Hip replacement after a hip fracture in Maine
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$65,105typical hospital bill
$19,746typical amount paid
$14,886–$21,385range paid across 5 hospitals
Maine hospitals billed Medicare a typical $65,105 for this stay in 2024, about 3.3 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 | 28 | $60,709 | $14,886 | |
| Central Maine Medical Center | Lewiston | 15 | $74,233 | $18,492 | |
| St Joseph Hospital | Bangor | 11 | $63,217 | $19,746 | |
| Mainehealth Maine Medical Center | Portland | 42 | $71,298 | $21,344 | |
| Maine General Medical Center | Augusta | 12 | $65,105 | $21,385 |
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.