Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Maine
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$323,867typical hospital bill
$92,698typical amount paid
$87,258–$98,138range paid across 2 hospitals
Maine hospitals billed Medicare a typical $323,867 for this stay in 2024, about 3.5 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 | |
|---|---|---|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor | 11 | $321,492 | $87,258 | |
| Mainehealth Maine Medical Center | Portland | 15 | $326,242 | $98,138 |
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.