Price AtlasInteractive atlas · All states · techysurgeon.comNorthern Light Eastern Maine Medical Center: what a joint replacement costs
Bangor, ME 04401 · CMS Certification Number 200033. 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 Eastern Maine Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,452 |
| Shoulder replacement | — | — | — | $16,202 |
| Hip replacement after a fracture (DRG 522) | $14,886 | $60,709 | 4.1× | — |
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 (2026-02-03); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 411 beds
Maine requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Maine hospitals
Questions
How much does Medicare pay Northern Light Eastern Maine Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $11,452 per outpatient hip or knee replacement case (APC 5115, 46 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Northern Light Eastern Maine Medical Center?
Yes for Medicare facility payments. Downeast Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Northern Light Eastern 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 $46,750 across 5 insurers, ranging from $40,018 to $58,359.