Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in Maine
MS-DRG 981: Extensive o.r. procedures unrelated to principal diagnosis with mcc
$147,454typical hospital bill
$41,059typical amount paid
$37,882–$44,237range paid across 2 hospitals
Maine hospitals billed Medicare a typical $147,454 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 | |
|---|---|---|---|---|---|
| Central Maine Medical Center | Lewiston | 12 | $119,700 | $37,882 | |
| Mainehealth Maine Medical Center | Portland | 38 | $175,207 | $44,237 |
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.