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Pneumonia (hospital stay) in Maine: what insurers pay

Posted commercial rates at 15 Maine hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Bridgton Hospital Bridgton$6,0101.0×12026-04-29
York Hospital York$6,2141.1×32026-07-04
Rumford Hospital Rumford$6,2771.1×12026-04-29
Central Maine Medical Center Lewiston$14,1242.5×52026-06-25
Mainehealth Mid Coast Hospital Brunswick$14,8112.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$16,6443.0×12025-09-09
Northern Light Mercy Hospital Portland$20,5433.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$21,8543.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$21,8543.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$21,8543.9×42026-03-30
Mainehealth Maine Medical Center Portland$23,4344.0×12025-09-09
Northern Light C A Dean Hospital Greenville$24,3674.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$24,3674.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$24,3674.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$24,3674.3×32026-03-30

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Rumford Hospital Rumford$8,7430.9×12026-04-29
York Hospital York$10,1341.1×32026-07-04
Bridgton Hospital Bridgton$10,9141.1×22026-04-29
Central Maine Medical Center Lewiston$22,1612.4×62026-06-25
Mainehealth Mid Coast Hospital Brunswick$23,8012.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$26,7462.9×12025-09-09
Northern Light Mercy Hospital Portland$33,5063.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$35,6443.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$35,6443.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$35,6443.9×42026-03-30
Mainehealth Maine Medical Center Portland$37,6573.9×12025-09-09
Northern Light C A Dean Hospital Greenville$39,7424.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$39,7424.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$39,7424.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$39,7424.3×32026-03-30

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Bridgton Hospital Bridgton$4,7221.0×12026-04-29
York Hospital York$4,8461.1×32026-07-04
Central Maine Medical Center Lewiston$9,7282.2×32026-06-25
Mainehealth Mid Coast Hospital Brunswick$11,2482.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$12,6392.9×12025-09-09
Northern Light Mercy Hospital Portland$16,0213.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$17,0443.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$17,0443.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$17,0443.9×42026-03-30
Mainehealth Maine Medical Center Portland$17,7953.9×12025-09-09
Northern Light C A Dean Hospital Greenville$19,0034.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$19,0034.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$19,0034.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$19,0034.3×32026-03-30

Questions

How much do insurers pay for pneumonia (hospital stay) in Maine?

15 Maine hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 15 hospitals is $21,854, 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.