C

Southern Maine Health Care

1 Medical Center Drive · Biddeford, ME 04005

🤖AI Overview

This hospital markup of 3.8x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges
$67.7M
Medicare Payments
$17.7M
Discharges
1,842
Avg Length of Stay
4.9 days
Markup Ratio
3.8x
Risk Score
1.95

Fairness Grade: C

Average — charges 3–4x what Medicare pays

Southern Maine Health Care charges an average of $36,754 per discharge, but Medicare only pays $9,601 — a markup of 3.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
3.8x
State Avg
3.9x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$36,754
State Avg
$56,971
National Avg
$69,838
Avg Length of Stay
This Hospital
4.9 days
State Avg
6.1 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
12.8%
65–74
24.9%
75–84
33.6%
85+
28.7%

Gender

55.2%
Female
44.8%
Male

Dual Eligibility

32.8%
Dual Eligible
67.2%
Non-Dual

Race & Ethnicity

White
95.9%
Hispanic
0.8%
Other
2.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
48.8%
Mood Disorders
46.1%
Ischemic Heart Disease
45.6%
Anxiety
44.8%
Chronic Kidney Disease
42.8%
Heart Failure
42.3%
Depression
40.7%
Diabetes
38.3%
Atrial Fibrillation
35.5%
COPD
34.1%
Alzheimer's/Dementia
24.3%
Cancer
21.2%
Osteoporosis
16.1%
Tobacco Use
15.4%
Substance Use
14.7%
Stroke/TIA
14.0%
Asthma
12.5%
Bipolar Disorder
5.6%
PTSD
5.0%
Parkinson's
3.9%
Schizophrenia/Psychosis
3.1%
Personality Disorders
2.7%
ADHD/Conduct Disorders
2.2%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.