Heart valve replacement through a catheter (TAVR), with major complications in Maine
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$260,321typical hospital bill
$58,142typical amount paid
$54,948–$61,336range paid across 2 hospitals
Maine hospitals billed Medicare a typical $260,321 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor | 22 | $239,481 | $54,948 | |
| Mainehealth Maine Medical Center | Portland | 67 | $281,162 | $61,336 |
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.