Maine / Mid Coast Hospital
CMS certification 200021 · Brunswick, ME · 1 entry in CMS's price-transparency list
Mid Coast Hospital: charges and Medicare payments
Mid Coast Hospital reported 769 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 3.18 times what it was paid — mid-range in Maine, number 7 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: 79 stays at an average charge of $26,475, 53% below the national average. It also billed 1,726 outpatient services, charging 5.46 times what Medicare paid.
- 1Medicare inpatient stays 769
- 2Charge ÷ paid, inpatient 3.18×
- 3Rank in ME (highest ratio = 1) 7 of 13
- 4CMS price-transparency actions 1
Inpatient stays
For the 37 DRGs that can be compared with the national average, Mid Coast Hospital 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 79 | $26,475 | -53% | $10,247 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 68 | $44,330 | -51% | $14,772 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $33,284 | -44% | $10,480 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $32,394 | -54% | $13,365 |
| 885 Psychoses | 32 | $70,100 | +59% | $12,267 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $19,515 | -48% | $6,388 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $36,776 | -36% | $11,139 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $32,176 | -56% | $11,949 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $26,567 | -53% | $9,092 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $25,474 | -48% | $9,273 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $24,360 | -37% | $6,537 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $40,012 | -47% | $10,861 |
| 951 Other Factors Influencing Health Status | 18 | $19,050 | -26% | $5,007 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $33,432 | -48% | $8,322 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $26,611 | -34% | $8,745 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $33,933 | -34% | $8,923 |
| 057 Degenerative Nervous System Disorders without MCC | 16 | $27,655 | -51% | $11,578 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $48,410 | -57% | $14,789 |
| 312 Syncope and Collapse | 16 | $28,826 | -37% | $6,930 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $24,889 | -45% | $7,529 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $25,647 | -47% | $8,405 |
| 552 Medical Back Problems without MCC | 15 | $24,062 | -51% | $7,594 |
| 683 Renal Failure with CC | 15 | $21,345 | -48% | $7,762 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $92,186 | -60% | $33,487 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $28,689 | -49% | $7,845 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $25,478 | -41% | $6,907 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $21,971 | -48% | $6,704 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $21,122 | -43% | $6,345 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $21,330 | -41% | $6,012 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $63,375 | -47% | $18,766 |
| 603 Cellulitis without MCC | 13 | $21,481 | -42% | $6,824 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $29,363 | -66% | $12,797 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $44,565 | -27% | $11,424 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $55,983 | -44% | $15,224 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $19,591 | -60% | $8,490 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $27,455 | -46% | $7,987 |
| 811 Red Blood Cell Disorders with MCC | 11 | $28,128 | -59% | $10,655 |
Outpatient services
Against the Maine average
For Heart Failure and Shock with MCC (DRG 291), Mid Coast Hospital charged $26,475 on average, 34% less than the Maine average of $40,287, and was paid $10,247 against a state average of $11,946. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mid Coast Hospital charged $44,330 on average, 24% less than the Maine average of $57,965, and was paid $14,772 against a state average of $19,002. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mid Coast Hospital charged $33,284 on average, 17% less than the Maine average of $40,166, and was paid $10,480 against a state average of $12,049. For Respiratory Infections and Inflammations with MCC (DRG 177), Mid Coast Hospital charged $32,394 on average, 39% less than the Maine average of $53,088, and was paid $13,365 against a state average of $15,399. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,956 was 5% below the state average of $10,436. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,582 was 18% above the state average of $13,250. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $824 was 41% below the state average of $1,404. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,975 was 1% below the state average of $16,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mid Coast Hospital in Brunswick, ME, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-03-23 (CMS case 809)
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.