Septicemia or severe sepsis with ventilator >96 hours in Maine
What 2 hospitals in Maine charged and were paid for a Medicare hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870), from 2024 Medicare claims.
Average charge
$323,413
Hospital list price billed
Average payment
$87,388
Medicare + patient + other payers
Medicare paid
$67,371
Average per stay
Volume
25
Medicare hospital stays
Hospitals in Maine billed an average of $323,413 for septicemia or severe sepsis with ventilator >96 hours, about 3.7 times the average total payment of $87,388. That payment is 32% above the U.S. average of $66,013.
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 $87,388Billed $323,413
About 27¢ was paid for every $1 hospitals in Maine billed for this stay.
Maine hospitals: septicemia or severe sepsis with ventilator >96 hours
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 | 13 | $362,754 | $105,648 | $69,719 |
| Eastern Maine Medical CenterBangor | 12 | $280,795 | $67,606 | $64,827 |
Septicemia or severe sepsis with ventilator >96 hours in other states
Questions
How much does septicemia or severe sepsis with ventilator >96 hours cost in Maine?
In 2024 Medicare data, a hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870) at 2 hospitals in Maine was billed at $323,413 on average, while the average total payment was $87,388, of which Medicare paid $67,371. 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 3.7 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.