Maine / Central Maine Medical Center
CMS certification 200024 · Lewiston, ME · 8 entries in CMS's price-transparency list
Central Maine Medical Center: charges and Medicare payments
Central Maine Medical Center reported 926 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 3.15 times what it was paid — among the lower ratios in Maine, number 9 of 13 hospitals with at least 100 stays (state median 3.18×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 121 stays at an average charge of $34,953, 38% below the national average. It also billed 1,378 outpatient services, charging 5.61 times what Medicare paid.
- 1Medicare inpatient stays 926
- 2Charge ÷ paid, inpatient 3.15×
- 3Rank in ME (highest ratio = 1) 9 of 13
- 4CMS price-transparency actions 8
Inpatient stays
For the 39 DRGs that can be compared with the national average, Central Maine 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 121 | $34,953 | -38% | $10,980 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 114 | $53,196 | -41% | $16,559 |
| 177 Respiratory Infections and Inflammations with MCC | 54 | $48,879 | -31% | $14,249 |
| 193 Simple Pneumonia and Pleurisy with MCC | 54 | $28,094 | -53% | $10,935 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $27,574 | -43% | $8,511 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $30,795 | -59% | $12,700 |
| 481 Hip and Femur Procedures except Major Joint with CC | 30 | $50,993 | -49% | $16,568 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $18,477 | -49% | $6,722 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $53,088 | -38% | $15,332 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $24,532 | -56% | $8,800 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $80,388 | -28% | $18,725 |
| 682 Renal Failure with MCC | 19 | $33,738 | -49% | $11,973 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $31,966 | -35% | $8,983 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $24,575 | -57% | $10,499 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $18,551 | -54% | $7,412 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 18 | $73,314 | -47% | $22,676 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $30,428 | -50% | $11,192 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $140,863 | -38% | $44,404 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $25,436 | -50% | $9,566 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $69,487 | -39% | $20,436 |
| 638 Diabetes with CC | 16 | $27,933 | -33% | $8,241 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $20,147 | -47% | $7,198 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $74,233 | -27% | $18,492 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $78,168 | -42% | $21,398 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $54,956 | -42% | $17,038 |
| 683 Renal Failure with CC | 14 | $19,390 | -52% | $7,794 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $20,845 | -46% | $7,341 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $28,773 | -43% | $7,994 |
| 445 Disorders of The Biliary Tract with CC | 13 | $37,261 | -36% | $9,407 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $42,819 | -57% | $15,554 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $26,976 | -52% | $10,190 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $63,131 | -47% | $18,984 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $34,209 | -53% | $13,729 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 12 | $119,700 | -45% | $37,882 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 11 | $145,274 | -46% | $49,164 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $31,115 | -51% | $10,792 |
| 389 Gastrointestinal Obstruction with CC | 11 | $17,888 | -54% | $7,160 |
| 603 Cellulitis without MCC | 11 | $29,472 | -21% | $8,013 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $28,653 | -23% | $6,839 |
Outpatient services
Against the Maine average
For Heart Failure and Shock with MCC (DRG 291), Central Maine Medical Center charged $34,953 on average, 13% less than the Maine average of $40,287, and was paid $10,980 against a state average of $11,946. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Central Maine Medical Center charged $53,196 on average, 8% less than the Maine average of $57,965, and was paid $16,559 against a state average of $19,002. For Respiratory Infections and Inflammations with MCC (DRG 177), Central Maine Medical Center charged $48,879 on average, 8% less than the Maine average of $53,088, and was paid $14,249 against a state average of $15,399. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Central Maine Medical Center charged $28,094 on average, 30% less than the Maine average of $40,166, and was paid $10,935 against a state average of $12,049. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $777 was 45% below the state average of $1,404. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,391 was 1% above the state average of $13,250. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $13,537 was 10% below the state average of $15,067. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,348 was 11% above the state average of $8,415.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Central Maine Medical Center in Lewiston, ME, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 520)
- CAP Request — 2022-07-27 (CMS case 520)
- Closure Notice — 2023-03-14 (CMS case 520)
- Warning Notice — 2025-04-10 (CMS case 3738)
- CAP Request — 2025-07-15 (CMS case 3738)
- Closure Notice — 2025-07-28 (CMS case 3738)
- Warning Notice — 2026-04-13 (CMS case 7445)
- Closure Notice — 2026-07-16 (CMS case 7445)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.