Fracture or sprain (not hip or thigh) in Maine
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$20,891typical hospital bill
$7,626typical amount paid
$6,705–$8,548range paid across 2 hospitals
Maine hospitals billed Medicare a typical $20,891 for this stay in 2024, about 2.7 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 | |
|---|---|---|---|---|---|
| Mainehealth Mid Coast Hospital | Brunswick | 14 | $21,971 | $6,705 | |
| Mainehealth Maine Medical Center | Portland | 23 | $19,810 | $8,548 |
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.