Psychoses	MS-DRG	885	4	$12,263
Heart failure & shock w/o CC/MCC	MS-DRG	293	3	$5,352.68
Major joint replacement w MCC	MS-DRG	469	3	$24,117
COPD w/o CC/MCC	MS-DRG	192	3	$5,930.69
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	3	$11,436
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	3	$7,823.83
AMI discharged alive w/o CC/MCC	MS-DRG	282	3	$6,547.48
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	3	$6,253.16
GI hemorrhage w/o CC/MCC	MS-DRG	379	3	$5,842.47
AMI discharged alive w CC	MS-DRG	281	3	$8,038.14
CT head with contrast	CPT	70460	3	$650
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	3	$26,960
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	3	$13,847
Major joint replacement w/o MCC	MS-DRG	470	3	$15,718
Hip & femur procedures except major joint w MCC	MS-DRG	480	3	$23,197
Hip & femur procedures except major joint w CC	MS-DRG	481	3	$16,978
AMI discharged alive w MCC	MS-DRG	280	3	$13,248
CT head without contrast	CPT	70450	3	$103.15
OR procedure for obesity w/o CC/MCC	MS-DRG	621	3	$12,520
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	3	$5,353.44
OR procedure for obesity w CC	MS-DRG	620	3	$13,219
OR procedure for obesity w MCC	MS-DRG	619	3	$23,008
Fractures of femur w/o MCC	MS-DRG	533	3	$12,971
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	3	$13,452
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	3	$5,731.34
Intracranial hemorrhage/CVA w CC	MS-DRG	065	3	$8,731.75

Top payers in Maine

Payer	Hospitals	Rates	Median rate
UnitedHealthcare	4	1,372	$229.54
Humana	4	637	$173.07
Cigna	4	474	$650
Anthem BCBS	4	1,592	$478.96
Aetna	4	1,005	$235.42
workers compensation	3	216	$8,673.15
community health options	3	136	$78.53
harvard pilgrim	3	248	$718.13
Medicaid	3	259	$30.31
Medicare	3	265	$83.79
Multiplan	3	113	$90
Self-Pay (Cash)	3	164	$173.07
WellCare	3	229	$85.87
vhn - secondary payors	1	132	$2,789.2
vhn - ultra	1	132	$1,820.32
connecticare	1	132	$2,055.2
sentara health plan	1	333	$298.59
TRICARE	1	130	$344.22
First Health	1	100	$127.56
vhn	1	132	$2,348.8
gateway - tier 2	1	132	$2,348.8
gateway - tier 3	1	132	$1,614.8
vhn - link	1	132	$2,642.4
gateway - tier 1	1	132	$2,789.2
martins point	1	130	$344.22
vhn - plus	1	132	$2,260.72

Maine hospitals (top 5 by compliance)

Hospital	City	Grade	Score	Procedures	Payers
Central Maine Medical Center	LEWISTON	A	100	135	15
Bridgton Hospital	BRIDGTON	A	100	129	13
FRANKLIN MEMORIAL HOSPITAL	FARMINGTON	A	100	128	16
Rumford Hospital	RUMFORD	A	100	126	13
Redington Fairview General Hospital	SKOWHEGAN	B	86	127	0