Diabetes with major complications in Maine
What 2 hospitals in Maine charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$64,146
Hospital list price billed
Average payment
$18,505
Medicare + patient + other payers
Medicare paid
$11,482
Average per stay
Volume
43
Medicare hospital stays
Hospitals in Maine billed an average of $64,146 for diabetes with major complications, about 3.5 times the average total payment of $18,505. That payment is 32% above the U.S. average of $14,037.
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 $18,505Billed $64,146
About 29¢ was paid for every $1 hospitals in Maine billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Maine:
Maine hospitals: diabetes with 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 | 28 | $67,217 | $21,800 | $11,622 |
| Eastern Maine Medical CenterBangor | 15 | $58,414 | $12,354 | $11,219 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Maine?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 2 hospitals in Maine was billed at $64,146 on average, while the average total payment was $18,505, of which Medicare paid $11,482. 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 3.5 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.