Respiratory infections and inflammations with major complications in Maine
What 14 hospitals in Maine charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$53,728
Hospital list price billed
Average payment
$15,351
Medicare + patient + other payers
Medicare paid
$13,116
Average per stay
State rank
#36 of 50
1 = lowest average payment
Hospitals in Maine billed an average of $53,728 for respiratory infections and inflammations with major complications, about 3.5 times the average total payment of $15,351. That payment is 3% above the U.S. average of $14,949.
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 $15,351Billed $53,728
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: respiratory infections and inflammations 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 | 163 | $60,667 | $16,135 | $12,977 |
| Eastern Maine Medical CenterBangor | 66 | $78,759 | $15,623 | $12,674 |
| Central Maine Medical CenterLewiston | 54 | $48,879 | $14,249 | $12,236 |
| Maine General Medical CenterWaterville | 52 | $54,862 | $18,004 | $16,136 |
| St Joseph HospitalBangor | 49 | $40,885 | $14,530 | $13,096 |
| Mid Coast HospitalBrunswick | 35 | $32,394 | $13,365 | $10,619 |
| York HospitalYork | 34 | $38,308 | $10,852 | $9,797 |
| Southern Maine Health CareBiddeford | 29 | $49,679 | $12,604 | $11,760 |
| Mercy HospitalPortland | 27 | $52,162 | $13,987 | $10,757 |
| St Marys Regional Medical CenterLewiston | 23 | $34,538 | $12,811 | $11,604 |
| Maine Coast Memorial HospitalEllsworth | 22 | $50,362 | $19,387 | $18,202 |
| Penobscot Bay Medical CenterRockport | 16 | $50,094 | $16,312 | $15,190 |
| Northern Light a R Gould HospitalPresque Isle | 13 | $48,256 | $14,753 | $13,498 |
| Northern Light Inland HospitalWaterville | 13 | $63,306 | $24,338 | $23,210 |
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 | $10,852 |
|---|---|
| Southern Maine Health CareBiddeford, ME | $12,604 |
| St Marys Regional Medical CenterLewiston, ME | $12,811 |
| Mid Coast HospitalBrunswick, ME | $13,365 |
| Mercy HospitalPortland, ME | $13,987 |
Highest
| Northern Light Inland HospitalWaterville, ME | $24,338 |
|---|---|
| Maine Coast Memorial HospitalEllsworth, ME | $19,387 |
| Maine General Medical CenterWaterville, ME | $18,004 |
| Penobscot Bay Medical CenterRockport, ME | $16,312 |
| Maine Medical CenterPortland, ME | $16,135 |
Respiratory infections and inflammations with major complications in other states
Questions
How much does respiratory infections and inflammations with major complications cost in Maine?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 14 hospitals in Maine was billed at $53,728 on average, while the average total payment was $15,351, of which Medicare paid $13,116. 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.