Maine / Cary Medical Center
CMS certification 200031 · Caribou, ME
Cary Medical Center: charges and Medicare payments
Cary Medical Center reported 65 Medicare inpatient stays across 4 DRGs in 2024. Across them it charged 1.66 times what it was paid. Its most frequent stay was DRG 194, Simple Pneumonia and Pleurisy with CC: 18 stays at an average charge of $14,128, 63% below the national average. It also billed 324 outpatient services, charging 5.13 times what Medicare paid.
- 1Medicare inpatient stays 65
- 2Charge ÷ paid, inpatient 1.66×
- 3Rank in ME (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 4 DRGs that can be compared with the national average, Cary Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $14,128 | -63% | $7,575 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 18 | $27,944 | -69% | $17,708 |
| 291 Heart Failure and Shock with MCC | 15 | $18,395 | -67% | $11,429 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $15,928 | -68% | $9,325 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 84 | $8,886 | $2,349 |
| Level 2 Urology and Related Services | 54 | $1,549 | $586 |
| Level 1 Intraocular Procedures | 46 | $6,905 | $2,000 |
| Level 4 Urology and Related Services | 28 | $12,044 | $2,991 |
| Level 5 Musculoskeletal Procedures | 21 | $45,921 | $11,280 |
| Level 1 Laparoscopy and Related Services | 18 | $24,659 | $4,951 |
| Level 3 Urology and Related Services | 18 | $4,395 | $1,748 |
| Level 3 Vascular Procedures | 17 | $16,692 | $2,735 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $13,189 | $2,438 |
| Level 3 Musculoskeletal Procedures | 11 | $12,748 | $2,777 |
| Level 1 Nerve Procedures | 11 | $11,674 | $1,657 |
Against the Maine average
For Simple Pneumonia and Pleurisy with CC (DRG 194), Cary Medical Center charged $14,128 on average, 44% less than the Maine average of $25,380, and was paid $7,575 against a state average of $7,784. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cary Medical Center charged $27,944 on average, 52% less than the Maine average of $57,965, and was paid $17,708 against a state average of $19,002. For Heart Failure and Shock with MCC (DRG 291), Cary Medical Center charged $18,395 on average, 54% less than the Maine average of $40,287, and was paid $11,429 against a state average of $11,946. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cary Medical Center charged $15,928 on average, 49% less than the Maine average of $31,445, and was paid $9,325 against a state average of $10,386. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,886 was 33% below the state average of $13,250. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,549 was 10% above the state average of $1,404. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,905 was 34% below the state average of $10,436. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $12,044 was 14% below the state average of $14,059.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.