US Health Care Costs

Lung infection, with complications in Maine

MS-DRG 178: Respiratory infections and inflammations with cc

$41,954typical hospital bill
$9,730typical amount paid
$7,529–$13,123range paid across 4 hospitals

Maine hospitals billed Medicare a typical $41,954 for this stay in 2024, about 4.3 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)

HospitalCityMedicare staysBilledPaid
Mainehealth Mid Coast HospitalBrunswick15$24,889$7,529
Southern Maine Health CareBiddeford11$37,263$7,890
Northern Light Eastern Maine Medical CenterBangor14$46,645$11,571
Mainehealth Maine Medical CenterPortland34$56,805$13,123

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.