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Lumbar spinal fusion in Maine: what insurers pay

Posted commercial rates at 12 Maine hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$24,9071.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$55,7412.4×12025-09-09
Mainehealth Pen Bay Hospital Rockport$62,6372.8×12025-09-09
Northern Light Mercy Hospital Portland$82,3463.5×22026-04-15
Mainehealth Maine Medical Center Portland$83,2913.5×12025-09-09
Northern Light A R Gould Hospital Presque Isle$87,6023.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$87,6023.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$87,6023.9×42026-03-30
Northern Light C A Dean Hospital Greenville$97,6744.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$97,6744.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$97,6744.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$97,6744.3×32026-03-30

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$41,0921.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$93,0242.4×12025-09-09
Mainehealth Pen Bay Hospital Rockport$104,5322.8×12025-09-09
Northern Light Mercy Hospital Portland$135,8583.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$144,5283.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$144,5283.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$144,5283.9×42026-03-30
Mainehealth Maine Medical Center Portland$147,1783.8×12025-09-09
Northern Light C A Dean Hospital Greenville$161,1464.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$161,1464.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$161,1464.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$161,1464.3×32026-03-30

Questions

How much do insurers pay for lumbar spinal fusion in Maine?

12 Maine hospitals post usable commercial rates for lumbar spinal fusion in their federal price-transparency files. For inpatient stay (MS-DRG 451), the median across 12 hospitals is $87,602, 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.