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Kyphoplasty (spine fracture) in Maine: what insurers pay

Posted commercial rates at 17 Maine hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 22514

HospitalMedian across insurers× MedicareInsurersFile date
Central Maine Medical Center Lewiston$7,1601.0×32026-06-25
York Hospital York$15,4892.1×42026-07-04
Mainehealth Franklin Hospital Farmington$18,0722.5×22025-09-09
Mainehealth Mid Coast Hospital Brunswick$24,9523.4×12025-09-09
Northern Light A R Gould Hospital Presque Isle$29,2724.1×32026-03-30
Northern Light Eastern Maine Medical Center Bangor$29,2724.1×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$29,2724.1×32026-03-30
Mainehealth Maine Medical Center Portland$31,4044.2×12025-09-09
Mainehealth Stephens Hospital Norway$32,8664.6×12025-09-09
Mainehealth Pen Bay Hospital Rockport$33,5744.7×12025-09-09
Northern Light Mercy Hospital Portland$33,9844.6×22026-04-15
Northern Light C A Dean Hospital Greenville$33,9844.8×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$33,9844.8×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$33,9844.8×22026-03-30
Mainehealth Waldo Hospital Belfast$35,0994.9×12025-09-09
Northern Light Mayo Hospital Dover Foxcroft$35,7925.0×22026-03-30
Mainehealth Lincoln Hospital Damariscotta$42,7276.0×12025-09-09

MS-DRG 516

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$16,0221.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$36,3362.4×12025-09-09
Central Maine Medical Center Lewiston$37,5512.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$40,8322.8×12025-09-09
Northern Light Mercy Hospital Portland$52,9733.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$56,3543.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$56,3543.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$56,3543.9×42026-03-30
Mainehealth Maine Medical Center Portland$57,4903.8×12025-09-09
Northern Light C A Dean Hospital Greenville$62,8334.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$62,8334.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$62,8334.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$62,8334.3×32026-03-30

MS-DRG 517

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$11,8481.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$26,9622.4×12025-09-09
Central Maine Medical Center Lewiston$27,7682.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$30,2982.8×12025-09-09
Northern Light Mercy Hospital Portland$39,1723.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$41,6723.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$41,6723.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$41,6723.9×42026-03-30
Mainehealth Maine Medical Center Portland$42,6583.8×12025-09-09
Northern Light C A Dean Hospital Greenville$46,4644.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$46,4644.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$46,4644.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$46,4644.3×32026-03-30

Questions

How much do insurers pay for kyphoplasty (spine fracture) in Maine?

17 Maine hospitals post usable commercial rates for kyphoplasty (spine fracture) in their federal price-transparency files. For CPT 22514, hospital outpatient, the median across 17 hospitals is $32,866, 4.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.