CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Houlton Regional Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$123
about 1.0× the $118 Medicare rate · typically $77–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$129
About the fair price
about $6 over the fair price · 1.1× Medicare
Medicare pays $118 Fair price $123 This hospital $129 Cash price $195 Hospital's list price $206

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 4 charge more and 4 charge less, among the 9 ME hospitals compared.

Cheapest $102 Priciest $151

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

A fair price for a New patient office visit (30-44 min) is about $123 (about 1.0× the $118 Medicare rate). Houlton Regional Hospital charges insurers about $129, or about $195 in cash — about the fair price. Located in Houlton, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $169 - $231 144%
Blue Cross Blue Shieldmajor $78 - $205 66%
Aetnamajor $80 - $130 68%
Cignamajor $162 - $221 138%
WellCare $79 - $129 67%
+ 2 smaller / regional plans $91 - $214
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 20 Hartford Street, Houlton, ME 04730
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals