Lung infection, with major complications in Maine

MS-DRG 177: Respiratory infections and inflammations with mcc

$49,887typical hospital bill

$14,642typical amount paid

$10,852–$24,338range paid across 14 hospitals

Maine hospitals billed Medicare a typical $49,887 for this stay in 2024, about 3.4 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
York Hospital	York	34	$38,308	$10,852
Southern Maine Health Care	Biddeford	29	$49,679	$12,604
St Mary's Regional Medical Center	Lewiston	23	$34,538	$12,811
Mainehealth Mid Coast Hospital	Brunswick	35	$32,394	$13,365
Northern Light Mercy Hospital	Portland	27	$52,162	$13,987
Central Maine Medical Center	Lewiston	54	$48,879	$14,249
St Joseph Hospital	Bangor	49	$40,885	$14,530
Northern Light a R Gould Hospital	Presque Isle	13	$48,256	$14,753
Northern Light Eastern Maine Medical Center	Bangor	66	$78,759	$15,623
Mainehealth Maine Medical Center	Portland	163	$60,667	$16,135
Mainehealth Pen Bay Hospital	Rockport	16	$50,095	$16,312
Maine General Medical Center	Augusta	52	$54,862	$18,004
Northern Light Maine Coast Hospital	Ellsworth	22	$50,362	$19,387
Northern Light Inland Hospital	Waterville	13	$63,306	$24,338

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.