Maine General Medical Center
Maine General Medical Center in Augusta, ME charges 3.9x the Medicare reimbursement rate on average across 39 analyzed procedures at this nonprofit-private hospital.
Augusta, ME 04330 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.91x
Charge / Medicare rate
Max markup
5.69x
Worst procedure
Procedures analyzed
39
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $32,636 | $16,318 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $55,176 | $27,588 | — | 5.4x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $20,881 | $10,441 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $35,821 | $17,910 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,606 | $14,303 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,339 | $14,669 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,080 | $14,540 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $44,285 | $22,143 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,248 | $14,624 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $20,445 | $10,222 | — | 4.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $47,407 | $23,704 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $39,076 | $19,538 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $93,014 | $46,507 | — | 4.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,776 | $22,388 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $70,941 | $35,470 | — | 4.2x |
| PSYCHOSES | 885 | $63,823 | $31,912 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,220 | $16,110 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,156 | $23,078 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $39,021 | $19,511 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,598 | $16,799 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,449 | $13,724 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,144 | $15,072 | — | 3.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $26,654 | $13,327 | — | 3.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,393 | $13,197 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,617 | $10,808 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,746 | $13,873 | — | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $69,305 | $34,653 | — | 3.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $63,166 | $31,583 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $59,875 | $29,937 | — | 3.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $35,718 | $17,859 | — | 3.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $33,608 | $16,804 | — | 3.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,913 | $22,956 | — | 3.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $50,987 | $25,493 | — | 3.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $138,464 | $69,232 | — | 3.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $33,280 | $16,640 | — | 3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $51,263 | $25,632 | — | 2.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,643 | $21,322 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $140,466 | $70,233 | — | 2.8x |
| RENAL FAILURE WITH MCC | 682 | $37,620 | $18,810 | — | 2.7x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use