Hip or thigh bone surgery (not replacement), with major complications in Maine
MS-DRG 480: Hip and femur procedures except major joint with mcc
$89,957typical hospital bill
$22,676typical amount paid
$21,907–$26,209range paid across 3 hospitals
Maine hospitals billed Medicare a typical $89,957 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor | 24 | $100,401 | $21,907 | |
| Central Maine Medical Center | Lewiston | 18 | $73,314 | $22,676 | |
| Mainehealth Maine Medical Center | Portland | 44 | $89,957 | $26,209 |
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.