CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Penobscot Valley Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.0× the $136 Medicare rate · typically $92–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
1.0× Medicare
Medicare pays $136 Fair price $132 This hospital $132 Cash price $210 Hospital's list price $262

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 2 charge more and 5 charge less, among the 9 ME hospitals compared.

Cheapest $93 Priciest $154

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 $132 (about 1.0× the $136 Medicare rate). Penobscot Valley Hospital charges insurers about $132, or about $210 in cash — about the fair price. 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 $14 - $296 10%
Blue Cross Blue Shieldmajor $14 - $466 10%
Aetnamajor $14 - $604 10%
Cignamajor $27 - $591 20%
Humanamajor $49 - $145 36%
Harvard Pilgrim $28 - $601 21%
WellCare $49 - $139 36%
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