Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Maine
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$196,055typical hospital bill
$65,221typical amount paid
$58,037–$72,405range paid across 2 hospitals
Maine hospitals billed Medicare a typical $196,055 for this stay in 2024, about 3.0 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 | 13 | $186,867 | $58,037 | |
| Mainehealth Maine Medical Center | Portland | 37 | $205,243 | $72,405 |
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.