facebook tracking Septicemia or severe sepsis without ventilator >96 hours with major complications cost in Maine: 17 hospitals compared (DRG 871)

Septicemia or severe sepsis without ventilator >96 hours with major complications in Maine

What 17 hospitals in Maine charged and were paid for a Medicare hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871), from 2024 Medicare claims.

DRG 871 Inpatient 2024 Medicare data
Average charge $57,965 Hospital list price billed
Average payment $19,002 Medicare + patient + other payers
Medicare paid $15,900 Average per stay
State rank #40 of 50 1 = lowest average payment

Hospitals in Maine billed an average of $57,965 for septicemia or severe sepsis without ventilator >96 hours with major complications, about 3.1 times the average total payment of $19,002. That payment is 4% above the U.S. average of $18,230.

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 $19,002Billed $57,965

About 33¢ was paid for every $1 hospitals in Maine billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maine:

Maine hospitals: septicemia or severe sepsis without ventilator >96 hours 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 453 $65,763 $19,319 $15,473
Eastern Maine Medical CenterBangor 166 $90,231 $20,934 $16,786
Maine General Medical CenterWaterville 135 $57,556 $21,117 $18,618
Central Maine Medical CenterLewiston 114 $53,196 $16,559 $14,033
St Joseph HospitalBangor 104 $46,428 $18,414 $15,509
Mercy HospitalPortland 68 $62,068 $17,508 $14,855
Mid Coast HospitalBrunswick 68 $44,330 $14,772 $12,818
Southern Maine Health CareBiddeford 64 $47,709 $14,106 $13,012
York HospitalYork 61 $42,034 $13,447 $11,184
Penobscot Bay Medical CenterRockport 61 $47,548 $24,788 $17,609
Maine Coast Memorial HospitalEllsworth 52 $43,967 $20,896 $19,673
St Marys Regional Medical CenterLewiston 39 $39,840 $14,393 $12,492
Northern Light a R Gould HospitalPresque Isle 35 $57,123 $18,936 $16,338
Northern Light Inland HospitalWaterville 31 $36,944 $24,766 $23,451
Franklin Memorial HospitalFarmington 29 $41,442 $22,377 $19,403
Northern Maine Medical CenterFort Kent 27 $19,359 $23,042 $21,712
Cary Medical CenterCaribou 18 $27,944 $17,708 $16,439
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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$13,447
Southern Maine Health CareBiddeford, ME$14,106
St Marys Regional Medical CenterLewiston, ME$14,393
Mid Coast HospitalBrunswick, ME$14,772
Central Maine Medical CenterLewiston, ME$16,559

Highest

Penobscot Bay Medical CenterRockport, ME$24,788
Northern Light Inland HospitalWaterville, ME$24,766
Northern Maine Medical CenterFort Kent, ME$23,042
Franklin Memorial HospitalFarmington, ME$22,377
Maine General Medical CenterWaterville, ME$21,117

Septicemia or severe sepsis without ventilator >96 hours with major complications in other states

Questions

How much does septicemia or severe sepsis without ventilator >96 hours with major complications cost in Maine?

In 2024 Medicare data, a hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871) at 17 hospitals in Maine was billed at $57,965 on average, while the average total payment was $19,002, of which Medicare paid $15,900. 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 3.1 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.