Questions or Comments?
Please contact:
Maine Health Data Organization
Phone: 207-287-6722
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Procedure Payments for the Insured
Instructions:
To obtain an estimate of total dollars paid by
specific commercial health insurance companies
and governmental payers for a
procedure performed at various locations in Maine,
fill in the form below.
Disclaimer:
The dollar amounts presented represent the total payments
(primary plan, co-insurance, member payment) made to a health
care provider. An individual’s contribution toward the total
dollar amount paid is dependent upon the policy terms and
conditions (such as deductible, co-pay, etc.).
Additionally, because the amounts shown are estimates,
the actual payment for a specific service may be higher
or lower than the amount shown. The estimates are impacted
by the accuracy (or precision) of the data, which is
reflected in the "Precision of Estimate" column in the reports.
The higher the "Precision of Estimate" score, the greater
the probability the payment will be at, or close to, the
estimate. The lower the score, the greater the probability
the payment will differ from the estimate.
These reports are produced using the latest medical claims data available at MHDO (data range is indicated on each report). Hospital's that do not have enough statistically significant data are not shown. For more information, please view the following webpage: Healthcost Methodology.
Copyright Maine Health Data Organization
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