Hip or knee replacement in Maine
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$72,166typical hospital bill
$18,640typical amount paid
$14,614–$19,194range paid across 3 hospitals
Maine hospitals billed Medicare a typical $72,166 for this stay in 2024, about 3.9 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 Mercy Hospital | Portland | 11 | $72,166 | $14,614 | |
| Mainehealth Maine Medical Center | Portland | 43 | $86,988 | $18,640 | |
| Maine General Medical Center | Augusta | 11 | $59,999 | $19,194 |
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.