Infection needing surgery, with major complications in Maine

MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc

$140,863typical hospital bill

$44,404typical amount paid

$33,487–$66,083range paid across 5 hospitals

Maine hospitals billed Medicare a typical $140,863 for this stay in 2024, about 3.2 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
Mainehealth Mid Coast Hospital	Brunswick	15	$92,186	$33,487
Northern Light Eastern Maine Medical Center	Bangor	39	$166,036	$43,754
Central Maine Medical Center	Lewiston	18	$140,863	$44,404
Maine General Medical Center	Augusta	19	$137,196	$46,270
Mainehealth Maine Medical Center	Portland	86	$216,308	$66,083

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.