facebook tracking Cellulitis without major complications cost in Maine: 9 hospitals compared (DRG 603)

Cellulitis without major complications in Maine

What 9 hospitals in Maine charged and were paid for a Medicare hospital stay for cellulitis without major complications (DRG 603), from 2024 Medicare claims.

DRG 603 Inpatient 2024 Medicare data
Average charge $25,789 Hospital list price billed
Average payment $8,546 Medicare + patient + other payers
Medicare paid $6,004 Average per stay
State rank #35 of 50 1 = lowest average payment

Hospitals in Maine billed an average of $25,789 for cellulitis without major complications, about 3.0 times the average total payment of $8,546. That payment is 1% below the U.S. average of $8,642.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $8,546Billed $25,789

About 33¢ was paid for every $1 hospitals in Maine billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maine:

Maine hospitals: cellulitis without major complications

Every Maine hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Maine Medical CenterPortland 49 $27,223 $9,082 $6,374
St Joseph HospitalBangor 22 $19,685 $8,234 $5,740
Eastern Maine Medical CenterBangor 20 $29,800 $9,312 $5,025
York HospitalYork 18 $20,306 $5,980 $4,892
Maine General Medical CenterWaterville 15 $31,449 $10,185 $6,967
Mercy HospitalPortland 14 $31,601 $8,900 $5,985
Mid Coast HospitalBrunswick 13 $21,481 $6,824 $5,443
Maine Coast Memorial HospitalEllsworth 13 $20,537 $9,331 $8,013
Central Maine Medical CenterLewiston 11 $29,472 $8,013 $5,487
Advertisement

Lowest and highest payments in Maine

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

York HospitalYork, ME$5,980
Mid Coast HospitalBrunswick, ME$6,824
Central Maine Medical CenterLewiston, ME$8,013
St Joseph HospitalBangor, ME$8,234
Mercy HospitalPortland, ME$8,900

Highest

Maine General Medical CenterWaterville, ME$10,185
Maine Coast Memorial HospitalEllsworth, ME$9,331
Eastern Maine Medical CenterBangor, ME$9,312
Maine Medical CenterPortland, ME$9,082
Mercy HospitalPortland, ME$8,900

Cellulitis without major complications in other states

Questions

How much does cellulitis without major complications cost in Maine?

In 2024 Medicare data, a hospital stay for cellulitis without major complications (DRG 603) at 9 hospitals in Maine was billed at $25,789 on average, while the average total payment was $8,546, of which Medicare paid $6,004. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Maine, average charges were 3.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.