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MAINEHEALTH MAINE MEDICAL CENTER

PORTLAND, ME 04102 · Acute Care Hospitals

153 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

153

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.5x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to ME hospitals

Understanding Your Costs

When you receive a bill from MAINEHEALTH MAINE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MAINEHEALTH MAINE MEDICAL CENTER lists chargemaster rates that average 4.5x the corresponding Medicare reimbursement amount across 153 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in ME has a chargemaster-to-Medicare ratio of 3.5x, with ratios across the state ranging from 2.6x to 5.1x. At 4.5x, this facility’s average ratio is above the state median. 13 hospitals in ME report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at MAINEHEALTH MAINE MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $240,839, while Medicare reimburses $23,116 for the same procedure — a ratio of 10.4x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

MAINEHEALTH MAINE MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$240,839$23,11610.4x
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MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO809$67,905$8,0988.4x
1th
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MAJOR CHEST TRAUMA WITH MCC183$72,341$10,7206.8x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC328$80,210$11,9166.7x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$84,801$12,7436.7x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$33,607$5,1226.6x
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CELLULITIS WITH MCC602$61,725$9,9266.2x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$42,661$6,9986.1x
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REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$141,251$23,7106.0x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$97,478$16,9085.8x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$80,012$13,9145.8x
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DISORDERS OF THE BILIARY TRACT WITH MCC444$63,500$11,1655.7x
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OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$84,698$14,8905.7x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$195,876$34,7485.6x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$39,305$7,0465.6x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$88,439$15,8575.6x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$245,953$44,8205.5x
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MAJOR CHEST PROCEDURES WITH CC164$87,845$16,2275.4x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$134,078$24,9805.4x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$122,630$22,8675.4x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$109,977$20,6015.3x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$75,119$14,1305.3x
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PERIPHERAL VASCULAR DISORDERS WITH MCC299$67,539$12,7375.3x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$32,645$6,2005.3x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$128,877$24,6775.2x
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MAJOR CHEST TRAUMA WITH CC184$39,655$7,6515.2x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$26,097$5,0695.2x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$45,600$8,8605.2x
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CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC024$156,183$30,4085.1x
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DIABETES WITH CC638$35,308$6,8685.1x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$118,114$23,3885.0x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$214,790$42,5495.0x
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EXTRACRANIAL PROCEDURES WITH CC038$53,031$10,6335.0x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$115,058$23,1585.0x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$33,453$6,7884.9x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$137,256$28,0604.9x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$57,496$11,7874.9x
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MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$61,352$12,6534.8x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$57,305$11,8904.8x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$92,255$19,2514.8x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$125,999$26,3724.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$18,685$3,9194.8x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$87,860$18,4644.8x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$71,592$15,1464.7x
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SYNCOPE AND COLLAPSE312$28,920$6,1504.7x
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CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$70,713$15,0814.7x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,236$8,6674.6x
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SIGNS AND SYMPTOMS WITHOUT MCC948$26,954$5,8204.6x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$67,867$14,6904.6x
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SEIZURES WITH MCC100$68,849$14,9084.6x
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Showing 50 of 153 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across ME hospitals

2.6x
Median: 3.5x
5.1x
4.5x

13 hospitals in ME report pricing data to CMS. This facility's average ratio of 4.5x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About MAINEHEALTH MAINE MEDICAL CENTER

How much does MAINEHEALTH MAINE MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, MAINEHEALTH MAINE MEDICAL CENTER's listed chargemaster rates average 4.5x the Medicare reimbursement amount across 153 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at MAINEHEALTH MAINE MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at MAINEHEALTH MAINE MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $240,839 compared to Medicare reimbursement of $23,116 — a ratio of 10.4x. Source: CMS IPPS Provider Summary.

Is MAINEHEALTH MAINE MEDICAL CENTER expensive compared to other ME hospitals?

MAINEHEALTH MAINE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 4.5x. Ratios vary significantly across ME hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for MAINEHEALTH MAINE MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from MAINEHEALTH MAINE MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does MAINEHEALTH MAINE MEDICAL CENTER in PORTLAND, ME accept Medicare?

MAINEHEALTH MAINE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MAINEHEALTH MAINE MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.