Maine / St Mary's Regional Medical Center
CMS certification 200034 · Lewiston, ME · 4 entries in CMS's price-transparency list
St Mary's Regional Medical Center: charges and Medicare payments
St Mary's Regional Medical Center reported 153 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.67 times what it was paid — among the lower ratios in Maine, number 11 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: 39 stays at an average charge of $39,840, 56% below the national average. It also billed 704 outpatient services, charging 7.47 times what Medicare paid.
- 1Medicare inpatient stays 153
- 2Charge ÷ paid, inpatient 2.67×
- 3Rank in ME (highest ratio = 1) 11 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 8 DRGs that can be compared with the national average, St Mary's Regional 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 39 | $39,840 | -56% | $14,393 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $34,538 | -51% | $12,811 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 21 | $15,673 | -58% | $7,524 |
| 291 Heart Failure and Shock with MCC | 19 | $30,641 | -46% | $9,952 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $31,215 | -48% | $10,542 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $30,531 | -58% | $12,838 |
| 683 Renal Failure with CC | 12 | $18,590 | -54% | $7,777 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $21,324 | -57% | $8,362 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 212 | $7,820 | $2,342 |
| Level 1 Nerve Procedures | 108 | $9,230 | $1,664 |
| Level 2 Urology and Related Services | 93 | $2,665 | $593 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $8,891 | $1,385 |
| Level 3 Urology and Related Services | 48 | $5,875 | $1,768 |
| Level 4 Musculoskeletal Procedures | 42 | $47,454 | $6,094 |
| Level 5 Musculoskeletal Procedures | 33 | $77,015 | $11,412 |
| Level 3 Musculoskeletal Procedures | 17 | $29,552 | $2,810 |
| Level 3 Vascular Procedures | 17 | $17,461 | $2,767 |
| Level 2 Musculoskeletal Procedures | 16 | $12,719 | $1,395 |
| Level 2 Upper GI Procedures | 16 | $10,477 | $1,652 |
| Level 4 Urology and Related Services | 14 | $26,761 | $2,854 |
| Level 5 Urology and Related Services | 14 | $40,026 | $4,236 |
| Level 3 Endovascular Procedures | 13 | $75,001 | $9,544 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $29,149 | $3,004 |
Against the Maine average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Mary's Regional Medical Center charged $39,840 on average, 31% less than the Maine average of $57,965, and was paid $14,393 against a state average of $19,002. For Respiratory Infections and Inflammations with MCC (DRG 177), St Mary's Regional Medical Center charged $34,538 on average, 35% less than the Maine average of $53,088, and was paid $12,811 against a state average of $15,399. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), St Mary's Regional Medical Center charged $15,673 on average, 40% less than the Maine average of $25,981, and was paid $7,524 against a state average of $8,230. For Heart Failure and Shock with MCC (DRG 291), St Mary's Regional Medical Center charged $30,641 on average, 24% less than the Maine average of $40,287, and was paid $9,952 against a state average of $11,946. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,820 was 41% below the state average of $13,250. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,230 was 26% above the state average of $7,302. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,665 was 90% above the state average of $1,404. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,891 was 16% above the state average of $7,697.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Mary's Regional 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 — 2025-04-28 (CMS case 4147)
- Closure Notice — 2025-08-04 (CMS case 4147)
- Warning Notice — 2026-04-15 (CMS case 7473)
- Closure Notice — 2026-07-16 (CMS case 7473)
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.