CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Bridgton Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,302

about 1.4× the $14,044 Medicare rate · typically $12,639–$21,862

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,740

Above the fair price

about $3,438 over the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $19,302 This hospital $22,740 Cash price $4,078

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 5 of 7 other ME hospitals charge less.

Cheapest $14,143 Priciest $25,062

Black dot = this hospital, among the 8 ME hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,302 (about 1.4× the $14,044 Medicare rate). Bridgton Hospital charges insurers about $22,740, or about $4,078 in cash — above the fair price. Located in Bridgton, ME.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,302. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
No insurance-company prices are published for this procedure.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,078), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Bridgton Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bridgton Hospital

Compare: Hip or knee replacement (inpatient stay) at other ME hospitals

Mainehealth Mid Coast Hospital · Brunswick $14,143
Central Maine Medical Center · Lewiston $15,125
Mainehealth Maine Medical Center · Portland $16,659
Cary Medical Center · Caribou $17,447
Mainehealth Pen Bay Hospital · Rockport $19,483
Rumford Hospital · Rumford $22,740
St Mary's Regional Medical Center · Lewiston $25,062

Insurance negotiated median for the same procedure, sorted lowest first.