CMS Price Transparency Data

CT scan, sinuses

Facility: Penobscot Valley Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$529
about 4.9× the $107 Medicare rate · typically $155–$868
modeled estimate · not a bill or quote
What this hospital charges insurers
$866
Above the fair price
about $337 over the fair price · 8.1× Medicare
Medicare pays $107 Fair price $529 This hospital $866 Cash price $1,467 Hospital's list price $1,833

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 $86 Priciest $866

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

A fair price for a CT scan, sinuses is about $529 (about 4.9× the $107 Medicare rate). Penobscot Valley Hospital charges insurers about $866, or about $1,467 in cash — above the fair price. Located in Lincoln, 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 $529. 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.

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 $844 - $1,467 790%
Blue Cross Blue Shieldmajor $870 - $1,359 815%
Aetnamajor $862 - $1,760 807%
Cignamajor $1,723 1613%
Humanamajor $853 799%
Harvard Pilgrim $1,751 1639%
WellCare $853 799%
Government programs also on file: Medicare.

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.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals