Mainehealth Maine Medical Center
MaineHealth Maine Medical Center in Portland charges 4.5x the Medicare reimbursement rate across 153 analyzed procedures, reflecting the pricing structure at this nonprofit hospital.
Portland, ME 04102 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.49x
Charge / Medicare rate
Max markup
10.42x
Worst procedure
Procedures analyzed
153
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $240,839 | $120,419 | — | 10.4x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $67,905 | $33,952 | — | 8.4x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $72,341 | $36,171 | — | 6.8x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $80,210 | $40,105 | — | 6.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $84,801 | $42,400 | — | 6.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,607 | $16,803 | — | 6.6x |
| CELLULITIS WITH MCC | 602 | $61,725 | $30,863 | — | 6.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $42,661 | $21,330 | — | 6.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $141,251 | $70,626 | — | 6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $97,478 | $48,739 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,012 | $40,006 | — | 5.8x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $63,500 | $31,750 | — | 5.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $84,698 | $42,349 | — | 5.7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $195,876 | $97,938 | — | 5.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $39,305 | $19,653 | — | 5.6x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $88,439 | $44,219 | — | 5.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $245,953 | $122,977 | — | 5.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $87,845 | $43,923 | — | 5.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $134,078 | $67,039 | — | 5.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $122,630 | $61,315 | — | 5.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $109,977 | $54,988 | — | 5.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $75,119 | $37,559 | — | 5.3x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $67,539 | $33,769 | — | 5.3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $32,645 | $16,322 | — | 5.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $128,877 | $64,439 | — | 5.2x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $39,655 | $19,828 | — | 5.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $26,097 | $13,049 | — | 5.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $45,600 | $22,800 | — | 5.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $156,183 | $78,092 | — | 5.1x |
| DIABETES WITH CC | 638 | $35,308 | $17,654 | — | 5.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $214,790 | $107,395 | — | 5.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $118,114 | $59,057 | — | 5.1x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $53,031 | $26,516 | — | 5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $115,058 | $57,529 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $33,453 | $16,727 | — | 4.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $137,256 | $68,628 | — | 4.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $57,496 | $28,748 | — | 4.9x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $61,352 | $30,676 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $57,305 | $28,653 | — | 4.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $92,255 | $46,128 | — | 4.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $125,999 | $62,999 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,685 | $9,343 | — | 4.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $87,860 | $43,930 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $71,592 | $35,796 | — | 4.7x |
| SYNCOPE AND COLLAPSE | 312 | $28,920 | $14,460 | — | 4.7x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $70,713 | $35,356 | — | 4.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,236 | $20,118 | — | 4.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $26,954 | $13,477 | — | 4.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $67,867 | $33,933 | — | 4.6x |
| SEIZURES WITH MCC | 100 | $68,849 | $34,425 | — | 4.6x |
Showing 50 of 153 procedures
How MAINEHEALTH MAINE MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use