Office visit, established patient (30-39 min)
Facility: Northern Light Eastern Maine Medical Center
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $156 compared to the $124 fair price benchmark.
5-Star CMS clinical quality rating paired with 1.26× fair market pricing.
Highest price of the 9 ME hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $124 (about 0.9× the $136 Medicare rate). Northern Light Eastern Maine Medical Center charges insurers about $156, or about $51 in cash — above the fair price. Located in Bangor, 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 $124. 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.
4 of 6 major insurers have a published price at this hospital
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 | $92 - $371 | 68% |
| Blue Cross Blue Shieldmajor | $90 - $298 | 66% |
| Aetnamajor | $69 - $348 | 51% |
| Cignamajor | $155 - $342 | 114% |
| WellCare | $92 - $121 | 68% |
| + 3 smaller / regional plans | $92 - $323 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Northern Light Eastern Maine Medical Center
Compare: Office visit, established patient (30-39 min) at other ME hospitals
- Calais Community Hospital · Calais $42
- Millinocket Regional Hospital · Millinocket $93
- Northern Light Acadia Hospital · Bangor $121
- Mainehealth Pen Bay Hospital · Rockport $127
- Mainehealth Mid Coast Hospital · Brunswick $128
- Mainehealth Franklin Hospital · Farmington $129
- Penobscot Valley Hospital · Lincoln $132
- Northern Maine Medical Center · Fort Kent $132
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Northern Light Eastern Maine Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $89
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $89).
Self-Pay Cash Rate ($51) Beats Your Bill
Northern Light Eastern Maine Medical Center's published 45 CFR § 180 self-pay cash rate is $51 (vs. $156 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $124 Fair BaseRate ($136 Medicare)
Your bill ($244) is $120 above the denoised Fair BaseRate ($124) and 1.8× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.