Office visit, established patient (30-39 min)
Facility: Mainehealth Pen Bay Hospital
Billing Code: 99214 (CPT)
One of the lower prices — 6 of 8 other ME hospitals charge more for the same procedure.
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 $126 (about 0.9× the $136 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $127, or about $204 in cash — about the fair price. Located in Rockport, 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
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 | $106 - $336 | 78% |
| Blue Cross Blue Shieldmajor | $93 - $606 | 69% |
| Aetnamajor | $94 - $316 | 69% |
| Cignamajor | $114 - $284 | 84% |
| Humanamajor | $106 - $125 | 78% |
| Harvard Pilgrim | $117 - $307 | 86% |
| WellCare | $95 - $128 | 70% |
| + 1 smaller / regional plan | $114 - $286 |
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 Mainehealth Pen Bay Hospital
Compare: Office visit, established patient (30-39 min) at other ME hospitals
- Millinocket Regional Hospital · Millinocket $93
- York Hospital · York $114
- Mainehealth Mid Coast Hospital · Brunswick $128
- Mainehealth Franklin Hospital · Farmington $129
- Penobscot Valley Hospital · Lincoln $132
- Northern Maine Medical Center · Fort Kent $132
- Houlton Regional Hospital · Houlton $149
- Lincolnhealth · Damariscotta $154
Insurance negotiated median for the same procedure, sorted lowest first.