Sepsis in Maine
MS-DRG 872: Septicemia or severe sepsis without mv >96 hours without mcc
$28,794typical hospital bill
$9,273typical amount paid
$7,471–$13,476range paid across 13 hospitals
Maine hospitals billed Medicare a typical $28,794 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 | 21 | $26,002 | $7,471 | |
| St Mary's Regional Medical Center | Lewiston | 11 | $21,324 | $8,362 | |
| Central Maine Medical Center | Lewiston | 19 | $31,966 | $8,983 | |
| Northern Light Mercy Hospital | Portland | 23 | $31,979 | $9,054 | |
| Northern Light a R Gould Hospital | Presque Isle | 15 | $34,671 | $9,090 | |
| St Joseph Hospital | Bangor | 20 | $28,794 | $9,115 | |
| Mainehealth Mid Coast Hospital | Brunswick | 19 | $25,474 | $9,273 | |
| Cary Medical Center | Caribou | 14 | $15,929 | $9,325 | |
| Mainehealth Pen Bay Hospital | Rockport | 23 | $23,337 | $10,649 | |
| Northern Light Maine Coast Hospital | Ellsworth | 15 | $28,140 | $10,898 | |
| Mainehealth Maine Medical Center | Portland | 71 | $34,827 | $11,045 | |
| Northern Light Eastern Maine Medical Center | Bangor | 24 | $46,718 | $12,387 | |
| Maine General Medical Center | Augusta | 30 | $45,089 | $13,476 |
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.