Price AtlasInteractive atlas · All states · techysurgeon.comNorthern Light A R Gould Hospital: what a joint replacement costs
Presque Isle, ME 04769 · CMS Certification Number 200018. 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 Northern Light A R Gould Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,280 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $46,750 | — | $40,018–$58,359 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Harvard | $58,359 | — | 1 |
| Cigna | $58,322 | — | 1 |
| Aetna | $46,750 | — | 1 |
| Cho | $46,294 | — | 1 |
| Elevance/Anthem/Empire | $40,018 | — | 1 |
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 89 beds
Maine requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Northern Light A R Gould Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,280 per outpatient hip or knee replacement case (APC 5115, 32 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Northern Light A R Gould Hospital 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 $46,750 across 5 insurers, ranging from $40,018 to $58,359.