Hip or thigh bone surgery (not replacement), with complications in Maine

MS-DRG 481: Hip and femur procedures except major joint with cc

$62,791typical hospital bill

$17,770typical amount paid

$13,919–$21,904range paid across 10 hospitals

Maine hospitals billed Medicare a typical $62,791 for this stay in 2024, about 3.5 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
York Hospital	York	13	$58,969	$13,919
Mainehealth Mid Coast Hospital	Brunswick	12	$55,983	$15,224
Northern Light Mercy Hospital	Portland	15	$63,630	$15,433
Central Maine Medical Center	Lewiston	30	$50,993	$16,568
Northern Light Eastern Maine Medical Center	Bangor	48	$65,259	$17,345
St Joseph Hospital	Bangor	13	$68,215	$18,194
Mainehealth Maine Medical Center	Portland	81	$71,942	$18,956
Mainehealth Pen Bay Hospital	Rockport	11	$61,951	$20,342
Maine General Medical Center	Augusta	18	$71,033	$21,418
Northern Light Maine Coast Hospital	Ellsworth	11	$56,765	$21,904

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.