CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lincolnhealth

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$140

about 1.0× the $136 Medicare rate · typically $90–$173

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

About the fair price

about $14 over the fair price · 1.1× Medicare

Medicare pays $136 Fair price $140 This hospital $154 Cash price $477 Hospital's list price $477

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 9 ME hospitals we have prices for — worth calling around.

Cheapest $93 Priciest $154

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $140 (about 1.0× the $136 Medicare rate). Lincolnhealth charges insurers about $154, or about $477 in cash — about the fair price. Located in Damariscotta, 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	$103 - $660	76%
Blue Cross Blue Shieldmajor	$103 - $771	76%
Aetnamajor	$95 - $636	70%
Cignamajor	$230 - $637	170%
Humanamajor	$109 - $267	80%
Harvard Pilgrim	$247 - $660	182%
WellCare	$107 - $277	79%
+ 1 smaller / regional plan	$197 - $647

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 477), 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 CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Lincolnhealth is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
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 Lincolnhealth

Compare: Office visit, established patient (30-39 min) at other ME hospitals

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