Major joint or limb reattachment procedures of upper extremities in Maine
What 3 hospitals in Maine charged and were paid for a Medicare hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483), from 2024 Medicare claims.
Average charge
$89,676
Hospital list price billed
Average payment
$21,253
Medicare + patient + other payers
Medicare paid
$19,460
Average per stay
State rank
#20 of 39
1 = lowest average payment
Hospitals in Maine billed an average of $89,676 for major joint or limb reattachment procedures of upper extremities, about 4.2 times the average total payment of $21,253. That payment is 6% below the U.S. average of $22,521.
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 $21,253Billed $89,676
About 24¢ was paid for every $1 hospitals in Maine billed for this stay.
Maine hospitals: major joint or limb reattachment procedures of upper extremities
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 | 21 | $93,939 | $21,430 | $19,369 |
| Penobscot Bay Medical CenterRockport | 13 | $83,772 | $24,793 | $23,161 |
| York HospitalYork | 12 | $88,611 | $17,108 | $15,612 |
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 | $17,108 |
|---|---|
| Maine Medical CenterPortland, ME | $21,430 |
| Penobscot Bay Medical CenterRockport, ME | $24,793 |
Highest
| Penobscot Bay Medical CenterRockport, ME | $24,793 |
|---|---|
| Maine Medical CenterPortland, ME | $21,430 |
| York HospitalYork, ME | $17,108 |
Major joint or limb reattachment procedures of upper extremities in other states
Questions
How much does major joint or limb reattachment procedures of upper extremities cost in Maine?
In 2024 Medicare data, a hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483) at 3 hospitals in Maine was billed at $89,676 on average, while the average total payment was $21,253, of which Medicare paid $19,460. 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 4.2 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.