Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc in Maine
MS-DRG 897: Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
$25,188typical hospital bill
$8,211typical amount paid
$7,524–$9,272range paid across 6 hospitals
Maine hospitals billed Medicare a typical $25,188 for this stay in 2024, about 3.1 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| St Mary's Regional Medical Center | Lewiston | 21 | $15,673 | $7,524 | |
| St Joseph Hospital | Bangor | 14 | $18,182 | $7,549 | |
| Northern Light Eastern Maine Medical Center | Bangor | 24 | $35,661 | $7,959 | |
| Mainehealth Pen Bay Hospital | Rockport | 13 | $26,215 | $8,463 | |
| Mainehealth Maine Medical Center | Portland | 21 | $31,992 | $8,631 | |
| Maine General Medical Center | Augusta | 19 | $24,161 | $9,272 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.