Augusta, ME 04330 · CMS Certification Number 200039. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,194 | $59,999 | 3.1× | $12,731 |
| Shoulder replacement | — | — | — | $18,256 |
| Hip replacement after a fracture (DRG 522) | $21,385 | $65,105 | 3.0× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 287 beds
Maine requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Mainegeneral Medical Center an average of $19,194 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $12,731 per outpatient case (APC 5115, 66 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,999, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Mainegeneral Medical Center more than 100% of the 3 Maine hospitals that report inpatient hip or knee replacement.