Heart valve replacement through a catheter (TAVR) in Maine
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$194,096typical hospital bill
$44,257typical amount paid
$39,282–$49,233range paid across 2 hospitals
Maine hospitals billed Medicare a typical $194,096 for this stay in 2024, about 4.4 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 Eastern Maine Medical Center | Bangor | 43 | $132,170 | $39,282 | |
| Mainehealth Maine Medical Center | Portland | 65 | $256,022 | $49,233 |
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.