Pulmonary Embolism with Mcc or Acute Cor Pulmonale in Maine
MS-DRG 175: Pulmonary embolism with mcc or acute cor pulmonale
$52,272typical hospital bill
$15,615typical amount paid
$12,972–$18,512range paid across 3 hospitals
Maine hospitals billed Medicare a typical $52,272 for this stay in 2024, about 3.3 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Mainehealth Maine Medical Center | Portland | 34 | $40,256 | $12,972 | |
| Northern Light Eastern Maine Medical Center | Bangor | 12 | $52,272 | $15,615 | |
| Maine General Medical Center | Augusta | 11 | $57,830 | $18,512 |
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.