Heart procedure through a catheter (e.g. ablation, valve clip) in Maine
MS-DRG 274: Percutaneous and other intracardiac procedures without mcc
$115,987typical hospital bill
$28,078typical amount paid
$26,517–$29,638range paid across 2 hospitals
Maine hospitals billed Medicare a typical $115,987 for this stay in 2024, about 4.1 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 | |
|---|---|---|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor | 75 | $99,478 | $26,517 | |
| Mainehealth Maine Medical Center | Portland | 44 | $132,497 | $29,638 |
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.