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Sepsis (hospital stay) in Maine: what insurers pay

Posted commercial rates at 14 Maine hospitals, each next to its own Medicare base rate.

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MS-DRG 871

HospitalMedian across insurers× MedicareInsurersFile date
Bridgton Hospital Bridgton$10,3030.7×12026-04-29
York Hospital York$14,9771.1×32026-07-04
Central Maine Medical Center Lewiston$35,1012.6×62026-06-25
Mainehealth Mid Coast Hospital Brunswick$35,4412.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$39,8252.9×12025-09-09
Northern Light Mercy Hospital Portland$49,5163.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$52,6763.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$52,6763.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$52,6763.9×42026-03-30
Mainehealth Maine Medical Center Portland$56,0724.0×12025-09-09
Northern Light C A Dean Hospital Greenville$58,7334.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$58,7334.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$58,7334.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$58,7334.3×32026-03-30

MS-DRG 872

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$7,8901.1×32026-07-04
Bridgton Hospital Bridgton$11,2371.5×22026-04-29
Central Maine Medical Center Lewiston$16,7802.3×42026-06-25
Mainehealth Mid Coast Hospital Brunswick$18,6232.5×12025-09-09
Mainehealth Pen Bay Hospital Rockport$20,9262.9×12025-09-09
Northern Light Mercy Hospital Portland$26,0853.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$27,7503.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$27,7503.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$27,7503.9×42026-03-30
Mainehealth Maine Medical Center Portland$29,4644.0×12025-09-09
Northern Light C A Dean Hospital Greenville$30,9404.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$30,9404.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$30,9404.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$30,9404.3×32026-03-30

Questions

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

14 Maine hospitals post usable commercial rates for sepsis (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 871), the median across 14 hospitals is $52,676, 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.