Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc in Maine
MS-DRG 493: Lower extremity and humerus procedures except hip, foot and femur with cc
$81,224typical hospital bill
$21,389typical amount paid
$20,066–$22,712range paid across 2 hospitals
Maine hospitals billed Medicare a typical $81,224 for this stay in 2024, about 3.8 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 | 12 | $70,314 | $20,066 | |
| Mainehealth Maine Medical Center | Portland | 23 | $92,133 | $22,712 |
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.