Price AtlasInteractive atlas · All states · techysurgeon.comMainehealth Maine Medical Center: what a joint replacement costs
Portland, ME 04102 · CMS Certification Number 200009. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Mainehealth Maine Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,640 | $86,988 | 4.7× | $12,212 |
| Shoulder replacement | $21,430 | $93,939 | 4.4× | $17,471 |
| Hip replacement after a fracture (DRG 522) | $21,344 | $71,298 | 3.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $47,797 | 2.6× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $47,797 | 2.6× | 1 |
From the hospital's price-transparency file (2025-09-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-09-09); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 606 beds
Maine requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Mainehealth Maine Medical Center for a knee or hip replacement?
In 2024 the average total payment to Mainehealth Maine Medical Center for an inpatient hip or knee replacement stay was $18,640 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,212 per outpatient case (APC 5115, 551 cases).
What is Mainehealth Maine Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,988, 4.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Mainehealth Maine Medical Center?
Yes for Medicare facility payments. Oa ASC LLC, an orthopedic surgery center same ZIP away, is paid about $8,975 by Medicare for a knee replacement (CPT 27447), $9,665 less than an inpatient stay at Mainehealth Maine Medical Center. Not every patient is a surgery-center candidate.
How does Mainehealth Maine Medical Center compare with other Maine hospitals?
Mainehealth Maine Medical Center's average total payment per Medicare stay is higher than 67% of the 3 Maine hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mainehealth Maine Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $47,797 across 1 insurer.