Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc in Maine
MS-DRG 543: Pathological fractures and musculoskeletal and connective tissue malignancy with cc
$35,619typical hospital bill
$8,568typical amount paid
$8,490–$10,516range paid across 3 hospitals
Maine hospitals billed Medicare a typical $35,619 for this stay in 2024, about 4.2 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 | 12 | $19,591 | $8,490 | |
| Northern Light Eastern Maine Medical Center | Bangor | 12 | $35,887 | $8,568 | |
| Mainehealth Maine Medical Center | Portland | 51 | $35,619 | $10,516 |
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.