Northern Light Eastern Maine Medical Center
Northern Light Eastern Maine Medical Center in Bangor, ME charges 5.1x the Medicare reimbursement rate across 84 analyzed procedures, representing typical pricing for nonprofit hospitals in the region.
Bangor, ME 04401 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.14x
Charge / Medicare rate
Max markup
9.24x
Worst procedure
Procedures analyzed
84
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $28,961 | $14,481 | — | 9.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $94,646 | $47,323 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $32,245 | $16,123 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $36,612 | $18,306 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $97,026 | $48,513 | — | 7.5x |
| CHEST PAIN | 313 | $29,721 | $14,861 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,331 | $20,666 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $55,640 | $27,820 | — | 6.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $105,028 | $52,514 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $154,975 | $77,487 | — | 6.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $92,175 | $46,088 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $40,288 | $20,144 | — | 6.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,894 | $27,947 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,542 | $14,771 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $25,351 | $12,676 | — | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,160 | $18,580 | — | 6.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $29,225 | $14,613 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $46,656 | $23,328 | — | 6x |
| SYNCOPE AND COLLAPSE | 312 | $32,135 | $16,068 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $126,913 | $63,456 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $35,412 | $17,706 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $58,881 | $29,441 | — | 5.8x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $64,656 | $32,328 | — | 5.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $37,897 | $18,948 | — | 5.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $192,732 | $96,366 | — | 5.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $126,082 | $63,041 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,116 | $13,558 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,107 | $12,554 | — | 5.4x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $111,130 | $55,565 | — | 5.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $142,337 | $71,169 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,455 | $20,728 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,125 | $28,563 | — | 5.3x |
| CELLULITIS WITHOUT MCC | 603 | $30,592 | $15,296 | — | 5.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $133,763 | $66,881 | — | 5.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,378 | $15,189 | — | 5.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $150,779 | $75,390 | — | 5.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $179,385 | $89,693 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,061 | $14,030 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $28,410 | $14,205 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $81,746 | $40,873 | — | 5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $30,173 | $15,086 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $42,891 | $21,445 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,543 | $20,772 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $69,457 | $34,728 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,824 | $15,912 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $70,871 | $35,435 | — | 4.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $61,850 | $30,925 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,553 | $20,776 | — | 4.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $61,547 | $30,774 | — | 4.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,591 | $16,795 | — | 4.8x |
Showing 50 of 84 procedures
How NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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