Lewiston, ME 04240 · CMS Certification Number 200024. 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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,924 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $18,492 | $74,233 | 4.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,855 | — | $15,718–$38,133 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Martins Point | $38,133 | — | 1 |
| Elevance/Anthem/Empire | $34,855 | — | 1 |
| UnitedHealthcare | $15,718 | — | 1 |
From the hospital's price-transparency file (2026-06-25); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-25); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 250 beds
Maine requires a certificate of need for new surgery centers.
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The Medicare allowed amount averaged $11,924 per outpatient hip or knee replacement case (APC 5115, 54 cases) in 2024. Inpatient stays were too few to report.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $34,855 across 3 insurers, ranging from $15,718 to $38,133.