Pulmonary edema and respiratory failure in Maine
What 10 hospitals in Maine charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$46,786
Hospital list price billed
Average payment
$14,774
Medicare + patient + other payers
Medicare paid
$10,898
Average per stay
State rank
#45 of 50
1 = lowest average payment
Hospitals in Maine billed an average of $46,786 for pulmonary edema and respiratory failure, about 3.2 times the average total payment of $14,774. That payment is 21% above the U.S. average of $12,197.
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 $14,774Billed $46,786
About 32¢ was paid for every $1 hospitals in Maine billed for this stay.
Maine hospitals: pulmonary edema and respiratory failure
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 | 106 | $63,860 | $19,171 | $13,268 |
| Mid Coast HospitalBrunswick | 29 | $36,776 | $11,139 | $7,728 |
| Maine General Medical CenterWaterville | 28 | $45,601 | $12,800 | $11,265 |
| Southern Maine Health CareBiddeford | 21 | $39,949 | $17,287 | $6,670 |
| Northern Maine Medical CenterFort Kent | 20 | $16,420 | $14,252 | $13,191 |
| Central Maine Medical CenterLewiston | 18 | $24,575 | $10,499 | $8,683 |
| Penobscot Bay Medical CenterRockport | 18 | $30,979 | $12,062 | $10,792 |
| Mercy HospitalPortland | 17 | $37,575 | $10,233 | $9,273 |
| York HospitalYork | 17 | $39,612 | $8,213 | $7,253 |
| Eastern Maine Medical CenterBangor | 15 | $61,944 | $12,553 | $11,207 |
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 | $8,213 |
|---|---|
| Mercy HospitalPortland, ME | $10,233 |
| Central Maine Medical CenterLewiston, ME | $10,499 |
| Mid Coast HospitalBrunswick, ME | $11,139 |
| Penobscot Bay Medical CenterRockport, ME | $12,062 |
Highest
| Maine Medical CenterPortland, ME | $19,171 |
|---|---|
| Southern Maine Health CareBiddeford, ME | $17,287 |
| Northern Maine Medical CenterFort Kent, ME | $14,252 |
| Maine General Medical CenterWaterville, ME | $12,800 |
| Eastern Maine Medical CenterBangor, ME | $12,553 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Maine?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 10 hospitals in Maine was billed at $46,786 on average, while the average total payment was $14,774, of which Medicare paid $10,898. 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 3.2 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.