What Medicare pays Maine hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Maine requires a certificate of need for new surgery centers.
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| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Northern Light Mercy Hospital | Portland | $14,614 | $72,166 | $12,197 |
| Mainehealth Maine Medical Center | Portland | $18,640 | $86,988 | $12,212 |
| Mainegeneral Medical Center | Augusta | $19,194 | $59,999 | $12,731 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Mainegeneral Medical Center | Augusta | $19,194 | $59,999 | $12,731 |
| Mainehealth Maine Medical Center | Portland | $18,640 | $86,988 | $12,212 |
| Northern Light Mercy Hospital | Portland | $14,614 | $72,166 | $12,197 |
In 2024 the median average total payment to Maine hospitals was $18,640 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,042 per outpatient case. An orthopedic surgery center is paid about $8,975 for a knee.
Northern Light Mercy Hospital ($14,614), Mainehealth Maine Medical Center ($18,640), Mainegeneral Medical Center ($19,194) (average total payment per inpatient stay, patient share included).
The median list (chargemaster) price is $72,166, about 3.9× the median average total payment for a Medicare stay.
Maine requires a certificate of need for new surgery centers. CON covers new health care facilities including ambulatory surgical facilities above a capital cost threshold, which a 2026 law (LD 1890) raised and indexed to inflation.