Pneumonia, with major complications in Maine

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$37,107typical hospital bill

$12,111typical amount paid

$8,988–$14,355range paid across 13 hospitals

Maine hospitals billed Medicare a typical $37,107 for this stay in 2024, about 3.1 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	$39,240	$8,988
Mainehealth Mid Coast Hospital	Brunswick	44	$33,284	$10,480
Northern Light Eastern Maine Medical Center	Bangor	70	$64,452	$10,527
St Mary's Regional Medical Center	Lewiston	14	$31,215	$10,542
Central Maine Medical Center	Lewiston	54	$28,094	$10,935
Northern Light a R Gould Hospital	Presque Isle	31	$37,107	$11,942
St Joseph Hospital	Bangor	45	$32,696	$12,111
Northern Light Mercy Hospital	Portland	24	$49,141	$12,638
Southern Maine Health Care	Biddeford	21	$44,278	$12,658
Mainehealth Pen Bay Hospital	Rockport	13	$26,981	$12,978
Mainehealth Maine Medical Center	Portland	111	$38,253	$13,248
Northern Light Maine Coast Hospital	Ellsworth	15	$35,360	$13,998
Maine General Medical Center	Augusta	46	$49,233	$14,355

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.