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Hip replacement revision 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 27134

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$27,4052.1×42026-07-04
Northern Light Mercy Hospital Portland$31,1842.4×22026-04-15
Northern Light C A Dean Hospital Greenville$31,1842.5×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$31,1842.5×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$31,1842.5×22026-03-30
Northern Light Mayo Hospital Dover Foxcroft$34,6062.7×22026-03-30
Northern Light Eastern Maine Medical Center Bangor$51,2674.1×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$51,2674.1×32026-03-30
Northern Light A R Gould Hospital Presque Isle$54,9074.3×32026-03-30

CPT 27137

HospitalMedian across insurers× MedicareInsurersFile date
Northern Light Mercy Hospital Portland$31,1842.4×22026-04-15
Northern Light C A Dean Hospital Greenville$31,1842.5×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$31,1842.5×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$31,1842.5×22026-03-30
Northern Light Mayo Hospital Dover Foxcroft$34,6062.7×22026-03-30
Northern Light Eastern Maine Medical Center Bangor$51,2674.1×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$51,2674.1×32026-03-30
Northern Light A R Gould Hospital Presque Isle$54,9074.3×32026-03-30

CPT 27138

HospitalMedian across insurers× MedicareInsurersFile date
Northern Light Mercy Hospital Portland$31,1842.4×22026-04-15
Northern Light C A Dean Hospital Greenville$31,1842.5×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$31,1842.5×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$31,1842.5×22026-03-30
Northern Light Mayo Hospital Dover Foxcroft$34,6062.7×22026-03-30
Northern Light Eastern Maine Medical Center Bangor$51,2674.1×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$51,2674.1×32026-03-30
Northern Light A R Gould Hospital Presque Isle$54,9074.3×32026-03-30

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$28,0321.4×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$47,3842.4×12025-09-09
Central Maine Medical Center Lewiston$49,6562.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$53,2452.8×12025-09-09
Northern Light Mercy Hospital Portland$70,0503.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$74,5203.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$74,5203.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$74,5203.9×42026-03-30
Mainehealth Maine Medical Center Portland$74,9683.8×12025-09-09
Northern Light C A Dean Hospital Greenville$83,0894.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$83,0894.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$83,0894.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$83,0894.3×32026-03-30

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$31,0341.2×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$61,8682.4×12025-09-09
Central Maine Medical Center Lewiston$63,7252.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$69,5222.8×12025-09-09
Northern Light Mercy Hospital Portland$89,8973.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$95,6343.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$95,6343.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$95,6343.9×42026-03-30
Mainehealth Maine Medical Center Portland$97,8843.8×12025-09-09
Northern Light C A Dean Hospital Greenville$106,6304.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$106,6304.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$106,6304.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$106,6304.3×32026-03-30

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$39,5501.0×42026-07-04
Mainehealth Mid Coast Hospital Brunswick$92,0222.4×12025-09-09
Central Maine Medical Center Lewiston$92,9402.5×32026-06-25
Mainehealth Pen Bay Hospital Rockport$103,4062.8×12025-09-09
Northern Light Mercy Hospital Portland$132,6923.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$141,1603.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$141,1603.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$141,1603.9×42026-03-30
Mainehealth Maine Medical Center Portland$145,5923.8×12025-09-09
Northern Light C A Dean Hospital Greenville$157,3904.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$157,3904.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$157,3904.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$157,3904.3×32026-03-30

Questions

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

13 Maine hospitals post usable commercial rates for hip replacement revision in their federal price-transparency files. For CPT 27134, hospital outpatient, the median across 9 hospitals is $31,184, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.