US Health Care Costs

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)

HospitalCityMedicare staysBilledPaid
Mainehealth Mid Coast HospitalBrunswick16$48,410$14,789
Northern Light Eastern Maine Medical CenterBangor31$82,595$17,237
Central Maine Medical CenterLewiston20$80,388$18,725
Mainehealth Maine Medical CenterPortland101$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.