CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Penobscot Valley Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.3× the $40 Medicare rate · typically $22–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $9 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $53 This hospital $44 Cash price $74 Hospital's list price $92

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 6 of 8 other ME hospitals charge less.

Cheapest $12 Priciest $49

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

A fair price for a Diagnostic procedure preparation is about $53 (about 1.3× the $40 Medicare rate). Penobscot Valley Hospital charges insurers about $44, or about $74 in cash — below the fair price — a good deal. Located in Lincoln, 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 $43 - $74 106%
Blue Cross Blue Shieldmajor $44 - $68 109%
Aetnamajor $43 - $89 106%
Cignamajor $87 215%
Humanamajor $43 106%
Harvard Pilgrim $88 218%
WellCare $43 106%
Government programs also on file: Medicare.

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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