Sepsis, with major complications in Maine
MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc
$46,428typical hospital bill
$18,936typical amount paid
$13,447–$24,788range paid across 17 hospitals
Maine hospitals billed Medicare a typical $46,428 for this stay in 2024, about 2.5 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 | 61 | $42,034 | $13,447 | |
| Southern Maine Health Care | Biddeford | 64 | $47,709 | $14,106 | |
| St Mary's Regional Medical Center | Lewiston | 39 | $39,840 | $14,393 | |
| Mainehealth Mid Coast Hospital | Brunswick | 68 | $44,330 | $14,772 | |
| Central Maine Medical Center | Lewiston | 114 | $53,196 | $16,559 | |
| Northern Light Mercy Hospital | Portland | 68 | $62,068 | $17,508 | |
| Cary Medical Center | Caribou | 18 | $27,944 | $17,708 | |
| St Joseph Hospital | Bangor | 104 | $46,428 | $18,414 | |
| Northern Light a R Gould Hospital | Presque Isle | 35 | $57,123 | $18,936 | |
| Mainehealth Maine Medical Center | Portland | 453 | $65,763 | $19,319 | |
| Northern Light Maine Coast Hospital | Ellsworth | 52 | $43,967 | $20,896 | |
| Northern Light Eastern Maine Medical Center | Bangor | 166 | $90,231 | $20,934 | |
| Maine General Medical Center | Augusta | 135 | $57,557 | $21,117 | |
| Franklin Memorial Hospital | Farmington | 29 | $41,442 | $22,377 | |
| Northern Maine Medical Center | Fort Kent | 27 | $19,359 | $23,042 | |
| Northern Light Inland Hospital | Waterville | 31 | $36,944 | $24,766 | |
| Mainehealth Pen Bay Hospital | Rockport | 61 | $47,548 | $24,788 |
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.