US Health Care Costs

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)

HospitalCityMedicare staysBilledPaid
York HospitalYork61$42,034$13,447
Southern Maine Health CareBiddeford64$47,709$14,106
St Mary's Regional Medical CenterLewiston39$39,840$14,393
Mainehealth Mid Coast HospitalBrunswick68$44,330$14,772
Central Maine Medical CenterLewiston114$53,196$16,559
Northern Light Mercy HospitalPortland68$62,068$17,508
Cary Medical CenterCaribou18$27,944$17,708
St Joseph HospitalBangor104$46,428$18,414
Northern Light a R Gould HospitalPresque Isle35$57,123$18,936
Mainehealth Maine Medical CenterPortland453$65,763$19,319
Northern Light Maine Coast HospitalEllsworth52$43,967$20,896
Northern Light Eastern Maine Medical CenterBangor166$90,231$20,934
Maine General Medical CenterAugusta135$57,557$21,117
Franklin Memorial HospitalFarmington29$41,442$22,377
Northern Maine Medical CenterFort Kent27$19,359$23,042
Northern Light Inland HospitalWaterville31$36,944$24,766
Mainehealth Pen Bay HospitalRockport61$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.