Maine / Mainegeneral Medical Center
CMS certification 200039 · Augusta, ME · 4 entries in CMS's price-transparency list
Mainegeneral Medical Center: charges and Medicare payments
Mainegeneral Medical Center reported 1,025 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 3.16 times what it was paid — mid-range in Maine, number 8 of 13 hospitals with at least 100 stays (state median 3.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 135 stays at an average charge of $57,556, 36% below the national average. It also billed 2,170 outpatient services, charging 5.33 times what Medicare paid.
- 1Medicare inpatient stays 1,025
- 2Charge ÷ paid, inpatient 3.16×
- 3Rank in ME (highest ratio = 1) 8 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 40 DRGs that can be compared with the national average, Mainegeneral Medical Center charged more than the national average in 1 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 135 | $57,556 | -36% | $21,117 |
| 291 Heart Failure and Shock with MCC | 100 | $44,762 | -21% | $13,533 |
| 885 Psychoses | 70 | $65,487 | +49% | $16,305 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $54,862 | -22% | $18,004 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $49,233 | -18% | $14,355 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $30,896 | -45% | $10,795 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $27,457 | -28% | $8,265 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $45,089 | -8% | $13,476 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $45,601 | -21% | $12,800 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $42,995 | -43% | $16,986 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $31,905 | -37% | $11,123 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $26,863 | -29% | $8,096 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $25,932 | -49% | $9,962 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $28,548 | -29% | $9,183 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $47,335 | -8% | $11,756 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $39,537 | -34% | $13,615 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $137,196 | -40% | $46,270 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 19 | $24,161 | -35% | $9,272 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $113,317 | -5% | $27,909 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $71,033 | -29% | $21,418 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $26,712 | -26% | $7,706 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $51,086 | -30% | $16,142 |
| 069 Transient Ischemia without Thrombolytic | 16 | $30,441 | -40% | $8,338 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $57,529 | -42% | $20,508 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $24,419 | -15% | $5,727 |
| 603 Cellulitis without MCC | 15 | $31,449 | -16% | $10,185 |
| 951 Other Factors Influencing Health Status | 15 | $24,347 | -5% | $6,291 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $38,720 | -20% | $10,144 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $23,094 | -17% | $6,343 |
| 394 Other Digestive System Diagnoses with CC | 13 | $31,036 | -34% | $9,619 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $28,927 | -22% | $8,090 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $39,839 | -30% | $12,005 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $48,596 | -38% | $16,094 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $65,105 | -36% | $21,385 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $27,511 | -51% | $14,040 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $57,830 | -11% | $18,512 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $19,694 | -55% | $8,154 |
| 389 Gastrointestinal Obstruction with CC | 11 | $24,958 | -36% | $8,355 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $39,965 | -35% | $13,359 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $59,999 | -36% | $19,194 |
Outpatient services
Against the Maine average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mainegeneral Medical Center charged $57,556 on average, 1% less than the Maine average of $57,965, and was paid $21,117 against a state average of $19,002. For Heart Failure and Shock with MCC (DRG 291), Mainegeneral Medical Center charged $44,762 on average, 11% more than the Maine average of $40,287, and was paid $13,533 against a state average of $11,946. For Psychoses (DRG 885), Mainegeneral Medical Center charged $65,487 on average, 5% less than the Maine average of $69,033, and was paid $16,305 against a state average of $15,824. For Respiratory Infections and Inflammations with MCC (DRG 177), Mainegeneral Medical Center charged $54,862 on average, 3% more than the Maine average of $53,088, and was paid $18,004 against a state average of $15,399. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,038 was 26% below the state average of $1,404. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,790 was 0% below the state average of $6,802. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,075 was 4% below the state average of $8,415. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,108 was 8% below the state average of $7,697.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mainegeneral Medical Center in Augusta, ME, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-09 (CMS case 1069)
- Closure Notice — 2023-09-13 (CMS case 1069)
- Met Requirements — 2025-04-11 (CMS case 3734)
- Met Requirements — 2026-04-06 (CMS case 7383)
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.