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Inpatient stay · MS-DRG 951

Other factors influencing health status

In 2024, Medicare and patients paid an average of $6,140 per stay at 148 hospitals. Half of hospitals averaged between $4,980 and $6,534.

National figures, 2024

Average payment per case
$6,140
Typical range (middle half of hospitals)
$4,980–$6,534
Medicare’s share
$4,59675% of the payment
Average billed charge
$27,034
Hospitals reporting
1483,008 stays

Hospitals in Maine

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Maine
Specific hospitals up to 10
Average payment across these 4 hospitals
$5,530National $6,140 · Maine $5,530
Median hospital
$5,472
Lowest to highest
$4,991–$6,291
Medicare stays
56

4 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Other factors influencing health status by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 20003312$4,99119% below the national average$3,841$18,791
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 20002118$5,00718% below the national average$3,740$19,050
Mainehealth Maine Medical CenterPortland, ME · CCN 20000911$5,937About average$4,599$12,729
Maine General Medical CenterAugusta, ME · CCN 20003915$6,291About average$4,784$24,347

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 1,745 stays at 77 hospitals · 2021: 2,048 stays at 100 hospitals · 2022: 2,425 stays at 113 hospitals · 2023: 2,695 stays at 132 hospitals · 2024: 3,008 stays at 148 hospitals
View data as a table
National average payment and billed charge for Other factors influencing health status
Year of careAverage paymentAverage billed charge
2020$5,710$22K
2021$5,504$23K
2022$5,443$24K
2023$5,729$25K
2024$6,140$27K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 36 states
Average payment by state for Other factors influencing health status, 2024
StateHospitalsCasesAverage paymentTypical range
Kentucky255$4,094$4,019–$4,348
Iowa236$4,441$4,307–$4,526
Alabama228$4,480$4,475–$4,490
Vermont234$4,573$4,392–$4,638
Virginia232$4,617$4,438–$4,659
Missouri463$4,834$4,506–$5,234
Montana239$4,871$4,865–$4,872
Wisconsin354$4,890$4,604–$5,091
Oklahoma241$4,983$4,935–$5,499
Pennsylvania365$5,034$4,690–$5,334
Indiana339$5,151$4,683–$5,582
Maryland587$5,221$4,142–$6,696
Kansas111$5,253$5,253–$5,253
New Hampshire447$5,380$5,232–$5,527
South Carolina463$5,397$4,534–$6,024
Delaware115$5,427$5,427–$5,427
Nevada115$5,487$5,487–$5,487
Idaho225$5,510$5,489–$5,545
Maine456$5,530$5,003–$6,026
West Virginia234$5,537$5,254–$5,711
Texas116$5,655$5,655–$5,655
North Carolina14281$5,674$4,936–$6,363
Michigan224$5,728$5,719–$5,741
New Jersey385$5,828$4,906–$6,436
Washington21518$5,950$5,242–$5,990
Arizona114$5,986$5,986–$5,986
Illinois576$6,074$4,896–$7,015
Oregon250$6,490$6,451–$6,528
Massachusetts6135$6,514$5,352–$7,510
Connecticut455$6,582$6,521–$6,763
California9146$6,736$6,118–$7,210
Hawaii116$7,015$7,015–$7,015
Alaska274$7,290$7,128–$8,849
New York20582$7,507$5,522–$7,674
Minnesota224$7,613$5,993–$8,769
Florida473$7,683$4,703–$7,657

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.