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Heart valve surgery (open) in Maine: what insurers pay

Posted commercial rates at 13 Maine hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$40,5181.0×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$95,6722.5×12025-09-09
Central Maine Medical Center Lewiston$96,3632.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$107,5082.9×12025-09-09
Northern Light Mercy Hospital Portland$135,9403.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$144,6153.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$144,6153.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$144,6153.9×42026-03-30
Mainehealth Maine Medical Center Portland$151,3683.9×12025-09-09
Northern Light C A Dean Hospital Greenville$161,2434.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$161,2434.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$161,2434.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$161,2434.3×32026-03-30

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$58,3381.0×42026-07-04
Central Maine Medical Center Lewiston$133,5202.5×32026-06-25
Mainehealth Mid Coast Hospital Brunswick$139,7592.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$157,0492.9×12025-09-09
Northern Light Mercy Hospital Portland$195,7283.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$208,2203.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$208,2203.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$208,2203.9×42026-03-30
Mainehealth Maine Medical Center Portland$221,1204.0×12025-09-09
Northern Light C A Dean Hospital Greenville$232,1614.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$232,1614.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$232,1614.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$232,1614.3×32026-03-30

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$74,3281.0×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$174,3242.5×12025-09-09
Central Maine Medical Center Lewiston$176,7742.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$195,8902.9×12025-09-09
Northern Light Mercy Hospital Portland$249,3753.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$265,2903.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$265,2903.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$265,2903.9×42026-03-30
Mainehealth Maine Medical Center Portland$275,8063.9×12025-09-09
Northern Light C A Dean Hospital Greenville$295,7934.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$295,7934.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$295,7934.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$295,7934.3×32026-03-30

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$50,2961.1×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$116,6462.4×12025-09-09
Central Maine Medical Center Lewiston$118,8152.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$131,0772.9×12025-09-09
Northern Light Mercy Hospital Portland$167,6123.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$178,3093.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$178,3093.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$178,3093.9×42026-03-30
Mainehealth Maine Medical Center Portland$184,5523.9×12025-09-09
Northern Light C A Dean Hospital Greenville$198,8114.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$198,8114.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$198,8114.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$198,8114.3×32026-03-30

Questions

How much do insurers pay for heart valve surgery (open) in Maine?

13 Maine hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 13 hospitals is $144,615, 3.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.