Price AtlasInteractive atlas · All states · techysurgeon.comNorthern Light Maine Coast Hospital: what a joint replacement costs
Ellsworth, ME 04605 · CMS Certification Number 200050. 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 Maine Coast Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,505 |
| 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: 3 of 5 stars. Nonprofit · Acute · 64 beds
Maine requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Northern Light Maine Coast Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,505 per outpatient hip or knee replacement case (APC 5115, 26 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Northern Light Maine Coast 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.