Other factors influencing health status in Maine
What 4 hospitals in Maine charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$19,172
Hospital list price billed
Average payment
$5,530
Medicare + patient + other payers
Medicare paid
$4,210
Average per stay
State rank
#8 of 17
1 = lowest average payment
Hospitals in Maine billed an average of $19,172 for other factors influencing health status, about 3.5 times the average total payment of $5,530. That payment is 10% below the U.S. average of $6,140.
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 $5,530Billed $19,172
About 29¢ was paid for every $1 hospitals in Maine billed for this stay.
Maine hospitals: other factors influencing health status
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 |
|---|---|---|---|---|
| Mid Coast HospitalBrunswick | 18 | $19,050 | $5,007 | $3,740 |
| Maine General Medical CenterWaterville | 15 | $24,347 | $6,291 | $4,784 |
| Eastern Maine Medical CenterBangor | 12 | $18,791 | $4,991 | $3,841 |
| Maine Medical CenterPortland | 11 | $12,729 | $5,937 | $4,599 |
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
| Eastern Maine Medical CenterBangor, ME | $4,991 |
|---|---|
| Mid Coast HospitalBrunswick, ME | $5,007 |
| Maine Medical CenterPortland, ME | $5,937 |
| Maine General Medical CenterWaterville, ME | $6,291 |
Highest
| Maine General Medical CenterWaterville, ME | $6,291 |
|---|---|
| Maine Medical CenterPortland, ME | $5,937 |
| Mid Coast HospitalBrunswick, ME | $5,007 |
| Eastern Maine Medical CenterBangor, ME | $4,991 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in Maine?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 4 hospitals in Maine was billed at $19,172 on average, while the average total payment was $5,530, of which Medicare paid $4,210. 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.