Revision of Hip or Knee Replacement Without Cc/Mcc in Maine
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$106,529typical hospital bill
$26,112typical amount paid
$20,845–$31,379range paid across 2 hospitals
Maine hospitals billed Medicare a typical $106,529 for this stay in 2024, about 4.1 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 | |
|---|---|---|---|---|---|
| Northern Light Mercy Hospital | Portland | 11 | $81,200 | $20,845 | |
| Mainehealth Maine Medical Center | Portland | 19 | $131,857 | $31,379 |
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.