States / Maine

ME · 17 hospitals · #41 of 51 by charge gap

Hospital prices in Maine

17 Maine hospitals reported 14,554 Medicare inpatient stays in 2024. The median hospital charged 3.18 times what it was paid — below the national median of 4.15×, number 41 of 51. The widest gap was at Northern Light Eastern Maine Medical Center (4.41×), the narrowest at Northern Light Maine Coast Hospital (2.38×). CMS's price-transparency list records 57 enforcement actions involving 18 Maine hospitals.

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  1. 1Median charge ÷ paid 3.18×
  2. 2Hospitals reporting 17
  3. 3Medicare inpatient stays 14,554
  4. 4Price-transparency actions 57
Northern Light Eastern Maine...4.41×Northern Light Mercy Hospital3.85×York Hospital3.62×Mainehealth Maine Medical...3.54×Southern Maine Health Care3.45×Northern Light A R Gould...3.36×Mid Coast Hospital3.18×Mainegeneral Medical Center3.16×Central Maine Medical Center3.15×St Joseph Hospital2.77×St Mary's Regional Medical...2.67×Mainehealth Pen Bay Hospital2.63×Northern Light Maine Coast...2.38×
Inpatient charge-to-payment ratio, the 15 Maine hospitals with the widest gap (100+ Medicare stays), bars to scale. Source: CMS DY2024.

Most common stays in Maine

DRGStaysME avg chargeUS avg chargeME avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with...1,525$57,965$90,297$19,002
291 Heart Failure and Shock with MCC1,030$40,287$56,380$11,946
177 Respiratory Infections and Inflammations with MCC596$53,088$70,592$15,399
193 Simple Pneumonia and Pleurisy with MCC522$40,166$59,757$12,049
280 Acute Myocardial Infarction, Discharged Alive with MCC427$57,813$75,821$14,785
872 Septicemia or Severe Sepsis without MV >96 Hours without...305$31,445$49,049$10,386
189 Pulmonary Edema and Respiratory Failure289$45,067$57,570$14,390
481 Hip and Femur Procedures except Major Joint with CC252$64,823$100,756$18,096
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...251$25,757$40,165$7,506
378 Gastrointestinal Hemorrhage with CC240$33,062$48,550$9,093

Every hospital

HospitalStaysRatioActions
Mainehealth Maine Medical Center
Portland
6,4723.54×–
Northern Light Eastern Maine Medical Center
Bangor
2,7064.41×4
Mainegeneral Medical Center
Augusta
1,0253.16×4
Central Maine Medical Center
Lewiston
9263.15×8
Mid Coast Hospital
Brunswick
7693.18×1
St Joseph Hospital
Bangor
5962.77×4
Northern Light Mercy Hospital
Portland
3773.85×–
York Hospital
York
3733.62×4
Southern Maine Health Care
Biddeford
3103.45×–
Mainehealth Pen Bay Hospital
Rockport
2992.63×–
Northern Light Maine Coast Hospital
Ellsworth
1852.38×–
St Mary's Regional Medical Center
Lewiston
1532.67×4
Northern Light A R Gould Hospital
Presque Isle
1293.36×2
Cary Medical Center
Caribou
651.66×–
Northern Light Inland Hospital
Waterville
611.91×3
Northern Maine Medical Center
Fort Kent
581.01×3
Franklin Memorial Hospital
Farmington
501.89×–

Price-transparency enforcement in Maine

20 warning notices, 18 closure notices, 11 corrective-action-plan requests, 8 “met requirements” findings — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.

Sources: CMS Medicare Inpatient 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.