US Health Care Costs

Respiratory failure in Maine

MS-DRG 189: Pulmonary edema and respiratory failure

$38,593typical hospital bill
$12,307typical amount paid
$8,213–$19,171range paid across 10 hospitals

Maine hospitals billed Medicare a typical $38,593 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)

HospitalCityMedicare staysBilledPaid
York HospitalYork17$39,612$8,213
Northern Light Mercy HospitalPortland17$37,575$10,233
Central Maine Medical CenterLewiston18$24,575$10,499
Mainehealth Mid Coast HospitalBrunswick29$36,776$11,139
Mainehealth Pen Bay HospitalRockport18$30,979$12,062
Northern Light Eastern Maine Medical CenterBangor15$61,944$12,553
Maine General Medical CenterAugusta28$45,601$12,800
Northern Maine Medical CenterFort Kent20$16,420$14,252
Southern Maine Health CareBiddeford21$39,949$17,287
Mainehealth Maine Medical CenterPortland106$63,860$19,171

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.