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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| York Hospital | York | 17 | $39,612 | $8,213 | |
| Northern Light Mercy Hospital | Portland | 17 | $37,575 | $10,233 | |
| Central Maine Medical Center | Lewiston | 18 | $24,575 | $10,499 | |
| Mainehealth Mid Coast Hospital | Brunswick | 29 | $36,776 | $11,139 | |
| Mainehealth Pen Bay Hospital | Rockport | 18 | $30,979 | $12,062 | |
| Northern Light Eastern Maine Medical Center | Bangor | 15 | $61,944 | $12,553 | |
| Maine General Medical Center | Augusta | 28 | $45,601 | $12,800 | |
| Northern Maine Medical Center | Fort Kent | 20 | $16,420 | $14,252 | |
| Southern Maine Health Care | Biddeford | 21 | $39,949 | $17,287 | |
| Mainehealth Maine Medical Center | Portland | 106 | $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.