Maine / St Joseph Hospital
CMS certification 200001 · Bangor, ME · 4 entries in CMS's price-transparency list
St Joseph Hospital: charges and Medicare payments
St Joseph Hospital reported 596 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 2.77 times what it was paid — among the lower ratios in Maine, number 10 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: 104 stays at an average charge of $46,428, 49% below the national average. It also billed 899 outpatient services, charging 6 times what Medicare paid.
- 1Medicare inpatient stays 596
- 2Charge ÷ paid, inpatient 2.77×
- 3Rank in ME (highest ratio = 1) 10 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 23 DRGs that can be compared with the national average, St Joseph Hospital 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 104 | $46,428 | -49% | $18,414 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $40,885 | -42% | $14,530 |
| 291 Heart Failure and Shock with MCC | 48 | $32,801 | -42% | $11,335 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $32,696 | -45% | $12,111 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 41 | $25,799 | -49% | $10,091 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $37,020 | -51% | $13,713 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $17,880 | -55% | $6,929 |
| 603 Cellulitis without MCC | 22 | $19,685 | -47% | $8,234 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $17,792 | -53% | $7,127 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $28,794 | -41% | $9,115 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $19,743 | -49% | $7,269 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $22,272 | -56% | $8,052 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $34,899 | -28% | $8,645 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $17,837 | -52% | $6,933 |
| 682 Renal Failure with MCC | 16 | $38,140 | -42% | $13,002 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 14 | $18,182 | -51% | $7,549 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $22,714 | -37% | $8,904 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $68,215 | -32% | $18,194 |
| 683 Renal Failure with CC | 13 | $18,974 | -53% | $7,927 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $49,246 | -42% | $15,504 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $36,777 | -34% | $8,925 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $63,217 | -38% | $19,746 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $26,472 | -48% | $10,178 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 143 | $51,122 | $11,077 |
| Comprehensive Observation Services | 134 | $9,891 | $2,349 |
| Level 2 Upper GI Procedures | 100 | $10,572 | $1,607 |
| Level 4 Musculoskeletal Procedures | 78 | $30,212 | $6,139 |
| Level 1 Laparoscopy and Related Services | 77 | $26,127 | $4,853 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 60 | $8,240 | $1,373 |
| Level 3 Musculoskeletal Procedures | 55 | $19,472 | $2,777 |
| Level 2 Urology and Related Services | 44 | $3,739 | $586 |
| Level 4 Airway Endoscopy | 32 | $25,250 | $3,213 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 28 | $22,953 | $2,969 |
| Level 3 Airway Endoscopy | 23 | $8,905 | $1,406 |
| Level 5 ENT Procedures | 23 | $22,466 | $5,025 |
| Level 3 Urology and Related Services | 21 | $8,440 | $1,748 |
| Level 4 Urology and Related Services | 19 | $16,639 | $2,866 |
| Level 1 Nerve Procedures | 19 | $15,912 | $1,657 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $11,466 | $2,309 |
| Level 6 Musculoskeletal Procedures | 15 | $64,595 | $15,959 |
| Level 5 Neurostimulator and Related Procedures | 13 | $102,814 | $26,569 |
Against the Maine average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Hospital charged $46,428 on average, 20% less than the Maine average of $57,965, and was paid $18,414 against a state average of $19,002. For Respiratory Infections and Inflammations with MCC (DRG 177), St Joseph Hospital charged $40,885 on average, 23% less than the Maine average of $53,088, and was paid $14,530 against a state average of $15,399. For Heart Failure and Shock with MCC (DRG 291), St Joseph Hospital charged $32,801 on average, 19% less than the Maine average of $40,287, and was paid $11,335 against a state average of $11,946. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Joseph Hospital charged $32,696 on average, 19% less than the Maine average of $40,166, and was paid $12,111 against a state average of $12,049. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,122 was 3% below the state average of $52,811. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,891 was 25% below the state average of $13,250. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,572 was 26% above the state average of $8,415. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $30,212 was 3% below the state average of $31,031.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Joseph Hospital in Bangor, ME, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-26 (CMS case 1070)
- CAP Request — 2023-09-11 (CMS case 1070)
- Closure Notice — 2024-04-24 (CMS case 1070)
- Met Requirements — 2025-05-07 (CMS case 4150)
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.