CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mainehealth Mid Coast Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$116
about 1.0× the $118 Medicare rate · typically $76–$153
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
About the fair price
about $10 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $116 This hospital $126 Cash price $353 Hospital's list price $353

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.

Cheapest $102 Priciest $151

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $116 (about 1.0× the $118 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $126, or about $353 in cash — about the fair price. Located in Brunswick, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $78 - $333 66%
Blue Cross Blue Shieldmajor $78 - $450 66%
Aetnamajor $79 - $298 67%
Cignamajor $201 - $285 171%
Humanamajor $89 - $126 76%
Harvard Pilgrim $215 - $284 183%
WellCare $89 - $130 76%
+ 1 smaller / regional plan $166 - $332
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals