Heart catheterization, with major complications in Maine
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$80,985typical hospital bill
$17,981typical amount paid
$14,789–$23,102range paid across 4 hospitals
Maine hospitals billed Medicare a typical $80,985 for this stay in 2024, about 4.5 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 | 16 | $48,410 | $14,789 | |
| Northern Light Eastern Maine Medical Center | Bangor | 31 | $82,595 | $17,237 | |
| Central Maine Medical Center | Lewiston | 20 | $80,388 | $18,725 | |
| Mainehealth Maine Medical Center | Portland | 101 | $81,582 | $23,102 |
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.