Heart failure, with major complications in Maine
MS-DRG 291: Heart failure and shock with mcc
$35,497typical hospital bill
$11,646typical amount paid
$8,816–$19,747range paid across 16 hospitals
Maine hospitals billed Medicare a typical $35,497 for this stay in 2024, about 3.0 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 | |
|---|---|---|---|---|---|
| York Hospital | York | 48 | $25,348 | $8,816 | |
| St Mary's Regional Medical Center | Lewiston | 19 | $30,641 | $9,952 | |
| Mainehealth Mid Coast Hospital | Brunswick | 79 | $26,475 | $10,247 | |
| Southern Maine Health Care | Biddeford | 49 | $37,411 | $10,262 | |
| Central Maine Medical Center | Lewiston | 121 | $34,953 | $10,980 | |
| Northern Light Mercy Hospital | Portland | 54 | $48,147 | $11,028 | |
| St Joseph Hospital | Bangor | 48 | $32,801 | $11,335 | |
| Cary Medical Center | Caribou | 15 | $18,395 | $11,429 | |
| Northern Light Eastern Maine Medical Center | Bangor | 117 | $64,551 | $11,862 | |
| Northern Light a R Gould Hospital | Presque Isle | 23 | $51,776 | $12,417 | |
| Mainehealth Pen Bay Hospital | Rockport | 39 | $36,042 | $12,608 | |
| Mainehealth Maine Medical Center | Portland | 248 | $41,364 | $12,688 | |
| Northern Light Maine Coast Hospital | Ellsworth | 32 | $32,705 | $13,427 | |
| Maine General Medical Center | Augusta | 100 | $44,762 | $13,533 | |
| Franklin Memorial Hospital | Farmington | 21 | $27,242 | $13,889 | |
| Northern Light Inland Hospital | Waterville | 17 | $43,712 | $19,747 |
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.