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Hip fracture replacement 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

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Northern Light Mayo Hospital Dover Foxcroft$7,0001.0×12026-03-30
Northern Light Mercy Hospital Portland$27,7633.7×22026-04-15
Northern Light C A Dean Hospital Greenville$27,7633.9×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$27,7633.9×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$27,7633.9×22026-03-30
Northern Light A R Gould Hospital Presque Isle$48,5266.8×32026-03-30
Northern Light Eastern Maine Medical Center Bangor$48,5266.8×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$48,5266.8×32026-03-30

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$16,3281.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$38,0782.5×12025-09-09
Central Maine Medical Center Lewiston$38,2662.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$42,7882.9×12025-09-09
Northern Light Mercy Hospital Portland$46,7503.0×32026-04-15
Northern Light A R Gould Hospital Presque Isle$50,8253.4×52026-03-30
Northern Light Eastern Maine Medical Center Bangor$50,8253.4×52026-02-03
Northern Light Maine Coast Hospital Ellsworth$50,8253.4×52026-03-30
Northern Light C A Dean Hospital Greenville$55,3903.7×42026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$55,3903.7×42026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$55,3903.7×42026-03-30
Northern Light Mayo Hospital Dover Foxcroft$56,6983.8×42026-03-30
Mainehealth Maine Medical Center Portland$60,2453.9×12025-09-09

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$22,1291.1×32026-07-04
Central Maine Medical Center Lewiston$51,8642.6×32026-06-25
Mainehealth Mid Coast Hospital Brunswick$52,6472.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$59,1603.0×12025-09-09
Northern Light Mercy Hospital Portland$59,5462.9×32026-04-15
Northern Light A R Gould Hospital Presque Isle$68,8853.4×52026-03-30
Northern Light Eastern Maine Medical Center Bangor$68,8853.4×52026-02-03
Northern Light Maine Coast Hospital Ellsworth$68,8853.4×52026-03-30
Northern Light C A Dean Hospital Greenville$73,1643.6×42026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$73,1643.6×42026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$73,1643.6×42026-03-30
Northern Light Mayo Hospital Dover Foxcroft$76,8443.8×42026-03-30
Mainehealth Maine Medical Center Portland$83,2954.0×12025-09-09

Questions

How much do insurers pay for hip fracture replacement in Maine?

13 Maine hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 8 hospitals is $27,763, 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.