Maine / York Hospital
CMS certification 200020 · York, ME · 4 entries in CMS's price-transparency list
York Hospital: charges and Medicare payments
York Hospital reported 373 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 3.62 times what it was paid — among the higher ratios in Maine, number 3 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: 61 stays at an average charge of $42,034, 53% below the national average. It also billed 1,549 outpatient services, charging 5.48 times what Medicare paid.
- 1Medicare inpatient stays 373
- 2Charge ÷ paid, inpatient 3.62×
- 3Rank in ME (highest ratio = 1) 3 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 17 DRGs that can be compared with the national average, York 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 | 61 | $42,034 | -53% | $13,447 |
| 291 Heart Failure and Shock with MCC | 48 | $25,348 | -55% | $8,816 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $38,308 | -46% | $10,852 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $39,240 | -34% | $8,988 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $24,982 | -38% | $5,331 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $26,002 | -47% | $7,471 |
| 603 Cellulitis without MCC | 18 | $20,306 | -46% | $5,980 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $39,612 | -31% | $8,213 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $22,311 | -41% | $5,433 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $24,459 | -52% | $7,141 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $58,969 | -41% | $13,919 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $15,318 | -59% | $5,361 |
| 683 Renal Failure with CC | 13 | $21,478 | -47% | $7,754 |
| 389 Gastrointestinal Obstruction with CC | 12 | $25,435 | -35% | $5,447 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 12 | $88,611 | -30% | $17,108 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $20,891 | -63% | $8,226 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $11,760 | -59% | $4,118 |
Outpatient services
Against the Maine average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), York Hospital charged $42,034 on average, 27% less than the Maine average of $57,965, and was paid $13,447 against a state average of $19,002. For Heart Failure and Shock with MCC (DRG 291), York Hospital charged $25,348 on average, 37% less than the Maine average of $40,287, and was paid $8,816 against a state average of $11,946. For Respiratory Infections and Inflammations with MCC (DRG 177), York Hospital charged $38,308 on average, 28% less than the Maine average of $53,088, and was paid $10,852 against a state average of $15,399. For Simple Pneumonia and Pleurisy with MCC (DRG 193), York Hospital charged $39,240 on average, 2% less than the Maine average of $40,166, and was paid $8,988 against a state average of $12,049. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,691 was 20% above the state average of $1,404. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,318 was 37% above the state average of $6,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,996 was 2% below the state average of $13,250. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,530 was 15% below the state average of $7,697.
Price-transparency record
CMS's enforcement list records these actions for a hospital named York Hospital in York, ME, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 956)
- Closure Notice — 2022-01-14 (CMS case 956)
- Warning Notice — 2025-03-27 (CMS case 3439)
- Closure Notice — 2025-06-30 (CMS case 3439)
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.