CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mainehealth Pen Bay Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,079

about 1.3× the $12,807 Medicare rate · typically $13,637–$24,340

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,695

Above the fair price

about $2,616 over the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $16,079 This hospital $18,695

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 4 of 6 other ME hospitals charge more for the same procedure.

Cheapest $13,605 Priciest $25,732

Black dot = this hospital, among the 7 ME hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $16,079 (about 1.3× the $12,807 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $18,695 — above the fair price. Located in Rockport, 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 $16,079. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$18,418	144%
Blue Cross Blue Shieldmajor	$18,603 - $36,722	145%
Aetnamajor	$18,787	147%
Humanamajor	$18,418	144%
WellCare	$18,971	148%

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, 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: 322.

Insurance Before you use insurance

Call your insurance company to confirm Mainehealth Pen Bay Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
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 Mainehealth Pen Bay Hospital

Compare: Heart stent placement (inpatient stay) at other ME hospitals

Mainehealth Mid Coast Hospital · Brunswick $13,605
Mainehealth Maine Medical Center · Portland $16,036
Rumford Hospital · Rumford $20,784
Bridgton Hospital · Bridgton $20,784
St Mary's Regional Medical Center · Lewiston $22,907
Central Maine Medical Center · Lewiston $25,732

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