Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Maine
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$255,007typical hospital bill
$70,259typical amount paid
$57,496–$83,023range paid across 2 hospitals
Maine hospitals billed Medicare a typical $255,007 for this stay in 2024, about 3.6 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 | 16 | $250,043 | $57,496 | |
| Mainehealth Maine Medical Center | Portland | 37 | $259,971 | $83,023 |
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.